Understanding Eye Pressure, Brain Pressure, and Vision Loss: A Patient's Journey
Intraocular pressure, intracranial pressure, and visual field loss? Hello, doctor. Since 2021, I have been regularly monitored at a hospital in central Taiwan due to elevated intraocular pressure. During this period, my eye pressure was normal for a while. After returning to Taip...
Dr. Jiang Junyi Reply:
Dear Mr. Huang, You mentioned that "high intracranial pressure" is often associated with significant and dangerous conditions. It is important to distinguish between acute and chronic increases in intracranial pressure. In cases of acute intracranial hypertension, pati...[Read More] Understanding Eye Pressure, Brain Pressure, and Vision Loss: A Patient's Journey
Understanding Pulsating Pain in the Back of the Head After Bathroom Visits
Sometimes after using the restroom, I experience a noticeable pulsating pain in the left back of my head for a few seconds? Hello, Doctor. About 4-5 years ago, I started experiencing a pulsating pain in the left posterior part of my head for a few seconds after using the restroom...
Dr. Jiang Junyi Reply:
Hello Mr. Tsai: "Regarding your question about headaches, which specialty should I consult to find out the cause... I have pulsating pain in the left posterior part of my head for a few seconds." Pulsatile headaches may initially suggest a vascular headache, particularl...[Read More] Understanding Pulsating Pain in the Back of the Head After Bathroom Visits
Understanding Numbness and Swelling in the Left Foot and Leg
There is swelling and numbness from the left big toe to the left leg? There is a slight numbness and swelling sensation in the left big toe, but it is not completely devoid of feeling. The nerve sensation extends all the way to the left groin. Although it is uncertain if there is...
Dr. Jiang Junyi Reply:
Dear Ms. Chiu, You mentioned that "there is some numbness and swelling in the left big toe... the sensation of nerve twitching extends all the way to the left leg." This may indicate the possibility of lumbar nerve root compression. Typical discomfort symptoms associat...[Read More] Understanding Numbness and Swelling in the Left Foot and Leg
Sudden Sharp Pain in the Back of the Head When Turning: Causes Explained
Occasional sudden severe pain in the back of the head when turning the head? Hello, doctor. I have been experiencing this condition for about three to four years, but it occurs only occasionally, roughly every few months. When I turn my head, I feel a sharp, concentrated pain in ...
Dr. Jiang Junyi Reply:
Dear Mr. Chen Li, You mentioned that "occasionally turning my head causes intense pain concentrated at a specific point in the left back of my head," which may suggest cervicogenic headache. Symptoms of cervicogenic headache include unilateral severe headache, stiffnes...[Read More] Sudden Sharp Pain in the Back of the Head When Turning: Causes Explained
Understanding Dizziness: Causes and Solutions for Neurological Issues
Recently, I have been frequently experiencing dizziness and lightheadedness? Hello Doctor, I have been experiencing frequent dizziness during the day, usually lasting one to two seconds. The situation worsens at night, where I feel increasingly dizzy, culminating in a sensation o...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that you often feel dizzy during the day, usually lasting one to two seconds. Your irregular lifestyle, with reversed day and night cycles, along with significant tobacco and alcohol use, is concerning. If the symptoms continue to progress, you may need ...[Read More] Understanding Dizziness: Causes and Solutions for Neurological Issues
Understanding Your Carotid Ultrasound and MRI Results: A Guide for Patients
CT Report Hello Doctor, I have diabetes and have been experiencing frequent headaches lately, which makes me worry about a stroke. I had a neck ultrasound and a brain MRI done in June, and I would like your assistance in understanding any important points to note. Thank you. Car...
Dr. Cai Zongzhang Reply:
Hello, Xiaoping: Both the carotid ultrasound and MRI show no abnormalities, indicating that there are no serious pains in the organs. It is recommended to improve sleep, increase physical activity, and enhance the control of blood sugar and lipids to alleviate symptoms.[Read More] Understanding Your Carotid Ultrasound and MRI Results: A Guide for Patients
Managing Headaches: Medication Adjustments and Patient Concerns
Headache medication Hello Dr. Jiang, I have recently been experiencing headaches and dizziness, and I have consulted with you twice. During the first visit, you prescribed medication for my heart rhythm and Cerebrolysin, to be taken once in the morning and once in the evening. My...
Dr. Jiang Junyi Reply:
Dear Miss Chien, If you have experienced improvement while taking medications for heart rhythm and brain clarity, it may be worth considering migraine-associated dizziness. There are primarily two types of medications for treating migraines: preventive and acute treatment. Oral ...[Read More] Managing Headaches: Medication Adjustments and Patient Concerns
Understanding Your Neurology Report: Key Findings and Next Steps
Examination Report Hello Doctor, this is the examination I had done in June last year. I would like to ask for your help in reviewing it for any issues that I should be aware of, as I have diabetes and have recently been experiencing headaches, which makes me fearful of a stroke....
Dr. Cai Zongzhang Reply:
Hello, Xiaoping: The right side examination report shows no evidence of cerebral infarction, and the degree of carotid artery atherosclerosis is mild. It is recommended to actively manage diabetes and to follow up with carotid ultrasound annually.[Read More] Understanding Your Neurology Report: Key Findings and Next Steps
Understanding Dizziness and Body Shaking: When to Seek Neurological Help
Feeling of body swaying? Hello, doctor. Recently, I spent too much time at the computer maintaining a posture, and after getting up, I noticed stiffness in my neck muscles along with dizziness. I visited a traditional Chinese medicine practitioner who said my muscles were inflame...
Dr. Peng Shiwei Reply:
It is recommended that you visit a neurology outpatient clinic for evaluation and treatment by a specialist to determine if further examinations are necessary. Thank you.[Read More] Understanding Dizziness and Body Shaking: When to Seek Neurological Help
Understanding Persistent Head Pain: Causes and Treatment Options
I've been experiencing a persistent feeling of pressure and dull pain in my head lately? Hello Doctor, my situation is as follows: Recently, I have been experiencing pain on the left side of my head, specifically the top and the back left side, which started in early Decembe...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned "gastroesophageal reflux... I almost always sleep with my head elevated on my side (using a pillow and a body pillow to alleviate discomfort), and I wonder if my sleeping position is causing headaches." Elevating the head can indeed lead to ov...[Read More] Understanding Persistent Head Pain: Causes and Treatment Options
Understanding Cerebrospinal Fluid Leaks: Symptoms and Treatment Options
Cerebrospinal fluid leak Hello, doctor: I received epidural analgesia during my natural childbirth, and since then, I have been experiencing unexplained headaches that do not improve with pain medication and can only be alleviated by lying down. I came across similar symptoms in ...
Dr. Jiang Junyi Reply:
Dear Ms. Fran, You mentioned that "taking painkillers does not improve the condition, and lying down is the only way to relieve it." We should consider headaches due to decreased intracranial pressure. Currently, you can take caffeine and low-dose corticosteroids to al...[Read More] Understanding Cerebrospinal Fluid Leaks: Symptoms and Treatment Options
Understanding Persistent Dizziness: Possible Causes and Treatment Options
Persistent dizziness and vertigo? Hello Doctor, I discovered over a year ago that I have poor hearing in my left ear, along with unilateral tinnitus, a feeling of fullness in the ear, and headaches. I began visiting an otolaryngologist for examinations, during which I underwent A...
Dr. Peng Shiwei Reply:
You should seek medical treatment at a neurology outpatient clinic for your symptoms. Thank you.[Read More] Understanding Persistent Dizziness: Possible Causes and Treatment Options
Understanding Neck and Head Pain: Is It Related to Your Recent Cold?
Bending the head forward can cause significant pain? Hello, doctor: I've been experiencing persistent headaches lately. Bending down causes significant pain, which also radiates to my neck. During these episodes, I am unable to move at all. I had a cold a while ago, but my s...
Dr. Jiang Junyi Reply:
Hello Mr. Wu: You mentioned that "bending my head down is very painful, and it also hurts my neck... I feel a sensation of blood flowing through the top of my head when I bend down." Your symptoms may suggest cervical headache. This is related to tightness in the cervic...[Read More] Understanding Neck and Head Pain: Is It Related to Your Recent Cold?
Understanding Autonomic Nervous System Disorders: A Case Study
Inquiry Consultation Dear Dr. Jiang, I would like to inquire about my mother's medical condition. Here is a detailed description: In February and March of last year (2022), my mother suddenly experienced rapid heartbeat, shortness of breath, cold hands, and shaking. She we...
Dr. Jiang Junyi Reply:
Dear Mr. Kris, The treatment for hypertension is usually multifaceted. If there is a tendency for sympathetic nervous system overactivity, a beta-blocker may be added. If a single antihypertensive medication is insufficient to control blood pressure, a combination therapy (such ...[Read More] Understanding Autonomic Nervous System Disorders: A Case Study
Understanding Dizziness After Head Injury: When to Seek Further Evaluation
Slipping in the bathroom, head injury? Hello Doctor, I accidentally slipped and hit my head (upper right side of the occipital region) in the bathroom on November 28, 2023. I went to the emergency room and received six stitches. However, starting on December 6, 2023, I began to...
Dr. Jiang Junyi Reply:
Hello Mr. A-Lung, You mentioned, "On 2023/12/12, I have been feeling slightly dizzy all day. I wonder if it could be a concussion or a brain hemorrhage?" Generally speaking, if there is no loss of consciousness, no anticoagulant use, or significant local hematoma, head...[Read More] Understanding Dizziness After Head Injury: When to Seek Further Evaluation
Understanding Persistent Headaches and Dizziness: Possible Causes and Solutions
Persistent headaches and dizziness for over a month? Hello, doctor. I would like to ask about my condition. I have been experiencing headaches for a month now, with daily pain that feels tight and pressure-like. Recently, I've noticed a pulsating sensation in my temples and ...
Dr. Cai Zongzhang Reply:
Hello Eric: There are various causes of headaches, and not all of them can be identified through a CT scan. If the headache does not improve, it is recommended to continue follow-up treatment in a neurology outpatient clinic.[Read More] Understanding Persistent Headaches and Dizziness: Possible Causes and Solutions
Should You See a Neurologist After a Fall and Head Impact?
Did you fall backward and hit the back of your head? On my way to work in the morning, I accidentally slipped on a slippery road and fell backward, hitting the back of my head. At the moment, I didn't feel any discomfort, so I continued to work as usual. However, by the afte...
Dr. Peng Shiwei Reply:
You can self-monitor for three days; if you experience symptoms such as altered consciousness, shortness of breath, persistent vomiting, or severe headache, it is recommended to seek medical attention from a neurosurgeon as soon as possible. Thank you.[Read More] Should You See a Neurologist After a Fall and Head Impact?
Understanding Persistent Headaches: Causes and Concerns After One Month
Headache persisting for over a month? Hello, doctor. I have been experiencing headaches for over a month now. My head feels uncomfortable every day, sometimes I feel dizzy and at other times I experience pain. There is a tight sensation on both sides of my temples, which radiates...
Dr. Jiang Junyi Reply:
Hello Mr. Eric, You mentioned that you feel a tight sensation on both sides of your temples and that your mind is not clear. Your symptoms are more indicative of tension-type headache. Tension-type headaches are caused by muscle tightness in the head. Common manifestations inclu...[Read More] Understanding Persistent Headaches: Causes and Concerns After One Month
Understanding Persistent Dizziness: Causes and Next Steps for Relief
Feeling dizzy all day? Hello Doctor, I have been experiencing dizziness since early May (not a spinning sensation, just feeling lightheaded all day). Initially, I had symptoms of heat and dizziness, thinking it was heatstroke; I also had two episodes of gout at that time, but it ...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned, "1. Is it okay if the C-reactive protein is normal? 2. Is it possible that the feeling of pressure and dizziness in the head is actually a headache rather than vertigo? 3. I'm unsure what else I should get checked." How has the medication...[Read More] Understanding Persistent Dizziness: Causes and Next Steps for Relief
Head Injury from Rolling Door: Symptoms and Next Steps
Hit the top of the head against a rolling metal door? Hello, doctor. Yesterday, I accidentally bumped into a rolling shutter door that was just about to rise while I was bending down. At the moment of impact, I felt nauseous once and experienced a temporary loss of vision twice. ...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "I can't really turn my head, and washing my hair while bending over causes severe pain. The right side also hurts a lot while sleeping, but it feels a bit better after waking up." Your symptoms may suggest inflammation of the cervic...[Read More] Head Injury from Rolling Door: Symptoms and Next Steps