Is Your Loved One Experiencing Stroke Symptoms? Key Signs to Watch For
Stroke? Dear Dr. Jiang, Hello! My mother is 68 years old and has a history of high cholesterol and hypertension. Recently, she has been experiencing dizziness and headaches every morning upon waking up. She visited a nearby clinic where her systolic blood pressure was measured a...
Dr. Jiang Junyi Reply:
Based on your description, your mother has a history of hypertension and hyperlipidemia, which places her in a high-risk group for stroke. If she experiences sudden neurological deficits such as weakness in the limbs or slurred speech, cerebrovascular disease should be the primar...[Read More] Is Your Loved One Experiencing Stroke Symptoms? Key Signs to Watch For
Understanding Tension Headaches: Neck Pain and Muscle Strain Solutions
Tightness on both sides of the head and neck pain? I have been experiencing upper back pain that extends to my shoulders and neck, with tightness and a feeling of pressure on both sides of my temples. There is also pain when pressing on the top of my head. The discomfort, primari...
Dr. Jiang Junyi Reply:
Hello, your symptoms are very similar to cervical myofascial pain syndrome, which clinically presents as pain at the affected site, discomfort and soreness, muscle stiffness, or a feeling of heaviness. Sometimes, palpable myofascial trigger points can be felt under the skin. Symp...[Read More] Understanding Tension Headaches: Neck Pain and Muscle Strain Solutions
Posture Changes and Headaches: Understanding Your Symptoms
Changes in posture can lead to headaches? Hello doctor, my blood pressure is 170/57, and I do not have any chronic diseases or hypertension, nor do I have symptoms of migraines. About two days ago, when the temperature was lower, I played basketball and felt very cold, shivering ...
Dr. Jiang Junyi Reply:
Hello, based on your description: 1. Elevated blood pressure is commonly observed during periods of stress or headaches, as vasoconstriction can lead to reflex hypertension. It is advisable to record blood pressure after the pain subsides to avoid delaying the diagnosis and tre...[Read More] Posture Changes and Headaches: Understanding Your Symptoms
Essential Tests for Stroke and Dementia in Elderly Patients
Examination items for stroke/dementia in the elderly? Hello, my mother is 73 years old. Last month, she had a cold and visited a clinic near our home for medication. The following afternoon, she went out as usual but did not return home for a long time. In the evening, family mem...
Dr. Hong Weibin Reply:
Hello, thank you for your inquiry. Your concern for your mother is truly touching. Based on your description, it seems that your mother is experiencing acute altered mental status (personality changes, slowed movements). Your neurologist is correct; potential causes could include...[Read More] Essential Tests for Stroke and Dementia in Elderly Patients
Understanding Dizziness, Palpitations, and Headaches: A Neurological Perspective
Headache, dizziness, and increased heart rate? Hello Doctor, about a year and a half ago, I had a severe cold, after which I began experiencing symptoms of premature ventricular contractions. I underwent an echocardiogram, which showed normal results, but the arrhythmia has persi...
Dr. Jiang Junyi Reply:
Based on your description: You mentioned symptoms of dizziness, which may need to consider a drop in blood pressure or cerebral vasoconstriction leading to reduced cerebral blood flow, resulting in cerebral hypoxia. Syncope is more likely to occur when a person is standing. Many ...[Read More] Understanding Dizziness, Palpitations, and Headaches: A Neurological Perspective
Daily Headaches and Dizziness: Understanding Neurological Concerns
Daily headaches? I am currently in my senior year of high school and have a history of low blood pressure. I am managing my diet, and I also have a 23-degree scoliosis. I experience daily headaches or dizziness; sometimes the pain is mild, but at other times it feels like my head...
Dr. Jiang Junyi Reply:
Hello, according to your description, the definition of chronic daily headache is: occurring on at least 15 days per month for a duration of at least 6 months. When migraines occur on at least 15 days per month, we refer to it as "chronic migraine." When tension-type he...[Read More] Daily Headaches and Dizziness: Understanding Neurological Concerns
Understanding Flashing Lights and Dizziness: Neurological Insights
Dizziness with visual disturbances? Hello, doctor. Recently, I've been experiencing sudden flashes in my vision, making it difficult to concentrate. However, after sleeping for a few minutes, it gradually improves. I never know when the flashes will occur. With the upcoming ...
Dr. Hong Weibin Reply:
Hello: Your description is too brief. Besides the flashing lights you mentioned, are there any other symptoms? Such as headaches, dizziness, unsteady gait, double vision, or speech difficulties? Additionally, have you been staying up late frequently due to exams, leading to irreg...[Read More] Understanding Flashing Lights and Dizziness: Neurological Insights
Understanding Double Vision and Eye Pain: Possible Causes and Solutions
Diplopia and eye pain? Hello Doctor, since middle school, I have occasionally experienced pain around my eyes and headaches after using the computer. Sometimes I also have blurred vision, but these symptoms do not last long. Last week, after using the computer for an afternoon, I...
Dr. Jiang Junyi Reply:
According to your description, there are many causes of diplopia. Whether due to damage or compression of the muscles or nerves, the inability of the eye muscles to coordinate can lead to diplopia. In cases of thyroid eye disease, where the eyeball protrudes, the extraocular musc...[Read More] Understanding Double Vision and Eye Pain: Possible Causes and Solutions
Understanding the Differences Between Bulging and Herniated Discs: A Guide
Herniated disc Hello, doctor. Recently, I underwent a self-paid full-body MRI, and in the spine section, it showed: 1. C4/5/6 central bulging disc with mild spinal cord compression. 2. L5/S1 herniated disc. Both conditions are referred to as disc herniation (HIVD) in Chinese. Cou...
Dr. Jiang Junyi Reply:
According to your description, the main difference between a bulging disc and a herniated disc lies in the severity. A herniated disc is typically more serious, as it has already caused compression of the surrounding tissues. If it compresses a nerve root, it can lead to symptoms...[Read More] Understanding the Differences Between Bulging and Herniated Discs: A Guide
Understanding Post-Concussion Symptoms: When to Seek Medical Help
Dizziness, headache, weakness in the limbs, and a lightheaded feeling..? On December 17, I was hit on the head by a friend, resulting in swelling and bruising on my forehead. After some time, I began to experience headaches and dizziness. When I went to the emergency room, the do...
Dr. Jiang Junyi Reply:
Based on your description: First, it is important to consider the symptoms of syncope, with the most common causes being reflex syncope: excessive stimulation of the vagus nerve, which leads to bradycardia and decreased cardiac output. This can occur when transitioning from a sup...[Read More] Understanding Post-Concussion Symptoms: When to Seek Medical Help
Understanding Eye Floaters and Flashing Lights: When to Seek Help
Blinking with closed eyes Hello, doctor. When I close my eyes, I often see moving orbs of light (blue) that sometimes flash intensely. Other times, although they don't flash particularly, when I open my eyes, there is always a small dark spot (which feels like an afterimage)...
Dr. Jiang Junyi Reply:
Hello, based on your description, if it is a common aura migraine symptom, it manifests as visual disturbances such as seeing stars and lightning-like flashes, as well as blurred or distorted vision. After the aura subsides, there is typically a severe, unilateral throbbing heada...[Read More] Understanding Eye Floaters and Flashing Lights: When to Seek Help
Dealing with Dizziness and Imbalance: When to Seek Medical Help
If you are experiencing dizziness and a sense of imbalance, it is important to take the following steps: 1. **Sit or Lie Down**: Find a safe place to sit or lie down to prevent falls and injuries. 2. **Stay Hydrated**: Drink water to ensure you are not dehydrated, as dehydration...
Dr. Jiang Junyi Reply:
Hello, based on your description, there are many factors that can cause dizziness, such as anemia, autonomic dysfunction, and inner ear imbalance (which typically causes a spinning sensation). It is advisable to first rule out anemia or fluid deficiency that may lead to insuffici...[Read More] Dealing with Dizziness and Imbalance: When to Seek Medical Help
Understanding Head Injuries: Pain in the Temple and Behind the Ear
I hit the back of my head, and now I have pain in my left temple and behind my ear? Doctor: Hello, I hit the back of my head on the corner of a table last night. It was extremely painful at the moment, but I did not experience any loss of consciousness or dizziness. I sat down, c...
Dr. Jiang Junyi Reply:
Hello, based on your described symptoms, they are very similar to those of cervical myofascial injury. Clinically, it often presents as pain at the affected site, discomfort, muscle stiffness, or a sensation of heaviness. Sometimes, palpable myofascial trigger points can be felt ...[Read More] Understanding Head Injuries: Pain in the Temple and Behind the Ear
Understanding Headaches and Nausea: When to Seek Medical Help
Headache with nausea? I woke up in the morning with a headache, thinking it was due to lack of sleep, so I rested a bit more. However, when I got up, the headache worsened and was accompanied by a feeling of nausea. The pain was concentrated around my temples, and I felt like vom...
Dr. Jiang Junyi Reply:
Hello, based on your description, the common type of headache in young women is vascular headache (migraine). During an attack, there may be sensations of tingling or weakness in the face, hands, or legs. This is often accompanied by nausea, vomiting, photophobia, phonophobia, an...[Read More] Understanding Headaches and Nausea: When to Seek Medical Help
Headache and Dizziness After Nose Injury: Is It Related?
Nasal trauma causing headache? Hello, four days ago while training my dog, I was hit on the bridge of my nose, which resulted in swelling. About 20 minutes later, I suddenly experienced pain in my temples and then vomited four times. After that, I continued to feel dizzy and naus...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, if there is no loss of consciousness, the use of anticoagulants, or obvious local hematomas, head trauma is mostly mild. However, the following conditions should prompt consideration of delayed bleeding and a visit to the emer...[Read More] Headache and Dizziness After Nose Injury: Is It Related?
Understanding Headaches and Nausea: Causes of White Foam Vomiting
Frequent headaches occasionally accompanied by nausea, mostly resulting in the vomiting of white foam with a gastric acid taste? I have been experiencing frequent headaches lately, sometimes severe enough to make me feel nauseous. When I vomit, it mostly consists of white foam wi...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider the symptoms of a migraine. During an episode, symptoms may include nausea, vomiting, photophobia, phonophobia, and pallor. There is typically severe, unilateral throbbing pain in the head. These migraine symptoms ...[Read More] Understanding Headaches and Nausea: Causes of White Foam Vomiting
Fainting and Head Injury: Understanding Symptoms and Risks
Fainting while standing and hitting the back of the head? Hello, doctor! A few years ago, I had a drink with friends after a meal, and afterward, I felt dizzy and fainted after urinating in the bathroom, hitting the back of my head (it felt very dizzy and painful, and the impact ...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, in cases of head trauma without post-traumatic amnesia, loss of consciousness, vomiting more than twice, severe headache, post-traumatic seizures, significant subcutaneous hematoma, multiple injuries, penetrating injuries, sku...[Read More] Fainting and Head Injury: Understanding Symptoms and Risks
Understanding Emotional Triggers: Why Anger Causes Tremors and Body Movements
Why do our hands shake and our bodies move involuntarily when we experience intense emotions or anger? Hello Doctor: Why do I start to shake my hands and sway my body back and forth whenever I get angry or emotionally agitated? Sometimes, I unconsciously grab my head, and after m...
Dr. Jiang Junyi Reply:
Based on your description, it may be necessary to consider symptoms of hyperventilation associated with emotional intensity. Hyperventilation can lead to a sensation of suffocation and affect organ blood flow. When blood flow to the nervous system decreases, symptoms such as head...[Read More] Understanding Emotional Triggers: Why Anger Causes Tremors and Body Movements
Understanding Frequent Headaches and Memory Loss: A Neurological Concern
Frequent headaches, occasional mental fog, and recently experiencing brief episodes of amnesia? Hello, doctor. I am asking on behalf of my boyfriend because I am very worried about his condition and cannot accompany him to the hospital. I kindly ask for your assistance. At the en...
Dr. Jiang Junyi Reply:
According to your description: You mentioned that amnesia lasting more than 30 minutes following a head injury is indicative of a more severe brain injury. As for the subsequent multiple seizures, one should consider abnormal electrical discharges in the brain, the most well-know...[Read More] Understanding Frequent Headaches and Memory Loss: A Neurological Concern
Understanding Dizziness and Pressure in the Back of the Head
Sometimes there is a feeling of dizziness at the back of the head? Hello Doctor: Recently, I sometimes feel a dull and tight sensation at the back of my head, but I do not experience any headaches. However, I occasionally feel that my eyes are particularly fatigued and that my in...
Dr. Jiang Junyi Reply:
Hello, based on your description, cervical myofascial pain syndrome should be considered first. Symptoms may include pain, discomfort, muscle stiffness, or a heavy sensation. Symptoms may worsen with changes in weather and can be alleviated after stretching activities, often recu...[Read More] Understanding Dizziness and Pressure in the Back of the Head