Headache, Neurology FAQ - Page 35

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Understanding Persistent Headaches: Causes, Symptoms, and Treatment Options

Pain in the temples and forehead, with a tight, throbbing sensation throughout the entire head, which worsens with pressure? Hello, doctor. At the beginning of April, a classmate who had just recovered from the flu invited me to dinner. After I got home that night, I noticed a sl...


Dr. Jiang Junyi Reply:
Based on your description, the more common causes are tension-type headache or cervical myofascial inflammation. The symptoms of tension-type headache include: (1) Typically bilateral, located in the occipital and parietal regions, sometimes with widespread pain. The nature of th...

[Read More] Understanding Persistent Headaches: Causes, Symptoms, and Treatment Options


Understanding Chronic Headaches and Insomnia: A Neurology Perspective

Headache and insomnia? Hello Doctor: I have been experiencing chronic headaches that often last all day. Sometimes the pain is so intense that when I walk, it feels like my legs aren't my own. At times, the pain is severe enough that I feel like I'm about to faint, and ...


Dr. Gao Chunde Reply:
Although the symptoms resemble tension-type headaches, the pain worsens during sleep and affects both work and daily life. It is advisable to consult a neurologist for further evaluation and management to control the frequency and intensity of the headaches.

[Read More] Understanding Chronic Headaches and Insomnia: A Neurology Perspective


Navigating the Challenges of Unexplained Neurological Symptoms in Teens

Perplexed parents Dear Dr. Lan, I have a 17-year-old daughter who experienced a sudden fainting episode last April. It was a hot day, and she left home without breakfast because she was in a hurry to meet her teacher. Shortly after leaving, she called to inform me that she was f...


Dr. Lan Shengxing Reply:
Dear Dabby, I didn't see anyone, but generally, at this time, we believe that parents should patiently accompany their children in receiving treatment, rather than constantly seeking different tests and treatments. I would like to recommend Dr. Li Jiayan to you; I believe Dr...

[Read More] Navigating the Challenges of Unexplained Neurological Symptoms in Teens


Early Signs of Parkinson's Disease: Understanding Symptoms and Diagnosis

Early-stage Parkinson's disease? Hello Dr. Lan: I have noticed that my hands have been trembling involuntarily since last year. Initially, I felt that both hands were shaking, but the tremors were very slight. However, since this had never happened before, I became quite anx...


Dr. Lan Shengxing Reply:
Dear Aaron, the likelihood of developing Parkinson's disease at your age is low, and the symptoms you described do not resemble the early signs of Parkinson's disease. Additionally, you did not mention any reactions after taking medication. I personally recommend that y...

[Read More] Early Signs of Parkinson's Disease: Understanding Symptoms and Diagnosis


Understanding Left-Sided Head Pain and Possible Fibromyalgia Symptoms

Pain on the left side of the head and both sides? I have undergone a CT scan, EEG, and MRI of the brain, all of which showed no issues. However, I had a cervical X-ray that indicated degeneration. I also visited a doctor in Taichung who suggested that it could possibly be fibromy...


Dr. Lan Shengxing Reply:
Dear Ayu, the headache on both sides is not related to your left hand. The symptoms of headache sometimes require more patience in treatment, as there is no quick solution. Please cooperate well with your physician.

[Read More] Understanding Left-Sided Head Pain and Possible Fibromyalgia Symptoms


Sudden Head Pain: Causes and Connections to Stress and Exams

A specific area of the head may experience a sudden sharp pain? Hello doctor, recently I've been experiencing sudden pain in different areas of my head. Sometimes it even makes me feel dizzy and nauseous. What could be the cause of this? Could it be related to the fact that ...


Dr. Lan Shengxing Reply:
Dear Chun-Chun, the reason for your condition is likely tension-type headache. It may be helpful to find some coping strategies to alleviate your mood. If the symptoms are too severe, you might consider taking some medication to manage the headache.

[Read More] Sudden Head Pain: Causes and Connections to Stress and Exams


Confused About Which Specialist to See for Neurological Issues?

I'm not sure which specialty to see? Hello doctor, my mother-in-law fell and had brain surgery five years ago. For the first two to three years after the surgery, her movements were slower, but she was still able to move around and take care of herself. However, in the past ...


Dr. Gao Chunde Reply:
A consultation with a neurologist can be considered to assess for cognitive decline in the elderly or other neurodegenerative diseases, or to evaluate if the aforementioned conditions are accompanied by emotional issues. However, it is crucial to first rule out any potential side...

[Read More] Confused About Which Specialist to See for Neurological Issues?


Understanding Dizziness and Nausea Before Menstruation: Causes and Solutions

Dizziness and nausea? Hello Dr. Jiang: I often experience dizziness, nausea, and headaches before my menstrual cycle, sometimes so severe that I cannot go to work. Occasionally, a short nap helps, but other times the dizziness prevents me from sleeping. I have Mediterranean anemi...


Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider common menstrual-related migraine with aura, as it occurs before menstruation. The clinical symptoms include visual disturbances, such as seeing stars and flashes of light, as well as blurred or distorted vision, w...

[Read More] Understanding Dizziness and Nausea Before Menstruation: Causes and Solutions


Which Specialist to Consult for Post-Stroke Symptoms?

I'm not sure which specialty to see? Hello Doctor, my mother-in-law fell and had brain surgery five years ago. For the first two to three years after the surgery, her movements were slower, but she was still able to move and live independently. However, over the past year, s...


Dr. Gao Chunde Reply:
A consultation with a neurologist can be considered to assess for cognitive decline in the elderly or other neurodegenerative diseases, or to evaluate if the aforementioned conditions are accompanied by emotional issues. However, it is crucial to first rule out any related side e...

[Read More] Which Specialist to Consult for Post-Stroke Symptoms?


Understanding Visual Disturbances: Are Brain Electrical Discharges to Blame?

Brain discharge I have been experiencing persistent flashes in the corner of my right eye for almost six months. The bright spots are more pronounced when looking at bright areas, and there are large black dots with several wavy black lines in the center. My right eye already has...


Dr. Jiang Junyi Reply:
Hello, based on your description, it is important to first rule out ophthalmic issues such as retinal or vitreous opacities. However, if there is also a headache present, one should consider common aura-type migraines. Symptoms include visual disturbances such as seeing stars and...

[Read More] Understanding Visual Disturbances: Are Brain Electrical Discharges to Blame?


Understanding Persistent Dizziness and Balance Issues: A Neurology Perspective

Dizziness and a sense of imbalance? Hello Doctor, I have been experiencing dizziness for over two years. I previously underwent a brain MRI, balance tests, and hearing assessments in the ENT department, all of which showed no abnormalities. The dizziness occurs whenever I stand, ...


Dr. Gao Chunde Reply:
You can consult a neurologist. If the dizziness is caused by tension-type headaches, the examinations may appear normal. However, the physician can prescribe some medications to help alleviate the symptoms. If the feeling of imbalance is indeed related to an underlying neurologic...

[Read More] Understanding Persistent Dizziness and Balance Issues: A Neurology Perspective


Post-Exercise Cold Sensation and Mild Headaches: Is It Normal?

Mild body chill and slight headache after light exercise? My height is 181 cm, and my weight is 104 kg. My usual body temperature is around 36.6 degrees Celsius. I typically exercise by cycling about every two days. Three months ago, I started preparing for exams and interviews, ...


Dr. Jiang Junyi Reply:
Based on your description, it's unclear whether you performed stretching exercises before and after your workout. The headache may be related to myofascial inflammation in the back. As for the definition of hypothermia, it is when the core temperature falls below 35 degrees ...

[Read More] Post-Exercise Cold Sensation and Mild Headaches: Is It Normal?


Did I Suffer a Concussion After a Bike Fall? Understanding Symptoms

The bike slipped, and I first hit my waist, followed by my head? I fell off my bike today after slipping, hitting my lower back first and then my head. After hitting my head, I felt a bit dizzy, but I was able to get up and stand without any issues. I didn't experience any v...


Dr. Jiang Junyi Reply:
Hello, based on your description, head trauma must be assessed through observation. If the patient is conscious and only has scalp lacerations, mild headache, and dizziness, observation is sufficient and a CT scan is not necessary. However, if there is post-traumatic amnesia, los...

[Read More] Did I Suffer a Concussion After a Bike Fall? Understanding Symptoms


Dizziness and Blurred Vision: Understanding Neurological Symptoms

Dizziness and blurred vision? Hello Doctor: Recently, I have been experiencing dizziness and blurred vision when sitting for long periods, standing up, or squatting down. I am unable to focus my gaze straight ahead. A week ago, I accidentally bumped my head against a wall quite h...


Dr. Jiang Junyi Reply:
Hello: Based on your description, dizziness is commonly caused by reflex syncope, which is due to excessive stimulation of the vagus nerve, leading to bradycardia and decreased cardiac output. This can occur when transitioning from a supine to an upright position, standing up sud...

[Read More] Dizziness and Blurred Vision: Understanding Neurological Symptoms


Understanding Neck Pain, Headaches, and Fever: When to Seek Help

Head and neck pain with fever? Hello Doctor, my husband started experiencing neck pain, headaches, and fever two days ago. He went to the emergency department of a large hospital where the doctor tested for influenza and confirmed that he did not have it. The doctor then helped r...


Dr. Gao Chunde Reply:
Inability to rotate the neck to the left or right is more likely due to muscle inflammation. If there is difficulty bending the neck forward and backward, it may indicate neck stiffness, which could be associated with a central nervous system infection. It is advisable to consult...

[Read More] Understanding Neck Pain, Headaches, and Fever: When to Seek Help


Effective Strategies to Manage Frequent Headaches and Migraines

Frequent headaches? I often experience severe headaches triggered by stress or being in a stuffy environment. The pain can be intense, making it impossible for me to work. During these headaches, I frequently vomit the food I've eaten, which sometimes provides temporary reli...


Dr. Jiang Junyi Reply:
Hello, based on your description, it may be symptoms of a migraine. If it is an aura-type migraine, visual disturbances may occur, such as seeing stars and lightning-like flashes, as well as blurred or distorted vision. These are all signs of a migraine aura. A few minutes after ...

[Read More] Effective Strategies to Manage Frequent Headaches and Migraines


Understanding Chronic Migraines: Symptoms and Neck Pain Connection

Chronic migraine I have a history of migraines, and sometimes I experience pain on one side of my head or in my forehead, along with a general headache that makes me feel nauseous and dizzy. Any movement triggers severe, throbbing pain that feels swollen and cold. Recently, I not...


Dr. Jiang Junyi Reply:
Hello, based on your description, migraine symptoms typically last from 4 to 72 hours. The characteristics of the headache include unilateral pain, which may feel like throbbing or pressure, often accompanied by a pulsating sensation. Severe pain can lead to nausea and vomiting, ...

[Read More] Understanding Chronic Migraines: Symptoms and Neck Pain Connection


Chronic Insomnia and Headaches: Seeking Neurology Insights

Hello, Doctor. I have been experiencing chronic insomnia and migraines? Hello doctor, I have been experiencing chronic insomnia and migraines. I work in a labor-intensive job, and during my teenage years to early twenties, I was addicted to online gaming for a period of time afte...


Dr. Gao Chunde Reply:
Regarding the issue of migraines and the right eye, you can consult a neurologist. I find it difficult to understand the trigeminal nerve, but the physician will be able to assess it during the consultation and provide you with recommendations and treatment. If necessary, relevan...

[Read More] Chronic Insomnia and Headaches: Seeking Neurology Insights


Understanding Severe One-Sided Headaches: Causes and Treatments

Unilateral severe headache Hello Doctor, two weeks ago I suddenly had a severe headache, and since then I've experienced pain almost every day. The pain is localized in the area of the right occipital region (I can feel tenderness when I press on it), and it radiates into my...


Dr. Jiang Junyi Reply:
Based on your description, the most common causes are tension-type headache or cervicogenic headache. The symptoms of tension-type headache include: (1) Typically bilateral, located in the occipital and parietal regions, sometimes with widespread pain. The nature of the pain is d...

[Read More] Understanding Severe One-Sided Headaches: Causes and Treatments


Understanding Facial Pain: Possible Causes and Relief Strategies

The left side of the face seems to be experiencing continuous muscle spasms? Hello Doctor, this past Monday night I suddenly experienced severe pain in my upper and lower jaws (even affecting the bones around my nose). Therefore, I went to see a dentist on Tuesday afternoon (init...


Dr. Jiang Junyi Reply:
According to the diagnostic criteria for headache classification, if a headache is persistent, one should consider: Hemicrania continua. Description: A persistent unilateral headache responsive to indomethacin. Diagnostic criteria: A. Headache lasting at least three months and me...

[Read More] Understanding Facial Pain: Possible Causes and Relief Strategies


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