Understanding Symptoms: Seeking Advice for Neurological Concerns
Inquire about symptoms and provide recommendations? Hello, I would like to inquire about my condition. I had chickenpox on November 10, 2015, and it is almost resolved now. However, on November 9, I experienced a headache, dizziness, neck stiffness, light sensitivity, and sound s...
Dr. Lan Shengxing Reply:
Dear Zhikai, if you notice any stiffness in the neck, sensitivity to light, or sensitivity to sound, please go to the emergency department immediately for evaluation to rule out a central nervous system infection.[Read More] Understanding Symptoms: Seeking Advice for Neurological Concerns
Choosing the Right Hospital for Neurology: A Guide to MRI and Pituitary Tumors
Choosing a hospital Hello, doctor. I'm here again to seek your advice. After some time of consultation and reviewing information, I strongly feel that your suggestion to undergo further neurological examination is warranted to check for a non-functional pituitary tumor. Here...
Dr. Gao Chunde Reply:
MRI can only be requested through health insurance or paid out-of-pocket; it cannot be done out-of-pocket and then later submitted to health insurance for reimbursement (if it meets the criteria, it will be approved; if not, even if abnormalities are found, it cannot be submitted...[Read More] Choosing the Right Hospital for Neurology: A Guide to MRI and Pituitary Tumors
Understanding Sudden Drops in Blood Oxygen Levels After Surgery
Sudden drop in blood oxygen levels..? Hello Doctor, I have a question again. Originally, I had severe obstructive sleep apnea, but after a major surgery, I have seen significant improvement in my "fatigue" and the "snoring" has noticeably decreased. However, t...
Dr. Gao Chunde Reply:
If daytime sleepiness and fatigue are not caused by sleep apnea, other underlying conditions should be considered. Blood oxygen levels are typically measured using a fingertip pulse oximeter; however, if the extremities are cold or circulation is poor, or if the sensor is misalig...[Read More] Understanding Sudden Drops in Blood Oxygen Levels After Surgery
Understanding Neck Pain and Nausea: When to Seek Medical Help
Head and neck pain leading to vomiting? Hello Doctor: In the past, whenever I caught a cold, I would experience tightness and pain in the back of my neck, which radiates to my head, temples, and eyes, causing severe pain. I also experience visual disturbances such as flashing lig...
Dr. Gao Chunde Reply:
These symptoms combined are more indicative of a prodromal migraine, which is a typical migraine. If the episodes meet the criteria for preventive medication treatment, the physician will prescribe long-term preventive medication to gradually reduce the frequency and intensity of...[Read More] Understanding Neck Pain and Nausea: When to Seek Medical Help
Understanding Pulsating Sensations in the Left Temple: Causes and Concerns
Pulsation on the left side of the temple? Hello, I would like to ask why my left temple is pulsating like a heartbeat. It has been ongoing for a while without stopping, and I don't feel nauseous, but I occasionally experience headaches. I would like to know the possible caus...
Dr. Lan Shengxing Reply:
Dear Mandy, the pulsating sensation in your temple may be due to nearby arteries, typically the temporal artery in that area. Generally, if it does not trigger headaches, it can be monitored. Additionally, restless leg syndrome is usually unrelated to the symptoms in your temple....[Read More] Understanding Pulsating Sensations in the Left Temple: Causes and Concerns
Is Your Dizziness a Sign of Concussion After a Head Injury?
Dizziness or concussion? Hello Doctor: Three days ago in the afternoon, I hit my head at work. At that time, I only experienced a headache for a while, and there were no other symptoms. However, during the night, I suddenly experienced severe dizziness and vomiting, and I was una...
Dr. Gao Chunde Reply:
If the dizziness and vomiting are episodic and related to changes in head position, it is likely due to vestibular imbalance in the inner ear rather than a concussion. Of course, inner ear dizziness can also be associated with head trauma, as external forces can cause dislocation...[Read More] Is Your Dizziness a Sign of Concussion After a Head Injury?
Understanding Tension Headaches: The Role of EEG and MRI in Diagnosis
Electroencephalography (EEG) and Magnetic Resonance Imaging (MRI) Hello, doctor. Previously, I inquired about symptoms such as eye pressure (discomfort when moving the eyeballs), soreness, dull pain in the head, tightness in the neck at the back, and a strong desire to rest with ...
Dr. Gao Chunde Reply:
After ruling out postoperative infection, both sinusitis and tension-type headaches may occur following treatment. Simple tension-type headaches can be managed with oral medications prescribed by a physician, or by adjusting lifestyle habits to reduce stressors, engaging in moder...[Read More] Understanding Tension Headaches: The Role of EEG and MRI in Diagnosis
Managing Medication Side Effects in Elderly Stroke Patients
Medication consultation Hello, my father is 75 years old. In April 2013, he underwent surgery for cancer, during which he experienced thrombosis and a stroke, resulting in weakness on the right side. After more than two years of rehabilitation, he can walk slowly. He did not see ...
Dr. Jiang Junyi Reply:
Hello, based on your description, Piracetam has a mild pharmacological profile. Syntam (Piracetam) 1200mg: The drug's prescribing information states that Piracetam acts on the central nervous system by regulating neurotransmission, promoting neuroplasticity, and protecting n...[Read More] Managing Medication Side Effects in Elderly Stroke Patients
Understanding Eye Pressure Pain: Possible Causes and Solutions
Eye pressure and pain? Hello, doctor. Due to long-term fatigue from sleep apnea, I often experience a dull, mild pressure pain in the upper part of my eye sockets (not intense). After using CPAP, my fatigue has not improved, and this condition has become more pronounced (I have n...
Dr. Gao Chunde Reply:
The standard symptoms of sleep apnea include daytime fatigue and headaches, particularly upon waking. However, these headaches tend to improve after some activity during the day. The symptoms you mentioned warrant attention to whether there is inflammation or other issues in the ...[Read More] Understanding Eye Pressure Pain: Possible Causes and Solutions
Understanding Dizziness and Headaches: Possible Neurological Conditions
Dizziness, headache? Hello Dr. Jiang, I often experience a feeling of pressure at the back of my head, sudden dizziness, blurred vision, headaches, and increased sleepiness. These symptoms have been ongoing for almost two months. Could you please tell me what diseases these sympt...
Dr. Jiang Junyi Reply:
Hello, based on your description, the first consideration should be the symptoms of migraine, which typically include visual disturbances. These may manifest as scintillating scotomas or flashes of light, as well as blurred or distorted vision as an aura. A few minutes after the ...[Read More] Understanding Dizziness and Headaches: Possible Neurological Conditions
Post-Car Accident Dizziness: Understanding Neurological Symptoms
Dizziness six months after a car accident? Hello Doctor, I was in a car accident on November 8th last year, and I sustained a head injury. I experienced a concussion at that time, and since then, I have been experiencing dizziness, which has worsened in the past few days. It feel...
Dr. Gao Chunde Reply:
The recent dizziness accompanied by headaches, along with a tendency to lean to one side while walking, suggests a new condition. It is advisable to return to the neurology department of the original hospital for evaluation. Generally, post-concussion symptoms tend to diminish ov...[Read More] Post-Car Accident Dizziness: Understanding Neurological Symptoms
Should You See a Doctor After a Head Injury from a Fall?
Fell and hit the head? Hello Doctor: Yesterday, I lost my balance and fell backward on the 3rd to 4th step of the stairs, hitting the left side of my head against the wall. Today, there is a noticeable swelling, but I have no other discomfort. Do I need to go to the hospital for ...
Dr. Jiang Junyi Reply:
Hello, based on your description, if you experience the following after a head injury: - Vomiting two times or more - Drug or alcohol overdose - Persistent severe diffuse headache - Post-traumatic amnesia lasting more than 30 minutes - Dangerous mechanisms of injury (falling from...[Read More] Should You See a Doctor After a Head Injury from a Fall?
Severe Menstrual Migraines: When Headaches Lead to Nausea and Vomiting
During my menstrual period, I experience a day of severe headache that leads to vomiting? Hello Doctor, I have been experiencing severe headaches during my menstrual period for about six months, which can lead to vomiting. I have taken painkillers, but they only alleviate the pai...
Dr. Jiang Junyi Reply:
Hello, based on your description, the symptoms resemble those of a migraine, which typically lasts from 4 to 72 hours. The characteristics of the headache include unilateral pain, which may feel throbbing or pulsating, often accompanied by nausea and vomiting, as well as sensitiv...[Read More] Severe Menstrual Migraines: When Headaches Lead to Nausea and Vomiting
Understanding Head Numbness: Causes, Concerns, and When to Seek Help
Numbness in the head? I had been taking sleeping pills for about three years, but switched to traditional Chinese medicine over a month ago, which has caused frequent headaches and a tingling sensation in my head. Now, I feel dizzy every day, and after a hospital examination, the...
Dr. Gao Chunde Reply:
To assess whether the headache, head numbness, and dizziness in the center of the head are longstanding issues or have recently emerged due to medication changes, it is important to consider that, from a Western medicine perspective, there are many causes for headaches, numbness,...[Read More] Understanding Head Numbness: Causes, Concerns, and When to Seek Help
Understanding Hand Tingling: When to Seek Further Medical Evaluation
Hand pain or hand prickling sensation? Hello doctor, I have been experiencing frequent sharp, needle-like pain in my hand. I visited a neurosurgery clinic and had a cervical X-ray, which showed no abnormalities. I also underwent nerve conduction studies that were normal. However,...
Dr. Gao Chunde Reply:
The sensation of tingling in the hands primarily requires determining the distribution of the symptoms—whether it affects one hand or both. The distribution may follow the territory of a cervical nerve root, or it could involve all fingertips, suggesting a peripheral neuropathy. ...[Read More] Understanding Hand Tingling: When to Seek Further Medical Evaluation
Post-Concussion Syndrome: Managing Persistent Dizziness and Headaches
Post-concussion syndrome after a car accident with persistent dizziness and headaches? Hello Doctor: Last year, I had a motorcycle accident that resulted in a head injury, during which I experienced about an hour of unconsciousness and cannot recall. I was taken to the emergency ...
Dr. Gao Chunde Reply:
Patients who experience a head injury but have normal imaging results are classified as having post-concussion syndrome. Symptoms may include dizziness, headaches, difficulty concentrating, decreased attention or cognitive function, and sleep disturbances. Literature indicates th...[Read More] Post-Concussion Syndrome: Managing Persistent Dizziness and Headaches
Understanding Numbness in Hands and Feet: Causes and Concerns for Teens
Numbness in the hands and feet? Hello, I am 17 years old. Recently, I often feel numbness in my hands and feet, but it's not very severe, just uncomfortable. I haven't done anything specific to cause it, and it lasts for a long time. Could this be related to sitting too...
Dr. Lan Shengxing Reply:
Dear high school seniors, the numbness in your hands and feet is likely not significantly related to a spinal issue, unless the symptoms are occurring in the neck area. This may be associated with prolonged sitting or lack of posture changes. Additionally, the mention of headache...[Read More] Understanding Numbness in Hands and Feet: Causes and Concerns for Teens
Managing Intermittent Headaches: When to Seek Neurology Help
Intermittent headaches I have a history of hypertension and experience intermittent headaches. I also had a head injury five years ago when I fainted after a long drive and was taken to the hospital for stitches. I have had an EEG that showed no abnormalities. Recently, the frequ...
Dr. Jiang Junyi Reply:
Based on your description: The symptoms you mentioned are more likely caused by syncope. Loss of consciousness can occur when cerebral blood flow drops below 30 ml per minute, typically due to rapid drops in blood pressure or vasoconstriction leading to reduced cerebral blood flo...[Read More] Managing Intermittent Headaches: When to Seek Neurology Help
Understanding the Use of Adan Tablets for Neurological Concerns
Taking Adan tablets? Sitting in a chair, I often shake my legs or tense my body, crossing my toes and applying pressure while touching my hair. I consulted a psychiatrist who prescribed Adderall and I want to ask the doctor if these behaviors are related to neurology. What is you...
Dr. Jiang Junyi Reply:
Hello, based on your description, Artane (Trihexyphenidyl) is a medication used to treat Parkinsonism. Parkinson's disease is primarily caused by an imbalance between two neurotransmitters in the brain: acetylcholine and dopamine. This medication can reduce the levels of ace...[Read More] Understanding the Use of Adan Tablets for Neurological Concerns
Understanding the Connection Between Autonomic Dysfunction and Vision Issues
Suspected autonomic nervous system dysfunction? Suspected autonomic nervous system dysfunction presents with symptoms such as head numbness, headaches, dizziness, lightheadedness, a heavy feeling in the head, numbness in the hands and feet, and facial numbness. Recently, there ha...
Dr. Jiang Junyi Reply:
Hello, based on your description, the autonomic nervous system is generally regulated by the sympathetic and parasympathetic nervous systems, with one acting as the accelerator and the other as the brake. The sympathetic nervous system is responsible for accelerating the heart ra...[Read More] Understanding the Connection Between Autonomic Dysfunction and Vision Issues