Understanding Neck and Transcranial Ultrasound Results: What Do Noises and High Flow Speeds Mean?
Cervical ultrasound and cranial ultrasound? The physician who performed the neck and transcranial ultrasound indicated that there is turbulence in the blood flow on both sides of the neck and transcranial areas, with the ultrasound showing a mixture of red and blue colors. The ma...
Dr. Cai Zongzhang Reply:
Hello Sunny: The presence of bruit or increased blood flow velocity may be caused by atherosclerosis or stenosis. It is advisable to discuss with your physician whether treatment is necessary.[Read More] Understanding Neck and Transcranial Ultrasound Results: What Do Noises and High Flow Speeds Mean?
Common Neurology Questions: Head Injury, Nausea, and Dizziness Explained
Hello, doctor. I would like to ask you some questions? Hello, doctor. I have three questions to ask: 1. When I was 20 years old, I slipped down the stairs and hit the back of my head, resulting in continuous bleeding. At that moment, I felt dizzy and had a loss of consciousness...
Dr. Cai Zongzhang Reply:
Hello Mr. Chen: 1. If you experience persistent headaches after a head injury, accompanied by unilateral numbness or weakness, please seek medical attention immediately. 2. The three symptoms are indicative of a temporary dysfunction of the vestibular nerve, which is not a cause ...[Read More] Common Neurology Questions: Head Injury, Nausea, and Dizziness Explained
Should You See a Doctor After a Mild Head Injury?
Head injury? Last night, I stood up and bumped into the door handle of the dryer. At the moment, I didn't experience severe head pain, but when I woke up the next day, I noticed some dizziness and a slight tenderness when I touch my head. I would like to know if I need to se...
Dr. Cai Zongzhang Reply:
Hello, Jie: If the headache persists or if you experience numbness or weakness on one side of the body, please seek medical attention immediately.[Read More] Should You See a Doctor After a Mild Head Injury?
Understanding Pituitary Tumors: Risks, Symptoms, and Treatment Options
Pituitary gland Dear Dr. Jiang, I am Xin from case 202879. First of all, I would like to thank you for your prompt response despite your busy schedule. I would like to ask you again: what do you mean by saying that there are many uncertainties regarding the surgery? Are these un...
Dr. Jiang Junyi Reply:
Dear Mr. Xin, If your finances allow, would you consider undergoing another MRI of the brain on a self-pay basis in a month? Thank you for your inquiry, and if you have any related questions, feel free to discuss further! Wishing you and your wife good health, safety, and happi...[Read More] Understanding Pituitary Tumors: Risks, Symptoms, and Treatment Options
Understanding Head Pain and Body Tremors: When to Seek Neurological Help
Body shaking and headache? Hello, doctor! Sometimes I suddenly feel a pressure in my head (on both sides of my temples) accompanied by a headache, and my body also shakes! Sometimes even when I am still, my body shakes. Additionally, I have some difficulty breathing! What kind of...
Dr. Jiang Junyi Reply:
Hello Mr. Dzz: You mentioned that you are experiencing "pressure on both temples" accompanied by headaches and body shaking. Your symptoms may suggest tension-type headaches, which are caused by muscle tightness in the head. Common manifestations include tight, constric...[Read More] Understanding Head Pain and Body Tremors: When to Seek Neurological Help
Chronic Anemia-Like Symptoms Without Anemia: What Could It Be?
Feeling chronically anemic without actually being anemic? To summarize the usual symptoms: I experience dizziness after prolonged sitting, after eating, and when standing up from a squatting position. I also feel dizzy and have headaches when I fall asleep while sitting. It feels...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned experiencing dizziness when squatting and standing up, which may indicate insufficient cerebral blood flow due to changes in posture. If the symptoms are more severe, fainting may occur. "Fainting" is defined as a sudden, temporary loss of co...[Read More] Chronic Anemia-Like Symptoms Without Anemia: What Could It Be?
Understanding Migraine, Breathing Issues, and Digestive Problems
Migraine, respiratory issues, abdominal problems, constipation? Hello, doctor. I would like to inquire about my friend's long-term migraine issues (experiencing pain almost every day). Sometimes, they also suddenly have difficulty breathing, needing to take deep breaths to f...
Dr. Jiang Junyi Reply:
Dear Mr. Yan, You mentioned the issue of "chronic migraines (almost experiencing pain every day... stomach pain and nausea after eating)." Your friend's symptoms may need to consider the side effects of medications, especially pain relievers. Regarding chronic mig...[Read More] Understanding Migraine, Breathing Issues, and Digestive Problems
Understanding Guillain-Barré Syndrome: Symptoms, Diagnosis, and Treatment Options
Guillain-Barré Syndrome Hello Dr. Tsai, my mother is currently 74 years old and was previously an active person. Last year's blood test results were normal except for high cholesterol. On October 20, she had a mild cold with a runny nose and slight cough. Starting October 23...
Dr. Cai Zongzhang Reply:
Hello, Ms. Wu: Based on the symptoms mentioned, your mother is suspected to have a severe infection causing a significant increase in the inflammatory marker CRP. Many superficial infections may not provide immediate diagnostic reports and require various tests for confirmation. ...[Read More] Understanding Guillain-Barré Syndrome: Symptoms, Diagnosis, and Treatment Options
Understanding Carotid Ultrasound Results: When to Seek Medical Attention
Neck ultrasound examination The company's health check revealed that my carotid ultrasound showed a thickness of 1.7 mm (indicating that it is too thick, with a standard value of 1.2 mm). They advised me to pay attention to my cholesterol blood report. I often feel fatigued ...
Dr. Wu Mukhan Reply:
Hello, a neck ultrasound can show the thickness of the carotid artery intima. If there is thickening, it is important to regularly monitor blood glucose and lipid levels, check blood pressure, and avoid risk factors such as smoking to prevent further narrowing of the carotid arte...[Read More] Understanding Carotid Ultrasound Results: When to Seek Medical Attention
Understanding Headaches: Forehead Pressure and Sinus Concerns
Headache with a sensation of pressure in the forehead and nose? Hello, doctor. I started experiencing headaches last week. Initially, it was due to staying up late, and I had a severe headache. After taking Tylenol, it got a little better, but I've still been having headache...
Dr. Peng Shiwei Reply:
Hello, due to current regulations, I cannot provide treatment to patients without an in-person consultation. If you have concerns regarding your brain injury, I recommend scheduling an appointment for a physician to evaluate you in person. If any tests or further treatment are ne...[Read More] Understanding Headaches: Forehead Pressure and Sinus Concerns
Understanding Long-Term Effects of Head Trauma: A Neurological Perspective
Injured due to assault? Hello, doctor. Around the years 2003-2004, during my school years, I had a conflict with some classmates, which led to one of them hitting me on the back right side of my head with a metal chair. At that time, I lost consciousness, and I am unsure if there...
Dr. Peng Shiwei Reply:
Hello, due to current regulations, I am unable to provide treatment to patients without an in-person consultation. If you have concerns regarding your brain injury, I recommend scheduling an appointment for a physician to evaluate and treat you personally. If any tests or further...[Read More] Understanding Long-Term Effects of Head Trauma: A Neurological Perspective
Post-Exercise Head Pressure: Understanding Symptoms and When to Seek Help
Head pressure after exercise? Hello Doctor, I had a minor head impact during a martial arts class the day before yesterday, but I felt completely fine that day. However, yesterday I woke up with an extremely mild pressure sensation in my head (almost unnoticeable) and an overall ...
Dr. Peng Shiwei Reply:
Hello, I believe your symptoms can be monitored. However, if you experience new symptoms such as headaches, dizziness, vomiting, or changes in consciousness, you should seek medical attention immediately. Thank you for your inquiry.[Read More] Post-Exercise Head Pressure: Understanding Symptoms and When to Seek Help
Can You Fly with Spontaneous Intracranial Hypotension?
Can a person with spontaneous intracranial hypotension fly on an airplane? In December 2022, I experienced spontaneous intracranial hypotension due to cerebrospinal fluid leakage and was hospitalized for 10 days. A blood patch was performed, but I was discharged the day after the...
Dr. Cai Zongzhang Reply:
Hello: It is advisable to wait until the condition improves before traveling abroad.[Read More] Can You Fly with Spontaneous Intracranial Hypotension?
Understanding Scalp Tingling: When to See a Neurologist
Scalp tingling? In the past couple of days, I've been experiencing sudden tingling sensations on my scalp, starting from the back of my head, moving to the top, and then to my forehead. The tingling comes in waves and is not constant, and I don't have any headaches or o...
Dr. Wu Mukhan Reply:
Hello, scalp tingling may be related to peripheral nerve disorders in the head and face, or it could be caused by issues with the cervical spine. It is recommended that you consult a neurologist for further evaluation or to arrange relevant tests.[Read More] Understanding Scalp Tingling: When to See a Neurologist
Understanding Forehead Numbness: Possible Causes and Concerns
Numbness in the forehead? Hello Doctor, I have been experiencing headaches at the back of my head since high school, especially during times of increased stress. However, in the past week, I have noticed a tingling sensation in my forehead and right ear (mainly occurring at night...
Dr. Peng Shiwei Reply:
Hello, headaches can be caused by various factors. It is advisable for you to visit the neurology department at a hospital for a proper consultation and diagnosis from a physician. Thank you for your inquiry.[Read More] Understanding Forehead Numbness: Possible Causes and Concerns
Persistent Dizziness: Understanding Neurological Causes and Next Steps
Feeling dizzy all day long? Hello doctor, I have been experiencing dizziness since early May (it's not a spinning sensation, but I feel lightheaded all day). Initially, I thought it was heat exhaustion due to the combination of feeling hot and dizzy, but now I only have dizz...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "the ENT examination includes hearing tests, balance assessments, inner ear temperature differentials, eye movement tests, and brainstem response, while the neurology examination includes awake EEG, brainstem auditory evoked potentials, and carotid ...[Read More] Persistent Dizziness: Understanding Neurological Causes and Next Steps
Persistent Dizziness for Two Weeks: Possible Causes and Next Steps
Persistent dizziness throughout the day for half a month without improvement? On August 25, I suddenly started experiencing dizziness, headaches, pain around my right eye, vomiting, and difficulty focusing on the computer screen, especially with text, which made me feel nauseous....
Dr. Peng Shiwei Reply:
Hello, whether you need to undergo a CT scan should be discussed with your attending physician. Thank you for your question.[Read More] Persistent Dizziness for Two Weeks: Possible Causes and Next Steps
Understanding Hand Tremors: Causes and Concerns for Neck Pain Patients
Tremor issues? Yesterday, after taking a nap on the sofa, I woke up feeling tightness in my neck and shoulders, along with a slight headache. I have a history of C3-C4-C5 cervical disc herniation causing nerve compression (approximately 10 years), with symptoms that fluctuate. Oc...
Dr. Cai Zongzhang Reply:
Hello, Cheng: Neck pain is closely related to neck posture. It is recommended to avoid napping on the sofa, as it can have adverse effects on the cervical spine.[Read More] Understanding Hand Tremors: Causes and Concerns for Neck Pain Patients
Evening Headaches: Understanding Causes and When to Seek Help
Evening headache Doctor, I asked you a question a few days ago, but I'm still a bit worried. I've been experiencing increased headaches in the evenings over the past couple of days. The pain is located on both the left and right foreheads. It worsens when I bend down or...
Dr. Jiang Junyi Reply:
Hello Mr. Hsiao-Chien, You mentioned that "the pain associated with changing positions may be related to increased intracranial pressure." This symptom indeed warrants consideration of meningeal involvement causing exacerbation of headaches. If the symptoms persist wit...[Read More] Evening Headaches: Understanding Causes and When to Seek Help
Understanding Dementia: The Impact of Chronic Pain and Head Injuries
Dementia issues Hello Doctor, I am inquiring on behalf of my 73-year-old grandfather who was diagnosed with "mild dementia" by a neurologist within the past five months. On February 6, 2023, he fell and hit his head, experiencing a moment of altered consciousness. Subse...
Dr. Peng Shiwei Reply:
Hello, thank you for your concern about grandpa. However, since I am unable to diagnose patients online, I cannot provide you with an appropriate answer regarding whether grandpa's cognitive decline is due to long-term pain or a combination of various factors. It would be mo...[Read More] Understanding Dementia: The Impact of Chronic Pain and Head Injuries