Understanding Pulsating Headaches: Causes and When to Seek Help
Head pressure and tightness pain? Hello, doctor. I have been experiencing occasional headaches over the past two weeks. During these episodes, the upper half of my head feels tight and somewhat swollen, but the pain is mild and does not last long, nor does it significantly affect...
Dr. Jiang Junyi Reply:
Dear Miss Yang, You mentioned that "the upper half of my head feels like it's tightening and has a bit of a throbbing pain, the symptoms are mild... and they don't last very long." Your symptoms may suggest tension-type headache, which is caused by muscle tig...[Read More] Understanding Pulsating Headaches: Causes and When to Seek Help
Understanding Jaw Pain: Is It TMJ Disorder or Trigeminal Neuralgia?
Temporomandibular joint disorder (TMJ disorder)? Trigeminal neuralgia? Hello Doctor, recently I have been experiencing pain when biting down on the right side of my teeth, with a sensation of soreness and weakness. When the pain and tingling become severe, it radiates to the area...
Dr. Cai Zongzhang Reply:
Hello: Trigeminal neuralgia can vary in severity. The symptoms mentioned may still indicate trigeminal neuralgia. It is recommended to visit a neurology clinic for examination and treatment.[Read More] Understanding Jaw Pain: Is It TMJ Disorder or Trigeminal Neuralgia?
Understanding Post-Concussion Symptoms: Tremors, Dizziness, and Pain
Post-concussion syndrome includes symptoms such as sleep disturbances, limb tremors, and dizziness? Hello Doctor: Since the night of the car accident on January 6th, I have experienced sudden jerking movements in my left hand and foot shortly after falling asleep. I wake up and c...
Dr. Jiang Junyi Reply:
Dear Miss Rabbit, You mentioned that "since the night of the car accident on January 6th, my right eye has been blurry, and my left hand and foot have been experiencing spasms... I have never had these symptoms before." Your symptoms may warrant consideration of lesion...[Read More] Understanding Post-Concussion Symptoms: Tremors, Dizziness, and Pain
Understanding Trigeminal Neuralgia: Symptoms, Causes, and Treatments
Trigeminal neuralgia Hello, doctor: I have a tingling sensation in my left ear, my cheek feels numb, there is nerve pain below the left ear, and I am experiencing severe pain in the area above and to the left of my ear. Is this related to trigeminal neuralgia? What treatment shou...
Dr. Jiang Junyi Reply:
Dear Mr. Avi, You mentioned experiencing a "tingling sensation in the cheeks," which may warrant consideration of inflammation of the mandibular branch of the trigeminal nerve. This can occur due to compression by vascular structures as the trigeminal nerve enters the ...[Read More] Understanding Trigeminal Neuralgia: Symptoms, Causes, and Treatments
Understanding One-Sided Pupil Dilation and Headache Symptoms
Headache and dizziness with unilateral pupil exhibiting mydriasis and loss of light reflex? Hello Doctor, I started experiencing some brain fog about a week ago, along with mild dizziness and a tight sensation in my head, though it’s not painful—more like a feeling of being const...
Dr. Jiang Junyi Reply:
Hello Student H: You mentioned that "my right eye has symptoms of mydriasis, meaning it does not respond to light at all without the use of dilating drops, while the left eye is normal. This is because I had a viral infection in my right eye and underwent surgery when I was ...[Read More] Understanding One-Sided Pupil Dilation and Headache Symptoms
Understanding Cervical Degenerative Disc Disease: Symptoms and Next Steps
Cervical spondylosis/Cervical disc disease Hello Doctor, I have been experiencing dizziness, headaches, and neck pain for over two weeks, so I visited a neurologist who arranged for an MRI. I saw the report in my health record, but since I have to wait more than a week for my fol...
Dr. Jiang Junyi Reply:
Dear Mr. Eric, You mentioned that the "MRI report" is essentially a relatively normal report indicating degenerative disc disease with a C5-6 bulging-protruding disc (right central to subarticular), bulging discs at C3-4 and C4-5, leading to mild thecal sac indentation...[Read More] Understanding Cervical Degenerative Disc Disease: Symptoms and Next Steps
Post-Surgery Nerve Complications: Understanding Causes and Treatment Options
Postoperative neurological sequelae Hello, Dr. Jiang. I underwent brain tumor resection surgery two years ago, and I have been experiencing facial nerve issues corresponding to CN4 through CN8 (such as diplopia, tinnitus, facial paralysis, headaches, etc.). After undergoing treat...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: You mentioned "diplopia, tinnitus, facial numbness, and headaches," which may warrant consideration of hyperbaric oxygen therapy to improve circulation in the affected areas post-surgery. Additionally, recent repetitive transcranial magnetic stimulation ...[Read More] Post-Surgery Nerve Complications: Understanding Causes and Treatment Options
Understanding Persistent Numbness: When to Seek Medical Attention
Numbness in the limbs? Around mid-October last year, I experienced a tingling sensation in my right groin area, which persisted for about a week in the same location, varying in intensity. During that week, on one day close to noon, I also felt tingling on the right side of my fa...
Dr. Jiang Junyi Reply:
Hello Ms. Ivy: You mentioned that "there is a tingling sensation on the right side of the body... the right side of the face also feels tingly... and the headache persists for two to three hours." Your symptoms seem unlikely to be explained solely by a herniated disc ca...[Read More] Understanding Persistent Numbness: When to Seek Medical Attention
Managing Post-Trauma Headaches: Causes and Treatment Options
Headaches are common after a car accident? Hello Dr. Jiang! My name is Nick. I had a severe car accident 10 years ago, resulting in a brain hemorrhage and subarachnoid hemorrhage. I was in a coma for about a day before waking up. After my recovery, I started experiencing headache...
Dr. Jiang Junyi Reply:
Hello Mr. Nick, You mentioned experiencing "migraine and tension headaches that often recur for 2 to 3 days, sometimes accompanied by discomfort in the eyes and rapid pulsation of the temporal artery." This may indicate a vascular headache issue, particularly cluster h...[Read More] Managing Post-Trauma Headaches: Causes and Treatment Options
Understanding Headaches and Facial Flushing: When to Seek Neurology Help
Headache and facial flushing? I suddenly experienced constipation one time, and after straining, I had a sudden headache. The next day, I was still constipated, and straining caused an even worse headache accompanied by facial flushing and chest pain. After that, every time I str...
Dr. Cai Zongzhang Reply:
Hello, Xiaomi: If the headache symptoms do not improve, it is recommended to visit a neurology outpatient clinic.[Read More] Understanding Headaches and Facial Flushing: When to Seek Neurology Help
Understanding Blackouts, Dizziness, and Tinnitus: Neurological Concerns
Flashing black in the eyes, dizziness, tinnitus? For the past three to four months, I have occasionally experienced episodes of my vision going black. Initially, it felt like a cloth was being placed over my eyes from above for a second and then lifted. However, as of yesterday, ...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, my first step would be to rule out unilateral carotid artery stenosis causing transient visual disturbances, or cardiac issues such as arrhythmias that could lead to similar symptoms. However, if the carotid ultrasound and cardiac evaluations come b...[Read More] Understanding Blackouts, Dizziness, and Tinnitus: Neurological Concerns
Managing Dizziness and Migraines: Insights on Medication and Supplements
Shunao, vertigo, migraine? Hello Dr. Jiang, On January 9th, I woke up and immediately felt like the room was spinning, making it difficult to stand. I had a video consultation with a family medicine clinic, and they diagnosed me with suspected vestibular imbalance causing dizzi...
Dr. Jiang Junyi Reply:
Hello Ms. Jiang, You mentioned, "Can I usually supplement with calcium, magnesium, and zinc as health products?" Generally speaking, when nutritional status is adequate, our bodies do not lack magnesium, calcium, or zinc. The absorption of magnesium from the diet can b...[Read More] Managing Dizziness and Migraines: Insights on Medication and Supplements
Headaches When Sitting or Standing: Understanding Post-Surgery Symptoms
Headaches occur when sitting or standing, but they do not occur when lying down? Hello, doctor! I had surgery to remove an intramedullary nail on Saturday, but starting Sunday morning, I experienced pain in the front of my head when I sat up. However, the pain subsided immediatel...
Dr. Peng Shiwei Reply:
Hello, your symptoms are most likely indicative of a cerebrospinal fluid leak. It is recommended that you seek medical attention at a major hospital as soon as possible. The most effective treatment currently is a blood patch. However, before you seek medical care, it is advised ...[Read More] Headaches When Sitting or Standing: Understanding Post-Surgery Symptoms
Understanding Eye Pressure and Head Pain: Causes and Relief Strategies
High intraocular pressure, pain in the temples and eye sockets, stiffness in the shoulders and neck, and nausea? Hello Doctor: I have been troubled by a persistent issue that occurs occasionally, and each time it is quite uncomfortable. The situations in which it happens are not ...
Dr. Jiang Junyi Reply:
Dear Ms. P: The symptoms you mentioned resemble typical vascular headaches, commonly known as migraines. The diagnostic criteria for migraines are as follows: 1. Headaches occur more than 5 times. 2. Without taking pain relief medication, the headache lasts for more than 4 hour...[Read More] Understanding Eye Pressure and Head Pain: Causes and Relief Strategies
Understanding Muscle Pain, Weakness, and Swallowing Difficulties: Is It ALS?
Muscle soreness, twitching, dizziness, difficulty swallowing, susceptibility to choking, and sudden cramps? About three days ago, I started experiencing persistent fatigue and weakness, along with a decreased appetite. Despite not engaging in any intense physical activity, I have...
Dr. Peng Shiwei Reply:
Hello, given your age, the likelihood of ALS is low. However, the symptoms you described do need to be properly evaluated. I believe it is more likely to be a purely muscular issue. I recommend that you consult the neurology department at a major hospital. Thank you for your inqu...[Read More] Understanding Muscle Pain, Weakness, and Swallowing Difficulties: Is It ALS?
Headaches When Lying Face Down: What You Need to Know
Experiencing headaches when lying down? Hello, I would like to ask about a situation where I do not experience any issues while sitting, lying flat, or standing, but sometimes when I lie face down (with my elbows propped up), I experience a buzzing sensation in my head along with...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, I believe it may be related to a transient increase in intracranial pressure due to straining. However, a detailed assessment by a physician in person would be preferable. If this situation is causing you significant distress, I recommend consulting...[Read More] Headaches When Lying Face Down: What You Need to Know
Persistent Headache and Dizziness: Understanding Tension-Type Headaches
Continuous headaches and dizziness for several days? The headache and dizziness have persisted for seven days, with the pain localized primarily at the temples and extending to both sides. It is uncertain whether the dizziness is caused by the headache. The symptoms occur continu...
Dr. Peng Shiwei Reply:
Hello, tension-type headaches rarely last for 24 hours. If you do not have a specific history of headaches, it is recommended that you visit a neurology outpatient clinic for assistance. Please pay special attention to any signs of low-grade fever or changes in consciousness/aler...[Read More] Persistent Headache and Dizziness: Understanding Tension-Type Headaches
Severe Pain in Left Occipital Area During Freediving: Causes and Concerns
Pain in the left occipital region accompanied by a throbbing sensation? Hello Doctor, I have recently started practicing freediving, but I often experience severe pain in the left posterior part of my head when descending to depths of about five to ten meters, despite normal ear ...
Dr. Jiang Junyi Reply:
Hello Chris, You mentioned experiencing "severe pain in the left occipital region during ascent, which evolved into a throbbing pain accompanied by a heartbeat after resting." Your symptoms may warrant consideration of "decompression sickness." Compared to fr...[Read More] Severe Pain in Left Occipital Area During Freediving: Causes and Concerns
Understanding Mild Dizziness: Possible Causes and Connections to Menstruation
Mild dizziness Hello Doctor, I am currently a third-year junior high school student. I started feeling slightly dizzy during class the day before yesterday. Sometimes I feel like I might faint, but I don't actually fall. I would like to know if this is related to my menstrua...
Dr. Jiang Junyi Reply:
Dear Ms. Jian, You mentioned, "I would like to ask if this is related to my menstrual period, as I started experiencing symptoms on Tuesday, but my period began on Sunday." Typically, migraine-associated vertigo tends to occur within three days prior to menstruation. T...[Read More] Understanding Mild Dizziness: Possible Causes and Connections to Menstruation
Understanding Persistent Dizziness: Causes, Symptoms, and Relief Strategies
I experience dizziness as soon as I open my eyes? Hello, doctor. I'm quite confused about my condition, so I would like to consult you. In the past, I experienced dizziness and nausea occasionally, but since it happened infrequently, I would forget about it after it passed. ...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to visit the neurology outpatient clinic for a neurological function examination.[Read More] Understanding Persistent Dizziness: Causes, Symptoms, and Relief Strategies