Head Pain When Lying Down: Understanding Neurological Symptoms
Experiencing a headache when lying down? Since the day before yesterday, I've had a slight headache, but last night it suddenly became an explosive pain, the kind that makes my whole head hurt and prevents me from sleeping well. However, sitting up provides some relief. Afte...
Dr. Jiang Junyi Reply:
Dear Ms. Hsiao, The common cause of the neck compression and pain you are experiencing is likely cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscle in the back of the neck, resulting in neck and shoulder discomfort. Initially,...[Read More] Head Pain When Lying Down: Understanding Neurological Symptoms
Is This Autonomic Nervous System Dysfunction? Understanding Symptoms and Care
Could this be autonomic nervous system dysfunction? Hello, Dr. Tsai! I am currently preparing for a retest, but my attention has decreased, and I often find myself overthinking and fearing disasters. I also have nightmares almost every day and have been experiencing diarrhea for ...
Dr. Cai Zongzhang Reply:
Hello! Based on the symptoms mentioned, it may be due to emotional factors causing autonomic nervous system dysfunction. It is recommended to visit a neurology outpatient clinic.[Read More] Is This Autonomic Nervous System Dysfunction? Understanding Symptoms and Care
Frequent Headaches and Nosebleeds: When to Seek Medical Advice
Headache and nosebleed? I sometimes experience unexplained headaches and have been having frequent nosebleeds lately. While eating hot pot, I find that my nose starts bleeding uncontrollably. I visited an otolaryngologist, but the doctor said everything is normal and there are no...
Dr. Jiang Junyi Reply:
Hello: It is recommended to visit the ENT department at the hospital to determine the location of the nosebleed, which may help identify possible causes. You might also want to consider coagulation disorders. As for the headache, common causes include tension-type headaches or mi...[Read More] Frequent Headaches and Nosebleeds: When to Seek Medical Advice
Understanding Neurological Symptoms: A Guide to Managing Stress and Discomfort
Please take a look for me, thank you? I experience eye strain, dizziness, a feeling of pressure in my head, numbness in my head and the back of my skull, tinnitus, rapid heartbeat, numbness and trembling in my hands, chest tightness, stomach pain, loud bowel movements, dry mouth,...
Dr. Cai Zongzhang Reply:
It is recommended to visit the neurology outpatient clinic for further examination.[Read More] Understanding Neurological Symptoms: A Guide to Managing Stress and Discomfort
Understanding Frequent Dizziness, Fatigue, and Chest Discomfort Symptoms
Recently experiencing frequent dizziness, fatigue, chest tightness, and difficulty swallowing? Hello, doctor. I would like to inform you that I have mitral valve prolapse with mild regurgitation. For the past six months, I have been experiencing chest tightness and pressure near ...
Dr. Cai Zongzhang Reply:
Hello: Based on the symptoms described above, it is recommended to visit a neurology outpatient clinic for examination.[Read More] Understanding Frequent Dizziness, Fatigue, and Chest Discomfort Symptoms
Managing Headaches and Dizziness: Insights from Neurology
Headache + Dizziness Hello Doctor: I have been experiencing headaches for a long time, but about a month ago, the frequency increased. I consulted a neurologist who diagnosed me with simple migraines and prescribed pain relief and preventive medication. Two weeks later, I noticed...
Dr. Jiang Junyi Reply:
Based on your description, in addition to migraines, tension-type headaches should also be considered. The symptoms of tension-type headaches include: (1) Typically bilateral, located in the occipital and parietal regions, sometimes with widespread pain. The nature of the pain is...[Read More] Managing Headaches and Dizziness: Insights from Neurology
Understanding Headaches and Dizziness: When to Seek Further Evaluation
Headache + Dizziness Hello Doctor: I have been experiencing headaches for a long time, but about a month ago, the frequency increased. I consulted a neurologist who diagnosed me with simple migraines and prescribed pain relief and preventive medications. Two weeks later, I notice...
Dr. Jiang Junyi Reply:
Based on your description, in addition to migraines, tension-type headaches should also be considered. The symptoms of tension-type headaches include: (1) Typically bilateral, located in the occipital and parietal regions, sometimes with widespread pain. The nature of the pain is...[Read More] Understanding Headaches and Dizziness: When to Seek Further Evaluation
Understanding Headaches During Straining: Causes and Concerns
Headache during exertion? Hello, doctor. I have been experiencing headaches for a while, and recently I noticed that when I strain while using the restroom, I feel a tightening in my temples along with the headache. I looked it up online, and it seems to be a symptom of increased...
Dr. Jiang Junyi Reply:
Based on your description, the more common cause is tension-type headache. The symptoms of tension-type headache include: (1) Typically bilateral, located in the occipital and parietal-temporal regions, sometimes with widespread pain. The nature of the pain is dull, aching, with ...[Read More] Understanding Headaches During Straining: Causes and Concerns
Understanding Dizziness: Differentiating Between Common Neurological Conditions
Differential Diagnosis of Dizziness Hello, doctor. Since elementary school, I have been experiencing dizziness (not vertigo) for over ten years. I feel constantly lethargic, mentally drained, anxious, and very prone to motion sickness. My dizziness worsens when I am in large shop...
Dr. Jiang Junyi Reply:
Hello: You mentioned that the three conditions seem to lack a clear direction. I suggest starting with a cup of black coffee every morning. Hyperbaric oxygen therapy is considered an adjunctive treatment and cannot cure headaches or similar conditions. You might try it for 5-10 s...[Read More] Understanding Dizziness: Differentiating Between Common Neurological Conditions
Navigating Brain Tumor Diagnosis: MRI, CT, and PET/CT Options Explained
Brain tumor, brain cancer I have a history of type 2 diabetes for 8 years and depression for 15 years. I have been taking tricyclic antidepressants DOXEPIN 50MG, LYRICA 20MG, and sleeping pills for at least 15 years. I have suffered from insomnia for 15 years and I smoke. My medi...
Dr. Hong Weibin Reply:
1. It is recommended that you directly inquire with the hospital's health examination center for clearer information. The same type of examination can have different modalities, and the purpose and results may vary. 2. Generally, a CT scan or MRI with contrast agent should b...[Read More] Navigating Brain Tumor Diagnosis: MRI, CT, and PET/CT Options Explained
Understanding Brain Tumors: Symptoms, Diagnosis, and MRI Options
Brain cancer brain tumor I have a history of type 2 diabetes for 8 years and depression for 15 years. I have been taking tricyclic antidepressants DOXEPIN 50MG, LYRICA 20MG, and sleeping pills for at least 15 years. I have suffered from insomnia for 15 years and have a smoking hi...
Dr. Jiang Junyi Reply:
Hello: Here is the answer to your question. It is recommended to first undergo a non-contrast MRI to assess the lesions. (Generally, cerebrovascular diseases and brain tumors can be initially differentiated. As for dental issues, after the MRI, we can evaluate whether they signif...[Read More] Understanding Brain Tumors: Symptoms, Diagnosis, and MRI Options
Understanding Dementia Screening: Key Tests and Considerations
Dementia Assessment Items I have a history of type 2 diabetes for 8 years and depression for 15 years. I have been taking tricyclic antidepressants DOXEPIN 50MG, LYRICA 20MG, and sleeping pills for at least 15 years. I have suffered from insomnia for 15 years and do not sleep wel...
Dr. Jiang Junyi Reply:
Hello: MRI contrast agents typically do not cause common allergic reactions unless there is impaired kidney function. It is recommended to first perform an MRI without contrast to evaluate the lesions. You may consider consulting a neurologist for discussion and examination. Wish...[Read More] Understanding Dementia Screening: Key Tests and Considerations
Understanding PET/CT Scans for Neurological Symptoms and Dementia
Whole-body PET/CT scan? I have a history of type 2 diabetes for 8 years, depression for 20 years, and insomnia without deep sleep. I have a history of smoking. My grandmother passed away from dementia. My symptoms include generalized weakness, weakness in all four limbs, unsteady...
Dr. Jiang Junyi Reply:
Hello: It is recommended to start with a medical history and cognitive function assessment related to dementia. Currently, there is no need to perform a PET/CT scan. PET/CT involves radiation exposure and is typically used for tumor monitoring. If you wish to pay out of pocket fo...[Read More] Understanding PET/CT Scans for Neurological Symptoms and Dementia
Understanding PET Scans for Dementia Diagnosis: A Patient's Guide
Dementia Self-Paid PET Scan I have a history of type 2 diabetes for 8 years and have been taking tricyclic antidepressants (TCA) and Lyrica for depression for 15 years, but I still experience insomnia and do not achieve deep sleep. I have a history of smoking. My grandmother pass...
Dr. Hong Weibin Reply:
Hello: 1. There are many types of PET scans, and typically, the PET/CT scans performed at health check-up centers are used to detect suspected tumors throughout the body, not to assess for dementia. 2. You need to check if the hospital offers PET scans for dementia. Currently, th...[Read More] Understanding PET Scans for Dementia Diagnosis: A Patient's Guide
Which Imaging Test is Best for Diagnosing Dementia: CT, MRI, or PET?
Which imaging method is more accurate for diagnosing dementia: CT, MRI, or PET? I have a history of type 2 diabetes for 8 years and have been taking medication for depression for 15 years: DOXEPIN 25 mg (2 tablets) and Escitalopram 10 mg (1 tablet). I have had insomnia for 20 yea...
Dr. Cai Zongzhang Reply:
Hello: For memory function disorders, a CT scan is typically arranged, and an MRI is only ordered if there is suspicion of a stroke. PET scans are not helpful for assessing memory function.[Read More] Which Imaging Test is Best for Diagnosing Dementia: CT, MRI, or PET?
Which Imaging Test is Best for Diagnosing Dementia: CT, MRI, or PET?
Which imaging technique is more accurate for diagnosing dementia: CT, MRI, or PET? I have a history of type 2 diabetes for 8 years, depression for 20 years, and insomnia without deep sleep for that duration. I have a history of smoking. My grandmother passed away from dementia. M...
Dr. Hong Weibin Reply:
Hello: 1. If there are issues with a head computed tomography (CT) scan that cannot be resolved, a head magnetic resonance imaging (MRI) may be arranged for further examination. If the CT scan shows no problems, then an MRI may not be necessary. Arranging for examinations must ...[Read More] Which Imaging Test is Best for Diagnosing Dementia: CT, MRI, or PET?
Which Imaging Test is Best for Dementia Diagnosis: CT, MRI, or PET?
Which imaging technique is more accurate for diagnosing dementia: CT, MRI, or PET? I have a history of type 2 diabetes for 8 years, depression for 20 years, and insomnia without deep sleep for that duration. I have a history of smoking. My grandmother passed away from dementia. M...
Dr. Jiang Junyi Reply:
Hello, here are the answers to your questions. Question 1: I visited a neurologist, but they only agreed to arrange a brain CT scan. The MRI doctor said I would have to pay out of pocket. Why is that? Answer: The conditions for insurance coverage for an MRI typically require t...[Read More] Which Imaging Test is Best for Dementia Diagnosis: CT, MRI, or PET?
Understanding Tension Headaches: When to Seek Medical Attention
Head pressure and headache? Hello, doctor. In the past few months, I've been experiencing a feeling of pressure and tightness in the back of my head to the top of my head about once or twice a week. Occasionally, there are sharp pains, mostly starting in the afternoon or eve...
Dr. Jiang Junyi Reply:
Hello: Based on your description, the more common causes are tension-type headache or migraine. 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 dull, p...[Read More] Understanding Tension Headaches: When to Seek Medical Attention
Understanding Neurological Symptoms: Seeking Solutions for Chronic Fatigue and Dizziness
Hello, Dr. Jiang? In April 2019, I received a combined measles vaccine and was taking medication for Helicobacter pylori. After 1-3 days, I experienced severe throat pain, persistent phlegm, general weakness, and fatigue. I consulted an otolaryngologist and underwent a neck ultra...
Dr. Jiang Junyi Reply:
Hello, based on your description, it is unclear whether you are experiencing overweight issues. It may also be necessary to consider sleep apnea: if you have this condition, it can lead to daytime concentration difficulties and frequent drowsiness. There are generally two types...[Read More] Understanding Neurological Symptoms: Seeking Solutions for Chronic Fatigue and Dizziness
Understanding Body Tremors and Heart Palpitations: Is Mitral Valve Prolapse the Cause?
The body experiences slight tremors when at rest? Hello, I have recently been experiencing slight body tremors while sitting still, a strong heartbeat, dizziness, and headaches. Additionally, I have always felt weakness in my hands (which has become more noticeable due to bruisin...
Dr. Hong Weibin Reply:
Hello: These symptoms may be related to dysfunction of the sympathetic and parasympathetic nervous systems (commonly referred to as the autonomic nervous system). You may want to consult with a neurologist or a psychiatrist nearby.[Read More] Understanding Body Tremors and Heart Palpitations: Is Mitral Valve Prolapse the Cause?