Understanding Post-Impact Head Discomfort: Causes and Concerns
Head trauma Hello, doctor. In the first half of 2020, I had two upper molars extracted, and since then, I have experienced discomfort in my head. I started seeing doctors, but they all said it was unrelated to the tooth extraction, attributing it to anxiety and sleep issues. I ha...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned, "Has the impact to the head caused internal bleeding or delayed bleeding? It has been a year and a half; could it last this long? Additionally, could the earlier tooth extraction have affected the brain? After all, I have been experiencing discomfo...[Read More] Understanding Post-Impact Head Discomfort: Causes and Concerns
Essential Tests and Specialist Consultations for Epilepsy Management
In addition to your current evaluation for epilepsy, what other tests or specialist consultations would be beneficial for me? Frequent occurrences of symptoms: dizziness, headaches, chest tightness, unsteady gait, headaches, muscle cramps, fainting, hand tremors, cold extremities...
Dr. Jiang Junyi Reply:
Dear Mr. Q, You mentioned that you are taking a variety of medications: Diphenhydramine, Amantadine, Clonazepam, Fentanyl, H2 antagonists, Colchicine, Depakote, Topiramate, Venlafaxine, Aripiprazole, thyroid preparations, Aniracetam, and Ritalin. You also reported experiencing s...[Read More] Essential Tests and Specialist Consultations for Epilepsy Management
Concerns About Eye Rubbing and Nosebleeds After Child's Head Injury
After my son sustained a head injury, he had a nosebleed the following day, and recently I have noticed him rubbing his eyes? Hello, my son is currently two years and seven months old. Over two months ago, he slipped on water on the floor and hit his head. Since I was not present...
Dr. Jiang Junyi Reply:
Hello Claire, You mentioned that "a little over two months ago, I slipped on water on the floor and hit my head... I wonder if this is a consequence of visual impairment due to the brain impact?" Unless there is a severe head injury resulting in loss of consciousness, ...[Read More] Concerns About Eye Rubbing and Nosebleeds After Child's Head Injury
Neck Pain After a Fall: When to Seek Medical Attention?
Neck pain Yesterday afternoon, I slipped and hit the back of my head after coming out of the bathroom. Since then, I've been feeling stiffness in my neck. Now, it's the next morning, and upon waking up, I feel even more stiffness in the muscles at the front of my neck. ...
Dr. Jiang Junyi Reply:
Dear Ms. Ali, Since you are in isolation, it is advisable to monitor your symptoms for 2-3 days to see if they worsen before considering medical attention. Based on your description, it may be necessary to consider cervical spine disorders, as the likelihood of intracranial hemo...[Read More] Neck Pain After a Fall: When to Seek Medical Attention?
Managing Appetite Loss After Head Injury: Insights and Recommendations
Intracranial hemorrhage after a car accident? Hello Dr. Jiang, my husband was involved in a car accident on February 7. After the emergency room visit, a CT scan revealed intracranial hemorrhage. Fortunately, the amount was small and it stopped bleeding shortly after the accident...
Dr. Jiang Junyi Reply:
Hello, 1. Is the issue of loss of appetite related to a traumatic brain injury or antibiotics? It depends on the location of your husband's brain injury. Generally, traumatic brain injuries from car accidents often affect the frontal lobe, which can lead to changes in exec...[Read More] Managing Appetite Loss After Head Injury: Insights and Recommendations
Understanding Post-Traumatic Head Pain: Is It Normal After Injury?
Head trauma It has been a month since the car accident on December 14th. The head injury has had the stitches removed and is mostly healed. An MRI has confirmed that there are no fractures in the skull, but the area around the wound still feels numb and painful, and I experience ...
Dr. Jiang Junyi Reply:
Hello: You mentioned that the symptoms of headache may need to consider cervical spine disorders, and the likelihood of intracranial hemorrhage is lower. When encountering external factors such as traffic accidents, falls, impacts to the head against hard objects, or excessive fo...[Read More] Understanding Post-Traumatic Head Pain: Is It Normal After Injury?
Understanding Post-Concussion Symptoms: Seeking Expert Advice
Dr. Cheng, I would like to ask you again? Hello, since my head was injured from a collision on July 14, 2020, I have experienced dizziness, blurred vision, a feeling of pressure in my head, vomiting, numbness in my limbs, tongue numbness, left facial numbness, and high blood pres...
Dr. Jiang Junyi Reply:
Hello: It is recommended that you seek treatment at the same hospital for more comprehensive information. If there are physical injuries caused by trauma, you may consider adding hyperbaric oxygen therapy to accelerate the body's healing process. Hyperbaric oxygen therapy is...[Read More] Understanding Post-Concussion Symptoms: Seeking Expert Advice
Managing Insufficient Medication After a Stroke: Key Considerations
What should I do if the medication dosage is insufficient? On the morning of December 16, Grandpa returned home from exercising. On the bus, he slept the entire way, and when he got home, he was eating breakfast while still dozing off. The family noticed something unusual and tho...
Dr. Jiang Junyi Reply:
Hello, based on your description, it is recommended to seek treatment for cardiovascular disease at a hospital accessible by ambulance within your home area, integrating medical information. Clopidogrel (Plavix) functions similarly to aspirin as a preventive medication for stroke...[Read More] Managing Insufficient Medication After a Stroke: Key Considerations
Understanding Post-Concussion Symptoms: Seeking Answers and Next Steps
Concussion inquiry 🙏 Hello, I experienced a head injury from a collision on July 14, 2020, and have since been suffering from dizziness, blurred vision, a feeling of pressure in my head, vomiting, numbness in my limbs, tongue numbness, left facial numbness, and elevated blood pre...
Dr. Jiang Junyi Reply:
Hello: Based on your description, it seems that in addition to the brain, issues related to the cervical musculoskeletal system should also be considered. The symptoms related to the brain include facial and tongue numbness, as well as difficulty in immediately recognizing past p...[Read More] Understanding Post-Concussion Symptoms: Seeking Answers and Next Steps
Understanding Brain Arteriovenous Malformations: Risks, Detection, and Management
Cerebral arteriovenous malformation (AVM) 1. Is the likelihood of having a cerebral arteriovenous malformation (AVM) high? 2. At what age is a person more likely to develop a cerebral arteriovenous malformation? 3. Can a brain ultrasound in infants detect cerebral arterioveno...
Dr. Hong Weibin Reply:
1. Approximately 18 individuals per 100,000 people. 2. The main risks associated with arteriovenous malformations (AVMs) are intracranial hemorrhage and seizures. Generally, the older the patient, the higher the risk of bleeding. Patients with cerebral AVMs aged between 11 and ...[Read More] Understanding Brain Arteriovenous Malformations: Risks, Detection, and Management
Assessing Delayed Brain Hemorrhage Risk After Head Injuries
The right occipital region was struck? 1. Sorry, doctor, it's me again. Last time I forgot to mention that I hit the back of my head on the right side at midnight on September 24, and I also bumped the back of my head on the right side against the corner of the refrigerator ...
Dr. Jiang Junyi Reply:
Hello: Because the tissues of young people are more flexible, they can absorb external forces better. There is a lower risk of delayed subdural hematoma. I suggest you consult a neurologist to discuss examination and treatment. Wishing you good health and peace. Dr. Jiang from Ta...[Read More] Assessing Delayed Brain Hemorrhage Risk After Head Injuries
Understanding Delayed Intracranial Hemorrhage After Head Trauma
Pain in the right occipital region after a head injury? 1. Sorry, Dr. Jiang, it's me again. If delayed intracranial hemorrhage occurs, does it always involve a significant amount of bleeding? 2. If there is mild bleeding in the brain, will it be reabsorbed on its own? How ...
Dr. Jiang Junyi Reply:
Hello: If the bleeding volume is not significant and you have not taken anticoagulants, blood clots usually get absorbed. It is recommended that you consult a neurologist for discussion and treatment. Wishing you good health and peace. Dr. Jiang from the Department of Neurology c...[Read More] Understanding Delayed Intracranial Hemorrhage After Head Trauma
Understanding Head Injuries: Signs, Symptoms, and Care After a Hit
The right occipital region was struck? 1. Today, I hit the back right side of my head against a pole. At the moment of impact, I was conscious and there were no obvious external injuries. Should I be concerned about a brain hemorrhage? 2. How can I determine the severity of a h...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, if there is no loss of consciousness, use of anticoagulants, or obvious localized hematoma, head trauma is mostly mild. However, the following conditions warrant consideration of delayed bleeding and require a visit to the eme...[Read More] Understanding Head Injuries: Signs, Symptoms, and Care After a Hit
Understanding Neck Pain After a Fall: When to Seek Medical Attention
Neck pain Hello doctor, I slipped in the bathroom the day before yesterday and hit the back of my head on the threshold. That night, I noticed that when lying down, lifting my neck caused some pain and tightness. It has persisted until today; turning my head slightly to the left ...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms seem more like a neck muscle strain. Regarding intracranial hemorrhage, if there is no loss of consciousness, no anticoagulant use, or obvious local hematoma, head trauma is mostly mild. However, consider delayed bleeding and seek e...[Read More] Understanding Neck Pain After a Fall: When to Seek Medical Attention
Understanding Unilateral Scalp Numbness: Causes and When to Seek Help
Unilateral scalp numbness? Hello, doctor. Due to my work, I often have to sit for long periods and I also have a habit of staying up late. Additionally, I have iron deficiency anemia. Recently, I've been experiencing sudden numbness on the right side of my scalp, occurring 5...
Dr. Jiang Junyi Reply:
Hello: Based on your description, it may be necessary to consider cervical spine disorders, as the likelihood of intracranial hemorrhage is relatively low. External factors such as traffic accidents, falls, head impacts against hard objects, or excessive force during cervical rot...[Read More] Understanding Unilateral Scalp Numbness: Causes and When to Seek Help
Post-Head Injury Seizures: Duration of Medication and Return to Work
Post-craniotomy seizures following a car accident? Hello, Doctor: After a car accident, I experienced intracranial hemorrhage and underwent skull surgery, which led to seizures (in March 2019). Since taking the medication prescribed by my doctor, I have not had any further seizur...
Dr. Cai Zongzhang Reply:
Hello, if you have a physician that you are regularly following up with, it is recommended that you continue to have regular check-ups. You can also discuss any adjustments and management of related medications with your physician.[Read More] Post-Head Injury Seizures: Duration of Medication and Return to Work
Understanding Occipital Pain During Ejaculation: Causes and Solutions
Pain in the back of the head after ejaculation? Hello doctor, for the past few days, I've been experiencing pain at the back of my head when I'm about to ejaculate. The pain lasts for about 5 minutes and has an intensity of around 4. I'm wondering if this could be ...
Dr. Hong Weibin Reply:
Hello: Can you have a neurologist check for cerebrovascular abnormalities? Below is an excerpt from the International Classification of Headache Disorders, 3rd edition (beta) in Chinese for your reference: 6.7.3 Headache attributed to reversible cerebral vasoconstriction syndrom...[Read More] Understanding Occipital Pain During Ejaculation: Causes and Solutions
Duration of Antiepileptic Medication After Traumatic Brain Injury
Regarding the prevention of traumatic brain injury with the use of antiepileptic drugs? Dr. Jiang, I had a car accident previously that caused a subarachnoid hemorrhage, so I am taking preventive medication. How long do I need to take the anticonvulsants? What is the likelihood o...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, the incidence of seizures following a traumatic brain injury that causes intracranial hemorrhage is about 5-15%. However, this depends on the severity of the brain injury and the extent of the damage to the brain. The potentia...[Read More] Duration of Antiepileptic Medication After Traumatic Brain Injury
Understanding Delayed Symptoms After a Concussion: What to Know
Head trauma Hello doctor, I would like to ask about a concussion I had from a car accident. I was wearing a helmet when I hit my head on the ground, and I was conscious at the time. During the week following the incident, I only experienced dizziness, which resolved after a week....
Dr. Jiang Junyi Reply:
Hello: Based on your description, it may be necessary to consider cervical spine disorders, as the likelihood of intracranial hemorrhage is relatively low. External factors such as traffic accidents, falls, impacts to the head against hard objects, or excessive force during cervi...[Read More] Understanding Delayed Symptoms After a Concussion: What to Know
Post-Surgery Headaches: Understanding Pain After Uterine Fibroid Surgery
Postoperative headache? Hello doctor, my wife is a patient who just underwent surgery for uterine fibroids. It has been six days since the surgery, and starting from yesterday or the day before, she experiences sharp pain in the back of her head whenever she lies flat. However, s...
Dr. Jiang Junyi Reply:
Hello: If your spouse experiences an increase in headache severity when coughing or straining, it may be worth considering intracranial hypertension-related headaches. Intracranial hypertension usually has a clear underlying cause, so it is important to investigate potential issu...[Read More] Post-Surgery Headaches: Understanding Pain After Uterine Fibroid Surgery