Chronic Migraines: Seeking Relief from Severe Headaches at Night
Increasingly severe headaches, requiring sitting up to sleep at night? Hello Dr. Jiang, I have been experiencing frequent migraines since high school, usually starting on the right side and spreading to the entire back of my head. When the pain is intense, I often vomit, and I h...
Dr. Jiang Junyi Reply:
Dear Ms. Ni, You mentioned that "since high school, I have frequently experienced migraines... I have visited several clinics, and they all prescribed pain relievers and muscle relaxants." Your symptoms may need to be considered for Chronic Daily Headache, defined as h...[Read More] Chronic Migraines: Seeking Relief from Severe Headaches at Night
Understanding Persistent Dizziness, Headaches, and Unseen Tremors
Dizziness, headache, and unseen body tremors? I would like to ask the doctor, I have been experiencing a sensation of dizziness for the past three months. It is not a spinning sensation, nor does the visual field appear to be swirling; rather, it feels like being on a boat, with ...
Dr. Jiang Junyi Reply:
Hello Ms. Hong, You mentioned, "Sometimes I wake up in the morning with pain in my hands and sometimes in my feet, and the pain feels like inflammation..." Due to the presence of widespread pain, fibromyalgia should be considered. This is a complex clinical syndrome th...[Read More] Understanding Persistent Dizziness, Headaches, and Unseen Tremors
Understanding Chronic Subdural Hematoma and Epilepsy After Brain Injury
The patient sustained a brain injury from a car accident and has been hospitalized for nearly six months, during which they have been continuously taking antiepileptic medication for treatment. MRI scans have revealed multiple issues. Could the physician please provide an explana...
Dr. Cai Zongzhang Reply:
Hello Mr. Li: Brain hemorrhage often has epilepsy as a sequela. The duration of medication depends on the frequency of seizures. Whether chronic subdural hematoma requires surgical treatment also depends on the symptoms. It is recommended to visit a neurosurgery outpatient clinic...[Read More] Understanding Chronic Subdural Hematoma and Epilepsy After Brain Injury
Understanding Headache Relief: When to Use Painkillers Safely
Medications for Headaches I have been experiencing occasional headaches that are not very severe and usually resolve after a good night's sleep. They typically occur in the late afternoon, with a tight pain in the brow and forehead, sometimes triggered by premenstrual sympto...
Dr. Jiang Junyi Reply:
Dear Ms. Nana, You mentioned experiencing tight pain in the brow bone and forehead, sometimes occurring premenstrually, due to lack of sleep, or prolonged exposure to air conditioning, along with soreness in your shoulders and neck. You also asked if there is a limit to the use ...[Read More] Understanding Headache Relief: When to Use Painkillers Safely
Understanding Visual Snow Syndrome: Symptoms, Diagnosis, and Management
Snow blindness related? Regarding question 210275, there are no severe head trauma symptoms, but occasional headaches do occur, particularly during my menstrual period, and these migraines tend to be unilateral. I do experience sensitivity to light, but I have not had nausea or v...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "during my menstrual period, I occasionally experience migraines that are indeed more one-sided, and while I do not have nausea or vomiting, I am sensitive to light. Since the beginning of last year, I have noticed floaters and have reduced my...[Read More] Understanding Visual Snow Syndrome: Symptoms, Diagnosis, and Management
Managing Trigeminal Neuralgia: Tips for Relief After Surgery
Trigeminal neuralgia Hello, I underwent a surgical excision of an odontogenic tumor four months ago. After the surgery, I started experiencing neuropathic pain, which was diagnosed as trigeminal neuralgia by a neurologist. I continue to have pain upon waking, and now I only exper...
Dr. Jiang Junyi Reply:
Dear Ms. Anne, You mentioned that your neurologist diagnosed you with trigeminal neuralgia, and that you experience persistent pain upon waking and are often awakened by pain during sleep. Your symptoms are affecting your sleep quality, and I recommend considering medication for...[Read More] Managing Trigeminal Neuralgia: Tips for Relief After Surgery
Numbness in Legs and Lips: Possible Causes and Relief Strategies
Numbness in the calves and around the lips? My grandfather (77) has been experiencing numbness in his calves over the past few days, and today he also has numbness around his face (specifically around the lips). He has a history of having undergone half of his lung removed and he...
Dr. Jiang Junyi Reply:
Dear Ms. Chen, You mentioned that "your grandfather is experiencing numbness in his calves, and today, in addition to the leg numbness, he has facial numbness (around the lips)..." The facial numbness (around the lips) may indicate that the brainstem structures could b...[Read More] Numbness in Legs and Lips: Possible Causes and Relief Strategies
Uncontrollable Body Shaking and Sleep Disturbances: A Neurological Concern
Involuntary body shaking and inability to sleep? Hello Doctor, I apologize for the lengthy question. After being diagnosed with chronic gastritis in May, my doctor prescribed me Sucralfate for a month. However, three days after stopping the medication, I began to hear my heartbea...
Dr. Cai Zongzhang Reply:
Hello, Ruo Xue: Based on the above information, the results of the thyroid function and carotid artery examinations are normal. Autonomic nervous system dysfunction is the most likely diagnosis. It is recommended to cooperate with the physician for medication treatment and to avo...[Read More] Uncontrollable Body Shaking and Sleep Disturbances: A Neurological Concern
Managing Perineal Nerve Pain: Tips for Relief and Treatment Options
Pudendal neuralgia Hello doctor, I have chronic prostatitis and went to a neurologist for trigeminal neuralgia. The doctor prescribed me Carbamazepine and Topiramate. Shortly after starting the medication, I developed perineal nerve pain, which has persisted for three months. Wha...
Dr. Jiang Junyi Reply:
Dear Mr. David, You mentioned that "chronic prostatitis... triggers my perineal neuralgia." It may be necessary to first consider pelvic nerve inflammation caused by prostatitis. When the dosage of Tamsulosin exceeds 200 mg, a small number of patients may experience se...[Read More] Managing Perineal Nerve Pain: Tips for Relief and Treatment Options
Understanding Neurological Inflammation: Managing Symptoms and Home Care
Suspected neuroinflammation Hello, doctor. My father is 70 years old. Two months ago, he caught a cold, which led to nightly coughing and lower back pain. After recovering from the cold, the back pain worsened instead of improving. About a week later, he developed severe pain in ...
Dr. Jiang Junyi Reply:
Dear Ms. Awan, You mentioned that your father is suspected to have a metabolic issue, and it is recommended that he be referred to a neurologist. I suggest that he first consult with an internist or a rehabilitation physician at the same hospital for blood tests and peripheral n...[Read More] Understanding Neurological Inflammation: Managing Symptoms and Home Care
Struggling to Communicate: Understanding Cognitive Issues After Head Injury
Often struggles to express thoughts clearly, unable to fully articulate an event or a sentence? Hello, Doctor. About eight years ago, I lost consciousness suddenly while getting off a bus and fell to the ground, hitting my forehead against a parked motorcycle. I regained consciou...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that you are becoming increasingly forgetful, such as opening the refrigerator and suddenly forgetting what you were going to get, or switching tabs on your phone and forgetting what you were just about to do. Since this has already affected your daily ...[Read More] Struggling to Communicate: Understanding Cognitive Issues After Head Injury
Understanding Muscle Cramps: Causes and Solutions for Your Symptoms
Frequent muscle cramps in the hands and feet? Hello Dr. Jiang, I have been experiencing severe cramps in my fingers, arms, and calves recently. I have visited the neurology, orthopedics, and metabolic departments at Taichung Chung Shan Hospital, where I underwent MRI scans of my ...
Dr. Jiang Junyi Reply:
Hello Mr. Chang, You mentioned experiencing "severe cramps from your fingers to your elbows and calves..." Cramps are caused by involuntary muscle contractions. Common causes include: Dehydration: Dehydration is a common cause of muscle cramps. When the body is lackin...[Read More] Understanding Muscle Cramps: Causes and Solutions for Your Symptoms
Understanding Trigeminal Neuralgia: Causes and Sleep Disruptions
Pain issues, thank you? Hello, doctor. I would like to ask why I wake up with trigeminal neuralgia just before fully waking up. It seems that the pain from the trigeminal nerve wakes me up first. What could be the reason for this? I started experiencing this after having a bone s...
Dr. Cai Zongzhang Reply:
Hello: Trigeminal neuralgia that lasts longer than 6 months is classified as chronic pain, which is difficult to cure. Medications can be used to help control and reduce the intensity and frequency of the pain.[Read More] Understanding Trigeminal Neuralgia: Causes and Sleep Disruptions
Understanding Benign Muscle Twitches: When to Worry and When to Relax
Nervous tics Hello, Doctor! I would like to inquire about my muscles twitching or spasming almost every day. However, there is no pain; the twitching stops after a moment and then resumes later, which is noticeable. I have also been to the hospital for tests like electromyography...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "the hospital conducted tests such as electromyography, and the doctor said everything is normal with no concerning abnormalities, indicating that this is benign muscle twitching..." The causes of muscle twitching can include not only mus...[Read More] Understanding Benign Muscle Twitches: When to Worry and When to Relax
Understanding Trigeminal Neuralgia After Dental Surgery: Causes and Insights
Trigeminal neuralgia Hello, doctor. After undergoing surgery on March 1st to contour the alveolar bone of my upper left first molar (tooth #17), I started experiencing trigeminal neuralgia. The pain has persisted since the surgery, and it begins as soon as I wake up. I consulted ...
Dr. Chen Weida Reply:
Hello Anne! Thank you for your inquiry regarding trigeminal neuralgia. The typical cause of trigeminal neuralgia is often due to vascular compression of the trigeminal nerve at the brainstem root entry zone. Since the symptoms can resemble dental pain, it is essential to have an ...[Read More] Understanding Trigeminal Neuralgia After Dental Surgery: Causes and Insights
Understanding Abnormal EEG Results in a 3-Year-Old: What Parents Should Know
Abnormal EEG findings in a 3-year-old child? A 3-year-old boy in our family was hospitalized around November 2023 due to fever and experienced two episodes of febrile seizures within three hours. A few weeks after discharge, an EEG was performed, and the doctor noted a small abno...
Dr. Jiang Junyi Reply:
Hello Mr. Hsieh: Pediatric neurologists typically aim to minimize the use of antiepileptic medications unless epilepsy has significantly impacted the child's daily life. After all, antiepileptic drugs can lead to cognitive decline in children's learning abilities. It is...[Read More] Understanding Abnormal EEG Results in a 3-Year-Old: What Parents Should Know
Facial and Limb Numbness When Standing: Possible Causes and Solutions
Numbness in one side of the face and leg while standing? Hello, Doctor Jiang. I have been experiencing numbness on the right side of my face (with slight tinnitus) since last week when standing. My right hand and right foot also feel numb, and there is a sensation of congestion i...
Dr. Jiang Junyi Reply:
Hello Mr. AC: You mentioned experiencing "numbness on the right side of your face (mild tinnitus), numbness in your right hand and right foot, and a feeling of congestion in your right foot." It is important to first rule out any issues related to brain structure or cer...[Read More] Facial and Limb Numbness When Standing: Possible Causes and Solutions
Navigating Multiple Sclerosis Treatment: Options Without Medication
Treatment for Multiple Sclerosis Hello, Doctor. I was diagnosed with multiple sclerosis this year. I found information online stating that if I do not start medication early to control it, I may develop disabilities within five years. However, my application for the major illness...
Dr. Jiang Junyi Reply:
Dear Ms. Lily, You mentioned, "I was diagnosed with multiple sclerosis this year..." Clinically, doctors will conduct an MRI examination within six months to determine the progression of the disease. You also mentioned, "Patients can rely on diet, exercise, stress...[Read More] Navigating Multiple Sclerosis Treatment: Options Without Medication
Understanding Neurological Symptoms: When to Seek Further Medical Help
Numbness in the head, facial numbness, and finger twitching, etc? Hello Dr. Tsai, a year and a half ago I experienced chest numbness, chin pain, pain in my left shoulder and left arm, and soreness in my left fingers and wrist. Subsequently, I developed numbness on the right side ...
Dr. Cai Zongzhang Reply:
Hello: Insufficient sleep can also trigger multiple neuropathic pain, making it harder to fall asleep and creating a vicious cycle. It is recommended to first improve sleep, which may also alleviate pain symptoms. Magnetic resonance imaging (MRI) has ruled out structural diseases...[Read More] Understanding Neurological Symptoms: When to Seek Further Medical Help
Understanding Groin and Leg Pain: Possible Nerve Issues After Injury
Right inguinal region, spermatic cord, pain from thigh to calf, pain on the side of the pelvis? Hello Doctor, about 3-4 years ago, I fell while exercising because a rope caught my right foot. At that moment, I experienced a more severe strain in my right groin and thigh. When I g...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: You mentioned that "about 5-10 minutes after ejaculation, pain and numbness occur in the groin, spermatic cord, thigh, and calf." This may suggest nerve damage or compression in the lumbar region, rather than being a "sequela of urethritis." Ne...[Read More] Understanding Groin and Leg Pain: Possible Nerve Issues After Injury