Headaches Triggered by Strong Smells: Understanding the Connection
Headache and Taste Sensation Hello, doctor. After quitting smoking for a year or two, I have been experiencing headaches triggered by the smell of smoke or strong food aromas. The pain can be so intense that it only improves the next day after I wake up. For example, I have stron...
Dr. Jiang Junyi Reply:
Dear Ms. Jun, You mentioned that "smelling smoke or food odors can trigger headaches," which may warrant consideration of migraine issues. The diagnosis of migraine includes the following criteria: 5: Headaches occurring more than 5 times. 4: Headaches lasting more th...[Read More] Headaches Triggered by Strong Smells: Understanding the Connection
Understanding Chest Discomfort: Causes and Concerns for Nighttime Symptoms
Chest tightness and a feeling of pressure, with sudden episodes of anxiety, rapid heartbeat, and shortness of breath occurring before sleep in the early morning or at midnight, leading to awakening? Two years ago, I visited a cardiologist and underwent X-rays and an electrocardio...
Dr. Cai Zongzhang Reply:
Hello Mr. Wei: The symptoms mentioned may be indicative of a autonomic nervous system disorder. It is recommended that you visit a neurology outpatient clinic for an examination.[Read More] Understanding Chest Discomfort: Causes and Concerns for Nighttime Symptoms
Understanding Tiny Acute Ischemic Infarcts: Causes and Management
Physical examination revealed signs of a previous minor stroke? Hello Doctor: Last month, the MRI results for my brain were interpreted as follows: Z719 Counseling, unspecified, V6540 Counseling, not otherwise specified, ||cre:0, eGFRr:0 Imaging findings: Brain MRI study without ...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned "A tiny acute ischemic infarct, left occipital subcortical white." An elder relayed that it was a concussion; could this have related effects? MRI primarily detects cerebral infarctions within a month. It cannot explain events that occurred muc...[Read More] Understanding Tiny Acute Ischemic Infarcts: Causes and Management
Understanding Dizziness and Blurred Vision: Causes and Solutions
Dizziness/Blurred vision Hello Doctor: I have been feeling normal before going out these past few days, but after being outside for a while, I started to feel unwell (cold sweats, rapid breathing, dizziness, blurred vision, gastrointestinal discomfort, dry mouth, tinnitus, etc.)....
Dr. Jiang Junyi Reply:
Hello Ms. Wu, You mentioned that "standing for a long time makes you feel dizzy." Given the recent high temperatures, we should first consider mild heat syncope as a possible cause. The primary reason is that in high-temperature outdoor environments, the microvasculatu...[Read More] Understanding Dizziness and Blurred Vision: Causes and Solutions
Weight Gain from Medication: Struggling to Lose After Switching Drugs
Medication-induced weight gain can be a concern, and even after switching medications, some individuals may struggle to lose weight? Due to schizophrenia, I have been on medication for a year now. Initially, I gained 25 kilograms because of the side effects. In the middle of my t...
Dr. Cai Zongzhang Reply:
Hello, Youyou: The symptoms mentioned above are not caused by a neurological disorder. It is recommended that you discuss medication with the psychiatrist who is treating you for schizophrenia.[Read More] Weight Gain from Medication: Struggling to Lose After Switching Drugs
Understanding Involuntary Muscle Twitches: Causes and Concerns
Involuntary muscle twitching? I am a 35-year-old male, non-smoker, non-drinker, and I do not consume betel nut or coffee. I am 180 cm tall and weigh 55 kg. I have a regular exercise routine that includes both strength training and aerobic exercises. Over two years ago, I suddenly...
Dr. Jiang Junyi Reply:
Hello Mr. Hsuan, You mentioned experiencing "twitching in your toes, similar to after finishing a hike, a jog, walking a long distance, or sitting on a specific sofa..." The muscle twitching you are experiencing may be related to several factors: exercise, acute viral ...[Read More] Understanding Involuntary Muscle Twitches: Causes and Concerns
Post-Operative Challenges of Occipital Lobe Hemorrhage: Recovery Insights
Postoperative issues related to intracranial hemorrhage in the occipital lobe? Hello, my mother is currently 60 years old and recently underwent a right occipital lobectomy due to a cerebral hemorrhage. She has experienced narrowing of the visual field in her left eye (which was ...
Dr. Peng Shiwei Reply:
Hello, regarding your questions: 1. Visual field loss due to damage to the occipital lobe is relatively difficult to recover in the short term, but the brain still has plasticity, so it is advisable to observe for a period of time. During this time, please remind the caregiver to...[Read More] Post-Operative Challenges of Occipital Lobe Hemorrhage: Recovery Insights
Understanding Groin Pain: Causes and Treatment Options for Nerve Issues
Inguinal pain accompanied by burning and weakness in the inner thigh and spermatic cord? Hello, Doctor. About 2-3 years ago, I started experiencing dull pain in the right inguinal region, which radiates to the right side of the scrotum and causes a burning sensation on the inner ...
Dr. Cai Zongzhang Reply:
Hello Mr. Chen: The symptoms mentioned may be indicative of neuropathic pain. It is recommended that you visit a neurology outpatient clinic for further evaluation to determine the cause.[Read More] Understanding Groin Pain: Causes and Treatment Options for Nerve Issues
Understanding Dizziness and Confusion: Possible Neurological Causes
Dizziness and altered consciousness? Hello, doctor. Since February of last year, I've been experiencing a heavy, dizzy sensation in my forehead and around my eyes. This feeling has significantly impacted my daily life. When I look at things, everything used to be clear, but ...
Dr. Jiang Junyi Reply:
Dear Mr. Yu, You mentioned that "the area between the eyebrows feels very heavy, and my vision is gradually becoming blurry, but it gets a bit better after resting." These symptoms may suggest autonomic nervous system dysfunction leading to decreased cerebral circulati...[Read More] Understanding Dizziness and Confusion: Possible Neurological Causes
Managing Visual Aura Migraines: Tips for Relief and Prevention
Dry heaving, dizziness, and migraine? Hello Doctor, this is Kevin, who asked a question previously. After your response, I have tried to avoid caffeine, alcohol, and chocolate, and I have also maintained a regular schedule (going to bed at midnight and waking up at 7 AM). I am dr...
Dr. Jiang Junyi Reply:
Dear Mr. Kevin, You mentioned the clinical recommendations for using migraine prophylactic medications for "visual aura migraines." Here are the key points: 1. Recurrent migraine attacks that significantly affect the patient's quality of life or daily activities,...[Read More] Managing Visual Aura Migraines: Tips for Relief and Prevention
Understanding Mild Subdural Hydrocephalus: Causes, Risks, and Concerns
Some questions regarding mild hydrocephalus (subdural hydrocephalus)? Hello Doctor: I previously inquired about my girlfriend's CT scan showing mild hydrocephalus (consultation number <a href="https://adoctor.tw/article/197529">#197529</a>). Your respon...
Dr. Peng Shiwei Reply:
Hello, generally speaking, subdural hygromas are usually associated with old injuries, and as you mentioned, they are more likely to occur in children and the elderly. In the case of subdural hygromas, we typically assess the volume of the fluid and whether it is causing any comp...[Read More] Understanding Mild Subdural Hydrocephalus: Causes, Risks, and Concerns
Understanding Seizures: When to Worry and What to Monitor
Time interval between seizures? Hello, doctor. My husband is 30 years old. He had a seizure in October 2019 when I was not present. The doctor examined him and said everything was fine. A few days later, he saw another doctor who diagnosed him with influenza type A. I'm not ...
Dr. Jiang Junyi Reply:
Dear Ms. Lisa, You mentioned that your husband "suddenly stared in one direction, then let out a low growl, with his eyes rolling back and his arms extending and twitching." These are typical symptoms of epilepsy, as the eye deviation may indicate abnormal electrical d...[Read More] Understanding Seizures: When to Worry and What to Monitor
Understanding Persistent Dizziness: Possible Causes and Next Steps
Dizziness and an unsteady sense of balance? Hello Doctor, I have been experiencing dizziness for over a month. I have consulted with a neurologist, an otolaryngologist, and a cardiologist, and all tests have come back normal. However, my symptoms have not improved with medication...
Dr. Jiang Junyi Reply:
Hello Mr. Wang, You mentioned that "the symptoms improve slightly after getting up in the morning... and the body feels like it's swaying." This may indicate proprioceptive abnormalities caused by cervical spine issues. Often, this is related to muscle fascia tigh...[Read More] Understanding Persistent Dizziness: Possible Causes and Next Steps
Understanding Persistent Dizziness: Possible Causes and Next Steps
Dizziness and an unsteady sense of balance? Hello, Doctor. I have been experiencing dizziness for over a month. I have seen specialists in neurology, otolaryngology, and cardiology, and all tests have come back normal. However, my symptoms have not improved with medication. I wou...
Dr. Jiang Junyi Reply:
Hello Mr. Wang, You mentioned that "the symptoms improve slightly after getting up in the morning... and the body feels like it's swaying." This may indicate proprioceptive abnormalities caused by cervical spine issues. Often, this is related to muscle fascia tigh...[Read More] Understanding Persistent Dizziness: Possible Causes and Next Steps
Understanding Your EEG Report: What High Beta Waves Mean for You
Interpretation of EEG Report Due to a headache, an EEG report was conducted. Since the follow-up appointment is in two weeks, I checked the health insurance app and the report has been uploaded. EEG description: This EEG was performed when the patient was awake and at rest (GCS =...
Dr. Jiang Junyi Reply:
Dear Ms. Yue, You mentioned, "Is the beta wave high according to the report?" Your report indicates that it is within the normal range. Typically, beta waves increase when we are engaged in thought processes. It is possible that during the EEG, you were actively thinki...[Read More] Understanding Your EEG Report: What High Beta Waves Mean for You
Understanding Non-Specific Dizziness: Symptoms and Next Steps
Non-specific dizziness has multiple symptoms? Hello, doctor. I have been experiencing dizziness for a month. It started a month ago due to academic pressure, but even though the pressure has decreased, the dizziness persists. I have seen both a neurologist and an ENT specialist, ...
Dr. Cai Zongzhang Reply:
Hello Mr. Wang: There are many possible causes for headaches and dizziness, most of which fall under the specialties of neurology or otolaryngology. If the symptoms persist without improvement, you may consider visiting a second neurologist for an evaluation of potential underlyi...[Read More] Understanding Non-Specific Dizziness: Symptoms and Next Steps
Should You Visit the ER for Severe Headaches and Nausea?
Do headaches, vomiting, and chest pain require a visit to the emergency room for evaluation? Hello Doctor, I would like to ask about the symptoms I started experiencing a few days ago. I have been having intermittent headaches, and after seeing a doctor, I was told it might be du...
Dr. Cai Zongzhang Reply:
Hello, Xiao Hao: If your headache continues to worsen and does not improve with rest, it is recommended to visit a neurology outpatient clinic.[Read More] Should You Visit the ER for Severe Headaches and Nausea?
Understanding Diplopia: Follow-Up Tests and Stroke Risk Management
Follow-up examinations for binocular diplopia? Hello Doctor: Recently, I experienced double vision after suddenly looking at certain objects, but my vision returned to normal afterward. I went to the hospital for an examination, and the ophthalmology report showed no issues. Howe...
Dr. Jiang Junyi Reply:
Hello Mr. Green Tea, You mentioned "normal blood sugar levels" in relation to cardiovascular disease risk factors. In addition to diabetes, other risk factors include hypertension, smoking, and hyperlipidemia. Prolonged exposure to these risk factors can lead to athero...[Read More] Understanding Diplopia: Follow-Up Tests and Stroke Risk Management
Understanding Recurrent Dizziness: Insights from Neurology and ENT
Dizziness issues? Hello, doctor. Thank you very much for your previous response. I am the person who asked question #195465. My dizziness issue has been recurring since the second half of last year. In February of this year, I consulted a neurologist who diagnosed me with vestibu...
Dr. Jiang Junyi Reply:
Hello, Miss: Vestibular migraine may be related to the pathophysiological mechanisms of migraine, such as vasoconstriction and vasodilation, neural hyperexcitability, or central nervous system dysfunction. It is recommended that you use a medication like Naoqing for prevention du...[Read More] Understanding Recurrent Dizziness: Insights from Neurology and ENT
Understanding Pain Around the Big Toe: Possible Causes and Solutions
Pain in the front side and underneath of the big toe? Doctor, my big toe is experiencing pain around the nail and underneath the toe. It feels sore and has a tingling sensation. There is slight redness on the surface, and taking medication for gout has not been effective. I would...
Dr. Wu Mukhan Reply:
Hello, gout typically occurs at the metatarsophalangeal joint of the big toe, which is different from the location you described and is less likely to be gout. If there is redness, swelling, and pain, there may be inflammation or infection. It is recommended to visit a dermatolog...[Read More] Understanding Pain Around the Big Toe: Possible Causes and Solutions