Understanding Chronic Headaches: Causes, Symptoms, and Treatments
Head pressure/pain/nausea? I have been experiencing headaches for over a year. Initially, I thought it was just a migraine, and taking painkillers and resting would help. However, the more I slept, the more intense the pain became, accompanied by nausea and a feeling of wanting t...
Dr. Jiang Junyi Reply:
Dear Miss Fei, You mentioned that "the pain location can vary, usually it is unilateral, occasionally in the middle of the forehead or associated with high eye pressure, and whenever a headache occurs, there is a feeling of nausea." First, we should consider typical mi...[Read More] Understanding Chronic Headaches: Causes, Symptoms, and Treatments
Understanding Muscle Tremors: Causes and Solutions for Your Concerns
Muscle twitching Hello, I have noticed that my arms and thighs experience slight tremors when they are suspended, exerted, or stretched at certain angles, similar to the shaking sensation when stretching. Essentially, I can feel the tremors while exerting myself and when my limbs...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: You mentioned that "after playing the piano, my fingers shake more severely after movement or exertion." Your symptoms may suggest benign muscle tremors. Certain situations in daily life can trigger this issue, such as exercise, acute viral infections, a...[Read More] Understanding Muscle Tremors: Causes and Solutions for Your Concerns
Understanding Muscle Twitches: Possible Neurological Concerns and ALS
Muscle twitching In May, I noticed that my heels felt numb when I got out of bed, but the sensation disappeared after I walked around for a bit. This symptom lasted for about one to two weeks. However, in August, the numbness returned and lasted for another one to two weeks. In m...
Dr. Jiang Junyi Reply:
Hello Ms. Yeh: Amyotrophic lateral sclerosis (ALS) is a term that encompasses a group of motor neuron diseases. Typically, there are no significant sensory abnormalities, such as the tingling sensations you mentioned. Motor neurons control muscle movement; generally, the motor ne...[Read More] Understanding Muscle Twitches: Possible Neurological Concerns and ALS
Understanding the Differences Between Migraine and Intracranial Hypertension Headaches
I would like to know the difference between migraine and intracranial hypertension headache? Hello, I would like to inquire about my hospitalization this year due to headaches. The attending physician suspected I have migraines. Initially, they treated me with intracranial pressu...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "you were awakened by severe pain in the right occipital region in the early morning," which may need to be considered due to carbon dioxide accumulation causing vasodilation in the brain, leading to increased intracranial pressure. The d...[Read More] Understanding the Differences Between Migraine and Intracranial Hypertension Headaches
Is Nortriptyline HCL Recommended for Tension Headache Prevention in Taiwan?
Is Nortriptyline HCL one of the options for the standard treatment regimen for the prevention of tension-type headaches in Taiwan? Hello, I have been experiencing tension-type headaches for many years. Currently, I reside abroad and have found that Nortriptyline HCL has the best ...
Dr. Jiang Junyi Reply:
Dear Mr. Bob, You mentioned that "the tension headache issue has been a problem, and after trying several medications while living abroad, I found that Nortriptyline HCL has the best preventive effect." Nortriptyline HCL is classified as a tricyclic antidepressant (TCA...[Read More] Is Nortriptyline HCL Recommended for Tension Headache Prevention in Taiwan?
Understanding Neurological Symptoms: Numbness, Pain, and Anxiety in Young Adults
Four limbs numbness, neck pain, headache, various minor ailments? Hello Dr. Jiang, this is Ms. Li who inquired about some issues at the beginning of September. Since early September, I have been experiencing tingling and numbness in my entire arms and legs, along with occasional ...
Dr. Jiang Junyi Reply:
Dear Ms. Li, I am not sure if there is a medical center near your residence. The examination of neurological diseases requires a period of follow-up for comparison. For instance, if a score drops from 80 to 70, it may still be considered passing from a 60-point perspective. The ...[Read More] Understanding Neurological Symptoms: Numbness, Pain, and Anxiety in Young Adults
Understanding Fainting: Causes and Concerns in Neurology
Fainting issues Hello Doctor: In late August 2019, at the age of 29, I experienced diarrhea for an hour accompanied by severe abdominal cramping. After walking to the living room, I felt faint and informed my family, after which I fainted for about 30 seconds. According to my fam...
Dr. Jiang Junyi Reply:
Hello, Miss: Based on your description, it may be necessary to consider vasovagal syncope. First, we should consider the symptoms of syncope, which are commonly associated with reflex syncope: excessive stimulation of the vagus nerve can lead to bradycardia and decreased cardiac ...[Read More] Understanding Fainting: Causes and Concerns in Neurology
Understanding Stroke Treatment: Medications and Recovery Strategies
Treatment and Medication Issues for Cerebral Infarction Hello, doctor. Recently, I experienced a stroke and had weakness in my right hand. The condition improved after about a week. I underwent a carotid ultrasound and found that several blood vessels are 40% blocked. What can we...
Dr. Jiang Junyi Reply:
Dear Ms. Huang, The primary medication for the prevention of cerebral infarction is aspirin. You mentioned "Xinhangjian tablets," which are mainly used as an adjunct to antiplatelet therapy. Possible side effects include abdominal pain, diarrhea, indigestion, bloating,...[Read More] Understanding Stroke Treatment: Medications and Recovery Strategies
Understanding Neck Stiffness and Hand Numbness: When to Seek Help
Numbness in the hands and stiffness in the neck and shoulders? Hello, about two months ago, I started experiencing significant stiffness in my shoulders and neck, particularly when tilting my head forward to the right, which stretches the muscles on the left side. Initially, I th...
Dr. Jiang Junyi Reply:
Dear Ms. Ling, You mentioned experiencing slight numbness in your left hand, specifically in the shoulder, outer arm, and the back of the hand (most notably in the middle finger, ring finger, and little finger). This may indicate potential compression of the nerve root at the se...[Read More] Understanding Neck Stiffness and Hand Numbness: When to Seek Help
Understanding Facial Inflammation: Causes and Concerns in Neurology
Facial issues Hello, Dr. Jiang. Yesterday, after my diagnosis, the doctor said I have inflammation and prescribed me medication for neuritis. I would like to ask: 1. What causes inflammation? 2. At that time, my face was twitching; will it affect my appearance? 3. Is there a poss...
Dr. Jiang Junyi Reply:
Hello Mr. Lin, there are many causes of inflammation, including overuse, dehydration, viral infections, and more. These symptoms typically stabilize within 2-3 weeks. I recommend that you supplement with B vitamins and stay hydrated, get plenty of rest, and enhance your body'...[Read More] Understanding Facial Inflammation: Causes and Concerns in Neurology
Understanding Withdrawal Symptoms from Medication: A Patient's Journey
Yongkang Syndrome Withdrawal Symptoms Hello Doctor, I have been experiencing insomnia and anxiety since March 2021 and have been seeking treatment. The doctor prescribed me one tablet of Yongkangxu in the morning and one tablet of Anxin before bed. Now, in October 2021, the docto...
Dr. Cai Zongzhang Reply:
Hello Ms. Ki: It is recommended that you visit the outpatient clinic of the Department of Mental Development at our hospital.[Read More] Understanding Withdrawal Symptoms from Medication: A Patient's Journey
Understanding Dementia and Hydrocephalus: Key Questions and Insights
Consultation regarding dementia (suspected to be caused by hydrocephalus)? Hello, Doctor. I would like to ask about my father, who is 63 years old and has been diagnosed with early-onset dementia for over a year. His main symptoms include significant short-term memory decline and...
Dr. Hong Weibin Reply:
Hello: Diagnosing dementia requires not only imaging studies but also a thorough assessment of the patient's clinical symptoms and disease progression to make an accurate diagnosis. Generally, if dementia is caused by normal pressure hydrocephalus, the patient often presents...[Read More] Understanding Dementia and Hydrocephalus: Key Questions and Insights
Persistent Headaches: Seeking Effective Treatment Solutions
The treatment for headaches has not been effective in achieving a cure? Hello, I rarely experience headaches, and when I do, they usually resolve after a good night's sleep. However, this time, I woke up with persistent headaches that did not improve. Therefore, I consulted ...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "I only have a headache, and the doctor measured my ear temperature at 37.4°C, determining that the headache is caused by inflammation in the body. I was treated with injections and medication. During the treatment, I experienced improvement ...[Read More] Persistent Headaches: Seeking Effective Treatment Solutions
Understanding Eyelid Twitching: When to Seek Neurological Evaluation
Eyelid twitching? Hello doctor, my left lower eyelid has been twitching for over a month. I consulted an ophthalmologist who confirmed that my eyes are normal and there are no issues. The twitching frequency varies, and it doesn't cause my entire eye to close, nor do other a...
Dr. Jiang Junyi Reply:
Dear Miss Jill, You mentioned "twitching of the lower left eyelid." Generally, eyelid movements are controlled by the facial nerve. If the eyelid is twitching continuously, the physician will first carefully observe the patient's face. If, aside from the eyelid, n...[Read More] Understanding Eyelid Twitching: When to Seek Neurological Evaluation
Understanding Chest Tightness and Fainting: Could It Be Autonomic Dysfunction?
Chest tightness followed by numbness in the hands, suddenly fainting, and waking up a few minutes later? Hello doctor, my mother has recently been experiencing sudden chest tightness and shortness of breath, followed by numbness in her right hand, and then she fainted. After a fe...
Dr. Jiang Junyi Reply:
Dear Miss JX, You mentioned experiencing sudden chest tightness and shortness of breath, followed by numbness in your right hand and then fainting. First, we need to consider the symptoms of syncope. The most common causes are reflex syncope, which can occur due to excessive sti...[Read More] Understanding Chest Tightness and Fainting: Could It Be Autonomic Dysfunction?
Managing Parkinson's Disease: Medication Challenges and Control Strategies
Medication Issues in Parkinson's Disease Hello Doctor: I was diagnosed with Parkinson's disease this August. Currently, I am experiencing frequent and significant tremors in my left foot, and during severe episodes, my big toe tends to curl inward. Additionally, I have ...
Dr. Hong Weibin Reply:
Hello: The tremors associated with Parkinson's disease are mostly resting tremors, which can typically be temporarily controlled by willpower or by maintaining a tense posture (such as raising the legs). However, once the individual relaxes, the tremors reappear, which is re...[Read More] Managing Parkinson's Disease: Medication Challenges and Control Strategies
Understanding Late-Stage Parkinson's Disease: Symptoms and Care Challenges
Parkinson's disease Hello, Doctor. My mother-in-law has been suffering from Parkinson's disease for several decades and has undergone deep brain stimulation surgery. Over the past year, she has frequently had difficulty swallowing saliva, which causes her to keep her mo...
Dr. Hong Weibin Reply:
Hello, It is highly likely that my mother-in-law is in the advanced stages of Parkinson's disease, which has resulted in significant muscle rigidity, including in her facial muscles and swallowing muscles. As a result, she is unable to close her mouth and has difficulty sw...[Read More] Understanding Late-Stage Parkinson's Disease: Symptoms and Care Challenges
Medication Concerns for Neurology Patients: Dosage and Safety Tips
Medication issues Hello, doctor. I was originally prescribed one Berkey pill a day by my internist, and recently a neurologist also prescribed one Berkey pill. Can I take two pills a day, or should I stick to just one? I have a mild cerebral infarction but my recovery is going we...
Dr. Hong Weibin Reply:
Hello: Take one pill a day. You can confirm with your doctor during your next visit. After a stroke, it is advisable to maintain a light diet and drink plenty of water. If you have hypertension, hyperlipidemia, or diabetes, it is important to manage them well.[Read More] Medication Concerns for Neurology Patients: Dosage and Safety Tips
Understanding Symptoms: Dizziness, Headaches, and Optic Nerve Swelling
Dizziness, headache, and optic nerve edema? Hello Doctor, since May 20th of this year, I have experienced symptoms such as blurred vision, dizziness, headaches, a sensation of something stuck in my throat, and difficulty breathing. After visiting an ENT clinic, the doctor suggest...
Dr. Jiang Junyi Reply:
Dear Ms. Wu, There are many causes of headaches. If your headaches are related to your menstrual cycle, the likelihood of migraines is higher. However, conditions such as anemia, autonomic dysfunction, and inner ear imbalance may also contribute to your symptoms. First, it is im...[Read More] Understanding Symptoms: Dizziness, Headaches, and Optic Nerve Swelling
Muscle Twitches, Cramps, and Weakness: Understanding Neurological Issues
Involuntary muscle twitching, cramping, weakness in the left leg, and difficulties in walking? Hello Dr. Jiang! For the past three to four months, I have been experiencing involuntary muscle twitching, particularly noticeable on the left side of my body compared to the right. My ...
Dr. Jiang Junyi Reply:
Hello Mr. CooK: You mentioned that "when the palm is open and the thumb is pushed towards the palm, it can also cramp. The same situation applies to the index finger (both hands can experience this), and sneezing can cause cramps in the upper abdomen near the ribs." Thi...[Read More] Muscle Twitches, Cramps, and Weakness: Understanding Neurological Issues