Understanding Neck Tension, Tremors, and Dizziness: Causes and Solutions
Neck tightness, tremors, and dizziness? Last week, I experienced a headache due to heatstroke and underwent cupping therapy (without cupping on the spine). However, the night after the treatment, I began to feel tightness in my neck when looking up or down, or in certain position...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned, "Recently, the weather has been changing significantly, and I have a slight cold. I'm not sure if this is related. My condition has neither worsened nor improved, so I would like to consult with a doctor to see if I need to go to the hospital ...[Read More] Understanding Neck Tension, Tremors, and Dizziness: Causes and Solutions
Understanding Partial Epilepsy: Treatment, Triggers, and Lifestyle Tips
Focal epilepsy Hello, Doctor. I was diagnosed with focal epilepsy over a month ago. My first seizure occurred while I was exercising and sweating heavily; I suddenly felt like my right hand was being electrocuted, then I collapsed and experienced generalized convulsions. A week l...
Dr. Cai Zongzhang Reply:
Hello, Yiyi: During the initial treatment of epilepsy, it is essential to have regular outpatient follow-ups to adjust the medication dosage until the condition stabilizes. It may take some time to observe the efficacy of the medication and make adjustments, so please be patient ...[Read More] Understanding Partial Epilepsy: Treatment, Triggers, and Lifestyle Tips
Understanding EPS Symptoms After Gastroenteritis Treatment: A Neurology Perspective
Symptom Analysis Last week, after taking antiemetics for gastroenteritis, I experienced extrapyramidal symptoms (EPS). It started with my teeth chattering, followed by sudden jaw deviation. I immediately went to the emergency room for an injection, which corrected the jaw misalig...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: You mentioned, "Last night before bed, I took a muscle relaxant and my muscles started twitching involuntarily." Generally speaking, symptoms of extrapyramidal syndrome (EPS) caused by medication typically improve within three days after discontinuation....[Read More] Understanding EPS Symptoms After Gastroenteritis Treatment: A Neurology Perspective
Can MRI Detect Epilepsy Four Days After Seizure? Insights from Neurology
Can a test detect epilepsy four days after a seizure? I would like to ask you, during my first seizure, it occurred in the morning. The precursor was a feeling of fear, and then I lost consciousness. When I woke up, I was sitting on the sofa with a bump on my head. However, about...
Dr. Cai Zongzhang Reply:
Hello: During the first seizure, the physician will arrange for blood tests and brain imaging studies to diagnose the underlying cause of epilepsy. Typically, blood tests are completed immediately upon presentation, checking for any abnormalities in blood components. The purpose ...[Read More] Can MRI Detect Epilepsy Four Days After Seizure? Insights from Neurology
Managing Hypoglycemia: Recovery Tips for Diabetic Patients
Hypoglycemia Hello, Dr. Jiang. As a diabetes patient, I am using insulin to control my blood sugar levels. Recently, I experienced a hypoglycemic episode that caused me to lose consciousness. My family found me and took me to the hospital, where my blood sugar was measured at 40 ...
Dr. Jiang Junyi Reply:
Dear Mr. Jian, You mentioned that "hypoglycemic encephalopathy causes deterioration in memory and reaction." Aside from the initial acute management, there currently seems to be no directly effective medication for the encephalopathy. For neural repair, it is recommend...[Read More] Managing Hypoglycemia: Recovery Tips for Diabetic Patients
Persistent Dizziness and Body Shaking: Seeking Answers for Neurological Symptoms
The sensation of body swaying and dizziness has persisted for six months? Hello, Doctor. Since being diagnosed at the end of May last year, I have been experiencing symptoms of hypoxia, such as blackouts and dizziness. By October, my hypoxia symptoms had improved, but recently I ...
Dr. Jiang Junyi Reply:
Dear Ms. P: You mentioned experiencing "sudden lapses of memory for 1 to 2 seconds while walking, without any symptoms of numbness in the limbs or face." Your symptoms may suggest postural hypotension. Additionally, conditions such as anemia, autonomic dysfunction, and...[Read More] Persistent Dizziness and Body Shaking: Seeking Answers for Neurological Symptoms
Understanding Eye Pressure, Brain Pressure, and Vision Loss: A Patient's Journey
Intraocular pressure, intracranial pressure, and visual field loss? Hello, doctor. Since 2021, I have been regularly monitored at a hospital in central Taiwan due to elevated intraocular pressure. During this period, my eye pressure was normal for a while. After returning to Taip...
Dr. Jiang Junyi Reply:
Dear Mr. Huang, You mentioned that "high intracranial pressure" is often associated with significant and dangerous conditions. It is important to distinguish between acute and chronic increases in intracranial pressure. In cases of acute intracranial hypertension, pati...[Read More] Understanding Eye Pressure, Brain Pressure, and Vision Loss: A Patient's Journey
Understanding Eyebrow Bone Pain: Causes and When to Seek Help
Frontal bone pain In the past year or two, I have started experiencing pain in my brow bone, which I initially thought might be due to the use of electronic devices. As a result, I significantly reduced my usage of these devices for a while. I also visited the ophthalmology depar...
Dr. Cai Zongzhang Reply:
Hello, Ms. Chang: The pain occurring in the brow area may have other potential causes, including sinusitis or trigeminal neuralgia. If the ophthalmic examination shows no abnormalities, it is recommended to consult an otolaryngologist and a neurologist for further evaluation.[Read More] Understanding Eyebrow Bone Pain: Causes and When to Seek Help
Understanding Neck and Shoulder Pain After Prolonged Sitting: When to Seek Help
I would like to inquire about what condition these symptoms may indicate? Sitting for 1-2 hours (such as in a car or at a desk) causes intense stabbing pain throughout the neck, shoulders, and upper back, along with a feeling of tightness and swelling around the neck and shoulder...
Dr. Jiang Junyi Reply:
Hello Ms. QZ: You mentioned experiencing a strong stabbing pain from your neck to your shoulders and upper back. I wonder if you also have any tingling sensations? We should first consider cervical nerve root compression, which is often related to tightness in the cervical muscle...[Read More] Understanding Neck and Shoulder Pain After Prolonged Sitting: When to Seek Help
Understanding Dizziness and Concentration Issues: Possible Causes and Treatments
Dizziness / tightness in the back of the head / difficulty concentrating? Hello Doctor, since mid-2021, I have been experiencing intermittent tightness and numbness in the back of my head, along with dizziness (similar to motion sickness), accompanied by difficulty concentrating ...
Dr. Cai Zongzhang Reply:
Hello Ms. Chen: Based on the above, after a thorough examination, including an MRI, it has been confirmed that there are no organ abnormalities. It is recommended to improve sleep quality and engage in moderate exercise, in conjunction with medication treatment.[Read More] Understanding Dizziness and Concentration Issues: Possible Causes and Treatments
Understanding Dizziness and Dry Mouth: When to Seek Neurological Care
Dizziness and dry mouth? Recently, I have been experiencing dizziness, a feeling of pressure in the back of my head, dry mouth, tinnitus, and occasional numbness in my hands. My walking is normal. I visited a family medicine clinic where I was prescribed medication for the dizzin...
Dr. Jiang Junyi Reply:
Hello Mr. Ming: You mentioned feeling "pressure in the back of your head, dry mouth, tinnitus, and occasional hand numbness." Could you clarify the numbness in your hands? Is it bilateral or unilateral? If it is unilateral, we may need to consider cervical spine issues....[Read More] Understanding Dizziness and Dry Mouth: When to Seek Neurological Care
Managing Headaches: Medication Adjustments and Patient Concerns
Headache medication Hello Dr. Jiang, I have recently been experiencing headaches and dizziness, and I have consulted with you twice. During the first visit, you prescribed medication for my heart rhythm and Cerebrolysin, to be taken once in the morning and once in the evening. My...
Dr. Jiang Junyi Reply:
Dear Miss Chien, If you have experienced improvement while taking medications for heart rhythm and brain clarity, it may be worth considering migraine-associated dizziness. There are primarily two types of medications for treating migraines: preventive and acute treatment. Oral ...[Read More] Managing Headaches: Medication Adjustments and Patient Concerns
Sudden Weakness and Unconsciousness in Elderly: Causes and Risks
Sudden paralysis and coma? The patient is 87 years old and has moderate Alzheimer's disease. At the end of 2022, he was diagnosed with aortic regurgitation, with no follow-up appointments. He has experienced two episodes (one year apart) of sudden loss of consciousness and w...
Dr. Jiang Junyi Reply:
Hello Ms. Huang, You mentioned experiencing "sudden loss of consciousness and weakness for about 5-10 minutes." I'm wondering if blood pressure and heart rate monitoring were conducted at that time? This symptom should be considered as a sign of syncope, with the ...[Read More] Sudden Weakness and Unconsciousness in Elderly: Causes and Risks
Understanding Neck and Shoulder Inflammation: Is It Affecting Your Ears and Eyes?
Shoulder and neck inflammation? Recently, I visited an orthopedic doctor due to pain in my left shoulder and neck, and I was diagnosed with muscle inflammation in that area. I took medication, but I still experience sudden pain or a tight sensation in my neck. Occasionally, I als...
Dr. Wu Mukhan Reply:
Hello, neck tightness may be related to inflammation of the shoulder and neck muscles. Symptoms related to the eyes and ears are usually not significantly affected by the shoulder and neck. It is recommended to consult a rehabilitation specialist to address the muscle inflammatio...[Read More] Understanding Neck and Shoulder Inflammation: Is It Affecting Your Ears and Eyes?
Unexplained Dizziness: Seeking Answers After Multiple Doctor Visits
After multiple consultations, the cause of the head dizziness has not yet been identified? Hello Doctor: Last month (December 21, 2023) in the evening, due to the cold weather and wearing lighter clothing, I seemed to have caught a chill. However, I did not exhibit any obvious co...
Dr. Cai Zongzhang Reply:
Hello Mr. Li: There are various causes of dizziness. It is recommended to first visit a neurologist to arrange for a vascular ultrasound examination. Identifying the cause is essential for determining the correct treatment direction.[Read More] Unexplained Dizziness: Seeking Answers After Multiple Doctor Visits
Understanding Cerebrospinal Fluid Leaks: Symptoms and Treatment Options
Cerebrospinal fluid leak Hello, doctor: I received epidural analgesia during my natural childbirth, and since then, I have been experiencing unexplained headaches that do not improve with pain medication and can only be alleviated by lying down. I came across similar symptoms in ...
Dr. Jiang Junyi Reply:
Dear Ms. Fran, You mentioned that "taking painkillers does not improve the condition, and lying down is the only way to relieve it." We should consider headaches due to decreased intracranial pressure. Currently, you can take caffeine and low-dose corticosteroids to al...[Read More] Understanding Cerebrospinal Fluid Leaks: Symptoms and Treatment Options
Managing Nerve Pain and Swelling in Elderly Patients After Spine Surgery
Tightness in the thigh muscles, numbness, and mild edema in the legs? My mother, who is 88 years old, participated in a volunteer trip on November 14, where she walked too much, resulting in foot pain and nerve compression that prevented her from sleeping and standing. During thi...
Dr. Jiang Junyi Reply:
Dear Ms. Amy, You mentioned that your mother is experiencing numbness in her feet, along with a sensation that the tendons in her right foot seem to be pulling up towards her buttocks. This may indicate compression of the lumbar nerve roots. Post-surgery, it is common to encount...[Read More] Managing Nerve Pain and Swelling in Elderly Patients After Spine Surgery
Two Years of Dizziness: Unraveling the Mystery Behind Neurological Symptoms
Dizziness for two years with no identifiable cause? About three years ago, I had to take a break from school due to panic attacks caused by dizziness. During this time, I frequently visited the emergency room. After being diagnosed two years ago, I suddenly experienced severe diz...
Dr. Jiang Junyi Reply:
Dear Mr. Chen, You mentioned, "Could my dizziness be related to my long-standing high cholesterol?" Indeed, elevated cholesterol levels, particularly high LDL (low-density lipoprotein), can accelerate atherosclerosis. High concentrations of LDL in the bloodstream can a...[Read More] Two Years of Dizziness: Unraveling the Mystery Behind Neurological Symptoms
Overcoming Insomnia: Tips for Managing Sleep Disruptions from Trigeminal Neuralgia
Insomnia and difficulty falling asleep? Doctor, I experienced severe pain from trigeminal neuralgia that kept me awake until around 4 AM one day. Since then, I haven't had a recurrence while awake, but I still suffer from insomnia. When I lie down, my mind races with thought...
Dr. Cai Zongzhang Reply:
Hello Wei-Feng: It is recommended to discuss with a physician who specializes in treating trigeminal neuralgia, as both issues can be addressed simultaneously.[Read More] Overcoming Insomnia: Tips for Managing Sleep Disruptions from Trigeminal Neuralgia
Understanding Persistent Dizziness: Possible Causes and Treatment Options
Persistent dizziness and vertigo? Hello Doctor, I discovered over a year ago that I have poor hearing in my left ear, along with unilateral tinnitus, a feeling of fullness in the ear, and headaches. I began visiting an otolaryngologist for examinations, during which I underwent A...
Dr. Peng Shiwei Reply:
You should seek medical treatment at a neurology outpatient clinic for your symptoms. Thank you.[Read More] Understanding Persistent Dizziness: Possible Causes and Treatment Options