Head Injury from Rolling Door: Symptoms and Next Steps
Hit the top of the head against a rolling metal door? Hello, doctor. Yesterday, I accidentally bumped into a rolling shutter door that was just about to rise while I was bending down. At the moment of impact, I felt nauseous once and experienced a temporary loss of vision twice. ...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "I can't really turn my head, and washing my hair while bending over causes severe pain. The right side also hurts a lot while sleeping, but it feels a bit better after waking up." Your symptoms may suggest inflammation of the cervic...[Read More] Head Injury from Rolling Door: Symptoms and Next Steps
Managing Pituitary Prolactinoma: When to Consider Surgery?
Pituitary prolactinoma stroke Hello Doctor: My wife has a 0.3 cm prolactinoma that has been managed with medication for a long time. In August of this year, her blood test showed a PRL level of 68, and a follow-up MRI revealed a hemorrhagic stroke with a fluid level measuring 1.5...
Dr. Jiang Junyi Reply:
Dear Mr. Xin, You mentioned, "Is it possible that the tumor bleeding will slow down and be absorbed on its own if we continue to observe without surgery? (Three years ago, there was a bleeding episode when it was 0.9 cm, and it later resolved)." Essentially, pituitary ...[Read More] Managing Pituitary Prolactinoma: When to Consider Surgery?
Post-Hospitalization: Managing Blurry Vision and Dizziness After a Car Accident
One month after hospitalization? When I wake up in the hospital, I often experience blurred vision and dizziness. I was discharged because I was involved in a car accident.
Dr. Jiang Junyi Reply:
Dear Mr. Df, You mentioned that you often experience blurred vision and dizziness upon waking up, particularly after the car accident. I would like to know how long you experienced loss of consciousness, as this could indicate potential post-concussion syndrome. Additionally, we...[Read More] Post-Hospitalization: Managing Blurry Vision and Dizziness After a Car Accident
Chronic Anemia-Like Symptoms Without Anemia: What Could It Be?
Feeling chronically anemic without actually being anemic? To summarize the usual symptoms: I experience dizziness after prolonged sitting, after eating, and when standing up from a squatting position. I also feel dizzy and have headaches when I fall asleep while sitting. It feels...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned experiencing dizziness when squatting and standing up, which may indicate insufficient cerebral blood flow due to changes in posture. If the symptoms are more severe, fainting may occur. "Fainting" is defined as a sudden, temporary loss of co...[Read More] Chronic Anemia-Like Symptoms Without Anemia: What Could It Be?
Understanding Migraine, Breathing Issues, and Digestive Problems
Migraine, respiratory issues, abdominal problems, constipation? Hello, doctor. I would like to inquire about my friend's long-term migraine issues (experiencing pain almost every day). Sometimes, they also suddenly have difficulty breathing, needing to take deep breaths to f...
Dr. Jiang Junyi Reply:
Dear Mr. Yan, You mentioned the issue of "chronic migraines (almost experiencing pain every day... stomach pain and nausea after eating)." Your friend's symptoms may need to consider the side effects of medications, especially pain relievers. Regarding chronic mig...[Read More] Understanding Migraine, Breathing Issues, and Digestive Problems
Understanding Facial Nerve Issues: Symptoms, Causes, and Treatment Options
Facial nerve Hello, doctors! I am 28 years old, and in March of this year, I noticed weakness on the right side of my face, with difficulty closing my right eye. I have noticeable asymmetry in my eyes, and when I drink, water leaks from the right side of my mouth. When I try to m...
Dr. Jiang Junyi Reply:
Hello Dr. De: You mentioned that "some doctors said I have both facial nerve paralysis and spasms... (I am completely confused)." Generally speaking, facial nerve paralysis occurs due to inflammation, which prevents the muscle tissue it innervates from contracting adequ...[Read More] Understanding Facial Nerve Issues: Symptoms, Causes, and Treatment Options
Managing Heartbeat Issues, High Blood Pressure Medications, and Pulsatile Tinnitus
Heart rate issues, hypertension medication concerns, pulsatile tinnitus? Hello, doctor. I have been taking 5mg of Metoprolol for almost a year now. Recently, I have been experiencing mild chest pain and a sensation of pressure in my head, as if it is being squeezed. It feels like...
Dr. Cai Zongzhang Reply:
Hello: For the symptoms mentioned above, it is recommended to schedule a cerebrovascular ultrasound examination with a neurologist.[Read More] Managing Heartbeat Issues, High Blood Pressure Medications, and Pulsatile Tinnitus
Understanding Involuntary Muscle Twitches: Causes and Solutions
Hello doctor, I would like to inquire about the issue of involuntary muscle twitching? Hello Doctor: About two years ago, I started experiencing involuntary leg jerks before going to bed and upon waking up. Sometimes it's severe, and other times it's mild. I also notice...
Dr. Peng Shiwei Reply:
It is recommended to schedule a follow-up appointment and discuss with your attending physician whether any additional tests are necessary. Thank you.[Read More] Understanding Involuntary Muscle Twitches: Causes and Solutions
Understanding the Link Between Sleep Disorders and Stroke Symptoms
Autonomic nervous system dysfunction, insomnia, stroke? Hello, Doctor. I would like to ask some questions. My mother has been suffering from chronic insomnia and has been taking medication prescribed by a doctor, but her insomnia remains severe. Recently, she has experienced dry ...
Dr. Wu Mukhan Reply:
Hello: There are many causes of insomnia, including psychological factors, medications, lifestyle habits, degenerative diseases, sleep apnea, and other sleep disorders. Sudden unilateral body paralysis or weakness may indeed be related to cerebrovascular diseases. It is advisable...[Read More] Understanding the Link Between Sleep Disorders and Stroke Symptoms
Understanding Dizziness: Causes, Symptoms, and Recommended Tests
Could you please clarify your question regarding dizziness? Hello Dr. Tsai: In my twenties, I experienced occasional dizziness, but it was mild. Recently, over the past month, the symptoms have become particularly pronounced, with a feeling of pressure in my head and dizziness. I...
Dr. Cai Zongzhang Reply:
Hello Winnie: It is recommended to visit the neurology outpatient clinic.[Read More] Understanding Dizziness: Causes, Symptoms, and Recommended Tests
Does Piracetam Release Dopamine? Insights on Nootropics and Neurology
Drug Consultation: Piracetam This medication can release dopamine? Is this article correct?
Dr. Peng Shiwei Reply:
According to the literature, in experiments with mice, piracetam can increase the metabolites of dopamine but does not increase the concentration of dopamine in the striatum. Additionally, the neurotransmitters affected by piracetam are primarily related to the cholinergic, serot...[Read More] Does Piracetam Release Dopamine? Insights on Nootropics and Neurology
Understanding Long-Term Effects of Head Trauma: A Neurological Perspective
Injured due to assault? Hello, doctor. Around the years 2003-2004, during my school years, I had a conflict with some classmates, which led to one of them hitting me on the back right side of my head with a metal chair. At that time, I lost consciousness, and I am unsure if there...
Dr. Peng Shiwei Reply:
Hello, due to current regulations, I am unable to provide treatment to patients without an in-person consultation. If you have concerns regarding your brain injury, I recommend scheduling an appointment for a physician to evaluate and treat you personally. If any tests or further...[Read More] Understanding Long-Term Effects of Head Trauma: A Neurological Perspective
Understanding the Dietary Effects of Medication for Dizziness Management
The effects of drug consumption? Hello: I have been experiencing dizziness, and my doctor recently prescribed a medication called "Shunao" for me. However, I have many questions regarding the dietary implications of this medication. Please clarify the following: 1. Thi...
Dr. Peng Shiwei Reply:
Hello, the medication Shunao is a selective calcium channel blocker, meaning it does not lower the concentration of calcium ions in the blood but rather affects the efficiency with which certain cells utilize calcium ions to achieve its therapeutic effects. The physician advised ...[Read More] Understanding the Dietary Effects of Medication for Dizziness Management
Managing Facial Nerve Pain and Reconstruction After Trauma
Facial nerve Hello Doctor, I was in a car accident in May of this year. 1. I sustained a head contusion with a small amount of subdural hematoma. 2. I have facial contusions that have resulted in soft tissue depression on the left side of my face, accompanied by persistent sorene...
Dr. Jiang Junyi Reply:
Hello Ms. Lisa, You mentioned experiencing "sour, numb, and painful sensations that persist," which may indicate neuropathic pain. The current treatment approaches for neuropathic pain primarily focus on addressing the underlying causes. There are medications that have...[Read More] Managing Facial Nerve Pain and Reconstruction After Trauma
Understanding ADHD: The Role of Piracetam and Dopamine Release
ADHD and Brain-Related Issues 1. Yes, it is correct that Piracetam may enhance the release of dopamine. Some studies suggest that it can influence neurotransmitter systems, including dopamine, which may contribute to its cognitive-enhancing effects. 2. Piracetam can be used in c...
Dr. Wu Mukhan Reply:
Hello, whether Piracetam can increase dopamine release still requires further research, as current studies show varying results. Piracetam is not currently a first-line treatment for ADHD, and it is advisable to discuss with your primary care physician before deciding whether it ...[Read More] Understanding ADHD: The Role of Piracetam and Dopamine Release
Understanding Involuntary Muscle Twitches in the Hand: Causes and Solutions
Involuntary muscle twitching in the palm? Hello Doctor, I have been experiencing intermittent rapid muscle twitching in my palms (both inside and outside). During these episodes, my palms and fingers tend to curl up as if I were trying to make a fist (similar to a chicken claw), ...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "your fingers seem to be in a fist-like position (like a chicken claw) and cannot be extended." This may indicate a consideration of abnormal muscle tone, characterized by persistent muscle contractions that can sometimes lead to limb twi...[Read More] Understanding Involuntary Muscle Twitches in the Hand: Causes and Solutions
Understanding Autonomic Nervous System Disorders and Their Symptoms
Autonomic nervous system dysfunction? Hello, last week I visited a clinic due to a cold and was prescribed medication. After taking the medication, I started experiencing thirst and dry lips, and no matter how much water I drank, I couldn't quench my thirst; in fact, it seem...
Dr. Jiang Junyi Reply:
Hello Mr. Xiao Ming, You mentioned that "you have stopped taking medication for about a week... and the thirst is not as severe the next day." Since the duration of the drug's action has exceeded five half-lives, the effects of these two medications should be rule...[Read More] Understanding Autonomic Nervous System Disorders and Their Symptoms
Understanding Facial Numbness: Insights for Ankylosing Spondylitis Patients
Frequent facial numbness? I was diagnosed with ankylosing spondylitis (AS) this May. In addition to the pain associated with AS, I have been experiencing persistent numbness on the right side of my face and right lip, along with occasional numbness in my right ear. This numbness ...
Dr. Jiang Junyi Reply:
Dear Ms. Lee, You mentioned that "cervical disc herniation can affect facial numbness," specifically regarding high cervical nerve root compression at the levels of C1 to C3. Since the nerves pass through the trigeminal nerve nucleus, this may be related to the persist...[Read More] Understanding Facial Numbness: Insights for Ankylosing Spondylitis Patients
Could Your Evening Diarrhea Be Linked to Autonomic Nervous System Dysfunction?
Could diarrhea be caused by autonomic nervous system dysfunction? Hello, Dr. Jiang. I am a patient with diarrhea-predominant irritable bowel syndrome (IBS-D). I have undergone numerous gastrointestinal examinations, including a colonoscopy, and my body has shown no issues. I have...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned that "you often experience diarrhea after dinner... but there are no issues with lunch or late-night snacks... and you suspect autonomic nervous system dysfunction." First, it's important to clarify that if diarrhea is caused by dietary fa...[Read More] Could Your Evening Diarrhea Be Linked to Autonomic Nervous System Dysfunction?
Understanding Right-Sided Head Pain: Possible Causes and Solutions
Only the right side of my head feels uncomfortable? Hello, doctor. For the past three days, I've been experiencing pain on the right side of my temple, teeth, ear, and back of my neck. The pain is intermittent and persistent. I have seen a dentist, but they said there is no ...
Dr. Jiang Junyi Reply:
Hello Mr. Lu: You mentioned that you are experiencing pain in your teeth, ears, and the back of your neck, which may suggest considering cervical myofascial pain. The myofascia around the cervical spine has small muscles that connect to the head, while the larger superficial musc...[Read More] Understanding Right-Sided Head Pain: Possible Causes and Solutions