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 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
Understanding Visual Snow Syndrome: Symptoms, Management, and Lifestyle Impact
Snow blindness condition After consulting with an ophthalmologist, the doctor indicated that the situation I described sounds like "visual snow," which is characterized by the sensation of seeing static or snow-like visual disturbances. I underwent a dilated eye examina...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned "visual snow syndrome." The primary cause of visual snow syndrome is a neurological disorder in the visual processing areas of the cerebral cortex. It commonly occurs after a concussion or mild traumatic brain injury. I would like to know if ...[Read More] Understanding Visual Snow Syndrome: Symptoms, Management, and Lifestyle Impact
Understanding Persistent Dizziness: When to See a Neurologist or Psychologist
1. No anemia, no low blood pressure, yet feeling dizzy all day? I just finished seeing the doctor, who recommended that I undergo a self-paid scan. Without the scan, I won't know anything. So far, I've seen a neurologist twice for issues related to migraines, insomnia, ...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned, "No anemia, no low blood pressure, yet feeling dizzy all day?" Given the recent hot weather, it may be important to consider heat-related illnesses. The primary cause is the dilation of skin microvessels in high-temperature outdoor environme...[Read More] Understanding Persistent Dizziness: When to See a Neurologist or Psychologist
Understanding Daytime Sleepiness: Causes and Solutions for Your Symptoms
Feeling sleepy several times throughout the day? Hello, doctor. In recent weeks, I've been feeling sleepy after breakfast and also around noon. Could this be due to insufficient sleep? During these episodes, my eyes are somewhat sensitive to light, and I experience eye strai...
Dr. Jiang Junyi Reply:
Hello Ms. Rose, You mentioned, "This happens only after the second confirmation. Previously, when I was diagnosed with post-COVID sequelae, the traditional Chinese medicine practitioner felt my pulse and told me I have mild anemia, so I am currently undergoing treatment.&qu...[Read More] Understanding Daytime Sleepiness: Causes and Solutions for Your Symptoms
Understanding Ear Pulsations: Possible Causes and Remedies
I'm not sure what happened? Hello Doctor, I occasionally feel a pulsating sensation in the blood vessels of my ears that lasts about ten seconds. This happens occasionally in both ears, mostly before and during my menstrual period, as well as when I am sleep-deprived. Someti...
Dr. Jiang Junyi Reply:
Hello Ms. Yan: You mentioned that "the blood vessels are pulsating... mostly occurring before menstruation, during menstruation, and when sleep-deprived... headaches during menstruation have become more severe... I take one Panadol daily for about three to four days." T...[Read More] Understanding Ear Pulsations: Possible Causes and Remedies
Understanding One-Sided Headaches: Causes and Solutions for Neurological Symptoms
Unilateral ear fullness, unilateral eye pressure and swelling, unilateral neck tightness, and headache? Hello, I have been experiencing headaches for a long time, which are usually relieved by painkillers. Two years ago, I started having episodes of persistent headaches that are ...
Dr. Jiang Junyi Reply:
Dear Ms. Y: You mentioned experiencing "unilateral tightness and discomfort, always on the same side... with a sensation of 'unilateral ear fullness and unilateral eye pressure' (notably tightness when moving the eyeball)." This may warrant consideration of c...[Read More] Understanding One-Sided Headaches: Causes and Solutions for Neurological Symptoms
Understanding the Differences Between Basilar Migraine and Vestibular Neuritis
Dizziness, occasional migraines, and mild diplopia? I would like to ask the doctor about persistent dizziness and double vision for two weeks, along with occasional migraines. After consulting different hospitals, I received various opinions. What is the difference between "...
Dr. Jiang Junyi Reply:
Dear Mr. Fan, You mentioned experiencing "two weeks of dizziness and double vision." Vestibular neuritis can cause dizziness, but it typically does not present with double vision. Basilar-type migraine can cause headaches that mimic stroke symptoms due to vascular cons...[Read More] Understanding the Differences Between Basilar Migraine and Vestibular Neuritis
Unexplained Body Pain and Muscle Twitching: Seeking Neurological Insights
Widespread pain that is not fixed in time, muscle twitching for one month, and numbness in the hands? Hello Doctor, I started experiencing headaches around January 2024, and after visiting the hospital, the doctor conducted a preliminary assessment and diagnosed me with tension-t...
Dr. Jiang Junyi Reply:
Hello Ms. Hone, You mentioned that you were "initially diagnosed with tension-type headache... and prescribed antiarrhythmic medication (without relevant examinations), but you feel that the pain and muscle twitching have not improved with the medication." Typically, n...[Read More] Unexplained Body Pain and Muscle Twitching: Seeking Neurological Insights
Understanding Dizziness and Dry Mouth: Possible Causes and Solutions
Dizziness and dry mouth? Recently, I visited a clinic due to symptoms such as loss of appetite, bloating, and nausea, and was diagnosed with gastritis. I also mentioned to the physician that I have been experiencing dizziness, which the doctor believes may be caused by allergic r...
Dr. Jiang Junyi Reply:
Dear Ms. Liang, You mentioned experiencing dizziness along with symptoms such as a cold, dermatitis, urethritis, gastritis, and menstrual irregularities, which may indicate a deficiency in qi and blood. You asked whether this could be related to anemia or if a neurology consulta...[Read More] Understanding Dizziness and Dry Mouth: Possible Causes and Solutions
Managing Tinnitus Linked to Migraine and Jaw Tension: What You Need to Know
Tinnitus issues? Hello Dr. Jiang: I have been troubled by migraines for three years, so I understand the tinnitus that can accompany them. However, in the past year, I have experienced unilateral (right ear) tinnitus when visiting the dentist, particularly when my cheeks or jaw a...
Dr. Jiang Junyi Reply:
Hello Ms. Bang, You mentioned that "exerting force on the jaw causes unilateral (right ear) tinnitus," which may be due to local blood vessels being affected. It is recommended that you undergo a carotid ultrasound examination. I suggest consulting with a neurologist t...[Read More] Managing Tinnitus Linked to Migraine and Jaw Tension: What You Need to Know
Understanding Migraines: From Headaches to Dizziness and Beyond
Headache that leads to dizziness? Hello, doctor. I would like to ask about my condition. I have been experiencing headaches since I was young, although I don't remember exactly when; I believe it started around the second or third grade in elementary school. In the past, whe...
Dr. Huang Hongling Reply:
Hello, there are many related symptoms to inquire about regarding your headache, including the nature of the pain (such as throbbing, pressure, stabbing, or dull pain), the location of the pain, the duration of the headache, accompanying symptoms (such as nausea, vomiting, photop...[Read More] Understanding Migraines: From Headaches to Dizziness and Beyond
Understanding Non-Traumatic Intracerebral Hemorrhage and Recovery Options
Non-traumatic cortical hemorrhage in the left frontal lobe? Hello, doctor. At the end of January this year, after flying back to Taiwan, I experienced mild headaches, cold sweats, and vomiting the next day, along with pale complexion, which prompted me to seek emergency medical c...
Dr. Peng Shiwei Reply:
Each individual's condition is different, and online consultations cannot replace in-person diagnoses. It is advisable to discuss subsequent treatment options with your primary physician. Thank you.[Read More] Understanding Non-Traumatic Intracerebral Hemorrhage and Recovery Options
Understanding Pulsating Pain in the Back of the Head After Bathroom Visits
Sometimes after using the restroom, I experience a noticeable pulsating pain in the left back of my head for a few seconds? Hello, Doctor. About 4-5 years ago, I started experiencing a pulsating pain in the left posterior part of my head for a few seconds after using the restroom...
Dr. Jiang Junyi Reply:
Hello Mr. Tsai: "Regarding your question about headaches, which specialty should I consult to find out the cause... I have pulsating pain in the left posterior part of my head for a few seconds." Pulsatile headaches may initially suggest a vascular headache, particularl...[Read More] Understanding Pulsating Pain in the Back of the Head After Bathroom Visits
Understanding Numbness and Swelling in the Left Foot and Leg
There is swelling and numbness from the left big toe to the left leg? There is a slight numbness and swelling sensation in the left big toe, but it is not completely devoid of feeling. The nerve sensation extends all the way to the left groin. Although it is uncertain if there is...
Dr. Jiang Junyi Reply:
Dear Ms. Chiu, You mentioned that "there is some numbness and swelling in the left big toe... the sensation of nerve twitching extends all the way to the left leg." This may indicate the possibility of lumbar nerve root compression. Typical discomfort symptoms associat...[Read More] Understanding Numbness and Swelling in the Left Foot and Leg
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
Understanding Dizziness: Causes, Triggers, and Relief Strategies
Dizziness caused by high blood pressure or multiple factors? Process Review: Last Monday: I sought medical attention for a hand strain caused by exercise, which severely disrupted my sleep at night. The physician prescribed pain relief medication sulindac (200 mg) and muscle rela...
Dr. Jiang Junyi Reply:
Dear Ms. Li, You mentioned, "prescribing the pain reliever sulindac (200 mg) and the muscle relaxant phenprobamate (400 mg)... the episodes often occur during times of stress and fatigue." The dizziness you are experiencing may be related to your menstrual cycle, which...[Read More] Understanding Dizziness: Causes, Triggers, and Relief Strategies
Is Your Facial Pain Trigeminal Neuralgia? Understanding the Symptoms
It feels like trigeminal neuralgia? The painful area is located on the left cheek, approximately around the focal point between the eyes and nose, and the region opposite the ear near the zygomatic bone. The pain feels dull and achy. I have braces and frequently undergo X-rays, s...
Dr. Jiang Junyi Reply:
Dear Ms. Liu, You mentioned that you feel a dull pain near the focal point between your eyes and nose, as well as in the area of the cheekbone opposite your ears. This distribution of pain is associated with abnormalities of the second branch of the trigeminal nerve (maxillary b...[Read More] Is Your Facial Pain Trigeminal Neuralgia? Understanding the Symptoms
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?