Understanding Medication Side Effects: When to Consult Your Doctor
Drug side effects Hello Doctor: I have migraines and have seen a doctor who prescribed me an anticonvulsant medication (Topiramate). The doctor informed me that it might cause hand numbness. I have been taking it for about a week and only experienced hand numbness, but today I su...
Dr. Jiang Junyi Reply:
Dear Ms. Liu, You mentioned, "Is this a normal side effect of the medication, or should I inform my doctor immediately or stop taking it? Am I at risk of having a stroke?" If you do not smoke, use birth control pills, or have a history of hypertension, diabetes, or oth...[Read More] Understanding Medication Side Effects: When to Consult Your Doctor
Understanding the Connection Between Chronic Migraines and Eye Twitching
Chronic migraines and eyelid twitching issues? Hello, Doctor! I was previously diagnosed with aura migraines at a small clinic, and it has been nine years since my first episode, occurring approximately every four months. Before an attack, I experience photophobia, blurred vision...
Dr. Jiang Junyi Reply:
Hello Mr. Lin: You mentioned that "the upper right eyelid keeps twitching, occurring every few minutes, and has been happening for four to five days." Your symptoms are more indicative of migraine-related symptoms. You also noted experiencing some visual disturbances wh...[Read More] Understanding the Connection Between Chronic Migraines and Eye Twitching
Understanding Persistent Headaches: Causes and When to Seek Help
Headache issues Hello Doctor: I have been experiencing headaches for about a month now, without interruption. Initially, over-the-counter pain relievers were ineffective. The pain is located between the back of my head and the top, generally towards the upper left side, and it fe...
Dr. Jiang Junyi Reply:
Dear Ms. Hsin, You mentioned that "the headache has been persistent for about a month without interruption." Your symptoms may suggest chronic migraine, characterized by experiencing migraine on more than 15 days per month, with varying severity. This condition can eas...[Read More] Understanding Persistent Headaches: Causes and When to Seek Help
Understanding Ear Pain, Headaches, and Dizziness: A Neurology Perspective
Ear pain, headache, and dizziness? I am 29 years old and a month ago I was diagnosed with acute sinusitis at the hospital. Currently, my symptoms of nasal congestion and post-nasal drip have improved. However, I have been experiencing persistent headaches accompanied by dizziness...
Dr. Jiang Junyi Reply:
Dear Ms. Liu, You mentioned that "the pain in your ears feels like it's coming from inside," which may still require ruling out sinusitis-related headaches. Consider the possibility of occipital sinusitis. When diagnosing "sinus headaches," the primary g...[Read More] Understanding Ear Pain, Headaches, and Dizziness: A Neurology Perspective
Headaches Triggered by Head Movement: What You Need to Know
Headache occurs only when shaking the head? Doctor, I sometimes notice that I only experience headaches when I shake my head vigorously, but when I don't shake my head, I feel normal. This happens about three to four times a month. What could be the issue with my head?
Dr. Jiang Junyi Reply:
Hello Mr. Lone Ranger: You mentioned that "only when shaking your head vigorously do you feel headache, but otherwise it feels normal." I would like to know where your headache is located. If it is in the posterior neck or temporal region, it may be worth considering ab...[Read More] Headaches Triggered by Head Movement: What You Need to Know
Understanding Persistent Headaches: Causes and When to Seek Help
Persistent dull headache? Hello, doctor. Recently, I've been experiencing a higher frequency of headaches, which have become persistent over the past few days. The pain is usually located at the back of my head and is a dull ache. Taking pain relievers hasn't been effec...
Dr. Jiang Junyi Reply:
Hello: You mentioned "developing persistent headaches, typically located at the back of the head, characterized as a dull pain, and pain relievers have little effect." This may suggest chronic daily headache, which is a type of primary headache defined as occurring for ...[Read More] Understanding Persistent Headaches: Causes and When to Seek Help
Understanding Persistent Headaches: Causes and When to Seek Help
Persistent headache Hello doctor, I have been experiencing persistent headaches since May 31, and they continue to occur even now. Although there are times when I feel some relief, there is always a strange sensation. The headaches are continuous, but the intensity does not feel ...
Dr. Cai Zongzhang Reply:
Hello: There are many causes of headaches, most of which are not due to tumors. If the headache persists, it is recommended to continue evaluations in a neurology outpatient clinic.[Read More] Understanding Persistent Headaches: Causes and When to Seek Help
Sneezing-Induced Headache: Causes and When to Seek Medical Help
Sneezing headache? Hello, I would like to ask about my mother. A few days ago, she sneezed and then started experiencing sharp pain in her head. After a day or two, she said the pain has worsened compared to the previous days. I suggested she see a doctor, but she refuses to go. ...
Dr. Jiang Junyi Reply:
Hello: You mentioned that after your mother sneezed, she started experiencing sharp pain in her head. I'm wondering if there are any localized tender points that can be pressed. If there are, it might indicate an issue with the cervical muscle fascia. However, if the headach...[Read More] Sneezing-Induced Headache: Causes and When to Seek Medical Help
Managing Chronic Liver Issues and New Ear Symptoms: A Neurology Perspective
Long-term liver function abnormalities and bronchial sensitivity have recently led to increased ear ringing and worsening headaches? Hello, Doctor. Here is a summary of my pre-existing conditions and the issues that have arisen this past week. I have been a carrier of hepatitis B...
Dr. Jiang Junyi Reply:
Dear Miss Chiu, You mentioned that "the frequency of the popping sound in my left ear has decreased, but there are sudden sharp pains on the right side of my head, which are not the usual occasional dull aches. The pain is severe enough to furrow my brow and make my express...[Read More] Managing Chronic Liver Issues and New Ear Symptoms: A Neurology Perspective
Understanding Pulsatile Tinnitus: Symptoms and Next Steps for Relief
Pulsatile tinnitus in the right ear every night? I experience daily headaches, and at night, my feet feel numb up to my calves. My elbows and hands also go numb twice. At night, I feel something strange with my heart. When I measured my blood pressure, it was 96/52 with a heart r...
Dr. Jiang Junyi Reply:
Dear Miss Lin, You mentioned that you are experiencing "numbness in the soles of your feet extending to your calves, and numbness from your elbows to your palms." It is advisable to consult a neurologist to rule out peripheral nerve issues. Regarding your symptoms of...[Read More] Understanding Pulsatile Tinnitus: Symptoms and Next Steps for Relief
Understanding Right-Sided Headaches: Causes and Management Tips
Right-sided migraine? Hello, doctor. I am a first-year junior high school student. I have had a problem for a while where I feel that when my heart beats too fast (especially when I am more excited), it seems like the pressure in my head increases (this is purely my speculation),...
Dr. Jiang Junyi Reply:
Dear Ms. Shiau, You mentioned experiencing "transient headaches, which require me to gradually adjust my breathing for improvement... and I tend to overthink... I really want to improve this aspect and how to fall asleep quickly." If the headache symptoms are causing y...[Read More] Understanding Right-Sided Headaches: Causes and Management Tips
Managing Persistent Facial and Head Numbness: Expert Insights
Numbness and swelling in the head and face? I have been experiencing numbness and swelling in my head and face every day for over ten years. Last year, I went to Fu Jen Catholic University Hospital for a facial nerve examination, and the results were normal. The doctor prescribed...
Dr. Jiang Junyi Reply:
Hello Mr. Cool Dragon 999, You mentioned experiencing daily numbness and swelling in your head and face. This could potentially indicate a vascular headache, such as a migraine. The clinical diagnosis relies on your medical history, including any triggers and alleviating factors...[Read More] Managing Persistent Facial and Head Numbness: Expert Insights
Understanding Upper Abdominal Pain: Neurological Insights and Treatment
Stomach right upper abdomen In the past few days, I have been experiencing pain that feels similar to shortness of breath, with an itchy and constricted throat. It is also difficult to swallow when eating. During the painful episodes, I have severe headaches that feel like they a...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to visit the neurology outpatient clinic.[Read More] Understanding Upper Abdominal Pain: Neurological Insights and Treatment
Understanding Dizziness and Nerve Issues: When to Seek Medical Attention
Dizziness and issues related to the lumbar and cervical spine? Recently, I experienced dizziness followed by numbness in my left limbs. I visited a clinic, and they suggested that the numbness in my legs was due to issues with cervical and lumbar disc herniation. However, the num...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned, "Can X-rays alone reveal any issues with the spine and cervical spine?" This seems insufficient to explain the symptoms of dizziness. There are many factors that need clarification. The causes of dizziness are numerous; if your dizziness is r...[Read More] Understanding Dizziness and Nerve Issues: When to Seek Medical Attention
Headaches After a Childhood Injury: What You Need to Know
I hit my temple when I was a child, and since then, I've been experiencing headaches? At the beginning of seventh grade, I tripped over my shoelaces and fell, hitting my temple. Since then, I've noticed that I occasionally have headaches, specifically in the area where ...
Dr. Jiang Junyi Reply:
Dear Ms. Xing, You mentioned that "the temples sometimes hurt..." If the issue is related to trauma, the body typically heals within 2 to 4 weeks. Your symptoms may suggest a vascular headache, specifically a migraine. This type of headache can last from 4 to 72 hours....[Read More] Headaches After a Childhood Injury: What You Need to Know
Why Lying Down Worsens Your Headache: Understanding Neurological Pain
Headache worsens when lying down? Hello: I have a condition where there is a mild herniation at the C4-C5 cervical vertebrae, and I am undergoing rehabilitation. Previously, I experienced pain in multiple areas (only once), and a neurologist diagnosed it as fibromyalgia. However,...
Dr. Jiang Junyi Reply:
Dear Ms. Tsai, You mentioned that "I have been experiencing headaches every day for the past two months." Your symptoms may suggest chronic migraine. If you have migraine on more than 15 days in a month, with varying severity, it can easily be confused with tension-typ...[Read More] Why Lying Down Worsens Your Headache: Understanding Neurological Pain
Managing Exam-Related Headaches: Tips for Students
Exam-related headache Hello, doctor. I don't experience pressure headaches before exams, but during long exams like midterms or finals, I feel a lot of pressure in my head and a sense of heaviness. My eyes become strained and dry from overuse, which affects my performance. I...
Dr. Jiang Junyi Reply:
Dear Mr. Ke, You mentioned whether taking Tylenol during exams could lead to dependence. Pure Tylenol (acetaminophen) does not cause dependence. However, the extra-strength Tylenol contains caffeine, which may lead to dependence. Will taking Tylenol affect your exam performanc...[Read More] Managing Exam-Related Headaches: Tips for Students
Unexplained Bump on the Back of the Head: When to Seek Medical Attention
A sudden protrusion at the back of the head? Hello, doctor. I would like to ask about a change in the shape of my occipital region; there is a protrusion. Over the past year, I have also noticed changes in my vision, as my field of view seems to have expanded, making things that ...
Dr. Jiang Junyi Reply:
Dear Ms. ViVI, You mentioned that "your vision has changed over the past year, and the range of what you see feels larger; things that once seemed quite large now appear smaller... Your thoughts also seem unclear, and you often forget things..." I wonder if you are exp...[Read More] Unexplained Bump on the Back of the Head: When to Seek Medical Attention
Understanding Eye Pain and Neck Discomfort: A Neurological Perspective
Deep pain in the left eye (radiating to the left shoulder and neck)? Hello, Dr. Jiang. Three months ago, I experienced eye pain and visited an ophthalmologist. The doctor diagnosed my intraocular pressure at the critical value of 21. I continued to use the prescribed eye drops re...
Dr. Jiang Junyi Reply:
Hello Mr. Bai: You mentioned that "the assessment indicated a neurological issue, and I was referred to the neurology department, where the neurologist suggested the possibility of migraine?" The symptoms you described may need to consider Trigeminal Autonomic Cephalalg...[Read More] Understanding Eye Pain and Neck Discomfort: A Neurological Perspective
Could It Be Trigeminal Neuralgia? Understanding Facial Pain Symptoms
Is it trigeminal neuralgia? Hello Doctor: For the past month, I have suddenly started to feel pain when pressing on the upper inner corner of my right eye socket, as if I am experiencing menstrual cramps. Raising my eyebrows also causes some pain, and pressing on the right side o...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "as the weather gets colder, I start to feel pain when pressing on the upper inner corner of my right eye, similar to menstrual cramps... there is also some pain when pressing on the right eyebrow." Generally speaking, pain that can be pressed ...[Read More] Could It Be Trigeminal Neuralgia? Understanding Facial Pain Symptoms