Understanding Neuropathic Pain: Which Specialist Should You See?
Suspected neuropathic pain - unsure which specialty to consult? Hello, Dr. Jiang. I apologize for bothering you. My mother and grandmother have both reported experiencing "neuropathic pain" after reaching a certain age. They have occasional episodes, a few times a year,...
Dr. Jiang Junyi Reply:
Dear Miss Peng, You mentioned that "the pain usually starts at night when falling asleep and continues into the next day, occurring in episodes, and typically resolves within two days." Your symptoms may suggest Restless Legs Syndrome (RLS). The etiology of RLS is rela...[Read More] Understanding Neuropathic Pain: Which Specialist Should You See?
Severe Headache After Bathing: When to Seek Medical Attention?
Headache-related issues? Hello, Dr. Jiang: My father has a habit of drying the bathroom walls and floor after showering to prevent slipping. This evening, while he was wiping the water off the walls, he suddenly experienced a severe headache and felt a heat sensation in his head...
Dr. Jiang Junyi Reply:
Hello: You mentioned that your father experienced "a sudden severe headache starting the moment he stood up from a squatting position... He reported feeling an unprecedented intense headache that radiated from both temples to the entire head, accompanied by the sound of his ...[Read More] Severe Headache After Bathing: When to Seek Medical Attention?
Understanding Post-Concussion Syndrome: Symptoms and Dietary Tips
Post-concussion syndrome Fifteen years ago, I suffered a head injury and cervical spine damage in a car accident. Although I consulted a neurologist at the time, the doctor did not order detailed examinations since I was able to walk and communicate normally. As a result, my head...
Dr. Jiang Junyi Reply:
Dear Mr. E, You mentioned that "memory has significantly declined... and you are unsure if there are dietary suggestions for improvement." For dietary aspects, you can adopt the Mediterranean diet, the Dietary Approaches to Stop Hypertension (DASH) diet, and the Medite...[Read More] Understanding Post-Concussion Syndrome: Symptoms and Dietary Tips
Assessing Infection Risks After Tooth Extraction and Water Source Concerns
Infection probability Hello, doctor. I had two upper molars extracted two years ago, and since then, I have been experiencing persistent discomfort in my head, dizziness, occasional nausea, and a lack of mental clarity. My family has always used well water for oral hygiene, and a...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "two upper molars were extracted two years ago..." Our oral cavity is not in a sterile state. The incubation period for Acanthamoeba infection, which you referred to, is approximately 1-7 days. The time frame you mentioned is too long, as ...[Read More] Assessing Infection Risks After Tooth Extraction and Water Source Concerns
Understanding Visual Flickering: Is It a Sign of Migraine or Neurological Issue?
Visual flicker? There were two instances in the early morning, right after waking up, when I experienced flickering in my vision under dim lighting, resembling the flickering of a failing light bulb or an old television screen malfunction (the flickering was in shades of black an...
Dr. Jiang Junyi Reply:
Hello, Miss Hsiao-Wen: You mentioned that you experienced a migraine on the night of your first visual aura, but not during the second occurrence. I would like to ask if you have a history of migraines? If this is a new symptom, it may be advisable to seek medical evaluation. Gen...[Read More] Understanding Visual Flickering: Is It a Sign of Migraine or Neurological Issue?
Why Do Bloody Images Cause Narrow Vision and Dizziness?
Why does seeing bloody scenes cause a narrowing of vision and dizziness? Hello Doctor, my son is 19 years old. Since he was around 11, he has experienced episodes where, after seeing graphic images, his vision narrows (he can only see clearly in the center while the periphery bec...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned that your son is experiencing intermittent neurological deficits. If the brain injury is caused by a hemorrhage, the symptoms are usually persistent. It may be necessary to first consider the symptoms of vascular headaches (migraines) or abnormal electri...[Read More] Why Do Bloody Images Cause Narrow Vision and Dizziness?
Which Specialist to See for Migraine with Nausea and Vomiting?
If you are experiencing migraines accompanied by nausea and vomiting, you should consult a neurologist? Hello Dr. Jiang, I used to experience migraines frequently, but they would usually improve after a day or two of rest. However, two weeks ago, I started having migraines again,...
Dr. Jiang Junyi Reply:
Dear Ms. Ru, You mentioned that you started experiencing migraines two weeks ago, accompanied by some swelling and mild dizziness, and you have vomited twice since then. I would like to know if you have a history of migraines. If this is a new onset of symptoms, it may be advisa...[Read More] Which Specialist to See for Migraine with Nausea and Vomiting?
Understanding Trigeminal Neuralgia: Symptoms, Treatments, and Relief Strategies
Trigeminal neuralgia Hello doctor, two nights ago I experienced severe pain in the area behind my right ear, but it subsided quickly. However, yesterday the pain suddenly intensified, accompanied by severe pain in my upper right teeth and cheek. Between midnight and 9 AM, I took ...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "the doctor said the pain in my cheek is trigeminal neuralgia, and one of the medications prescribed to me is 'Shunao.' After taking it, I still experienced pain about half an hour later. Is Shunao effective for trigeminal neuralgia?...[Read More] Understanding Trigeminal Neuralgia: Symptoms, Treatments, and Relief Strategies
Understanding Right Neck and Head Pain: Causes and Relief Strategies
Right shoulder and neck pain with tenderness upon palpation at the right occipital region? Hello, I have a history of migraines, but recently I've been feeling a sense of heaviness in my head at times (not dizziness). After looking down for a while, I experience soreness in ...
Dr. Cai Zongzhang Reply:
Hello Ting: It is recommended to visit the neurology outpatient clinic for an examination.[Read More] Understanding Right Neck and Head Pain: Causes and Relief Strategies
Understanding Unusual Brain Sensations: When to Seek Neurological Help
Cerebrovascular events feel like an electric shock? Doctor, I have been experiencing sensations in my head that feel like pressure on my blood vessels or like an electric shock. It's similar to the feeling of stepping on a water pipe or compressing it, and it happens frequen...
Dr. Jiang Junyi Reply:
Hello Ms. Hsiao-Yu, You mentioned that your head feels like it's being compressed, similar to pressure on a blood vessel or an electric shock, akin to stepping on a water pipe and squeezing it. This may warrant consideration of cervical headache. The small muscles connected...[Read More] Understanding Unusual Brain Sensations: When to Seek Neurological Help
Understanding Dizziness and Balance Issues: When to Seek Medical Help
Sudden dizziness with a sensation of losing balance? Hello Doctor: About a month ago, I felt dizzy just before my menstrual period, but it went away afterward. This month, the day before my period, I suddenly felt dizzy again! It also passed after a while, but I have been feeling...
Dr. Jiang Junyi Reply:
Dear Ms. Chen, You mentioned, "The day before my menstrual period, I suddenly felt dizzy! It got better after a while, but I still felt lightheaded and unsteady. Later, when I lay down to rest, I gradually improved! On the fourth day of my period, when I looked down at my p...[Read More] Understanding Dizziness and Balance Issues: When to Seek Medical Help
Managing Severe Headaches During Pregnancy: Tips and Solutions
Headaches in Pregnant Women I have often experienced migraines even before pregnancy, especially when I go out and don't sleep well; they usually occur about twice a month. A single pain reliever or Eve (a brand of pain medication) typically resolves the issue quickly. Howev...
Dr. Jiang Junyi Reply:
Hello Miss QQ: You mentioned that you often experience migraines, especially when traveling or not sleeping well, and that usually one painkiller or Eve resolves it quickly. Eve contains the active ingredient ibuprofen, along with Anhydrous Caffeine - 80 mg and Allylisopropylacet...[Read More] Managing Severe Headaches During Pregnancy: Tips and Solutions
Understanding Headaches and Dizziness: Causes and Concerns
Headache and feelings of dizziness or brain fog? Hello Dr. Jiang, Last Monday, while I was taking a shower, the water might have been too hot, and I suddenly felt a rush to my head. After showering, I felt a bit dizzy. A few days later (around last Wednesday), I started experien...
Dr. Jiang Junyi Reply:
Hello Mr. K: I would like to know if you have a smoking habit? This may increase the risk of cerebrovascular diseases. You mentioned that "I feel like my right eye's vision has declined; I have to strain to see things that were once clear." This may warrant conside...[Read More] Understanding Headaches and Dizziness: Causes and Concerns
Facial Pain After Drinking: Is It Related to Trigeminal Nerve Issues?
Sore cheeks after drinking alcohol? Hello: Recently, I've noticed that my cheeks feel sore when I drink alcohol, but it doesn't happen every time, even with the same type of alcohol. Could this be related to the trigeminal nerve? Should I avoid alcohol completely or see...
Dr. Jiang Junyi Reply:
Dear Ms. WH, You mentioned that you experience a tingling sensation in your cheeks when drinking alcohol. I would like to know if you also experience headaches during this time. Is it more pronounced when you drink red wine? The combination of red wine and cheese may trigger mig...[Read More] Facial Pain After Drinking: Is It Related to Trigeminal Nerve Issues?
Understanding Symptoms: Multiple Sclerosis vs. Autonomic Nervous System Disorders
Multiple Sclerosis or Autonomic Nervous System Dysfunction Hello Dr. Jiang, I have been experiencing a tingling and numbness in my hands and feet since early September. I visited a neurology clinic, and they suggested it could be either cervical spine inflammation or autonomic ne...
Dr. Jiang Junyi Reply:
Dear Miss Li, You mentioned that "the symptoms really seem very similar to those of multiple sclerosis, and considering that I am 21 years old, which is the age when this condition is more likely to occur..." I believe the chances are low, as multiple sclerosis is clas...[Read More] Understanding Symptoms: Multiple Sclerosis vs. Autonomic Nervous System Disorders
Understanding Ear Noise: Discomfort from Loud Sounds in One Ear
Exposure to loud sounds can cause significant tinnitus in the ears? I am a third-year junior high school student, and recently I've been experiencing discomfort in my right ear when I hear loud sounds during class (like the teacher's voice). My right ear produces a nois...
Dr. Hong Weibin Reply:
Hello: Based on your description, it may be hyperacusis, which can be caused by various factors such as migraines, anxiety and depression disorders, trauma, fibromyalgia, and inner ear imbalance, among others. It is advisable to seek assistance from an otolaryngologist.[Read More] Understanding Ear Noise: Discomfort from Loud Sounds in One Ear
Persistent Headaches After Vaccination: When to Seek Medical Attention?
I have been experiencing a persistent headache for four days after receiving the vaccine? Hello doctor, after receiving the second dose of the AZ vaccine on November 18, I experienced no symptoms and felt fine. However, four days later, I started having headaches, chest tightness...
Dr. Jiang Junyi Reply:
Dear Ms. Selene, You mentioned experiencing intermittent sharp and dull pain in the right occipital region, along with working over 8 hours a day on the computer. This may indicate cervical myofascial pain syndrome. Prolonged periods of looking down can lead to overuse of the tr...[Read More] Persistent Headaches After Vaccination: When to Seek Medical Attention?
Evening Dizziness: Causes and Solutions for Nighttime Symptoms
Experiencing dizziness in the evening? Hello: I often feel dizzy in the evening, especially around 6 or 7 PM when I start to feel lightheaded. When I lie down to sleep (without changing my position), I experience a sensation of impending dizziness, and I can easily be awakened by...
Dr. Hong Weibin Reply:
Hello: It is suggested that if it only occurs in the evening and not at other times, it may be a sign of excessive fatigue. Your body might be signaling the need for adequate rest. Additionally, it could be a case of vestibular migraine, and you may want to seek assistance from a...[Read More] Evening Dizziness: Causes and Solutions for Nighttime Symptoms
Understanding Autonomic Nervous System Disorders: Symptoms and Concerns
Suspected autonomic nervous system dysfunction? Hello doctor, I started experiencing intermittent tingling, numbness, and weakness in my limbs at the beginning of September, which lasts for about a few seconds. I have visited many clinics and had blood tests to check my electroly...
Dr. Cai Zongzhang Reply:
Hello, it is recommended to visit the neurology and rheumatology clinics for examination.[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Concerns
Can Multivitamins Cause Dizziness? Understanding Neurological Effects
Feeling dizzy after taking a multivitamin? After taking two multivitamins in the morning after breakfast, I felt dizzy and lightheaded throughout the day. I would like to ask the doctor if taking multivitamins can cause dizziness?
Dr. Jiang Junyi Reply:
Hello Ms. Momo: You mentioned that "taking multivitamins may cause dizziness." I'm curious about the ingredients in your multivitamin and which brand you are using. Clinically, most people find that taking vitamins reduces dizziness. There are many causes of dizzin...[Read More] Can Multivitamins Cause Dizziness? Understanding Neurological Effects