Understanding Insomnia and Headaches: A Neurological Perspective
Insomnia and headache? I often wake up in the middle of the night, or it takes me a long time to fall asleep, or once I do fall asleep, I sleep for a long time. This has been happening gradually since high school, and I am currently a freshman in college. Whenever I am under a lo...
Dr. Jiang Junyi Reply:
Hello, based on your description, there are many potential causes for headaches. If your headaches are related to your menstrual cycle, the likelihood of migraines is higher. However, conditions such as anemia, autonomic dysfunction, and inner ear imbalance may also contribute to...[Read More] Understanding Insomnia and Headaches: A Neurological Perspective
Understanding Vestibular Neuritis: Symptoms, Diagnosis, and Treatment Options
Vestibular Neuritis Hello, doctor. I am a graduate student. My usual routine involves going to bed around midnight and waking up at 9 AM. I regularly go to the gym about twice a week and also play basketball and jog. My BMI is normal, and I rarely smoke, drink alcohol, or consume...
Dr. Hong Weibin Reply:
Hello: Based on your description, it may also be a central issue. One condition that combines both dizziness and headache is called vertiginous migraine (migraine associated with vertigo), also known as vestibular migraine. You can refer to the following information (from the Tai...[Read More] Understanding Vestibular Neuritis: Symptoms, Diagnosis, and Treatment Options
Understanding Right-Sided Top Head Pain: Is It Migraines?
Pain on the right side of the scalp? Hello, doctor. I have been unable to find much information online about pain at the top of my head, so I am reaching out to inquire. Recently, I have noticed that whenever I experience a headache, it is always on the right side of the top of m...
Dr. Jiang Junyi Reply:
Based on your description, the most common cause is tension-type headache. The symptoms of tension-type headache include: (1) It is often bilateral, located in the occipital and parietal regions, and sometimes the pain can be widespread. The nature of the pain is dull, aching, wi...[Read More] Understanding Right-Sided Top Head Pain: Is It Migraines?
Prolonged Dizziness: Could It Indicate Serious Neurological Issues?
Dizziness lasting more than 2 months? On May 8th, I experienced mild dizziness and unsteadiness while walking. That evening, I had a condition where half of my left eye was blurry and appeared pixelated, and I was unable to focus; my right eye was normal. On May 10th, an ophthalm...
Dr. Hong Weibin Reply:
Hello: Based on your description, it is possible that you are experiencing vestibular migraine. A brain imaging study can be arranged to rule out the concerns you have. It is recommended that you seek assistance from a neurologist.[Read More] Prolonged Dizziness: Could It Indicate Serious Neurological Issues?
Understanding Chronic Dizziness and Visual Disturbances: When to Seek Help
Chronic dizziness and impaired visual acuity? Hello Doctor, I was diagnosed with a tendency to feel dizzy from hunger as a child, often without realizing it (not feeling hungry or wanting to eat). Now, I eat three meals on time, but I still experience dizziness for no apparent re...
Dr. Jiang Junyi Reply:
Hello: Your symptoms seem to be more related to neurology. Regarding the central nervous system: 1. You experience motion sickness almost every time you are in a vehicle, and strong odors also make you feel dizzy (possibly a variant of migraine?). 2. You often choke when drinking...[Read More] Understanding Chronic Dizziness and Visual Disturbances: When to Seek Help
Can Migraines Cause Eye Pain and Blinking Issues?
Migraine headache Hello, doctor. I've been experiencing frequent migraines lately, which are causing my eyes to twitch and feel sore. I would like to ask if migraines alone can affect the eyes. Thank you, doctor.
Dr. Jiang Junyi Reply:
Hello, based on your description, common symptoms of migraine with aura include visual disturbances such as seeing bright lights resembling stars and lightning, as well as blurred or distorted vision. These are all precursors to a migraine. A few minutes after the aura appears, y...[Read More] Can Migraines Cause Eye Pain and Blinking Issues?
Understanding Migraine Triggers: Posture, Medication, and Symptoms
Migraine specific postures Hello Doctor, around January 5th, I took Ritalin for the first time because I had an exam. I had previously taken Adderall but hadn't taken it for over a year. Shortly after taking Ritalin, I experienced palpitations for about 10 minutes, and then ...
Dr. Jiang Junyi Reply:
Hello, Ritalin is a mild to moderate central nervous system stimulant. Its mechanism of action in the human body is not fully understood, but the stimulating effect is believed to occur through the inhibition of dopamine reuptake in the striatum without inducing dopamine release,...[Read More] Understanding Migraine Triggers: Posture, Medication, and Symptoms
Can Migraine Patients Safely Use Salazine Long-Term?
Can migraine patients take Salazine (sulfasalazine) long-term? Hello, Doctor. I have a medical history of ankylosing spondylitis, hepatitis B, and migraines. I am currently taking Topamax (topiramate) for my migraines (25 mg twice a day) and have started taking Salazopyrin (sulfa...
Dr. Jiang Junyi Reply:
Hello: Regarding your question about whether it is advisable for migraine patients to avoid long-term use of salazopyrine, the answer is as follows: Compared to ankylosing spondylitis, migraines can typically be prevented through lifestyle modifications, such as avoiding triggers...[Read More] Can Migraine Patients Safely Use Salazine Long-Term?
Understanding Frequent Headaches and Dizziness: Causes and Solutions
Frequent headaches accompanied by intermittent dizziness? Hello, I would like to ask about experiencing frequent and irregular headaches, occasionally accompanied by dizziness. The headaches do not have a consistent duration; sometimes they occur upon waking up, and other times t...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest chronic daily headache, which has four subtypes: chronic migraine, chronic tension-type headache, new daily persistent headache, and hemicrania continua. Additionally, it is important to consider whether there is a problem with medication overuse ...[Read More] Understanding Frequent Headaches and Dizziness: Causes and Solutions
Understanding Dizziness and Visual Disturbances: When to Seek Help
Dizziness/headache with visual disturbances? Hello Doctor, last weekend I experienced a sudden sharp pain on the left side of my head, and since then I have felt as if a layer of bright glitter has been placed over my vision, which has persisted for about five days. (However, the...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider a migraine with aura. Symptoms include visual disturbances such as seeing stars and lightning-like flashes, as well as blurred or distorted vision, which are all common migraine auras. A few minutes after the aura ...[Read More] Understanding Dizziness and Visual Disturbances: When to Seek Help
Do You Need Further Testing for Headaches? Insights from Neurology
Do headaches require further examination? Hello Doctor, I am 56 years old. In early March of this year, I experienced a severe headache for the first time due to stress. It resolved on its own within 1 to 2 hours without medication. In early May, while traveling abroad, I had thr...
Dr. Hong Weibin Reply:
If your headache triggers are tension and lack of sleep, and your headache improves after taking medication and adjusting your lifestyle, it indicates that you are experiencing a primary headache. Primary headaches include tension-type headaches and migraines, among others, and d...[Read More] Do You Need Further Testing for Headaches? Insights from Neurology
Understanding Sleep Tremors and Migraines: When to Seek Medical Advice
Muscle twitching, migraine? Hello doctor, I would like to ask if the following symptoms my friend experiences while sleeping are normal and if she needs to go to the hospital for an examination. She is 20 years old, does not smoke or drink alcohol, has a family history of diabete...
Dr. Cai Zongzhang Reply:
Hello, regarding your friend's issue, it is uncertain if he is simply too fatigued. Especially considering the sleep conditions you described, this phenomenon may occur due to excessive fatigue or long-term irregular sleep patterns. It is recommended that he maintains a regu...[Read More] Understanding Sleep Tremors and Migraines: When to Seek Medical Advice
Understanding Unexplained Severe Head Pain: Possible Causes and Insights
Abnormal head pain Recently, my father has been experiencing severe headaches that are so intense they cause him to tear up. He has already seen doctors at Cheng Kung University and Chi Mei Hospital, but they all mentioned that neuralgia is difficult to diagnose and there are no ...
Dr. Hong Weibin Reply:
There are many causes of headaches, including primary headaches (such as migraines and tension-type headaches) and secondary headaches (such as brain tumors). There are also neuropathic pain conditions (such as trigeminal neuralgia) and vascular pain (such as cerebral aneurysms)....[Read More] Understanding Unexplained Severe Head Pain: Possible Causes and Insights
Understanding Post-Menopausal Migraines: Symptoms, Causes, and Treatment Options
Chronic headaches Hello, I have just gone through menopause for two years and am experiencing some mild symptoms. Before menopause, I occasionally had migraines (often on the right side, sometimes severe enough to cause vomiting, with overall weakness and loss of appetite, requir...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are likely indicative of a mixed headache. Given the presence of localized tender points, tension-type headache should be considered first. The symptoms of tension-type headache include: (1) Typically bilateral, located in the occipital and parietal regions, ...[Read More] Understanding Post-Menopausal Migraines: Symptoms, Causes, and Treatment Options
Understanding Dizziness: Causes, Symptoms, and When to Seek Help
Dizziness issues? Hello, doctor. At first, I occasionally experienced dizziness, feeling heavy-headed and light-headed. Then I started to have blurred vision, but resting for a moment helped. However, recently this situation has been occurring more frequently, accompanied by tinn...
Dr. Jiang Junyi Reply:
Hello, based on your description, there are many factors that can cause symptoms such as dizziness and blurred vision, including anemia, autonomic dysfunction, and inner ear imbalance. Generally speaking, women should first rule out anemia or fluid deficiency that could lead to i...[Read More] Understanding Dizziness: Causes, Symptoms, and When to Seek Help
Understanding Migraine Triggers: Is Your Hair Washing Routine a Factor?
Migraine attack Hello Doctor, I have been struggling with typical migraines. It starts with flickering in my right eye, followed by severe pain on the left side of my head, then dizziness and nausea, and sometimes diarrhea. I have already undergone examinations, and the doctor sa...
Dr. Cai Zongzhang Reply:
In your description, you did not specify what examinations were conducted. If your description suggests that this migraine is related to washing your hair (such as tilting your head to the side), I recommend that you visit an outpatient clinic for a thorough examination and treat...[Read More] Understanding Migraine Triggers: Is Your Hair Washing Routine a Factor?
Understanding Neck Pain and Numbness: When to Seek Medical Help
Neck pain and numbness? Last Thursday afternoon, I experienced severe headaches, and after taking painkillers, I felt slightly better. However, on Friday morning, I began to feel soreness and numbness in the back of my neck. After that, whenever I sat or stood, the soreness and n...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest headaches caused by intracranial hypotension. The primary symptom of this type of headache is "postural headache," which worsens when the patient is standing or sitting and significantly improves or disappears when lying down. The most c...[Read More] Understanding Neck Pain and Numbness: When to Seek Medical Help
Understanding the Use of Shunao for Headache Management: Is It Right for You?
Regarding the medication "Shu Nao." Hello doctor, I have been experiencing unexplained headaches for the past two months, which have persisted daily until now. Today, I visited a large hospital and the doctor prescribed me "Shunao," instructing me to take one ...
Dr. Jiang Junyi Reply:
Hello: Shunao is a selective calcium channel blocker, which acts as a cerebral vasodilator and has shown good efficacy in preventing migraines. It can also be used to treat peripheral vascular diseases, particularly obstructive peripheral vascular disease. Additionally, it may pr...[Read More] Understanding the Use of Shunao for Headache Management: Is It Right for You?
Understanding Headaches and Visual Disturbances: When to Seek Help
Headache and visual disturbances? Hello Doctor, I often experience jumping lines and words when reading, and I frequently notice discrepancies between what I see and what I write or say. However, my eye examination showed no issues with my vision (only nearsightedness, with no ot...
Dr. Jiang Junyi Reply:
Hello, based on your description, the first consideration for common prodromal migraine symptoms in women is the occurrence of visual disturbances. These may include seeing bright lights resembling stars and lightning, as well as blurred or distorted vision, which are all prodrom...[Read More] Understanding Headaches and Visual Disturbances: When to Seek Help
Severe Headaches Triggered by Breath-Holding and Straining: What to Know
Severe headaches occur when holding breath or straining? Yesterday, while practicing the jellyfish float and breathing techniques during swimming, I experienced severe pain at the back of my head after completing five breathing cycles, accompanied by mild neck soreness. However, ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are more indicative of a variant of migraine or myofascial pain syndrome. However, if the headache persists for more than three days, it may be necessary to consider the rare possibility of cerebral venous thrombosis, which differs from typical cerebral arter...[Read More] Severe Headaches Triggered by Breath-Holding and Straining: What to Know