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 Persistent Dizziness, Headaches, and Unseen Tremors
Dizziness, headache, and unseen body tremors? I would like to ask the doctor, I have been experiencing a sensation of dizziness for the past three months. It is not a spinning sensation, nor does the visual field appear to be swirling; rather, it feels like being on a boat, with ...
Dr. Jiang Junyi Reply:
Hello Ms. Hong, You mentioned, "Sometimes I wake up in the morning with pain in my hands and sometimes in my feet, and the pain feels like inflammation..." Due to the presence of widespread pain, fibromyalgia should be considered. This is a complex clinical syndrome th...[Read More] Understanding Persistent Dizziness, Headaches, and Unseen Tremors
Understanding Persistent Tinnitus: Causes, Tests, and Treatment Options
Tinnitus for three months? Hello Doctor: Three months ago, I suddenly experienced tinnitus without any apparent cause. My hearing has not been affected, but I feel like there is a high-frequency cicada sound in the background, which becomes louder after physical activity. I have ...
Dr. Jiang Junyi Reply:
Hello Mr. QQQ: You mentioned that "hearing tests, tympanometry, no sinus inflammation, brainstem auditory evoked potentials, electroencephalogram, SSR+RRIV, intracranial vascular ultrasound, and carotid ultrasound were all normal. I am curious if sleep affects tinnitus?.... ...[Read More] Understanding Persistent Tinnitus: Causes, Tests, and Treatment Options
Understanding Occasional Back Spasms: When to See a Neurologist
Could you please clarify what you mean by "back pain"? Recently, I have been experiencing cramping pain in the lower back, specifically on the left side near the spine. The cramping lasts for about a minute and occurs infrequently, about once or twice a week. I have con...
Dr. Chen Weida Reply:
Hello Mr. Lin! Regarding your inquiry about back pain, please note that back pain is a signal from your body indicating that something may be wrong. Try to recall if you have any other accompanying symptoms besides the back pain, as this information will be helpful for the physic...[Read More] Understanding Occasional Back Spasms: When to See a Neurologist
Understanding Sudden Leg Numbness and Flatfoot Symptoms
Regarding sudden unilateral leg numbness and arch collapse? After lying in bed and stretching the spine with one leg crossed for 20 minutes, I experienced numbness in one leg that did not subside. My toes felt weak and unable to support my arch, leading to a collapse of the foot ...
Dr. Chen Weida Reply:
Good afternoon! Regarding your inquiry about sudden numbness in the legs, it is recommended that you promptly visit a neurology or neurosurgery outpatient clinic at a regional hospital or higher. A specialist will evaluate whether you need further examination and treatment. Wishi...[Read More] Understanding Sudden Leg Numbness and Flatfoot Symptoms
Understanding Chronic Subdural Hematoma and Epilepsy After Brain Injury
The patient sustained a brain injury from a car accident and has been hospitalized for nearly six months, during which they have been continuously taking antiepileptic medication for treatment. MRI scans have revealed multiple issues. Could the physician please provide an explana...
Dr. Cai Zongzhang Reply:
Hello Mr. Li: Brain hemorrhage often has epilepsy as a sequela. The duration of medication depends on the frequency of seizures. Whether chronic subdural hematoma requires surgical treatment also depends on the symptoms. It is recommended to visit a neurosurgery outpatient clinic...[Read More] Understanding Chronic Subdural Hematoma and Epilepsy After Brain Injury
Understanding Post-Concussion Syndrome: Recommended Tests and Recovery Time
I would like to ask the doctor again about the issue regarding the last concussion? Hello Dr. Chen, regarding the issue of post-concussion syndrome we discussed last time, you mentioned that clinical examinations could be performed. I would like to ask which tests would be most s...
Dr. Chen Weida Reply:
Hello, Xiao Zong! Each person's condition is different. To clearly understand symptoms, diseases, necessary examinations, treatments, and estimated recovery time, a specialist physician needs to evaluate you in person. Online consultations may not be very helpful for your co...[Read More] Understanding Post-Concussion Syndrome: Recommended Tests and Recovery Time
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 Numbness and Sweating: When to Seek Neurological Help
Numbness in the hands and feet with cold sweats? Hello, doctor. I would like to inquire about a situation that occurred today while I was commuting by train. I stood for about 40 minutes and suddenly felt numbness in my hands and feet, accompanied by cold sweats. I also experienc...
Dr. Jiang Junyi Reply:
Dear Mr. Tsai, You mentioned that you suddenly felt numbness in your hands and feet, experienced cold sweats, and seemed to have a brief loss of consciousness. By the time you regained awareness, you had already been offered a seat. Your symptoms may suggest mild heat syncope, w...[Read More] Understanding Numbness and Sweating: When to Seek Neurological Help
Managing Post-Concussion Symptoms: Nosebleeds and Ear Noises Explained
On the fourth day after the concussion, experiencing a nosebleed and a sensation of fluid in the ears? Hello, doctor. My child suffered a concussion after a car accident. The emergency physician diagnosed her and stated that there was no bleeding in the brain, allowing us to go h...
Dr. Jiang Junyi Reply:
Dear Ms. Wu, You mentioned, "The neurosurgery outpatient clinic in my area will only be available in a few days. Should I wait for the clinic to open, or go directly to the emergency room?" Regarding head trauma, delayed intracranial hemorrhage typically occurs within ...[Read More] Managing Post-Concussion Symptoms: Nosebleeds and Ear Noises Explained
Understanding Post-Concussion Syndrome: Managing Dizziness Beyond 3 Months
Post-concussion syndrome and sequelae with dizziness symptoms lasting more than three months? Hello, doctor. I was in a motorcycle accident on April 18. At the time, the motorcycle fell, but I did not lose consciousness and there were no obvious external injuries. Afterward, the ...
Dr. Chen Weida Reply:
Hello, Xiao Zong! Thank you for reaching out regarding your dizziness issue. It is important to have a clinical examination, assessment, and diagnosis by a specialist. I recommend that you choose one of the three physicians you trust the most to discuss the subsequent treatment o...[Read More] Understanding Post-Concussion Syndrome: Managing Dizziness Beyond 3 Months
Understanding Tinnitus and Head Pain: Possible Links and Next Steps
Tinnitus + headache I have been experiencing unilateral tinnitus (in my right ear) for over two months. In early April, I developed temporomandibular joint (TMJ) dysfunction, and since May, I have had tinnitus. I visited an otolaryngologist (ENT) and underwent hearing tests and a...
Dr. Chen Weida Reply:
Hello, Moon! Common symptoms of temporomandibular joint (TMJ) disorders include: 1. Clicking or popping sounds when opening or closing the mouth 2. Pain when opening the mouth 3. Facial pain while chewing 4. Limited mouth opening 5. Jaw deviation when opening the mouth 6. Inabili...[Read More] Understanding Tinnitus and Head Pain: Possible Links and Next Steps
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
Managing Trigeminal Neuralgia: Tips for Relief After Surgery
Trigeminal neuralgia Hello, I underwent a surgical excision of an odontogenic tumor four months ago. After the surgery, I started experiencing neuropathic pain, which was diagnosed as trigeminal neuralgia by a neurologist. I continue to have pain upon waking, and now I only exper...
Dr. Jiang Junyi Reply:
Dear Ms. Anne, You mentioned that your neurologist diagnosed you with trigeminal neuralgia, and that you experience persistent pain upon waking and are often awakened by pain during sleep. Your symptoms are affecting your sleep quality, and I recommend considering medication for...[Read More] Managing Trigeminal Neuralgia: Tips for Relief After Surgery
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
Numbness in Legs and Lips: Possible Causes and Relief Strategies
Numbness in the calves and around the lips? My grandfather (77) has been experiencing numbness in his calves over the past few days, and today he also has numbness around his face (specifically around the lips). He has a history of having undergone half of his lung removed and he...
Dr. Jiang Junyi Reply:
Dear Ms. Chen, You mentioned that "your grandfather is experiencing numbness in his calves, and today, in addition to the leg numbness, he has facial numbness (around the lips)..." The facial numbness (around the lips) may indicate that the brainstem structures could b...[Read More] Numbness in Legs and Lips: Possible Causes and Relief Strategies
Uncontrollable Body Shaking and Sleep Disturbances: A Neurological Concern
Involuntary body shaking and inability to sleep? Hello Doctor, I apologize for the lengthy question. After being diagnosed with chronic gastritis in May, my doctor prescribed me Sucralfate for a month. However, three days after stopping the medication, I began to hear my heartbea...
Dr. Cai Zongzhang Reply:
Hello, Ruo Xue: Based on the above information, the results of the thyroid function and carotid artery examinations are normal. Autonomic nervous system dysfunction is the most likely diagnosis. It is recommended to cooperate with the physician for medication treatment and to avo...[Read More] Uncontrollable Body Shaking and Sleep Disturbances: A Neurological Concern
Should You Seek Medical Attention After a Bathroom Fall?
Slipped in the bathroom and hit the back of the left side of the head? I just slipped and hit the back of my left head in the bathroom. At that moment, I experienced numbness in my limbs, but I was able to get up on my own after a while. Later, I felt a bit dazed. Should I seek m...
Dr. Jiang Junyi Reply:
Dear Ms. Chang, You mentioned that you "slipped in the bathroom and hit the back of your left head, experiencing numbness in your limbs at the time, but were able to get up on your own shortly after." Generally speaking, if there is no loss of consciousness, no anticoa...[Read More] Should You Seek Medical Attention After a Bathroom Fall?
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
Uncontrollable Muscle Twitches from Left Foot to Calf: What to Do?
Involuntary muscle twitching from the left foot to the calf? Hello Doctor, for the past few days, I have been experiencing a rhythmic and persistent twitching from my left foot up to my calf. I often feel soreness in my left lower back and left leg. Three months ago, I had an X-r...
Dr. Jiang Junyi Reply:
Hello, Miss Cat: You mentioned that "the left side of my waist and left leg tend to feel sore... I wonder if this might affect the nerve conduction in my left leg muscles." Your symptoms may suggest that the left sciatic nerve is being compressed. If there is no muscle...[Read More] Uncontrollable Muscle Twitches from Left Foot to Calf: What to Do?