Understanding Headaches: Forehead Pressure and Sinus Concerns
Headache with a sensation of pressure in the forehead and nose? Hello, doctor. I started experiencing headaches last week. Initially, it was due to staying up late, and I had a severe headache. After taking Tylenol, it got a little better, but I've still been having headache...
Dr. Peng Shiwei Reply:
Hello, due to current regulations, I cannot provide treatment to patients without an in-person consultation. If you have concerns regarding your brain injury, I recommend scheduling an appointment for a physician to evaluate you in person. If any tests or further treatment are ne...[Read More] Understanding Headaches: Forehead Pressure and Sinus Concerns
Understanding Dizziness: Causes, Symptoms, and Recommended Tests
Could you please clarify your question regarding dizziness? Hello Dr. Tsai: In my twenties, I experienced occasional dizziness, but it was mild. Recently, over the past month, the symptoms have become particularly pronounced, with a feeling of pressure in my head and dizziness. I...
Dr. Cai Zongzhang Reply:
Hello Winnie: It is recommended to visit the neurology outpatient clinic.[Read More] Understanding Dizziness: Causes, Symptoms, and Recommended Tests
Understanding Long-Term Effects of Head Trauma: A Neurological Perspective
Injured due to assault? Hello, doctor. Around the years 2003-2004, during my school years, I had a conflict with some classmates, which led to one of them hitting me on the back right side of my head with a metal chair. At that time, I lost consciousness, and I am unsure if there...
Dr. Peng Shiwei Reply:
Hello, due to current regulations, I am unable to provide treatment to patients without an in-person consultation. If you have concerns regarding your brain injury, I recommend scheduling an appointment for a physician to evaluate and treat you personally. If any tests or further...[Read More] Understanding Long-Term Effects of Head Trauma: A Neurological Perspective
How to Determine Disability Status for Parkinson's Disease in Taiwan
How is the determination of disability for Parkinson's disease made? Recently, my dad was diagnosed with severe obstructive sleep apnea and needs to purchase a CPAP machine. I came across information stating that if one has a disability certificate, they can receive governme...
Dr. Peng Shiwei Reply:
Hello, if you wish to apply for disability benefits, please directly consult your attending physician to assess whether you meet the eligibility criteria. Generally, you need to take the initiative to apply. Thank you for your inquiry.[Read More] How to Determine Disability Status for Parkinson's Disease in Taiwan
Post-Exercise Head Pressure: Understanding Symptoms and When to Seek Help
Head pressure after exercise? Hello Doctor, I had a minor head impact during a martial arts class the day before yesterday, but I felt completely fine that day. However, yesterday I woke up with an extremely mild pressure sensation in my head (almost unnoticeable) and an overall ...
Dr. Peng Shiwei Reply:
Hello, I believe your symptoms can be monitored. However, if you experience new symptoms such as headaches, dizziness, vomiting, or changes in consciousness, you should seek medical attention immediately. Thank you for your inquiry.[Read More] Post-Exercise Head Pressure: Understanding Symptoms and When to Seek Help
Understanding Ear Pulsations: Insights on Tinnitus and Autonomic Dysfunction
Some adjustment issues? Doctor: When I was first diagnosed, I experienced very loud tinnitus in my left ear and could hear my heartbeat. Now the tinnitus has improved, but sometimes I feel a pulsating sensation in my ear, as if the blood vessels are beating twice (from the caroti...
Dr. Jiang Junyi Reply:
Dear Mr. Shouxin, You mentioned, "Can an average person occasionally hear their heartbeat?" When arrhythmias occur, some individuals may feel changes in their cardiac output and can perceive the sensation of their heart beating. They may also hear the sound of their he...[Read More] Understanding Ear Pulsations: Insights on Tinnitus and Autonomic Dysfunction
Why Yoga Practice Can Cause Numbness in Fingers: Expert Insights
Numbness in the fingers after practicing yoga? Dr. Jiang: Hello! One day while practicing the cat stretch in yoga, when I stretched my legs back to the maximum, I suddenly felt a tingling, electric sensation in my fingers. Later, during a movement where I squatted with my hands o...
Dr. Jiang Junyi Reply:
Hello Ms. Yang, You mentioned, "When I place both hands on the ground and then jump my legs back while inhaling, I suddenly feel a shock sensation in my eight fingers (excluding my thumbs)." This symptom may suggest compression of the ulnar nerve and possibly some invo...[Read More] Why Yoga Practice Can Cause Numbness in Fingers: Expert Insights
Understanding Muscle Twitches: Causes and Connections to Nerve Issues
Muscle twitching I am a 43-year-old male. Last week, for a few days, I experienced occasional twitching in the muscles of my right calf while sitting, which then disappeared. This week, it resolved. However, on Sunday, while kneading dough with my right hand (which I don't u...
Dr. Peng Shiwei Reply:
Hello, your symptoms are usually caused by muscle fatigue, but if they persist for a longer duration, you should consider visiting a neurology clinic for evaluation.[Read More] Understanding Muscle Twitches: Causes and Connections to Nerve Issues
Understanding Hand and Foot Numbness: Neurological Insights and Concerns
Numbness in both hands and weakness in the legs? After experiencing numbness in the first phalanx of both hands, the second phalanx also became completely numb. Continuous examinations have ruled out carpal tunnel syndrome, and both cervical and peripheral nerves are intact. Ther...
Dr. Jiang Junyi Reply:
Dear Ms. Tsai, You mentioned that "recently my right leg has been weak while walking, and I need to use both hands to pull myself up the stairs. I also cannot lift my right leg high and have not yet found the cause. I am currently continuing to see a neurosurgeon and do not...[Read More] Understanding Hand and Foot Numbness: Neurological Insights and Concerns
Understanding Unusual Body Symptoms: A Guide to Neurological Issues
Feeling unwell? Hello doctor, about three months ago, while I was using my phone, I suddenly experienced a moment of darkness (not sure if it was a hallucination). Later, after waking up in the afternoon, I felt my heart racing and noticed a flickering sensation in my vision, whi...
Dr. Cai Zongzhang Reply:
Hello San: It is recommended to visit the neurology outpatient clinic.[Read More] Understanding Unusual Body Symptoms: A Guide to Neurological Issues
Understanding the Dietary Effects of Medication for Dizziness Management
The effects of drug consumption? Hello: I have been experiencing dizziness, and my doctor recently prescribed a medication called "Shunao" for me. However, I have many questions regarding the dietary implications of this medication. Please clarify the following: 1. Thi...
Dr. Peng Shiwei Reply:
Hello, the medication Shunao is a selective calcium channel blocker, meaning it does not lower the concentration of calcium ions in the blood but rather affects the efficiency with which certain cells utilize calcium ions to achieve its therapeutic effects. The physician advised ...[Read More] Understanding the Dietary Effects of Medication for Dizziness Management
Feeling Off Balance When Standing: Could It Be a Neurological Issue?
When standing up, the center of gravity tilts to the right, making it impossible to stand straight without leaning against the wall? As mentioned, I have experienced a similar situation before. When I wake up, I feel like my body is tilting to one side, as if gravity has changed ...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, it is recommended that you consult a neurologist at a major hospital. Additionally, stroke symptoms are typically persistent, so your symptoms do not seem to align with those of a stroke. Thank you for your inquiry.[Read More] Feeling Off Balance When Standing: Could It Be a Neurological Issue?
Can Botox Help with Non-Facial Nerve Pain Like Gingival Neuralgia?
Non-facial neuralgia issues Hello, I would like to inquire if it is possible to receive Botox injections for non-facial neuralgia (gingival neuralgia).
Dr. Cai Zongzhang Reply:
Hello, Ms. Tsai: Tooth root pain may be related to trigeminal nerve disorders. It is recommended to visit a neurology outpatient clinic.[Read More] Can Botox Help with Non-Facial Nerve Pain Like Gingival Neuralgia?
Understanding Nerve Pain and Tingling: Is It Related to Spinal Issues?
Occasional tingling and pain in the hands and feet? Hello, doctor. When I turn my neck to the left, I experience tightness and pain. Sometimes, my left arm also hurts, and my fingers occasionally feel numb. Additionally, I have soreness in the left side of my lower back, and my s...
Dr. Cai Zongzhang Reply:
Hello Mr. Wang: The symptoms mentioned are consistent with cervical nerve root compression. In addition to rehabilitation, maintaining good neck posture is crucial for treatment. If the symptoms persist and do not improve, it is advisable to visit a neurology outpatient clinic.[Read More] Understanding Nerve Pain and Tingling: Is It Related to Spinal Issues?
Can You Fly with Spontaneous Intracranial Hypotension?
Can a person with spontaneous intracranial hypotension fly on an airplane? In December 2022, I experienced spontaneous intracranial hypotension due to cerebrospinal fluid leakage and was hospitalized for 10 days. A blood patch was performed, but I was discharged the day after the...
Dr. Cai Zongzhang Reply:
Hello: It is advisable to wait until the condition improves before traveling abroad.[Read More] Can You Fly with Spontaneous Intracranial Hypotension?
Head Injury and Dizziness: When to Seek Medical Attention
Dizziness after hitting the head? Hello doctor, I accidentally bumped into a scaffold at the construction site yesterday while wearing a hard hat. I felt that the impact wasn't significant, but I felt a bit dizzy and had some nausea (though I didn't vomit) that day. I s...
Dr. Peng Shiwei Reply:
Hello, based on your inquiry, it is recommended that if your symptoms have persisted for more than 24 hours, you should visit a hospital to check for a concussion or any potential brain injury. Thank you for your question.[Read More] Head Injury and Dizziness: When to Seek Medical Attention
Managing Facial Nerve Pain and Reconstruction After Trauma
Facial nerve Hello Doctor, I was in a car accident in May of this year. 1. I sustained a head contusion with a small amount of subdural hematoma. 2. I have facial contusions that have resulted in soft tissue depression on the left side of my face, accompanied by persistent sorene...
Dr. Jiang Junyi Reply:
Hello Ms. Lisa, You mentioned experiencing "sour, numb, and painful sensations that persist," which may indicate neuropathic pain. The current treatment approaches for neuropathic pain primarily focus on addressing the underlying causes. There are medications that have...[Read More] Managing Facial Nerve Pain and Reconstruction After Trauma
Understanding Neurological Issues: Walking Imbalance and Cognitive Concerns
Head issues Hello doctor, I have recently been experiencing a tendency to lean to one side while walking, and I often find myself rereading text. I frequently feel dry mouth and have issues with rumination. These symptoms have persisted for over six months. Additionally, I am con...
Dr. Peng Shiwei Reply:
Hello, based on your inquiry, it is recommended that you make an appointment for a consultation with a physician. Thank you for your question.[Read More] Understanding Neurological Issues: Walking Imbalance and Cognitive Concerns
Understanding ADHD: The Role of Piracetam and Dopamine Release
ADHD and Brain-Related Issues 1. Yes, it is correct that Piracetam may enhance the release of dopamine. Some studies suggest that it can influence neurotransmitter systems, including dopamine, which may contribute to its cognitive-enhancing effects. 2. Piracetam can be used in c...
Dr. Wu Mukhan Reply:
Hello, whether Piracetam can increase dopamine release still requires further research, as current studies show varying results. Piracetam is not currently a first-line treatment for ADHD, and it is advisable to discuss with your primary care physician before deciding whether it ...[Read More] Understanding ADHD: The Role of Piracetam and Dopamine Release
Understanding EEG Reports: Insights into Mild Diffuse Slow Waves
Electroencephalogram (EEG) Report Type of Recording: Routine Condition: Awake 1. EEG Diagnosis: Abnormal Mild occasional diffuse slow waves 2. EEG Description: a. Background Activities: Alpha 9-10Hz 20-40µV, posterior dominant rhythm; symmetry +; reactiv...
Dr. Jiang Junyi Reply:
Dear Ms. Jim, You mentioned "Theta 5-6Hz, 20-40uV, occasional, diffuse" slow waves in a localized area, indicating potential damage to that brain region, which requires special attention. The presence of diffuse slow waves typically suggests that the subject may be dro...[Read More] Understanding EEG Reports: Insights into Mild Diffuse Slow Waves