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
Neck Pain When Bending: Should You Seek Medical Advice?
Neck pain due to neck strain? Hello: When I bend my neck to the left (not turning) at a certain angle, I feel a sharp pain extending from the left back of my neck to the left side of my head, almost like a muscle is being pulled. It is extremely painful and sometimes accompanied ...
Dr. Jiang Junyi Reply:
Dear Ms. Amy, You mentioned that "there is a muscle in the left side of my brain that gets strained, causing extreme pain, sometimes accompanied by a bit of dizziness and nausea. However, as soon as I change my position, it immediately alleviates..." Your symptoms seem...[Read More] Neck Pain When Bending: Should You Seek Medical Advice?
Understanding Occipital Headaches: Causes, Symptoms, and Relief Strategies
Headache - Occipital Pain Hello, starting this Tuesday around noon to afternoon, I have been experiencing a feeling of pressure and pain in the back of my head, but it does not occur in the morning, evening, or before bed. During the episodes of pressure and pain, it sometimes af...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "the back of your head feels swollen and painful, but it goes away in the morning, evening, or before sleep. During the period of swelling and pain, it can sometimes be unilateral or bilateral, and bending over makes it more pronounced." If you...[Read More] Understanding Occipital Headaches: Causes, Symptoms, and Relief Strategies
Managing Medication Side Effects and Dosage Reduction in Neurology
Drug side effects and dosage reduction issues? Hello Doctor: I previously inquired about my mother's condition, and you suggested that the tremors in her throat might be a side effect of her medications. Therefore, we have started to taper her current medications: Entacapone...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "after reducing the dosage for just one week, the aforementioned symptoms appeared. I wonder if the reduction time was too short or if the reduction caused the symptoms to recur." In clinical practice, medication adjustments should be accompani...[Read More] Managing Medication Side Effects and Dosage Reduction in Neurology
Is This Delusion? Understanding Cognitive Changes After Stroke
Is this a delusional disorder? Hello, Dr. Hong: My father-in-law had a minor stroke last month, and his condition is currently very stable. His speech and walking are all normal. However, recently I've noticed that he often confuses things. For example, when there is road co...
Dr. Hong Weibin Reply:
Hello: This may indicate cognitive impairment, as the patient seems to exhibit delusions and misidentifications. It is advisable to seek assistance from a neurologist or psychiatrist. Hong Wei-bin[Read More] Is This Delusion? Understanding Cognitive Changes After Stroke
Understanding Intermittent Pulsations: When to Seek Medical Advice
Irregular heartbeat phenomenon Hello doctor, I occasionally feel 1 to 2 pulsating sensations on the inner side of my left thigh while sitting, which feel like a heartbeat. When I touch it, I can sense it, and sometimes it also occurs under my left neck. Is this due to fatigue, or...
Dr. Jiang Junyi Reply:
Hello Mr. Ben: You mentioned that you experience "1 to 2 pulsating sensations on the inner left thigh near the knee while sitting." This symptom may be related to muscle twitching. Muscle twitching when awake could be associated with certain metabolic disorders, such as...[Read More] Understanding Intermittent Pulsations: When to Seek Medical Advice
Understanding Coccydynia: Causes, Symptoms, and Treatment Options
Coccydynia (tailbone pain) issues? I had an X-ray of my coccyx, and the bones are fine. However, I experience significant pain when I stand up while riding my motorcycle, and some chairs cause pain when I sit down and then stand up. This has been bothering me for a long time. I a...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "it hurts a lot when I stand up after riding a motorcycle, and some chairs also cause pain when I sit and then stand up." Your symptoms may indicate a potential issue with the sciatic nerve. Herniated discs are often caused by spinal dege...[Read More] Understanding Coccydynia: Causes, Symptoms, and Treatment Options
Understanding Facial Changes After Tension Headaches: A Neurology Perspective
The cheeks look strange? Hello Dr. Jiang: In February, I experienced headaches and dizziness, and I consulted a neurologist who diagnosed me with tension-type headaches. I was prescribed pain relievers and muscle relaxants. Later, I noticed that one day my left cheek felt suddenl...
Dr. Jiang Junyi Reply:
Dear Mr. K, You mentioned that "compared to the right cheek, the left appears flatter, and when I smile, it doesn't feel as full as before; I can also feel a difference when I touch both sides... there are no issues with closing my eyes or loss of forehead wrinkles.&qu...[Read More] Understanding Facial Changes After Tension Headaches: A Neurology Perspective
Understanding Stroke Symptoms and Necessary Tests: A Guide
Symptoms of a stroke? Blood pressure is at 170, with audible sounds in the neck. There is a feeling of pressure in the back of the head, elevated intraocular pressure, and white matter lesions in the brain. Blood test results show: Creatinine is 0.57 (normal range is 0.6-1.2), MP...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to visit the neurology outpatient clinic.[Read More] Understanding Stroke Symptoms and Necessary Tests: A Guide
Understanding Carpal Tunnel Syndrome: Symptoms, Diagnosis, and Treatment Options
Carpal Tunnel Syndrome Hello, Doctor. Recently, I've been experiencing numbness in my left hand for over a month, specifically in my palm and fingers, which feel swollen and tingly. My mobility is generally fine, but I notice the symptoms more when I'm at rest. Occasion...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "the electromyography (EMG) examination requires inserting a needle into the muscles of the hand." May I ask if your needle sensation is in the index, middle, and part of the ring finger? This would correspond to the area of the median ne...[Read More] Understanding Carpal Tunnel Syndrome: Symptoms, Diagnosis, and Treatment Options
Understanding Nerve Disorders: Is Your Condition Related to ALS?
Neuropathy About ten years ago, my father underwent surgery on his right arm due to nerve compression, which caused atrophy and weakness in the entire arm. After the surgery, he did not experience further atrophy or weakness. Recently, however, he suddenly started to feel weaknes...
Dr. Jiang Junyi Reply:
Dear Ms. Hong, The condition you are concerned about, commonly referred to as "Lou Gehrig's disease," is known as amyotrophic lateral sclerosis (ALS), which is a type of motor neuron disease. Generally, the motor neurons in the brain are referred to as upper motor...[Read More] Understanding Nerve Disorders: Is Your Condition Related to ALS?
Does Eye Pain Indicate a Neurological Issue? Expert Insights
Will it affect the eyes? Hello Doctor: Thank you for your thorough and detailed explanation regarding the pain in the upper inner corner of my right eye during my last visit. However, I would like to ask if it is necessary to go to a larger hospital's ophthalmology departmen...
Dr. Jiang Junyi Reply:
Dear Ms. Hsieh, You mentioned the issue of pain in the upper inner corner of your right eye and are considering whether you should consult a doctor, as your last visit was only to an ophthalmology clinic for basic tests like intraocular pressure. You are wondering if a more deta...[Read More] Does Eye Pain Indicate a Neurological Issue? Expert Insights
Why Does My Left Cheek and Lip Twitch During Dumbbell Shoulder Workouts?
During dumbbell training, when exerting force with the right shoulder, the left upper lip and left cheek move along with it? Hello Doctor, due to the pandemic, I started working out at home and recently began using dumbbells. I've noticed that during some shoulder exercises,...
Dr. Jiang Junyi Reply:
Dear Ms. Tina, You mentioned that "when lifting a dumbbell with my right shoulder, my left cheek and left upper lip twitch slightly, and with each lift, the left cheek and left upper lip twitch again." This symptom seems to indicate a chain reaction of activation in th...[Read More] Why Does My Left Cheek and Lip Twitch During Dumbbell Shoulder Workouts?
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
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?
Can Neck Tension Cause Tinnitus? Exploring Neurological Connections
Can neck tension cause tinnitus? Hello doctor, since mid-December last year (2021/12), I have been experiencing persistent tinnitus in my right ear, along with occasional difficulty opening my mouth. After visiting both a clinic and a major hospital, I underwent a hearing test, w...
Dr. Jiang Junyi Reply:
Hello Mr. Wang: You mentioned that "your right ear is constantly ringing, and occasionally you have difficulty opening your mouth," which may indicate temporomandibular joint disorder (TMJ). The symptoms that may occur include: 1. Difficulty and pain when opening the mo...[Read More] Can Neck Tension Cause Tinnitus? Exploring Neurological Connections
Is It Dangerous If You Hit Your Head and Bleed Without Pain?
Is there a risk if I hit my head and there is bleeding but no pain? A family member (around 50 years old with no history of cardiovascular disease) accidentally fell this morning and hit their head against a sharp object. At the time, there was approximately enough blood to soak ...
Dr. Jiang Junyi Reply:
Dear Ms. Ida, You mentioned that a family member (around 50 years old, with no history of cardiovascular disease) accidentally fell this morning and hit their head against a sharp object, resulting in approximately the amount of blood that would fill two tissues, but it stopped ...[Read More] Is It Dangerous If You Hit Your Head and Bleed Without Pain?
Understanding Autonomic Nervous System Disorders and Their Impact on Health
Autonomic nervous system dysfunction Hello, doctor. I have developed a habit of masturbation over the past nine months. Initially, I would do it once or twice a day, but during one instance when I reached orgasm, my hands started to shake intensely. After about ten minutes, the s...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to visit a neurology outpatient clinic to check for any underlying conditions that may be causing the aforementioned symptoms.[Read More] Understanding Autonomic Nervous System Disorders and Their Impact on Health
Should I Seek Further Medical Attention for Neck Pain and Dizziness?
Please consult about neck pain and seeking medical attention? Hello, I would like to ask whether I should continue seeking medical attention regarding my situation. Two weeks ago, I experienced dizziness in the evening, and when I got home from work, my steps felt slightly unstea...
Dr. Jiang Junyi Reply:
Dear Mr. Mason, You mentioned that "the physician suggested going to a large hospital to check for other diseases related to the tonsils and thyroid." These examinations can be arranged by relevant physicians at regional hospitals, and you do not necessarily have to wa...[Read More] Should I Seek Further Medical Attention for Neck Pain and Dizziness?
Understanding Sleep Disturbances: When to Consult a Neurologist
Sleep-related issues Hello doctor, I recently noticed a problem when I sleep at night. Just as I fall asleep, I experience a sensation of "not being able to breathe," which causes me to wake up abruptly. I'm wondering if this condition requires a visit to a neurolo...
Dr. Jiang Junyi Reply:
Dear Ms. Jan, You mentioned experiencing a moment of "feeling unable to breathe" just as you fall asleep, which may indicate sleep paralysis. This condition typically occurs when a person is transitioning into sleep or waking up. Patients often feel as though they have...[Read More] Understanding Sleep Disturbances: When to Consult a Neurologist