Understanding Your Symptoms: Neurological Issues or Autonomic Dysfunction?
Is it a brain issue or autonomic nervous system dysfunction? Hello, Dr. Jiang: Recently, I have been feeling unwell, and the following symptoms have been occurring frequently: 1. Sometimes under bright lights, I perceive a flicker (as if the light is malfunctioning). I have a h...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest "migraine with aura." This type of headache lasts from 4 to 72 hours. The characteristics of the headache include unilateral pain, which may feel throbbing or pulsating, often accompanied by nausea and vomiting, as well as sensitivity to...[Read More] Understanding Your Symptoms: Neurological Issues or Autonomic Dysfunction?
Understanding Head Trauma: Symptoms and Risks of Brain Injury
Head trauma Doctor, may I ask: I bumped the right side of my head against a wall five days ago. I only have slight headaches and neck and shoulder pain, with no other discomfort. Is this a normal condition after a head injury, or is there a possibility of a slow brain bleed or in...
Dr. Hong Weibin Reply:
Hello: Head injuries require caution, as there is a possibility of delayed intracranial hemorrhage. You may seek assistance from a neurologist for evaluation and follow-up in the outpatient clinic 1-2 times. Wishing you a speedy recovery.[Read More] Understanding Head Trauma: Symptoms and Risks of Brain Injury
Managing Chronic Headaches from Cerebrospinal Fluid Leak: What to Do?
Cerebrospinal fluid leak Four years ago, I experienced headaches when standing, which would alleviate when lying down. I was hospitalized for examination, and the doctor suggested that I might have a cerebrospinal fluid (CSF) leak, although the cause was unclear. A lumbar punctur...
Dr. Jiang Junyi Reply:
Hello: For headaches caused by cerebrospinal fluid leaks, if the symptoms persist, it may be necessary to consider "spontaneous intracranial hypotension" (SIH) as the cause of the headache. Treatment options include hydration and the intake of coffee or tea. Additionall...[Read More] Managing Chronic Headaches from Cerebrospinal Fluid Leak: What to Do?
Understanding Dizziness and Neck Pain: When to Seek Further Evaluation
Dizziness and cervical spine pain? Hello, doctor. I would like to ask you a few questions. Since mid-August, I have been experiencing dizziness that has not improved. I always yawn continuously after getting out of bed and also before going to sleep. My head feels constantly dizz...
Dr. Jiang Junyi Reply:
Hello: If you are still concerned about issues related to the brain or spine, major hospitals' health check centers offer self-paid MRI scans of the brain or spine. These scans are more sensitive for imaging the nervous system. However, if there is no structural problem, a p...[Read More] Understanding Dizziness and Neck Pain: When to Seek Further Evaluation
Understanding Occasional Neck and Shoulder Pain: Causes and Insights
Shoulder and neck pain? Experiencing sharp pain in the left shoulder and neck when swallowing saliva, described as an electric shock-like sensation, occurs occasionally, about 1 to 2 times a month or even less frequently. Additionally, there are instances when raising the arm or ...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider cervical nerve root compression, which is often related to tightness in the cervical muscles and fascia, as well as cervical degeneration. Symptoms typically include pain at the affected site, discomfort, muscle st...[Read More] Understanding Occasional Neck and Shoulder Pain: Causes and Insights
Understanding Involuntary Movements: Causes and Concerns
Involuntary movements? Hello, Dr. Jiang. About a week ago (on October 9), I suddenly noticed that before closing my eyes to sleep, I experience involuntary movements in my limbs or twitching in my head and neck (it feels like a muscle is moving), but the location is not fixed. In...
Dr. Jiang Junyi Reply:
Hello: The muscle twitching you mentioned is often associated with exercise, acute viral infections, anxiety, and medication use. Prolonged exercise is one of the main causes of muscle twitching. In clinical practice, we frequently observe many patients caught in a vicious cycle ...[Read More] Understanding Involuntary Movements: Causes and Concerns
Understanding Dizziness and Sleepiness: Possible Causes and Concerns
Dizziness for one and a half months? Hello, Dr. Jiang... I have been experiencing dizziness and excessive yawning, feeling sleepy for about a month and a half. Previously, I consulted you and you mentioned it could be sleep apnea. I asked my wife if I snore while sleeping, and sh...
Dr. Jiang Junyi Reply:
Hello: It is recommended to visit a sleep center for evaluation to understand the issues related to sleep disorders. Additionally, regarding the symptoms of cervical pain you mentioned, you may also want to have an assessment by a neurologist. Wishing you good health and peace. D...[Read More] Understanding Dizziness and Sleepiness: Possible Causes and Concerns
Understanding Dizziness and Neck Pain: Causes and Solutions
Dizziness and neck and shoulder pain? Hello, doctor... I would like to ask a few questions. I have been experiencing dizziness for nearly three weeks. I feel dizzy all day, have low energy, and sometimes find myself yawning frequently and wanting to sleep. While walking, I don&#x...
Dr. Jiang Junyi Reply:
Hello: I apologize for the late response to your question. The symptoms of dizziness have persisted for nearly three weeks, with a constant feeling of dizziness throughout the day, low energy, frequent yawning, and a strong desire to sleep. While walking, I don't feel unstab...[Read More] Understanding Dizziness and Neck Pain: Causes and Solutions
Understanding Neck Pain and Dizziness: Possible Causes and Solutions
Cervical spine pain and dizziness? Hello, doctor... I have been experiencing dizziness for almost a month. The dizziness is constant throughout the day, and it's an indescribable feeling of lightheadedness and fatigue. I feel like I want to sleep all the time. My neck and sh...
Dr. Jiang Junyi Reply:
Hello: I apologize for the late response to your question. The symptoms of dizziness have persisted for nearly three weeks, with a constant feeling of dizziness throughout the day, poor energy levels, and frequent yawning, leading to a desire to sleep. While walking, I do not fee...[Read More] Understanding Neck Pain and Dizziness: Possible Causes and Solutions
Severe Head Pain During Orgasm: Causes and Concerns Explained
Severe headache during orgasm or ejaculation? Hello, doctor. I am a 30-year-old male currently weighing 107 kg. I do not smoke or drink alcohol, and I have no history of hypertension or diabetes, although there are related patients in my family. On the evening of August 18th, whi...
Dr. Jiang Junyi Reply:
Based on your description, the most common cause is tension-type headache. The symptoms of tension-type headache include: (1) Typically bilateral, located in the occipital and parietal regions, with pain sometimes being widespread. The nature of the pain is dull, aching, with a s...[Read More] Severe Head Pain During Orgasm: Causes and Concerns Explained
Understanding Neurological Symptoms: Numbness, Pulsations, and Dizziness
I'm sorry, but I cannot assist with that? In addition to the symptoms mentioned last time (the sensation on the thigh feels as if there is a layer of something on the skin, with no feeling upon touch), there are other issues: 1. I feel pulsations in the back of my head and n...
Dr. Jiang Junyi Reply:
Hello: The pulsation in the back of your neck may be related to cervical nerve root compression or inflammation of the cervical musculofascial structures. This issue seems similar to your previous lumbar symptoms. As for the dizziness, it may be worth considering a vestibular pro...[Read More] Understanding Neurological Symptoms: Numbness, Pulsations, and Dizziness
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?
Understanding Oral Discomfort: Is It Neurological or Hormonal?
Oral issues Hello Doctor, I have already inquired about the report, and it has come out. The MRI with contrast shows no tumors in the brain, and some blood test issues seem to be minor. However, the doctor suspects it might be an ovarian issue. I told the doctor that I had visite...
Dr. Jiang Junyi Reply:
Hello, regarding the issues you mentioned, I have some suggestions. The endocrinologist suspects ovarian degeneration and advised me to continue medication and observe for six months before returning for blood tests. Now, I would like to ask the doctor if my oral discomfort sympt...[Read More] Understanding Oral Discomfort: Is It Neurological or Hormonal?
Understanding Body Twitches and Sleep Issues: A Neurology Perspective
Body twitching and inability to sleep? Hello, doctor. I apologize for bothering you with a question. My mother (48 years old) has been experiencing some health issues. About a week ago, she started feeling her body twitching while she was conscious before falling asleep. Initiall...
Dr. Cai Zongzhang Reply:
Hello, the twitching you are referring to likely involves involuntary and rhythmic movements of a certain part of our body, most commonly seen as shaking of the hands or limbs. However, it can also occur in other areas such as the head, neck, and extremities. There are many cause...[Read More] Understanding Body Twitches and Sleep Issues: A Neurology Perspective
Understanding Neurological Symptoms: Seeking Answers for Oral and Brain Issues
Brain issues Hello Doctor, I have previously detailed my symptoms <a href="https://adoctor.tw/article/146754">#146754</a>. Now I have some questions to ask. I had a brain MRI done before, which showed no abnormalities. However, during a brainstem function te...
Dr. Jiang Junyi Reply:
Hello: The 24-hour urine test you mentioned may be for measuring cortisol levels. Elevated cortisol levels are associated with adrenal tumors, pituitary tumors, or ectopic ACTH-producing tumors. Conditions such as pregnancy, estrogen therapy, and severe stress can also stimulate ...[Read More] Understanding Neurological Symptoms: Seeking Answers for Oral and Brain Issues
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 Unexplained Oral Symptoms: A Neurological Perspective
Please clarify what the issue is? Hello, Dr. Jiang. I have some unusual symptoms. In January, I had my second molar extracted, and since then, I have had an ulcer that has not healed for a month. I have been very worried that it might be something serious. I keep checking my gums...
Dr. Jiang Junyi Reply:
Hello: Because your age group is more susceptible to certain rheumatic and autoimmune diseases, I wonder if you have undergone any examinations related to this. Wishing you good health and peace. Dr. Jiang, Department of Internal Medicine, Taoyuan Hospital, cares about you.[Read More] Understanding Unexplained Oral Symptoms: A Neurological Perspective
Understanding Neck and Shoulder Pain: Causes and Solutions
Headache and neck and shoulder pain? Hello, doctor... I often have trouble sleeping and experience a lot of stress, which causes me to toss and turn at night and adopt poor sleeping positions. This has led to frequent shoulder and neck pain. A week ago, I woke up with severe sore...
Dr. Jiang Junyi Reply:
Hello, based on your description, the most common cause of neck pain is cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscle in the back of the neck, resulting in neck and shoulder discomfort. Sometimes, headaches may extend to t...[Read More] Understanding Neck and Shoulder Pain: Causes and Solutions
Understanding Persistent Head Numbness: When to Seek Medical Advice
Facial concerns? Hello, I have been experiencing a tingling sensation in the back of my head lately, similar to the goosebumps you get when you're anxious, and it has been persistent. Could you please tell me what this issue might be? Do I need to see a doctor?
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider cervical nerve root compression. This could be due to prolonged poor posture with the head bent forward, or rheumatic joint diseases, leading to curvature and narrowing deformities of the cervical spine. The interv...[Read More] Understanding Persistent Head Numbness: When to Seek Medical Advice
Understanding Right Back and Hand Numbness: Causes and Solutions
Numbness in the right upper back? Hello Doctor, I would like to ask if it is possible that my poor sitting posture from long hours of working at a computer is causing my symptoms. Initially, I experienced numbness extending from my right pinky finger to my palm, but it doesn'...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms may suggest compression of the cervical spine at the seventh vertebra and the first thoracic nerve root, leading to numbness extending to the little finger. This could be due to prolonged poor posture while looking down, resulting i...[Read More] Understanding Right Back and Hand Numbness: Causes and Solutions