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 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
Is There a Connection Between Dizziness and Lower Back Pain?
Is there a connection between dizziness and lower back pain? Hello Doctor: I have experienced lower back pain three times in the past five years, each lasting two to three days. The pain occurs when I bend my back slightly. During the first two episodes of back pain, I fainted on...
Dr. Jiang Junyi Reply:
Hello, based on your description, we can divide it into two parts: first, let's discuss the possible causes of syncope (fainting). Common causes include: 1. Neurogenic reflexes leading to decreased peripheral vascular tone, resulting in blood pooling in peripheral tissues an...[Read More] Is There a Connection Between Dizziness and Lower Back Pain?
Is It Autonomic Nervous System Dysfunction? Understanding Your Symptoms
Is this autonomic nervous system dysfunction? Hello, I have been experiencing severe dizziness for over a month now, which occurs constantly every minute of the day. Additionally, I have a sensation of ear fullness on one side, drooping eyelids, and dryness (though there is no vi...
Dr. Cai Zongzhang Reply:
Hello, based on the symptoms you described, it is difficult to determine whether there is a direct relationship with the nervous system. Stress may be a contributing factor, and physical fatigue could also play a role. I recommend maintaining a regular daily routine and consideri...[Read More] Is It Autonomic Nervous System Dysfunction? Understanding Your Symptoms
Understanding Palsy Symptoms: Insights on Nerve Compression Issues
Pangshan syndrome Hello, I often feel weakness in my hands when lifting heavy objects or gripping things, and sometimes my fingers tremble involuntarily. I previously underwent MRI and nerve tests at Chang Gung Memorial Hospital. The doctor mentioned that I have a condition simil...
Dr. Jiang Junyi Reply:
Hello: Based on your description, if a diagnosis of Friedreich's ataxia is to be considered, long-term follow-up treatment may be necessary. Some motor neuron diseases may initially be diagnosed as this type of condition. If it is Friedreich's ataxia, prolonged improper...[Read More] Understanding Palsy Symptoms: Insights on Nerve Compression Issues
Understanding Dizziness and Facial Numbness: Possible Neurological Causes
Dizziness, a feeling of pressure and fullness in both sides of the back of the head, numbness in the left side of the face, and discomfort in the left eye? Hello Doctor: I am a 37-year-old male. Since May of last year, I have been experiencing dizziness, a feeling of pressure in ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest an issue with the autonomic nervous system. I'm not sure if you have undergone any tests related to this or arterial blood gas analysis. Hyperventilation can also cause similar symptoms. Excessive hyperventilation leads to a decrease in carbo...[Read More] Understanding Dizziness and Facial Numbness: Possible Neurological Causes
Understanding Nerve Pain: A Case of Throat and Neck Discomfort
I got shocked and it hurts a lot? On the first day, I experienced dizziness, nausea, and a slightly elevated temperature of about 37.5°C. On the second day, I developed a fever of 38.5°C, and my throat began to hurt, accompanied by sharp pain on the right side of my neck (located...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are more indicative of neuropathic pain, which is typically caused by damage to the sensory nervous system. Particularly, peripheral nervous system disorders are common, such as postherpetic neuralgia, but some central nervous system diseases can also cause s...[Read More] Understanding Nerve Pain: A Case of Throat and Neck Discomfort
Sharp Pain in the Right Front of the Neck: Possible Neurological Causes
Sharp pain in the right front of the neck (beside the throat)? Since yesterday, I have been experiencing a sharp pain near the front right side of my neck, close to my throat. I can quickly identify and explain the location of the pain.
Dr. Jiang Junyi Reply:
Hello: You mentioned experiencing a stabbing pain in your neck. If there is localized tenderness, it may be necessary to consider inflammation or infection of the local tissues, such as laryngitis caused by an upper respiratory infection. If there is no localized inflammation, it...[Read More] Sharp Pain in the Right Front of the Neck: Possible Neurological Causes
Understanding Respiratory Issues and Intubation in Stroke Patients in ICU
Inquiries regarding respiratory issues caused by stroke and intubation in the intensive care unit? Hello, my father experienced weakness in his limbs and inability to speak (while conscious) on August 7 and went to the emergency room. After more than nine hours of waiting, he fin...
Dr. Hong Weibin Reply:
If the patient truly does not want to suffer excessively, and the family wishes to alleviate the patient's discomfort after discussion, it is advisable to request the attending physician to consult the hospital's palliative care team. Since September 1, 2009, the follow...[Read More] Understanding Respiratory Issues and Intubation in Stroke Patients in ICU
Understanding Right Hand Pain and Left Hand Numbness: Causes and Treatments
Pain in the right hand and numbness in the left hand? Hello, I would like to ask about my right hand. Initially, I experienced pain in my wrist (extending from my thumb to my wrist), which later spread to my forearm and then to my right shoulder. The pain started about a year ago...
Dr. Jiang Junyi Reply:
Hello: Your symptoms in the right hand resemble those of nerve root compression in the cervical spine. Preventive measures include: 1. Change positions: Change your posture every 15 minutes to allow the neck tissues to rest. Any posture (including normal ones) maintained for a pe...[Read More] Understanding Right Hand Pain and Left Hand Numbness: Causes and Treatments
Chiropractic Care: Is Neck Adjustment Causing My Symptoms?
Spinal adjustment and cervical spine adjustment? I have had scoliosis since I was in elementary school and have been undergoing rehabilitation. In my first year of high school, I switched to chiropractic treatment, which also involved adjustments to my neck. After about 6 or 7 se...
Dr. Jiang Junyi Reply:
Hello, based on your description, the neck stiffness may suggest cervical myofascial pain syndrome, which commonly presents with localized pain, discomfort, muscle tightness, or a sensation of pressure. Sometimes, palpable myofascial trigger points can be felt under the skin. As ...[Read More] Chiropractic Care: Is Neck Adjustment Causing My Symptoms?
Head Injury from Diving: Understanding Pain and Muscle Tension
Diving injury resulting in sharp pain in the right occipital region? Hello doctor, two weeks ago I was diving in a pool with a depth of about 1.2 meters and hit my head, specifically on the top right side. The wound has healed, but in the first few days, I experienced sneezing an...
Dr. Cai Zongzhang Reply:
Based on your description, it is highly recommended that you go to the hospital for an examination immediately to accurately assess the impact of the trauma on your brain through imaging. It is advisable for you to follow up with outpatient care for further evaluation and treatme...[Read More] Head Injury from Diving: Understanding Pain and Muscle Tension
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 Left-Sided Numbness and Weakness: Possible Causes and Next Steps
Numbness and weakness in the left hand and foot? Hello Doctor: For the past two weeks, I have been experiencing numbness in my left hand and foot, particularly in my fingers. Additionally, my left hand has been shaking uncontrollably. The numbness is persistent and spreads quickl...
Dr. Jiang Junyi Reply:
Hello, based on your description, the medication Micobalamin is Vitamin B12, while Baclofen is a muscle relaxant that may cause muscle weakness. A common cause of neck pain is cervical myofascial pain: prolonged periods of looking down can lead to overuse of the trapezius muscle ...[Read More] Understanding Left-Sided Numbness and Weakness: Possible Causes and Next Steps
Chronic Fatigue: Should You Suspect Myasthenia Gravis?
If you are experiencing persistent and intermittent fatigue, should you highly suspect myasthenia gravis? Hello, Doctor: I am a shift worker who primarily does office work. I spend most of my day in front of a computer and do not exercise much, which has led me to develop some li...
Dr. Jiang Junyi Reply:
Hello: Myasthenia gravis is considered a rare disease, with a prevalence of approximately 100-200 per million people in Taiwan, totaling around 2,000-4,000 individuals nationwide. Your symptoms may need to first consider sleep issues, especially since you have metabolic syndrome....[Read More] Chronic Fatigue: Should You Suspect Myasthenia Gravis?
Persistent Dizziness and Fever: Understanding Neurological Issues
Dizziness and recurrent fever? Hello, doctor! I have been experiencing dizziness and recurrent fever since June 25. I underwent a treatment from June 26 to June 29, but the issue has not improved since then (the doctor diagnosed it as vestibular neuritis caused by a cold, leading...
Dr. Jiang Junyi Reply:
Hello, based on your description, the dizziness you are experiencing seems to be related to benign paroxysmal positional vertigo (BPPV), which is often triggered by changes in posture. You can consult an otolaryngologist for a canalith repositioning procedure or consider medicati...[Read More] Persistent Dizziness and Fever: Understanding Neurological Issues
Understanding Persistent Mild Headaches: Causes and Next Steps
Mild headache for 50 consecutive days? Hello Doctor, I have been experiencing mild headaches for the past 50 days. The pain occurs approximately every 5 minutes, lasting for about 1 second each time, and it is almost continuous throughout the day. However, I sleep well at night. ...
Dr. Jiang Junyi Reply:
Hello: 1. The symptoms you described are likely due to muscle-related pain, and you may need to consider myofascial issues. 2. Is it possible to have slight discomfort in the neck and shoulders while experiencing continuous head pain? My understanding is that for head pain to ...[Read More] Understanding Persistent Mild Headaches: Causes and Next Steps
Understanding Involuntary Muscle Twitches: Causes and Solutions
Involuntary muscle twitching throughout the body? Long-term sitting in the office has caused my legs to feel numb while sitting, and my muscles are twitching continuously throughout my body, especially in my thighs, calves, and face, which twitches quite frequently. Sometimes I a...
Dr. Jiang Junyi Reply:
Hello: There are many potential causes for the symptoms of leg numbness and tingling, such as lumbar nerve compression and electrolyte imbalances, which need to be evaluated. Additionally, the numbness in your hands may suggest hyperventilation syndrome, which can lead to decreas...[Read More] Understanding Involuntary Muscle Twitches: Causes and Solutions
Can Loud Headphone Sounds Cause Permanent Brain Damage?
Headache Head-related issues Hello, Doctor Jiang. I would like to ask a question. Yesterday, when I plugged my full-cover headphones into the computer, there was a sudden loud noise in the headphones. This has happened before, but this time it was particularly loud and caused sig...
Dr. Jiang Junyi Reply:
Hello, based on your description, if there is a sudden exposure to loud sounds, the eardrum has a protective mechanism. The muscles connecting the ossicles and the middle ear will reflexively reduce the transmission of sound to protect the inner ear. However, prolonged exposure t...[Read More] Can Loud Headphone Sounds Cause Permanent Brain Damage?