Is Waking Up at Night with Head Pain a Sign of Brain Tumor?
Waking up in the middle of the night due to pain is not necessarily indicative of a brain tumor? Last night, I experienced a dull headache before going to bed, and I was awakened by the pain around 5 AM. I took some pain relievers, and after one or two hours, the pain subsided. I...
Dr. Jiang Junyi Reply:
According to your description, the likelihood of a brain tumor causing headaches is relatively low, and the pain tends to worsen over time. Given your age, the more common causes are tension-type headaches or migraines. The symptoms of tension-type headaches are typically bilater...[Read More] Is Waking Up at Night with Head Pain a Sign of Brain Tumor?
Jaw Injury: Headaches, Nausea, and Possible Concussion Symptoms
Hit on the chin, headache, and nausea? A few days ago, I bumped my chin against someone's shoulder while playing basketball. There were no external injuries, but the impact was quite strong. At the time, I did not lose consciousness or experience confusion. However, afterwar...
Dr. Jiang Junyi Reply:
Hello: Head trauma with the following medical history is usually more severe and requires further head CT examination: – Vomiting 2 times or more – Age over 65 years or under 2 years – Drug or alcohol overdose – Persistent severe diffuse headache – Loss of consciousness for more ...[Read More] Jaw Injury: Headaches, Nausea, and Possible Concussion Symptoms
Is Neck Cracking During Rotation Normal? Understanding Your Symptoms
Cervical rotation exercises produce cracking or popping sounds? Hello, Doctor. For the past couple of days, I've been experiencing tight pain in the left occipital region, and my neck and shoulders seem quite stiff. Therefore, I did some neck rotation exercises (similar to w...
Dr. Jiang Junyi Reply:
Hello: The sounds you mentioned are primarily due to friction occurring between the joint surfaces, the cartilage pads, and the tendons and joint capsule during joint movement. In most individuals, these sounds are not prominent, while in some, they may be more noticeable. If the...[Read More] Is Neck Cracking During Rotation Normal? Understanding Your Symptoms
Understanding Pulsating Head Sensations: When to See a Neurologist
The head may feel pulsating? Hello doctor, I started experiencing ear fullness about a month ago, followed by tinnitus. The noise from the tinnitus is really loud, and I can only sleep until around two or three in the morning. Then I began to have dizziness with a sensation of sp...
Dr. Jiang Junyi Reply:
Based on your description, your dizziness symptoms may suggest Meniere's disease, which is characterized by recurrent episodes of vertigo accompanied by tinnitus or hearing loss. During episodes, resting and using some antihistamine anti-vertigo medications along with anxiol...[Read More] Understanding Pulsating Head Sensations: When to See a Neurologist
Understanding Persistent Dizziness: Causes and Solutions for Your Symptoms
Feeling dizzy and bloated every day? Hello Dr. Jiang: About two years ago, I experienced similar symptoms where I felt dizzy every day, especially when moving or turning my neck, and even while chewing food. Although I felt dizzy, it wasn't severe enough to cause nausea or v...
Dr. Jiang Junyi Reply:
Hello, based on your description, Benign Paroxysmal Positional Vertigo (BPPV) should be considered first. The characteristic symptoms include brief episodes of dizziness related to changes in head position, such as bending over, tilting back, lying down, getting up, rolling over,...[Read More] Understanding Persistent Dizziness: Causes and Solutions for Your Symptoms
Understanding Vertebral Artery Issues: Symptoms and Diagnostic Options
Vertebral artery-related issues? Hello Doctor: Thank you very much for your detailed response in the previous article (#129126). Currently, my situation is that I experience a sharp pain in the right posterior occipital region whenever I swallow (it only hurts during swallowing, ...
Dr. Jiang Junyi Reply:
Hello: Your examination is very detailed. If your cardiovascular risk is relatively low (with normal results for the three highs), the likelihood of experiencing vertebral artery dissection is relatively small. If your health check budget allows, magnetic resonance imaging (MRI) ...[Read More] Understanding Vertebral Artery Issues: Symptoms and Diagnostic Options
Understanding Right Occipital Pain: Causes and Concerns After Throat Issues
Pain in the right occipital region? Hello Doctor: I would like to briefly describe my situation. About three months ago, I experienced severe pain while swallowing due to a purulent infection in my right tonsil. At that time, I also felt tightness and pain in the occipital region...
Dr. Jiang Junyi Reply:
Hello: The most common cause of right occipital pain is cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the muscles at the back of the neck, resulting in pain in the occipital region. This condition may become more rigid, tense, and painful, esp...[Read More] Understanding Right Occipital Pain: Causes and Concerns After Throat Issues
Understanding Dizziness and Neck Pain After Chiropractic Adjustment
Dizziness, headache, and cervical spine tenderness? Hello, doctor. A week ago, I had my cervical spine adjusted, and about twenty minutes later, I experienced symptoms of dizziness. Concerned about the possibility of vertebral artery dissection, I underwent a CTA (with contrast),...
Dr. Jiang Junyi Reply:
Hello, regarding the tender points in the cervical spine, myofascial pain syndrome should be considered first. Symptoms may include pain, discomfort, muscle stiffness, or a heavy sensation. If a nerve is compressed, neurological symptoms such as numbness and altered temperature s...[Read More] Understanding Dizziness and Neck Pain After Chiropractic Adjustment
Understanding Right-Sided Neck and Head Pain: Is It a Stroke Warning?
Tightness in the right posterior part of the head, along with shoulder and neck pain, which is also causing discomfort in the eyes? Hello, doctor. I would like to ask you a question. My husband is 40 years old and works in a physically demanding job. He has a smoking habit and ha...
Dr. Jiang Junyi Reply:
Hello: Your husband is a smoker, which places him in a high-risk group for stroke. If he experiences sudden neurological deficits such as unilateral limb weakness or slurred speech, cerebrovascular disease should be the first consideration. Other causes of limb pain, such as cerv...[Read More] Understanding Right-Sided Neck and Head Pain: Is It a Stroke Warning?
Chronic Headache for Over a Month: Possible Causes and Solutions
Headache lasting more than one month? Hello doctor, on August 14, I had sashimi and other raw foods. On the morning of August 16, I started experiencing sharp pain in the left back of my head, which came in waves. A couple of days later, I developed cold symptoms, including a sor...
Dr. Jiang Junyi Reply:
Based on your description, the most common cause is tension-type headache. The recurrent pain may be due to significant temperature fluctuations recently, which have led to many individuals experiencing repeated viral infections. The symptoms of tension-type headache include: (1)...[Read More] Chronic Headache for Over a Month: Possible Causes and Solutions
Unraveling the Mystery of Unexplained Neurological Symptoms
Unknown etiology? Around June 14, I suddenly experienced a jolt of dizziness, the kind that made it hard to stand, but it was not accompanied by headaches or nausea. I thought it was just due to lack of sleep, as I had been under a lot of stress from final exams and had hardly ea...
Dr. Jiang Junyi Reply:
Hello, Student Chang: You have done a lot of homework, which is impressive. Myofascial pain syndrome in the neck should be considered first. Symptoms may include pain, discomfort, muscle stiffness, or a heavy sensation. Symptoms may worsen with changes in weather and can be allev...[Read More] Unraveling the Mystery of Unexplained Neurological Symptoms
Understanding Tinnitus After Neck Strain: When to Seek Help
Tinnitus when turning the head? I consulted Dr. Jiang about experiencing a stiff neck a month ago, which caused soreness and pain for a week before the symptoms alleviated. However, I have since noticed a popping sound in my left ear when I turn my head to the left, and I often f...
Dr. Jiang Junyi Reply:
Hello: The cause of sounds in the left ear may be related to joint friction. If there are individuals with metabolic syndrome, it may be necessary to include a neck ultrasound to rule out vascular circulation issues. It is recommended that you consult with a neurologist or a reha...[Read More] Understanding Tinnitus After Neck Strain: When to Seek Help
Understanding Occipital Pain: Could Throat Issues Be the Cause?
Pain in the right occipital region of the brain? Hello Doctor: A few weeks ago, I had a sore under my tongue and a painful throat, which made it extremely difficult to eat and drink because swallowing was very painful. However, I had to force myself to eat, and during that time, ...
Dr. Jiang Junyi Reply:
Hello: The most common cause of left-sided neck pain is cervical myofascial pain. If a vertebral artery dissection occurs, it can cause severe pain near the posterior neck close to the occipital region due to the vascular dissection. Sometimes, the pain may radiate to the neck, j...[Read More] Understanding Occipital Pain: Could Throat Issues Be the Cause?
Understanding Headaches While Chewing: Possible Causes and Solutions
Headache while chewing? I have never experienced headaches before, but over the past few days, I have been feeling pain in my right temple while chewing. Previously, I had a suspected esophageal burn due to medication, but I did not seek medical attention while abroad and only to...
Dr. Jiang Junyi Reply:
Hello, the common cause of left temporal pain is the symptoms associated with temporomandibular joint (TMJ) dysfunction. Patients typically report the following: pain in front of the ear (joint), facial soreness, temporal soreness, and shoulder and neck discomfort. When TMJ dysfu...[Read More] Understanding Headaches While Chewing: Possible Causes and Solutions
Persistent Hand Numbness After Retinal Surgery: Next Steps?
Hand issues? I underwent retinal detachment surgery at the end of May and was on bed rest for a month. After that, I started experiencing slight numbness in my fingertips. I consulted a rehabilitation specialist and began neck stretching exercises, but after 14 sessions, my condi...
Dr. Jiang Junyi Reply:
Hello, I recommend discussing with your rehabilitation physician the possibility of undergoing nerve conduction studies and electromyography to determine if, in addition to cervical compression, you may also have carpal tunnel syndrome. Wishing you good health and happiness. Best...[Read More] Persistent Hand Numbness After Retinal Surgery: Next Steps?
Understanding Persistent Numbness in the Back of the Head
Numbness in the back of the head? Doctor, I have a tingling sensation in the back left side of my head. It feels numb, and there is no external injury or pressure. This tingling has persisted for several days, and sometimes I also feel dizzy. Additionally, I notice a significant ...
Dr. Jiang Junyi Reply:
Hello, are you 5 years old? (If so, you may want to see a pediatric neurologist.) The most common cause of numbness in the back of the neck is compression of the cervical nerve roots. Prolonged periods of looking down can lead to overuse of the trapezius muscle in the neck, resul...[Read More] Understanding Persistent Numbness in the Back of the Head
Trigeminal Neuralgia or Migraine: Understanding Your Facial Pain
Trigeminal neuralgia or migraine? Hello doctor, I started having a cold at the end of June, which developed into sinusitis, but by the end of July, I had mostly recovered. However, I have been experiencing several issues since then. Every morning, I feel a sense of fullness in my...
Dr. Jiang Junyi Reply:
Hello: The branches of the trigeminal nerve are distributed from top to bottom in the forehead, cheeks, and chin. Trigeminal neuralgia often occurs in the areas innervated by its lower two branches, with a lower incidence in the region of the first branch. Additionally, trigemina...[Read More] Trigeminal Neuralgia or Migraine: Understanding Your Facial Pain
Understanding Nerve Issues: Why Are My Hands Numb?
Numbness in the hands? Hello: Since before the Lunar New Year, I have been experiencing a feeling of fullness and pressure in my ears, along with neck tightness. Sometimes I have dry mouth and fever, and I haven't been sleeping well at night. I visited an ENT specialist, but...
Dr. Jiang Junyi Reply:
Hello, you may want to consider sleep disorders. Common causes include obstructive sleep apnea syndrome: habitual snoring, nasal congestion, enlarged tonsils, family members noticing breathing pauses, and a persistent feeling of not being well-rested, waking up frequently during ...[Read More] Understanding Nerve Issues: Why Are My Hands Numb?
Understanding Chronic Headaches: Causes, Symptoms, and Treatments
Headache - has been painful for a long time? Hello Doctor: I often experience severe headaches that make me feel nauseous, and my eyes hurt. My blood pressure spikes to 180, my vision becomes blurry, and sometimes I feel like I might faint. I have had to take painkillers to relie...
Dr. Jiang Junyi Reply:
Hello: The more common causes are tension-type headaches or migraines. The symptoms of tension-type headaches include: 1. Typically bilateral, located in the occipital and parietal regions, sometimes with widespread pain. The nature of the pain is dull, pressure-like, or tight, w...[Read More] Understanding Chronic Headaches: Causes, Symptoms, and Treatments
Managing Insomnia and Headaches: Insights on Antiepileptic Medications
Insomnia, headache, antiepileptic medication? Hello, Dr. Jiang. I have sleep issues, and because my relative referred me to a clinic that specializes in insomnia, they prescribed me anticonvulsant medication to help with my sleep. Over a year ago, I was in a car accident and lost...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are very similar to cervicogenic headache, which clinically presents as pain at the site of onset, discomfort and soreness, muscle stiffness, or a feeling of heaviness. Sometimes, subcutaneous myofascial trigger points can be palpated, and there may be referr...[Read More] Managing Insomnia and Headaches: Insights on Antiepileptic Medications