Understanding the Risks of a Hard Hit to the Back of the Head
Hit the back of the head? Yesterday, I fell backward and hit the back of my head hard against the floor. At the moment, I only felt pain and did not experience any dizziness. Today, I occasionally feel a very slight pain and have some stiffness in my neck. What could be the issue...
Dr. Gao Chunde Reply:
If there was no brief loss of consciousness at the time of the impact, but you are experiencing headaches, nausea, or drowsiness, there is a concern about potential internal bleeding, swelling, or increased intracranial pressure. If the pain is mild and your mental state is stabl...[Read More] Understanding the Risks of a Hard Hit to the Back of the Head
Why Do I Feel Dizzy Days After Tooth Extraction?
Dizziness may begin a few days after tooth extraction? After having a tooth extraction, I've been experiencing frequent dizziness for several days. It feels like everything around me is swaying, and this has been ongoing for about 3 to 4 days. What could be the reason for th...
Dr. Yang Shenggong Reply:
Hello: Your issue is related to dizziness occurring after tooth extraction. 1) If the extraction took a longer time, maintaining a fixed position for an extended period may cause stiffness in the neck and shoulder muscles, leading to dizziness. You can apply local heat to the nec...[Read More] Why Do I Feel Dizzy Days After Tooth Extraction?
Understanding Muscle Twitches and Weakness: A Neurological Perspective
Muscle twitching and weakness? Hello, doctor. For the past 5 or 6 days, I've been experiencing muscle twitching starting from my left calf, and now it has spread throughout my body, including my soles, face, and neck, with the primary area being my calves. Sometimes the twit...
Dr. Lan Shengxing Reply:
Mr. Lin suggests that you visit a neurologist for a thorough examination. The incidence of amyotrophic lateral sclerosis (ALS) is extremely low, and sometimes these symptoms can also appear in individuals who are prone to anxiety. A detailed examination to rule out any concerns i...[Read More] Understanding Muscle Twitches and Weakness: A Neurological Perspective
Neck Pain and Unusual Symptoms: When to Seek Specialist Help?
Neck and similar areas? Doctor: Hello, I have been experiencing tightness and discomfort in my upper neck for three months! I have seen a doctor and had an X-ray, and the doctor said there was nothing serious and taught me some health protection methods. However, as I enter the t...
Dr. Lan Shengxing Reply:
Dear Ms. Huang, this issue may need to be consulted with a neurologist or a surgeon to determine if it is related to the original problem with the blue star.[Read More] Neck Pain and Unusual Symptoms: When to Seek Specialist Help?
Understanding Unexplained Neurological Decline: A Patient's Journey
Central nervous system degeneration? In March 2014, my weight inexplicably dropped from 70 kg to 58 kg within a month (and eventually down to 48 kg over the last six months) with no abnormalities found during health check-ups, and it was not due to intentional weight loss. Betwee...
Dr. Gao Chunde Reply:
You described your condition in great detail, and the persistent symptoms on one side of your body primarily suggest a central nervous system issue. However, your electromyography (EMG) and nerve conduction studies also show abnormalities, indicating that there may be peripheral ...[Read More] Understanding Unexplained Neurological Decline: A Patient's Journey
Morning Dizziness and Nausea: Could It Be Post-Concussion Syndrome?
Dizziness and dry heaving upon waking up: Could it be a post-concussion syndrome? Dear Dr. Huang, Hello. In late August 2014, I experienced a direct impact to the back of my head when I hit the floor. That day, I had severe vomiting and unsteadiness while walking. I went to the ...
Dr. Huang Yingzhe Reply:
Based on the timeline, the brain CT scan performed last year should not be related to the concussion from the year before. Many people experience dizziness, which often requires a period of monitoring. It is recommended to first consult an otolaryngologist, and if there are conce...[Read More] Morning Dizziness and Nausea: Could It Be Post-Concussion Syndrome?
Understanding Facial and Neck Numbness: Possible Causes and Solutions
Numbness in the left cheek and neck? Hello, Dr. Gao. I would like to ask you about my condition. I have bone spurs and degenerative changes in my cervical vertebrae at levels C4 and C5. For the past eight months, I have occasionally experienced numbness in my left cheek and left ...
Dr. Gao Chunde Reply:
The C4-C5 cervical vertebrae are unlikely to cause facial numbness; considering the trigeminal nerve is a more reasonable approach. It is also common for examinations to not reveal a clear cause. This could be due to the lesion being too small for current imaging techniques to de...[Read More] Understanding Facial and Neck Numbness: Possible Causes and Solutions
Severe Headaches and Dizziness: Understanding Neurological Issues
Dizziness and a feeling of heaviness in the head, if left untreated for too long, can escalate to severe pain and vomiting? Hello Doctor: I started experiencing headaches about a year ago. Initially, it was just dizziness, which gradually progressed to pain, and eventually to sev...
Dr. Gao Chunde Reply:
Severe headaches accompanied by vomiting can be indicative of migraines or other causes of increased intracranial pressure. A neurologist will differentiate between secondary headaches, which are problematic, and primary headaches. If there is a specific underlying cause, treatme...[Read More] Severe Headaches and Dizziness: Understanding Neurological Issues
Headaches and Side Effects: Is Your SSRI Medication to Blame?
Recently, there have been instances of headaches? Hello, doctor. I started taking escitalopram, an SSRI antidepressant, a little over two weeks ago. During the first week, I didn't notice much of a change, but in the second week, after the dosage was increased, I began exper...
Dr. Gao Chunde Reply:
Headache and nausea with vomiting can be side effects of this medication, especially since you have just started using it. The first consideration should be the medication-related side effects. It is recommended that you return to the prescribing physician's clinic to inform...[Read More] Headaches and Side Effects: Is Your SSRI Medication to Blame?
Understanding Persistent Dizziness: When to Seek Neurological Help
What is the problem? Hello, Doctor Gao. I have been experiencing dizziness for almost a month now. The symptom is that my forehead feels very hot, as if I have a fever, even when I sleep. However, I do not have a fever. I feel lethargic every day. My blood pressure is normal, and...
Dr. Gao Chunde Reply:
Sometimes, insufficient sleep or chronic stress and fatigue can lead to muscle tension in the head and neck, resulting in similar symptoms. However, when seeking medical attention, the physician will conduct a thorough evaluation to determine if there are other causes unrelated t...[Read More] Understanding Persistent Dizziness: When to Seek Neurological Help
Neck Pain with Headaches: When to See a Neurologist?
Neck pain accompanied by headache? My girlfriend initially experienced sudden pain in her upper body along with chest tightness. Later, she developed sharp pain in the back of her neck accompanied by headaches. Despite visiting the hospital outpatient department, no clear diagnos...
Dr. Gao Chunde Reply:
If the rheumatology department confirms that there are no related issues, consideration should be given to neurological causes such as cervical spinal cord lesions, whether they are due to inflammation, hemorrhage, intervertebral disc problems, or other reasons. The on-site physi...[Read More] Neck Pain with Headaches: When to See a Neurologist?
Persistent Left Chest Itching: Should I Seek a Second Opinion?
Itchy sensation on the left chest? Hello, Doctor Gao: Following my previous inquiry, my neurologist arranged an MRI for my left upper arm to neck, which came back normal. However, I still have itching in my left chest that hasn't improved. Should the correct imaging have bee...
Dr. Gao Chunde Reply:
I am more concerned about the neck and arm area, but the examinations have shown no issues. I can't think of any specific diseases that might be the cause; it could be a condition that current diagnostic tools cannot detect, or it might be due to some rare reason. Consulting...[Read More] Persistent Left Chest Itching: Should I Seek a Second Opinion?
Post-Car Accident: Managing Dizziness and Nausea Symptoms
One month after the car accident, experiencing loss of balance, dizziness, nausea, and a feeling of wanting to vomit? On January 10th, my boyfriend was in a car accident with significant impact, but fortunately, he was well-protected by his clothing and only sustained external in...
Dr. Gao Chunde Reply:
The likelihood of inner ear issues is the highest, and otolaryngologists are more specialized in this area. However, if dizziness and vomiting are accompanied by symptoms of neurological deficits such as double vision, slurred speech, delayed cognitive response, or weakness in th...[Read More] Post-Car Accident: Managing Dizziness and Nausea Symptoms
Understanding Neck Pain and Stiffness: Causes and Solutions
Neck pain and stiffness? I often experience soreness and stiffness in my neck, mostly on the left side. The neck pain is intermittent and not particularly worse in the morning. There is a loud "cracking" sound when I move my neck, and when it feels very stiff, I have to...
Dr. Gao Chunde Reply:
Neck pain and stiffness are generally due to muscle fatigue or inflammation in the cervical region. If accompanied by cracking or popping sounds, it is more likely to originate from the cervical joints. It is advisable to consult an orthopedic or neurosurgical specialist regardin...[Read More] Understanding Neck Pain and Stiffness: Causes and Solutions
Understanding Nerve Issues: Numbness and Weakness on One Side of the Body
Numbness above the neck and a dull sensation on the left side of the face? Hello Doctor: Since I took cold medicine (mainly for gastroenteritis) on the morning of February 13, I have been experiencing a rapid heartbeat. Additionally, I have weakness and tremors in my left side, i...
Dr. Lan Shengxing Reply:
Dear Anonymous, some ingredients in cold medications may cause all the issues you mentioned, such as tremors and difficulty urinating. Additionally, symptoms typically improve gradually after discontinuing the medication, although the time required varies for each individual. Num...[Read More] Understanding Nerve Issues: Numbness and Weakness on One Side of the Body
Understanding Chronic Subdural Hematoma: Symptoms and Timeline
Chronic subdural hematoma Chronic subdural hematoma can occur weeks to months after an initial head injury, but it is possible for symptoms to develop even up to several years later, including 1 or 2 years after the injury. It can lead to facial weakness and may also cause neck s...
Dr. Jiang Junyi Reply:
According to your description, chronic subdural hematoma is commonly seen in the elderly, with an average onset age of 63 years. Approximately 50% of patients can trace a history of head trauma occurring one to two months prior to the onset of symptoms. Due to the diverse clinica...[Read More] Understanding Chronic Subdural Hematoma: Symptoms and Timeline
Understanding Back Pain, Chest Discomfort, and Possible Depression Symptoms
Back pain, back discomfort, chest pain, chest tightness? 1. Recently, I have been experiencing back pain, chest pain, and a feeling of tightness. Sometimes I feel dizzy, and I have difficulty breathing, as if I can't get enough air. I can also feel my heart racing at times, ...
Dr. Jiang Junyi Reply:
Based on your description, the diagnosis for depressive mood is as follows: 1. The melancholic emotional response persists for more than two years. In children or adolescents, it manifests as irritability or agitation for at least one year. 2. At least two of the following sympto...[Read More] Understanding Back Pain, Chest Discomfort, and Possible Depression Symptoms
Understanding and Managing Severe Tremors: A Neurology Perspective
It is very serious, please help me? Hello, Vice Dean. When I was around 17 or 18 years old, people started saying that my body would shake, but I didn't feel anything at the time. However, in the last 2 to 3 years, it has become increasingly severe. When I am nervous or angr...
Dr. Lan Shengxing Reply:
Dear James, the shaking of your body may worsen during moments of excitement, so it is normal to experience tremors when you are nervous or angry. If this later develops into an inability to initiate movement, it is important to differentiate whether it is psychogenic or related ...[Read More] Understanding and Managing Severe Tremors: A Neurology Perspective
Understanding Neck Stiffness and Dizziness: When to Seek Medical Help
Stiffness in the shoulders and neck with dizziness? Hello, I have been experiencing dizziness and stiffness in my shoulders and neck intermittently for about a year. I feel a heavy sensation in my head that I can't relax from, especially noticeable in cold weather and during...
Dr. Gao Chunde Reply:
The symptoms are more likely to be associated with tension-type headaches and chronic fatigue in the neck and shoulders, leading to muscle tightness and contractions. It is advisable to consult a neurologist for further diagnosis or to arrange relevant examinations.[Read More] Understanding Neck Stiffness and Dizziness: When to Seek Medical Help
Understanding Neck and Shoulder Stiffness: When to Seek Medical Help
Stiffness in the shoulders and neck, as well as in the limbs? I am in my fifties and have been experiencing stiffness in my shoulders and neck for the past two months. My hands and feet often have joint pain, and sometimes my lumbar spine hurts to the point where I can't str...
Dr. Lan Shengxing Reply:
Dear Dolq, this symptom is something that most programmers experience to some extent. It is advisable to first consult with a rehabilitation specialist. If rehabilitation activities do not yield results, then consider visiting a neurologist or a neurosurgeon.[Read More] Understanding Neck and Shoulder Stiffness: When to Seek Medical Help