Chronic Neck Pain in Children: When to See a Neurologist?
Neck pain? My son has been experiencing neck pain for a long time. He has been seeing an orthopedic doctor and has been doing heat therapy and using topical patches at home, but there has been no improvement. I often see him move for a minute or two, and when I ask him, he says h...
Dr. Huang Yongquan Reply:
Hello, I’m not sure how old your child is. If they are under 16 years old, you can first consult a pediatrician. If they are older, it’s best to see a neurologist. This will help determine if the neck pain is caused by any disorders related to involuntary movements.[Read More] Chronic Neck Pain in Children: When to See a Neurologist?
Persistent Headaches and Dizziness: When to Seek Neurological Help
Headache and dizziness for several days? Doctor, I started experiencing a fever and weakness in my limbs around 11 PM on November 4th. Since I didn't have a thermometer at home, I assumed I had a fever. The next day, the fever subsided, but I continued to experience mild diz...
Dr. Gao Chunde Reply:
Acetaminophen is a standard medication for pain relief and fever reduction, and it is one of the least likely medications to cause allergic reactions and side effects. It is indeed the first-line treatment for dizziness and headaches. Side effects, such as dizziness and headaches...[Read More] Persistent Headaches and Dizziness: When to Seek Neurological Help
Understanding Symptoms: When to See a Neurologist for Your Health Issues
Autonomic nervous system dysfunction? Cold? Other brain issues? On the evening of October 22nd, I felt muscle weakness, my whole body was hot, and I sweated excessively while sleeping due to overheating. I woke up after two hours to rehydrate, but by the time I went to work, I ha...
Dr. Gao Chunde Reply:
Based on the symptoms, it appears to be a cold. However, if there is a fever, headache, and neck stiffness, it is advisable to consult a neurologist to rule out the possibility of meningitis. If those symptoms are not present, it is recommended to rest more and drink plenty of fl...[Read More] Understanding Symptoms: When to See a Neurologist for Your Health Issues
Understanding Facial Flushing and Dizziness: Neurological Insights
Facial flushing and warmth? Hello, whenever the air is stagnant, my face becomes very red, and I often feel dizzy and heavy-headed. Sometimes I feel nauseous, and when I exercise, my face turns extremely red and feels hot, with a heavy sensation in my head that takes a long time ...
Dr. Gao Chunde Reply:
Facial flushing is a phenomenon caused by the dilation of subcutaneous microvessels, which occurs when the body needs to increase heat dissipation due to warmth or exertion. The degree of response varies among individuals; for example, some people may flush easily after consuming...[Read More] Understanding Facial Flushing and Dizziness: Neurological Insights
Is Flushing Linked to High Blood Pressure? Understanding Neurological Concerns
Flushing and high blood pressure? Doctor, my face often turns red. Does that mean my blood pressure is high? I also experience dizziness and a heavy feeling in my head. Can low blood pressure lead to a stroke? Thank you, doctor.
Dr. Gao Chunde Reply:
Flushing does not equal high blood pressure. Flushing is caused by the dilation of subcutaneous microvessels, which can occur due to heat dissipation, inflammation, alcohol, or other vasodilators, as well as hormones or substances that cause vasodilation. Emotions or stress can a...[Read More] Is Flushing Linked to High Blood Pressure? Understanding Neurological Concerns
Understanding Dizziness: Insights from Neurology for Your Symptoms
About dizziness? Hello Doctor, I started experiencing dizziness on July 10 of this year. When I bend over, lower my head, raise it, or turn my head in the morning, it feels like my body is shaking as if there is an earthquake. When I walk, it feels like my feet are bouncing off t...
Dr. Gao Chunde Reply:
On July 10, benign paroxysmal positional vertigo (BPPV) occurred. Generally, rest for two to three days to a week will lead to recovery. However, it is important to note that if there is excessive fatigue or irregular sleep patterns, it may recur. Some patients may develop feelin...[Read More] Understanding Dizziness: Insights from Neurology for Your Symptoms
Relieving Hand Numbness and Arm Pain: Causes and Solutions
Numbness in the hand and pain in the arm? Hello, I have recently been experiencing numbness in my palms and pain in my arms (without numbness or pain in my shoulders or neck). Sometimes the numbness in my hands is so severe that I have difficulty applying force, and I even strugg...
Dr. Lan Shengxing Reply:
Dear Ms. Huang, the potential lesions related to your described issues could range from the cervical nerves to the more peripheral median nerve. It is advisable for you to visit a neurology outpatient clinic for further examination.[Read More] Relieving Hand Numbness and Arm Pain: Causes and Solutions
Understanding Sudden Head Pain: When to Seek Neurological Help
Head pain or stabbing headache? Hello, Doctor Gao: Recently, I've been experiencing sudden sharp pain in my left brain and a bit of dizziness. The episodes are not continuous and occur occasionally. Sometimes, I also feel tingling in my scalp. Does this indicate a problem wi...
Dr. Gao Chunde Reply:
This is likely a type of headache known as ice pick headache, which occurs intermittently for a few minutes to a couple of hours in a specific location. It is mostly benign and typically resolves on its own within a few weeks, without the need for medication, unless it becomes fr...[Read More] Understanding Sudden Head Pain: When to Seek Neurological Help
Understanding Shoulder and Neck Pain: Insights on Myofascial Pain Syndrome
Shoulder and neck issues? Hello, I would like to ask about my shoulder discomfort. I saw a doctor who diagnosed me with myofascial pain syndrome and prescribed pain relievers and muscle relaxants. After taking the medication, I felt somewhat better, but I still experience pain oc...
Dr. Gao Chunde Reply:
You can consult a rehabilitation physician who specializes in sports medicine. In addition to X-rays for assessing bone conditions, some physicians may also use soft tissue ultrasound to check for other abnormalities that are not related to the bones, and even perform localized a...[Read More] Understanding Shoulder and Neck Pain: Insights on Myofascial Pain Syndrome
Electric Shock Sensation in the Back of the Head When Moving Eyes
When moving the eyes, there is a sensation of electric shock in the back of the head? Hello doctor, I started experiencing this issue about ten days ago. When I move my eyes (up, down, left, or right), I feel a brief electric shock sensation in the back of my head. Later, I also ...
Dr. Lan Shengxing Reply:
Dear Van, the symptoms you described are quite difficult to consolidate into a single diagnosis. However, these symptoms are not common and may not fall within the scope of ophthalmology, especially if the fundus examination is normal. There are other conditions that need to be r...[Read More] Electric Shock Sensation in the Back of the Head When Moving Eyes
Understanding Persistent Head Pain: Causes and Solutions
Persistent headache? I have been experiencing persistent shooting pain extending from behind my left ear to my temple, and it also hurts when I lightly press behind my ear. Could this be related to a stiff neck? Taking painkillers only provides temporary relief. I would like to k...
Dr. Lan Shengxing Reply:
Dear Mr. Way, the symptoms you described may indeed be related to a missed diagnosis. If the symptoms persist, it may be necessary to consult a neurologist or a neurosurgeon for an examination of the cervical nerves. Best regards, Lan Shengxing.[Read More] Understanding Persistent Head Pain: Causes and Solutions
Managing Nerve Issues: Numbness in Right Hand and Toes Explained
Numbness on one side of the right palm and numbness in both big toes? Hello, Dr. Lan! I previously had a herniated disc in my lumbar and cervical spine, and I have been undergoing traction therapy for my neck and back rehabilitation. However, recently I have been experiencing num...
Dr. Lan Shengxing Reply:
Dear Blue Sam: If the symptoms are new and persistent, it may indicate a worsening of the original condition. A re-evaluation and comparison with previous assessments are necessary for proper diagnosis. Blue Saint Star[Read More] Managing Nerve Issues: Numbness in Right Hand and Toes Explained
Understanding Balance Issues and Occipital Pain in Essential Tremor Patients
Pain in the back of the head leading to poor balance? Hello Doctor, I have had a long-standing issue with unsteady walking. This year, my doctor diagnosed me with essential tremor. After starting medication, my condition improved, but in the past two months, I have begun experien...
Dr. Gao Chunde Reply:
Waking up after sleep has been improving, but it gets worse the later it is. This is more likely related to chronic fatigue or tension in the shoulder and neck muscles. It can be alleviated by dedicating an hour to light stretching activities or applying a warm towel during a sho...[Read More] Understanding Balance Issues and Occipital Pain in Essential Tremor Patients
Understanding the Causes of Heaviness in the Back of the Head
Head heaviness Hello, Dr. Gao. It's been a while since I've experienced a heavy sensation in the back of my head. This feeling becomes more pronounced when I slightly shake my head. What could be the issue with this phenomenon?
Dr. Gao Chunde Reply:
The sensation of heaviness can be described as not quite pain, especially in the absence of pulsating moderate to severe headaches, which makes migraine less likely. However, a significant portion of patients with tension-type headaches in the outpatient setting report a tight, u...[Read More] Understanding the Causes of Heaviness in the Back of the Head
Understanding Headaches and Neck Lumps: What Could Be Wrong?
Presence of a foreign body? I have been experiencing chronic headaches for a long time, and recently the headaches have become more frequent, requiring me to take painkillers for relief. In the past few days, I noticed a lump at the back of my neck that becomes noticeably larger ...
Dr. Huang Zixuan Reply:
We hope the patient can come to the outpatient clinic for further evaluation and examination.[Read More] Understanding Headaches and Neck Lumps: What Could Be Wrong?
Feeling Lightheaded While Walking: Understanding Your Symptoms
Feeling lightheaded with a heavy head and unsteady legs while walking? Hello Doctor, I would like to ask you something. I am a 25-year-old male, and recently while brisk walking, I sometimes feel a sensation of heaviness in my head and lightness in my legs, almost like I'm f...
Dr. Gao Chunde Reply:
The symptoms appear to be quite nonspecific. There's no evidence to suggest benign paroxysmal positional vertigo of the inner ear, nor any indication of cerebellar or brainstem dysfunction. Since the symptoms occur intermittently, I would like to know if there have been any ...[Read More] Feeling Lightheaded While Walking: Understanding Your Symptoms
Understanding Headaches and Unexplained Weight Loss: A Neurology Perspective
Headache and weight loss? Hello doctor, I have been experiencing occasional headaches for the past few months, mostly feeling a sense of pressure in my head. Recently, I have been feeling quite uncomfortable, with the pain almost constant throughout the day, primarily concentrate...
Dr. Lan Shengxing Reply:
Dear, the headache symptoms described may be associated with cervical syndrome and tension-type headaches. Maintaining a good lifestyle can help relax the muscles and reduce the frequency and intensity of pain. Worrying is normal, but try not to let it affect your daily routine. ...[Read More] Understanding Headaches and Unexplained Weight Loss: A Neurology Perspective
Persistent Headaches: When Pain Medications Fail to Provide Relief
If taking medication for headaches does not improve the symptoms, it is important to consult a healthcare professional for further evaluation and management? Hello Doctor: I have been experiencing persistent headaches lately. The pain subsides when I sleep, but as soon as I wake ...
Dr. Gao Chunde Reply:
In general, if a typical migraine improves after taking the medications you mentioned, it should be nearly resolved. If there is no improvement, one possibility is that it is a status migrainosus, which requires stronger injectable medications for ongoing treatment. Another consi...[Read More] Persistent Headaches: When Pain Medications Fail to Provide Relief
Post-Concussion Symptoms: Headaches, Dizziness, and Insomnia Explained
Symptoms of headache, dizziness, and insomnia following a concussion? Hello Doctor: I had a car accident in March, which resulted in a concussion and a lump on the upper back of my head. Since being discharged from the hospital, I have been experiencing intermittent headaches and...
Dr. Lin Zijing Reply:
Symptoms of a concussion include headache, dizziness, confusion, tinnitus, nausea, blurred vision, poor balance, memory loss, and difficulty concentrating. If the symptoms are mild, normal activities and exercise can typically resume after rest. However, if there has been memory ...[Read More] Post-Concussion Symptoms: Headaches, Dizziness, and Insomnia Explained
Understanding Insomnia After a Fall: Seeking Solutions for Recovery
The issue of insomnia caused by falls? Dear Dr. Lin, My mother recently had a fall while riding her bike, resulting in multiple abrasions and 13 stitches on her right lower leg. She also feels some tightness in her neck and experiences dizziness. Since the fall, she has been exp...
Dr. Lin Zijing Reply:
Sleep medications generally have an effect duration of about 6 hours. Taking them too early may lead to waking up too soon. It is recommended to take the medication 6 to 8 hours before the desired wake-up time. (If you plan to go to bed earlier, it is advisable to refrain from ta...[Read More] Understanding Insomnia After a Fall: Seeking Solutions for Recovery