Chronic Migraines: Seeking Relief from Severe Headaches at Night
Increasingly severe headaches, requiring sitting up to sleep at night? Hello Dr. Jiang, I have been experiencing frequent migraines since high school, usually starting on the right side and spreading to the entire back of my head. When the pain is intense, I often vomit, and I h...
Dr. Jiang Junyi Reply:
Dear Ms. Ni, You mentioned that "since high school, I have frequently experienced migraines... I have visited several clinics, and they all prescribed pain relievers and muscle relaxants." Your symptoms may need to be considered for Chronic Daily Headache, defined as h...[Read More] Chronic Migraines: Seeking Relief from Severe Headaches at Night
Understanding Persistent Dizziness, Headaches, and Unseen Tremors
Dizziness, headache, and unseen body tremors? I would like to ask the doctor, I have been experiencing a sensation of dizziness for the past three months. It is not a spinning sensation, nor does the visual field appear to be swirling; rather, it feels like being on a boat, with ...
Dr. Jiang Junyi Reply:
Hello Ms. Hong, You mentioned, "Sometimes I wake up in the morning with pain in my hands and sometimes in my feet, and the pain feels like inflammation..." Due to the presence of widespread pain, fibromyalgia should be considered. This is a complex clinical syndrome th...[Read More] Understanding Persistent Dizziness, Headaches, and Unseen Tremors
Understanding Persistent Tinnitus: Causes, Tests, and Treatment Options
Tinnitus for three months? Hello Doctor: Three months ago, I suddenly experienced tinnitus without any apparent cause. My hearing has not been affected, but I feel like there is a high-frequency cicada sound in the background, which becomes louder after physical activity. I have ...
Dr. Jiang Junyi Reply:
Hello Mr. QQQ: You mentioned that "hearing tests, tympanometry, no sinus inflammation, brainstem auditory evoked potentials, electroencephalogram, SSR+RRIV, intracranial vascular ultrasound, and carotid ultrasound were all normal. I am curious if sleep affects tinnitus?.... ...[Read More] Understanding Persistent Tinnitus: Causes, Tests, and Treatment Options
Understanding Headache Relief: When to Use Painkillers Safely
Medications for Headaches I have been experiencing occasional headaches that are not very severe and usually resolve after a good night's sleep. They typically occur in the late afternoon, with a tight pain in the brow and forehead, sometimes triggered by premenstrual sympto...
Dr. Jiang Junyi Reply:
Dear Ms. Nana, You mentioned experiencing tight pain in the brow bone and forehead, sometimes occurring premenstrually, due to lack of sleep, or prolonged exposure to air conditioning, along with soreness in your shoulders and neck. You also asked if there is a limit to the use ...[Read More] Understanding Headache Relief: When to Use Painkillers Safely
Managing Trigeminal Neuralgia: Tips for Relief After Surgery
Trigeminal neuralgia Hello, I underwent a surgical excision of an odontogenic tumor four months ago. After the surgery, I started experiencing neuropathic pain, which was diagnosed as trigeminal neuralgia by a neurologist. I continue to have pain upon waking, and now I only exper...
Dr. Jiang Junyi Reply:
Dear Ms. Anne, You mentioned that your neurologist diagnosed you with trigeminal neuralgia, and that you experience persistent pain upon waking and are often awakened by pain during sleep. Your symptoms are affecting your sleep quality, and I recommend considering medication for...[Read More] Managing Trigeminal Neuralgia: Tips for Relief After Surgery
Understanding Fasciculations: Causes and When to Seek Help
Widespread muscle twitching? Hello Doctor, I have been experiencing persistent muscle twitching all over my body for the past two months, with the location varying. Additionally, I sometimes have mild headaches, feel fatigued throughout the day, and occasionally experience tingli...
Dr. Jiang Junyi Reply:
Hello Mr. Shi: You mentioned that "all the muscles in my body are twitching continuously... I also have a bit of a headache... there are no electrolyte abnormalities or muscle atrophy." Prolonged exercise is one of the main causes of muscle twitching. In addition to mus...[Read More] Understanding Fasciculations: Causes and When to Seek Help
Uncontrollable Body Shaking and Sleep Disturbances: A Neurological Concern
Involuntary body shaking and inability to sleep? Hello Doctor, I apologize for the lengthy question. After being diagnosed with chronic gastritis in May, my doctor prescribed me Sucralfate for a month. However, three days after stopping the medication, I began to hear my heartbea...
Dr. Cai Zongzhang Reply:
Hello, Ruo Xue: Based on the above information, the results of the thyroid function and carotid artery examinations are normal. Autonomic nervous system dysfunction is the most likely diagnosis. It is recommended to cooperate with the physician for medication treatment and to avo...[Read More] Uncontrollable Body Shaking and Sleep Disturbances: A Neurological Concern
Understanding Persistent Dizziness: When to See a Neurologist or Psychologist
1. No anemia, no low blood pressure, yet feeling dizzy all day? I just finished seeing the doctor, who recommended that I undergo a self-paid scan. Without the scan, I won't know anything. So far, I've seen a neurologist twice for issues related to migraines, insomnia, ...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned, "No anemia, no low blood pressure, yet feeling dizzy all day?" Given the recent hot weather, it may be important to consider heat-related illnesses. The primary cause is the dilation of skin microvessels in high-temperature outdoor environme...[Read More] Understanding Persistent Dizziness: When to See a Neurologist or Psychologist
Understanding Ear Symptoms During a Cold: What You Need to Know
Follow-up after a cold? I currently have a cold. My nasal congestion and runny nose are severe, and I'm feeling extremely uncomfortable. Two nights ago, I felt a strong pulsation in the blood vessels of my right ear, but after sleeping, it improved. Now, I feel a similar pul...
Dr. Jiang Junyi Reply:
Hello Mr. Hsiao: You mentioned, "I have a cold. My nasal congestion and runny nose are very severe, and I feel extremely uncomfortable. The blood vessels in my ear are constantly pulsating. Could a problem with the Eustachian tube cause me to suddenly hear the sound of the b...[Read More] Understanding Ear Symptoms During a Cold: What You Need to Know
Understanding Neurological Inflammation: Managing Symptoms and Home Care
Suspected neuroinflammation Hello, doctor. My father is 70 years old. Two months ago, he caught a cold, which led to nightly coughing and lower back pain. After recovering from the cold, the back pain worsened instead of improving. About a week later, he developed severe pain in ...
Dr. Jiang Junyi Reply:
Dear Ms. Awan, You mentioned that your father is suspected to have a metabolic issue, and it is recommended that he be referred to a neurologist. I suggest that he first consult with an internist or a rehabilitation physician at the same hospital for blood tests and peripheral n...[Read More] Understanding Neurological Inflammation: Managing Symptoms and Home Care
Understanding Trigeminal Neuralgia: Causes and Sleep Disruptions
Pain issues, thank you? Hello, doctor. I would like to ask why I wake up with trigeminal neuralgia just before fully waking up. It seems that the pain from the trigeminal nerve wakes me up first. What could be the reason for this? I started experiencing this after having a bone s...
Dr. Cai Zongzhang Reply:
Hello: Trigeminal neuralgia that lasts longer than 6 months is classified as chronic pain, which is difficult to cure. Medications can be used to help control and reduce the intensity and frequency of the pain.[Read More] Understanding Trigeminal Neuralgia: Causes and Sleep Disruptions
Understanding Daytime Sleepiness: Causes and Solutions for Your Symptoms
Feeling sleepy several times throughout the day? Hello, doctor. In recent weeks, I've been feeling sleepy after breakfast and also around noon. Could this be due to insufficient sleep? During these episodes, my eyes are somewhat sensitive to light, and I experience eye strai...
Dr. Jiang Junyi Reply:
Hello Ms. Rose, You mentioned, "This happens only after the second confirmation. Previously, when I was diagnosed with post-COVID sequelae, the traditional Chinese medicine practitioner felt my pulse and told me I have mild anemia, so I am currently undergoing treatment.&qu...[Read More] Understanding Daytime Sleepiness: Causes and Solutions for Your Symptoms
Understanding Benign Muscle Twitches: When to Worry and When to Relax
Nervous tics Hello, Doctor! I would like to inquire about my muscles twitching or spasming almost every day. However, there is no pain; the twitching stops after a moment and then resumes later, which is noticeable. I have also been to the hospital for tests like electromyography...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "the hospital conducted tests such as electromyography, and the doctor said everything is normal with no concerning abnormalities, indicating that this is benign muscle twitching..." The causes of muscle twitching can include not only mus...[Read More] Understanding Benign Muscle Twitches: When to Worry and When to Relax
Understanding Ear Pulsations: Possible Causes and Remedies
I'm not sure what happened? Hello Doctor, I occasionally feel a pulsating sensation in the blood vessels of my ears that lasts about ten seconds. This happens occasionally in both ears, mostly before and during my menstrual period, as well as when I am sleep-deprived. Someti...
Dr. Jiang Junyi Reply:
Hello Ms. Yan: You mentioned that "the blood vessels are pulsating... mostly occurring before menstruation, during menstruation, and when sleep-deprived... headaches during menstruation have become more severe... I take one Panadol daily for about three to four days." T...[Read More] Understanding Ear Pulsations: Possible Causes and Remedies
Understanding Persistent Dizziness After Influenza: Causes and Solutions
Consultation for dizziness and lightheadedness issues? Hello Doctor, I was diagnosed with influenza type A two months ago. The flu itself resolved quickly, but I started experiencing dizziness afterward, which has persisted until now. My dizziness is intermittent; it doesn't...
Dr. Jiang Junyi Reply:
Hello Mr. Tim, You mentioned that during episodes, you experience slight dizziness, a feeling of heaviness in your head, increased eye fatigue, a sense of visual distortion, and difficulty focusing. You also find it harder to concentrate when talking to others. Although your con...[Read More] Understanding Persistent Dizziness After Influenza: Causes and Solutions
Understanding the Habit of Tensing Your Throat: Causes and Solutions
Constant strain on the throat? Hello Doctor, I’m not sure when I started the habit of straining my throat, but it has been at least two months (not related to swallowing, but near the chin area). It feels a bit like a frog (and I also tense and relax repeatedly). I have been tryi...
Dr. Jiang Junyi Reply:
Hello, Ms. Chocolate Bobbie: You mentioned feeling a bit of tightness in that area, and that you unconsciously exhibit certain behaviors that have been troubling you, even leading you to feel that your double chin has worsened. This may be indicative of a tic disorder, which is ...[Read More] Understanding the Habit of Tensing Your Throat: Causes and Solutions
Navigating Multiple Sclerosis Treatment: Options Without Medication
Treatment for Multiple Sclerosis Hello, Doctor. I was diagnosed with multiple sclerosis this year. I found information online stating that if I do not start medication early to control it, I may develop disabilities within five years. However, my application for the major illness...
Dr. Jiang Junyi Reply:
Dear Ms. Lily, You mentioned, "I was diagnosed with multiple sclerosis this year..." Clinically, doctors will conduct an MRI examination within six months to determine the progression of the disease. You also mentioned, "Patients can rely on diet, exercise, stress...[Read More] Navigating Multiple Sclerosis Treatment: Options Without Medication
Understanding Neurological Symptoms: When to Seek Further Medical Help
Numbness in the head, facial numbness, and finger twitching, etc? Hello Dr. Tsai, a year and a half ago I experienced chest numbness, chin pain, pain in my left shoulder and left arm, and soreness in my left fingers and wrist. Subsequently, I developed numbness on the right side ...
Dr. Cai Zongzhang Reply:
Hello: Insufficient sleep can also trigger multiple neuropathic pain, making it harder to fall asleep and creating a vicious cycle. It is recommended to first improve sleep, which may also alleviate pain symptoms. Magnetic resonance imaging (MRI) has ruled out structural diseases...[Read More] Understanding Neurological Symptoms: When to Seek Further Medical Help
Understanding Ear Pain: Causes and Solutions for Nocturnal Discomfort
Ear pain issues? Hello, doctor: I would like to ask, when I sleep on my left side, I wake up to find pain in the area of the auricle and the depression in front of the ear. Pressing with my finger causes discomfort. Previously, moving my jaw would alleviate the pain, but recently...
Dr. Jiang Junyi Reply:
Dear Mr. Bin, You mentioned that "pressing on the area around the ear and the depression in front of the auricle causes pain." Your symptoms may suggest temporomandibular joint (TMJ) disorder. Common symptoms include occasional jaw deviation when opening the mouth, pai...[Read More] Understanding Ear Pain: Causes and Solutions for Nocturnal Discomfort
Understanding Unusual Head Sensations: Insights from Neurology
Abnormal sensations in the head? Hello, Doctor: 1. In recent months, when I close my eyes to fall asleep, I often feel a strange pressure on the top of my head (like a sensation of a large object pressing down on me, which I couldn't find any similar symptoms online). 2....
Dr. Chen Weida Reply:
Hello Mr. Liu, if this issue has been troubling you for a long time, I recommend that you visit a neurology clinic for an evaluation by a specialist, in order to improve your quality of life. Wishing you health and safety, thank you.[Read More] Understanding Unusual Head Sensations: Insights from Neurology