Understanding Eye Pressure and Head Pain: Causes and Relief Strategies
High intraocular pressure, pain in the temples and eye sockets, stiffness in the shoulders and neck, and nausea? Hello Doctor: I have been troubled by a persistent issue that occurs occasionally, and each time it is quite uncomfortable. The situations in which it happens are not ...
Dr. Jiang Junyi Reply:
Dear Ms. P: The symptoms you mentioned resemble typical vascular headaches, commonly known as migraines. The diagnostic criteria for migraines are as follows: 1. Headaches occur more than 5 times. 2. Without taking pain relief medication, the headache lasts for more than 4 hour...[Read More] Understanding Eye Pressure and Head Pain: Causes and Relief Strategies
Understanding Morning Seizures: Epilepsy or Other Neurological Issues?
Morning seizures Hello, I would like to ask about my wife, who is 30 years old and had two generalized seizures while sleeping half a month ago, leading to a diagnosis of epilepsy. Currently, all tests show no abnormalities. She is taking medication in the morning and evening, bu...
Dr. Jiang Junyi Reply:
Hello Mr. Huang, You mentioned that "my wife experiences abdominal tightness and cramping between 6:00 and 8:00 in the morning." This is not a symptom of ankylosing spondylitis. In addition to cerebral discharges, we should consider lumbar nerve root compression. I wou...[Read More] Understanding Morning Seizures: Epilepsy or Other Neurological Issues?
Understanding Persistent Dizziness: Causes and Anxiety Connections
Constantly experiencing dizziness? Hello, doctor. I do not have anemia, and my thyroid function is normal, but I have been experiencing dizziness. This occurs whether I am lying down, squatting, sitting, or standing (walking). It is not a sensation of vertigo, nor do I feel unste...
Dr. Jiang Junyi Reply:
Dear Miss Enola, You mentioned that "besides lying down... symptoms occur when squatting, sitting, and standing (walking)." Your symptoms may suggest insufficient cerebral blood flow leading to dizziness. It may also be worth considering the possibility of sympathetic ...[Read More] Understanding Persistent Dizziness: Causes and Anxiety Connections
Understanding Morning Seizures: Epilepsy or Other Neurological Issues?
Morning seizures Hello, I would like to ask about my wife, who is 30 years old and had two generalized seizures while sleeping half a month ago, leading to a diagnosis of epilepsy. Currently, all tests show no abnormalities. She has been taking medication in the morning and eveni...
Dr. Jiang Junyi Reply:
Hello Mr. Huang, You mentioned that "my wife experiences abdominal tightness and cramping between 6:00 and 8:00 in the morning." This is not a symptom of ankylosing spondylitis. It resembles symptoms of localized cortical discharges. May I ask if this occurs before tak...[Read More] Understanding Morning Seizures: Epilepsy or Other Neurological Issues?
Persistent Headache and Dizziness: Understanding Tension-Type Headaches
Continuous headaches and dizziness for several days? The headache and dizziness have persisted for seven days, with the pain localized primarily at the temples and extending to both sides. It is uncertain whether the dizziness is caused by the headache. The symptoms occur continu...
Dr. Peng Shiwei Reply:
Hello, tension-type headaches rarely last for 24 hours. If you do not have a specific history of headaches, it is recommended that you visit a neurology outpatient clinic for assistance. Please pay special attention to any signs of low-grade fever or changes in consciousness/aler...[Read More] Persistent Headache and Dizziness: Understanding Tension-Type Headaches
Severe Pain in Left Occipital Area During Freediving: Causes and Concerns
Pain in the left occipital region accompanied by a throbbing sensation? Hello Doctor, I have recently started practicing freediving, but I often experience severe pain in the left posterior part of my head when descending to depths of about five to ten meters, despite normal ear ...
Dr. Jiang Junyi Reply:
Hello Chris, You mentioned experiencing "severe pain in the left occipital region during ascent, which evolved into a throbbing pain accompanied by a heartbeat after resting." Your symptoms may warrant consideration of "decompression sickness." Compared to fr...[Read More] Severe Pain in Left Occipital Area During Freediving: Causes and Concerns
Understanding Brain Fog: Causes, Prevention, and Recovery Tips
Cognitive issues: brain fog? Last night (12/28), I discovered that I tested positive. I heard that it's true that if you just sleep and avoid thinking for the first 48 hours after diagnosis, it can help prevent brain fog. If that's true, I've already been thinking ...
Dr. Peng Shiwei Reply:
Hello, based on current evidence, the risk factors for long COVID sequelae include severe cases and patients who required intubation. Vaccination helps reduce the severity of these sequelae. Currently, there is no specific medication for brain fog, nor is there any particular tre...[Read More] Understanding Brain Fog: Causes, Prevention, and Recovery Tips
Facial Numbness After Waking: Possible Causes and When to Seek Help
Numbness in the upper left side of the face upon waking up? I have been noticing this phenomenon for at least a month now. The main symptom is numbness around my left eye (forehead, temples, cheekbones, etc.), which is not painful. It tends to occur upon waking, especially in the...
Dr. Jiang Junyi Reply:
Hello Mr. Wang: You mentioned that "the symptoms mainly involve numbness around the left eye (forehead, temples, cheekbone, etc.)." This symptom may suggest inflammation of the first branch of the trigeminal nerve (ophthalmic nerve). First, we need to rule out sinusitis...[Read More] Facial Numbness After Waking: Possible Causes and When to Seek Help
Understanding Increased Nerve Pain After Diagnosis: Causes and Treatments
Diagnosis leads to exacerbation of neuropathic pain? Recently, after being diagnosed, the previously occasional neuropathic pain has become frequent, primarily occurring in the abdomen and thighs, both during the day and night (persistent). After taking painkillers, the pain retu...
Dr. Jiang Junyi Reply:
Hello, Ms. Bai: You mentioned that the pain primarily occurs in the abdomen and thighs, is persistent both day and night, and continues after taking pain medication for three to four hours, causing tears. Is this situation common? How should it be assessed and treated? Your sympt...[Read More] Understanding Increased Nerve Pain After Diagnosis: Causes and Treatments
Is It True That Gut Autonomic Nervous Disorders Are Undetectable?
Is it impossible to detect autonomic nervous system dysfunction in the intestines? Hello, doctor. I have been experiencing long-term issues with irritable bowel syndrome (IBS) of the diarrhea type. My doctor mentioned that it is caused by autonomic nervous system dysregulation. A...
Dr. Jiang Junyi Reply:
Hello: You mentioned "autonomic nervous system examinations specifically targeting the intestines," which can utilize questionnaires or tests to assess the activity speed of various parts of the gut. The principle is similar to using a small transmitter (like a dashcam)...[Read More] Is It True That Gut Autonomic Nervous Disorders Are Undetectable?
Understanding Pulsating Pain in the Head and Ear: Possible Causes and Insights
Hello, doctor. Recently, I have started experiencing throbbing pain in my head and a pulsating pain in my ear? Last year, it was similar around this time. I’m not sure if it’s due to the cold weather, but I often start experiencing pain in the left occipital region (the area feel...
Dr. Peng Shiwei Reply:
Hello, since your symptoms seem to be related to ear discomfort and are associated with the opening and closing of the Eustachian tube (such as yawning or swallowing), it is recommended that you consult an otolaryngologist for an examination. Thank you for your inquiry.[Read More] Understanding Pulsating Pain in the Head and Ear: Possible Causes and Insights
Understanding Neurological Symptoms: Is Smoking or High Blood Pressure the Cause?
Experiencing a sensation of heat in the back of the head during winter, inability to lie flat, and starting to feel dizzy after being awake for 16 hours, with the dizziness becoming progressively milder as the night goes on and having no desire to sleep? I started smoking at the ...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to reduce smoking and consult a neurologist to check for any vascular diseases.[Read More] Understanding Neurological Symptoms: Is Smoking or High Blood Pressure the Cause?
Understanding Parkinson's Disease: Symptoms, Diagnosis, and Management
Parkinson's disease Hello doctor, I have a question. Since 2016, whenever I lie flat and remain still, my right leg feels warm and stiff, and it only improves when I move or bend it. Additionally, I often experience muscle twitching in various parts of my body, which is part...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, it may not necessarily be Parkinson's disease. If you feel that your symptoms have worsened over the past few years, it is advisable to consult a neurologist again for an evaluation. Thank you for your inquiry.[Read More] Understanding Parkinson's Disease: Symptoms, Diagnosis, and Management
Understanding Neck Pain and Numbness: Is It Just a Strain or a Stroke?
Neck pain / unilateral numbness? I am currently in the postpartum period and woke up early in the morning to pump breast milk. During this time, I suddenly felt some pain in my right neck, but I can still move my head up, down, and side to side. After going back to sleep and waki...
Dr. Jiang Junyi Reply:
Dear Ms. Jill, You mentioned experiencing "some numbness in your right hand and right cheek." I would like to clarify whether the numbness in your face includes the area around your mouth and nose. If only the jaw area is affected, we may need to consider the possibili...[Read More] Understanding Neck Pain and Numbness: Is It Just a Strain or a Stroke?
Could My Symptoms Indicate Parkinson's Disease? A Patient's Journey
Parkinson's disease Hello Doctor, in July 2014, I experienced severe headaches from hot water while taking a shower, to the point where I felt like I wanted to hit my head against the wall. After that, my body started to change. In July 2015, my right index finger suddenly b...
Dr. Peng Shiwei Reply:
Based on your current age and symptoms, the likelihood of Parkinson's disease is indeed low. However, if you notice any changes or worsening of your symptoms, you should consider visiting a neurologist for further evaluation.[Read More] Could My Symptoms Indicate Parkinson's Disease? A Patient's Journey
Understanding Neck Ultrasound Results: What Your Report Means
Neck ultrasound examination? Hello Doctor, since August of this year, I have been experiencing a series of physical discomforts. I have undergone many tests, and I frequently have pain in my shoulders and neck, along with numbness in my left hand. Recently, I have also experience...
Dr. Cai Zongzhang Reply:
Hello Serein: Based on the symptoms mentioned, it is suggested that there may be conditions related to cervical spine or intracranial vascular diseases. It is recommended to visit a neurologist for a detailed examination to determine the cause.[Read More] Understanding Neck Ultrasound Results: What Your Report Means
Is Coexisting with Symptoms Enough? Insights on Post-COVID Neurological Issues
Is peaceful coexistence enough? Hello Doctor, I gave birth in September and was diagnosed with COVID-19 in October after completing my postpartum confinement. Since the diagnosis, I have noticed that I feel more fatigued and easily drowsy. Additionally, I have suddenly experience...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "the left ear is more affected by allergies (the left side is more prone to nasal congestion and post-nasal drip, etc.)," which may indicate a problem with the Eustachian tube. It is recommended to identify the allergens and reduce the occurren...[Read More] Is Coexisting with Symptoms Enough? Insights on Post-COVID Neurological Issues
Am I Experiencing Epilepsy or a Brain Tumor? Understanding My Symptoms
Do I have epilepsy? Could I possibly have a brain tumor? Hello Doctor, I have two questions to ask you, regarding headaches and epilepsy. Most importantly, I am very worried that I might have a brain tumor or something similar, and I hope to receive some advice. Regarding epile...
Dr. Cai Zongzhang Reply:
Hello, Student C: The symptoms mentioned may be related to sleep apnea. It is recommended to visit a neurologist for a detailed examination to determine the underlying cause.[Read More] Am I Experiencing Epilepsy or a Brain Tumor? Understanding My Symptoms
Understanding Neck and Shoulder Sounds: Possible Causes and Concerns
Neck issues? Recently, after taking a shower (bending over to wash my hair) and using the computer, I notice a clicking sound at the junction of my neck and shoulder, approximately at the trapezius muscle area, specifically on the right side. This occurs only in the evening and r...
Dr. Jiang Junyi Reply:
Hello: You mentioned that the "cracking sound at the junction of the neck and shoulders" may indicate cervical joint pathology, primarily due to degeneration of the cervical facet joints or symptoms caused by cervical disc herniation. This is commonly seen in cases of p...[Read More] Understanding Neck and Shoulder Sounds: Possible Causes and Concerns
Morning Headaches: Causes and Solutions for Better Sleep
Sometimes I experience headaches after waking up in the morning? Hello doctor, I would like to ask about experiencing headaches upon waking up in the morning (occurring about once or twice every one to two weeks). Sometimes it resolves on its own, while other times I need to take...
Dr. Hong Weibin Reply:
Hello: Possible factors for waking up with a headache include poor sleep quality, sleep apnea, medications, caffeine, and increased intracranial pressure, among others. It is recommended that you seek consultation with a neurologist for further evaluation and assistance.[Read More] Morning Headaches: Causes and Solutions for Better Sleep