Understanding Trigeminal Neuralgia: Symptoms, Diagnosis, and Treatment
Trigeminal neuralgia with toothache? Hello, doctor. I would like to inquire about a sudden pain in my right teeth that started a few weeks ago as I approach my 24th birthday. I often experience severe pain in the upper canine and lower areas, or occasionally in the entire right s...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are very similar to the second branch of trigeminal neuralgia. However, the underlying cause still requires further examination. The diagnostic criteria for trigeminal neuralgia are as follows: - At least three attacks - Pain occurring in one or more divisi...[Read More] Understanding Trigeminal Neuralgia: Symptoms, Diagnosis, and Treatment
Understanding Forehead Pain: Causes and When to Seek Help
Headache starting from the left forehead? Hello, my headache starts on the left side of my forehead and gradually expands. After lying down and waking up, it begins to hurt after sitting for about half an hour; standing up alleviates the pain, but sitting down or lying flat cause...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are more indicative of a cervical myofascial issue. However, the possibility of increased intracranial pressure cannot be ruled out, as lying down can elevate intracranial pressure, and there can also be an increase in intracranial pressure during defecation....[Read More] Understanding Forehead Pain: Causes and When to Seek Help
Understanding Lower Back Pain: Causes, Symptoms, and Treatment Options
Lumbar issues? I used to wear high heels frequently for work, but I haven't worn any heeled shoes for almost two years now. However, I feel like I have an issue with anterior pelvic tilt. I have tried chiropractic adjustments, but they didn't seem to help much. To lose ...
Dr. Cai Zongzhang Reply:
It is recommended to consult a neurologist to check for symptoms caused by lumbar nerve compression.[Read More] Understanding Lower Back Pain: Causes, Symptoms, and Treatment Options
Chronic Right Upper Arm Pain: Causes and Management Strategies
Persistent pain in the right upper arm? I would like to ask the doctor, I am currently 18 years old, but I have experienced persistent pain in my right upper arm since childhood. It is not particularly severe, but certain specific positions can trigger intense soreness, requiring...
Dr. Jiang Junyi Reply:
Hello: Based on your description, it may be necessary to consider cervical spine disorders. Excessive force during cervical rotation and other external factors may lead to cervical instability, dislocation, and cervical disc herniation. Typical discomfort symptoms associated with...[Read More] Chronic Right Upper Arm Pain: Causes and Management Strategies
Chronic Right Upper Arm Pain: Causes and Management Strategies
Persistent pain in the right upper arm? I would like to ask the doctor, I am currently 18 years old, but I have experienced persistent pain in my right upper arm since childhood. It's not particularly severe, but certain specific positions can trigger intense soreness, requi...
Dr. Jiang Junyi Reply:
Hello, based on your described symptoms, they are very similar to cervical myofascial pain syndrome. Clinically, it often presents as pain at the affected site, discomfort, muscle stiffness, or a heavy sensation, and sometimes palpable fibrous nodules in the subcutaneous tissue. ...[Read More] Chronic Right Upper Arm Pain: Causes and Management Strategies
Chronic Right Upper Arm Pain: Causes and Management Strategies
Persistent pain in the right upper arm? I would like to ask the doctor, I am currently 18 years old, but I have had persistent pain in my right upper arm since childhood. It is not particularly severe, but certain specific positions can trigger intense soreness, requiring me to c...
Dr. Jiang Junyi Reply:
Hello: Based on your description, it may be necessary to consider cervical spine disorders, possibly due to nerve root compression. Excessive force during cervical rotation and other external factors may lead to cervical instability, dislocation, and cervical disc herniation. Typ...[Read More] Chronic Right Upper Arm Pain: Causes and Management Strategies
Understanding Shortness of Breath: Neurological Insights and Solutions
Feeling of chest tightness and shortness of breath? Hello, doctor. I used to occasionally feel the need to take deep breaths throughout the day for comfort, but recently this has become a frequent occurrence. Now, I feel very fatigued after walking a short distance, and I experie...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest hyperventilation syndrome. It is possible that you are using your breathing to regulate discomfort. Hyperventilation can lead to a decrease in carbon dioxide levels in the blood, resulting in an increased pH, a condition known medically as "r...[Read More] Understanding Shortness of Breath: Neurological Insights and Solutions
Chronic Joint Pain for 26 Years: Seeking Answers and Effective Solutions
I have been troubled by joint issues for approximately 26 years, and all examinations have yielded no results? Hello, I have been experiencing issues with my joints since the fourth grade, and I am now 36 years old, with these problems still persisting. I have undergone prelimina...
Dr. Jiang Junyi Reply:
Hello: It seems that you may have a problem with widespread pain. Conditions that can manifest as widespread pain include inflammatory or degenerative arthritis, thyroid disorders, vitamin D deficiency, systemic lupus erythematosus, polymyositis, liver disease, kidney disease, le...[Read More] Chronic Joint Pain for 26 Years: Seeking Answers and Effective Solutions
Understanding Ear Pulsations: Causes and Treatment Options
There is a sensation of vibration in the ear? Hello, Doctor. Here’s the situation: I have a noticeable pulsating sensation in my right ear, as if some structure is beating or vibrating. I’ve researched online and found that this is different from tinnitus, as it’s not a sound of ...
Dr. Jiang Junyi Reply:
Hello: Based on your description, it may be necessary to consider Eustachian tube dysfunction, which can lead to pressure imbalance in the middle ear. This may cause a sensation of vibration at times. I recommend that you consult an otolaryngologist to discuss examination and tre...[Read More] Understanding Ear Pulsations: Causes and Treatment Options
Understanding Eye Twitching and Facial Muscle Spasms: Causes and Solutions
Eyelid twitching and facial muscle spasms? I have been experiencing eyelid twitching in my right eye for about two weeks. After a week of twitching, I visited an ophthalmologist who reassured me that the twitching would eventually resolve and advised me not to worry. A few days l...
Dr. Jiang Junyi Reply:
Hello: The majority of causes of eyelid spasms are unknown, with females being affected approximately three times more than males. Common causes include dry eye syndrome, high levels of stress, eye inflammation, light sensitivity, consumption of caffeine and tobacco, dysfunction ...[Read More] Understanding Eye Twitching and Facial Muscle Spasms: Causes and Solutions
Understanding Nighttime Headaches: Causes and When to Seek Help
Headache during sleep at night? Hello Doctor: I am the person who asked question #166040. It seems that the answer to someone else's question was mistakenly applied to mine, so I am asking again. Thank you! I have a history of migraines, experiencing them about 2-3 times a m...
Dr. Jiang Junyi Reply:
Hello: Your symptoms occurring at midnight may suggest a variant of migraine. Alternatively, it could be due to slow breathing during sleep, leading to increased cerebral blood flow and elevated intracranial pressure, which can cause headaches. It is recommended that you visit a ...[Read More] Understanding Nighttime Headaches: Causes and When to Seek Help
Understanding Neurological Symptoms: Concerns About Hand Weakness
Regarding the previous question? Hello Doctor, I am the person who previously asked you about experiencing weakness in the first phalanx of my left finger, where it sometimes cannot be pressed down. I have read your response multiple times, but I still don't understand your ...
Dr. Jiang Junyi Reply:
Hello: You may be overthinking it. It is recommended to establish a complete medical history with the same hospital. The diagnosis of a disease requires a period of observation and assessment. It is advisable to develop a routine of moderate exercise and regular sleep patterns, i...[Read More] Understanding Neurological Symptoms: Concerns About Hand Weakness
Understanding Neurogenic Disorders: Dizziness, Sleep Issues, and Blood Pressure
Hypoxia? Orthostatic hypotension? Hello, doctor! I have been experiencing issues with autonomic nervous system dysregulation for the past year, with symptoms that vary. Recently, I often feel dizzy when I stand up after sitting, experiencing a sensation of pressure in my head, bl...
Dr. Jiang Junyi Reply:
Hello: Your symptoms have been present for a while, and it is recommended to first improve your sleep hygiene. If there are issues with sleep disorders, it is advisable to undergo a polysomnography. In a sleep center, during the polysomnographic examination, patients are asked to...[Read More] Understanding Neurogenic Disorders: Dizziness, Sleep Issues, and Blood Pressure
Persistent Headaches: Understanding Symptoms and Seeking Solutions
Persistent headache for six months? One night, I experienced severe headaches and pain around my eye sockets. I was only able to sleep after taking a sleeping pill. The next day, the pain subsided, but I developed shoulder pain. This lasted for a day and then went away. Subsequen...
Dr. Jiang Junyi Reply:
Hello: You may need to consider issues related to cervical fascia. Degenerative changes in the cervical spine can lead to neck pain and stiffness, as well as pain that radiates to the shoulders, arms, and hands due to compression of nearby nerve roots, causing discomfort. Medic...[Read More] Persistent Headaches: Understanding Symptoms and Seeking Solutions
Understanding Nighttime Headaches: Causes and When to Seek Help
Headache during sleep at night? Hello Doctor: I have a history of migraines, occurring about 2-3 times a month, usually while I am awake. However, in the past month, I have been experiencing headaches frequently during the night, waking up suddenly from sleep due to pain. On a pa...
Dr. Jiang Junyi Reply:
Hello: The commonly referred to "wet ears" is actually oily earwax. It is not recommended to use cotton swabs for cleaning, as they often push the earwax further in, leading to impaction. The external auditory canal has its own self-cleaning mechanism, so it is advisabl...[Read More] Understanding Nighttime Headaches: Causes and When to Seek Help
Understanding Neurological Symptoms: A Guide to Managing Stress and Discomfort
Please take a look for me, thank you? I experience eye strain, dizziness, a feeling of pressure in my head, numbness in my head and the back of my skull, tinnitus, rapid heartbeat, numbness and trembling in my hands, chest tightness, stomach pain, loud bowel movements, dry mouth,...
Dr. Cai Zongzhang Reply:
It is recommended to visit the neurology outpatient clinic for further examination.[Read More] Understanding Neurological Symptoms: A Guide to Managing Stress and Discomfort
Dizziness When Lying Down or Getting Up: Possible Causes and Solutions
Experiencing dizziness when lying down or getting up? Hello, Doctor: Recently, I have been experiencing dizziness for a few seconds when lying down and getting up (I feel normal during the day, only when sleeping). I have a cerebral venous aneurysm, and my doctor said to monitor ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest Benign Paroxysmal Positional Vertigo (BPPV). The characteristic symptoms include brief episodes of dizziness related to changes in head position, such as bending over, tilting back, lying down, getting up, turning over, or suddenly turning your he...[Read More] Dizziness When Lying Down or Getting Up: Possible Causes and Solutions
Understanding Sudden Sharp Pain in the Back of the Head
Pain in the back of the head? Two days ago, I suddenly experienced a sharp, lightning-like pain in the area near the back of my head, specifically on the right side. The pain occurs as a brief episode and is not consistent in timing; it can happen at any time throughout the day. ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest tension-type headache, which is caused by muscle tightness in the head. Common manifestations include tight, constricting pain in the forehead and temples, similar to wearing a tight headband. Since it is caused by muscle fatigue, it typically sta...[Read More] Understanding Sudden Sharp Pain in the Back of the Head
Understanding Unexplained Dizziness: Causes and Solutions
Unexplained dizziness? Hello Doctor, I have been experiencing a pulsating sensation in the back of my head and a feeling of instability for five years. It feels like I am walking on cotton. I have undergone numerous tests and only found a small bone spur in my neck that does not ...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider cervical nerve root compression, which is often related to tightness in the cervical muscles and fascia, as well as cervical degeneration. Symptoms may include pain at the affected site, discomfort, muscle stiffnes...[Read More] Understanding Unexplained Dizziness: Causes and Solutions
Managing Inner Ear Pulsations: Tips for Better Sleep and Anxiety Relief
Inner ear issues Hello Dr. Tsai, I have been experiencing noticeable pulsatile tinnitus while lying on my pillow during sleep, which has been affecting my ability to fall asleep for some time. Recently, I have also felt more anxious and tense. I wonder if there are any methods to...
Dr. Cai Zongzhang Reply:
It is recommended to visit the neurology and otolaryngology outpatient clinics for examination.[Read More] Managing Inner Ear Pulsations: Tips for Better Sleep and Anxiety Relief