Understanding Tension-Related Dizziness: Causes and Concerns
Tightening dizziness (pain?) Hello Dr. Jiang, I would like to ask you a few questions. Several years ago, after changing jobs (in a typical office setting with extensive computer use), I started experiencing dizziness on the right side of my head a few times each year. It's ...
Dr. Jiang Junyi Reply:
Hello: The tension-type headache you mentioned is caused by tightness in the muscles of the head. Common manifestations include a constricting pain in the forehead and temples, similar to wearing a tight headband. Since it is caused by muscle fatigue, it typically begins in the a...[Read More] Understanding Tension-Related Dizziness: Causes and Concerns
Understanding Facial Twitching: Causes and When to Seek Help
Facial twitching? Hello, I have a question. Recently, I've been experiencing frequent twitching in my left cheek, almost like a muscle spasm, especially after eating. Could you please explain why this is happening? Is it a warning sign from my body?
Dr. Hong Weibin Reply:
Hello: There are many types of muscle twitching, including muscle fasciculation, muscle myokymia, muscle spasm, and muscle myoclonus, among others (which are difficult to translate into Chinese). The causes are quite varied, with the most common being stress, electrolyte imbalanc...[Read More] Understanding Facial Twitching: Causes and When to Seek Help
Understanding Persistent Symptoms: Headaches, Dizziness, and Nausea in Depression Treatment
Headache, drowsiness, dizziness, and nausea? Hello doctor, I am a patient with depression and I am taking medication for it. Initially, I had no issues with the medication, and any side effects were considered normal. At first, I experienced nausea and drowsiness as side effects,...
Dr. Cai Zongzhang Reply:
It is recommended to undergo an examination by a neurologist.[Read More] Understanding Persistent Symptoms: Headaches, Dizziness, and Nausea in Depression Treatment
Understanding Involuntary Leg Movements Before Sleep: Causes and Solutions
Foot problems Recently, when I lie down to prepare for sleep, my legs often shake uncontrollably while I remain still. It feels somewhat like trembling but is slightly different, almost like a sensation of blood flow reversing, and it only occurs in my lower body. The shaking las...
Dr. Cai Zongzhang Reply:
It is recommended to visit the neurology outpatient clinic.[Read More] Understanding Involuntary Leg Movements Before Sleep: Causes and Solutions
Understanding Facial Twitching: Causes and When to Seek Help
Facial twitching? Hello, I have a question. Recently, I've been experiencing frequent twitching in my left cheek, almost like a muscle spasm, especially after eating. Could you tell me why this is happening? Is it a warning sign from my body?
Dr. Hong Weibin Reply:
Hello: There are many causes of muscle twitching, with the most common being stress, electrolyte imbalances, lack of sleep, dehydration, excessive caffeine or stimulant intake, certain medications, fatigue, kidney disease, and diabetic neuropathy, among others. You may want to ob...[Read More] Understanding Facial Twitching: Causes and When to Seek Help
Understanding Headaches During Straining: Causes and Concerns
Headache during exertion? Hello, doctor. I have been experiencing headaches, and recently I noticed that when I strain while using the restroom, I feel a tightening in my temples along with the headache. I looked it up online and it seems to be a symptom of increased intracranial...
Dr. Jiang Junyi Reply:
Hello, based on your description, cervical myofascial pain syndrome should be considered first. Symptoms may include pain, discomfort, muscle stiffness, or a feeling of heaviness. Symptoms may worsen with changes in weather and can be alleviated with stretching activities, often ...[Read More] Understanding Headaches During Straining: Causes and Concerns
Understanding Sleep Talking: Is It a Sign of Parkinson's Disease?
Sleep talking My roommate says that I often scream in my sleep, about once or twice a month, but I am not aware of it. I curse and seem to be arguing with someone. I looked it up online and it said this could be a precursor to Parkinson's disease... what should I do?
Dr. Hong Weibin Reply:
Hello: Talking loudly in your sleep is not a precursor to Parkinson's disease. This phenomenon is known as sleep talking (somniloquy). It is a common occurrence among many people, with up to 66% experiencing it. There may be a slight genetic predisposition. To improve sleep ...[Read More] Understanding Sleep Talking: Is It a Sign of Parkinson's Disease?
Understanding Right-Sided Head Pain: Possible Causes and Solutions
Headache Hello doctor, I woke up this morning with a dull pain in the back of my head on the right side. The pain extends from the area below the protruding bone down to the upper part of my neck. What could be the issue?
Dr. Hong Weibin Reply:
Hello: If you are experiencing simple neck and upper back pain, it may be due to improper sleeping posture or an unsuitable pillow height, leading to muscle tension and strain. You can initially use pain relief patches, and symptoms should improve within 2-3 days. However, if you...[Read More] Understanding Right-Sided Head Pain: Possible Causes and Solutions
Car Accidents and Stroke: Understanding Risks and Treatment Options
Car accidents and strokes? The mother was involved in a car accident where she sustained a head impact, but there were no external injuries. She was taken to a nearby hospital's emergency department, where a head X-ray was not performed. At the time of the accident, her bloo...
Dr. Hong Weibin Reply:
Hello: It is unclear whether it is a hemorrhagic stroke or an ischemic stroke. A car accident is unlikely to directly cause a stroke, but it could potentially lead to a brain hemorrhage, which may subsequently cause vascular spasms and result in an ischemic stroke. I recommend di...[Read More] Car Accidents and Stroke: Understanding Risks and Treatment Options
Understanding Dizziness and Weakness: Causes and Solutions
Dizziness, numbness in the head, and weakness? Taking care of a sick child at night, I felt anxious and scared, only managing to sleep for an hour. When I woke up, I occasionally experienced dizziness, during which my head felt empty, and I also had a tingling sensation in my hea...
Dr. Cai Zongzhang Reply:
Based on the described symptoms, it may be caused by insufficient sleep. It is recommended to first improve sleep quality; if there is no improvement, please visit a neurology outpatient clinic.[Read More] Understanding Dizziness and Weakness: Causes and Solutions
Understanding Finger Spasms: Causes and Solutions for Neurological Issues
Inability to open fingers of both hands? Initially, there were spasms in the fingers, such as when holding a pen or chopsticks, causing the fingers to seem to curl inward and unable to open. Now, the frequency has increased, and almost every time I perform fine motor tasks, it oc...
Dr. Cai Zongzhang Reply:
It is recommended to visit the neurology outpatient clinic for examination.[Read More] Understanding Finger Spasms: Causes and Solutions for Neurological Issues
Understanding Bedwetting: Could It Indicate a Neurological Issue?
Bladder issues Hello doctor, I accidentally urinated a few drops while I was sound asleep at five o'clock this morning, and then I immediately woke up and went to the bathroom. I read online that bedwetting could be related to brain issues. Could this be a sign of a brain tu...
Dr. Hong Weibin Reply:
Hello: Usually, simple urinary incontinence does not only consider issues related to the head; spinal cord problems also need to be taken into account. Additionally, if this is just a one-time occurrence, it is difficult to conclude that there is a pathological issue. It is more ...[Read More] Understanding Bedwetting: Could It Indicate a Neurological Issue?
Managing Dizziness and Drowsiness After a Stroke: Key Insights
Dizziness and drowsiness after a stroke? Hello Doctor: In July, I experienced paralysis and numbness on my left side. After being taken to the hospital, I was diagnosed with acute cerebral embolism located in a small vessel near the right brainstem. I received intravenous thrombo...
Dr. Hong Weibin Reply:
Hello: After a stroke occurs, even with the administration of thrombolytics, the blockage of blood vessels in the brain usually causes some degree of neurological damage, leading to certain sequelae. You may want to discuss this with your attending physician and evaluate whether ...[Read More] Managing Dizziness and Drowsiness After a Stroke: Key Insights
Understanding Sleep-Related Brain Issues: Causes and Concerns
Sleep-related brain issues Hello Doctor: When I was in middle school, I often stayed up late without taking medication or drinking coffee. I don't know the reason, but I frequently experienced increased pressure in my brain accompanied by persistent noise, which would sudden...
Dr. Jiang Junyi Reply:
Hello: Since your symptoms occur during sleep, it may be necessary to consider sleep disorders such as REM Sleep Behavior Disorder, abnormal brain discharges during sleep, etc. It is recommended that you consult a sleep medicine specialist to discuss examinations (including multi...[Read More] Understanding Sleep-Related Brain Issues: Causes and Concerns
Understanding Dizziness: Differentiating Between Common Neurological Conditions
Differential Diagnosis of Dizziness Hello, doctor. Since elementary school, I have been experiencing dizziness (not vertigo) for over ten years. I feel constantly lethargic, mentally drained, anxious, and very prone to motion sickness. My dizziness worsens when I am in large shop...
Dr. Jiang Junyi Reply:
Hello: You mentioned that the three conditions seem to lack a clear direction. I suggest starting with a cup of black coffee every morning. Hyperbaric oxygen therapy is considered an adjunctive treatment and cannot cure headaches or similar conditions. You might try it for 5-10 s...[Read More] Understanding Dizziness: Differentiating Between Common Neurological Conditions
Managing Dizziness, Headaches, and Vision Changes: A Neurology Guide
Dizziness, headache, and vision changes? Hello Doctor, I have a problem with anemia. Since last week, I have been experiencing frequent dizziness and nausea, and I have difficulty walking and standing steadily. About three days ago, I visited a doctor who prescribed me Iron suppl...
Dr. Jiang Junyi Reply:
Hello, Have you had a blood test? Do you have iron deficiency anemia? The iron supplement you mentioned, "Yixuekang," contains Ferrous Fumarate 50mg, Vitamin B2 1mg, Vitamin B12 2mcg, Vitamin B1 1mg, Niacinamide 3mg, and Folic Acid 2mg. Generally speaking, if your ane...[Read More] Managing Dizziness, Headaches, and Vision Changes: A Neurology Guide
Understanding Involuntary Movements During Sleep: Possible Causes and Concerns
Involuntary movements during sleep? Hello Doctor, my father was recently diagnosed with prostate cancer and was hospitalized. During his hospital stay, he often experienced involuntary movements and shaking of his limbs while sleeping, occasionally talking in his sleep and waving...
Dr. Hong Weibin Reply:
Hello: I would suggest starting the investigation with paraneoplastic syndrome caused by prostate cancer, especially in patients with more severe conditions. Cancer often produces various autoimmune antibodies that may attack normal tissue cells in the body, leading to a range of...[Read More] Understanding Involuntary Movements During Sleep: Possible Causes and Concerns
Understanding Tension Headaches: Causes, Symptoms, and Treatment Options
Tension headache Doctor, I occasionally experience headaches that usually start in the afternoon and persist. The pain is located in my temples, forehead, eye sockets, and the back of my neck. It worsens with exertion, but I don't have any other symptoms. This has been going...
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, resembling the feeling of wearing the Monkey King's golden headband. Since it is cause...[Read More] Understanding Tension Headaches: Causes, Symptoms, and Treatment Options
Understanding Bedwetting: Could It Be a Neurological Issue?
Bladder issues Hello doctor, I accidentally urinated a few drops while I was sound asleep at 5 AM today, and then I immediately woke up and went to the bathroom. I read online that bedwetting could be related to brain issues. Could this be a sign of a brain tumor or something sim...
Dr. Hong Weibin Reply:
Hello: Usually, simple urinary incontinence does not only consider issues related to the head, but also requires attention to spinal cord problems. Additionally, if this is just a one-time occurrence, it is difficult to say that there is a pathological issue. It is more likely th...[Read More] Understanding Bedwetting: Could It Be a Neurological Issue?
Understanding Bedwetting: Is It a Sign of Neurological Issues?
Bladder issues Hello doctor, I accidentally urinated a few drops while I was sound asleep at five in the morning, and then I immediately woke up and went to the bathroom. I read online that bedwetting could be related to brain issues. Could this mean I have a brain tumor or somet...
Dr. Hong Weibin Reply:
Hello: Usually, simple urinary incontinence does not only consider issues related to the head; spinal cord problems also need to be taken into account. Additionally, if it only happened once, it is difficult to say that there is a pathological issue. It is more likely that you ma...[Read More] Understanding Bedwetting: Is It a Sign of Neurological Issues?