Daily Headaches and Dizziness: Understanding Neurological Concerns
Daily headaches? I am currently in my senior year of high school and have a history of low blood pressure. I am managing my diet, and I also have a 23-degree scoliosis. I experience daily headaches or dizziness; sometimes the pain is mild, but at other times it feels like my head...
Dr. Jiang Junyi Reply:
Hello, according to your description, the definition of chronic daily headache is: occurring on at least 15 days per month for a duration of at least 6 months. When migraines occur on at least 15 days per month, we refer to it as "chronic migraine." When tension-type he...[Read More] Daily Headaches and Dizziness: Understanding Neurological Concerns
Understanding Sleep Disorders in Teens: When to Seek Help
Sleep issues Doctor: Hello! I would like to ask about my 16-year-old nephew who has been living with me for three months while attending high school. Recently, I noticed he has a strange symptom: no matter how late he goes to bed, as soon as he lies down, he falls asleep within t...
Dr. Jiang Junyi Reply:
Hello, based on your description, your nephew is likely entering the "rapid eye movement (REM) sleep" phase, during which the brain is in a dreaming state. All muscles, except for those involved in breathing and the heart, are relaxed or even paralyzed. Waking up during...[Read More] Understanding Sleep Disorders in Teens: When to Seek Help
Understanding Flashing Lights and Dizziness: Neurological Insights
Dizziness with visual disturbances? Hello, doctor. Recently, I've been experiencing sudden flashes in my vision, making it difficult to concentrate. However, after sleeping for a few minutes, it gradually improves. I never know when the flashes will occur. With the upcoming ...
Dr. Hong Weibin Reply:
Hello: Your description is too brief. Besides the flashing lights you mentioned, are there any other symptoms? Such as headaches, dizziness, unsteady gait, double vision, or speech difficulties? Additionally, have you been staying up late frequently due to exams, leading to irreg...[Read More] Understanding Flashing Lights and Dizziness: Neurological Insights
Understanding Muscle Weakness and Twitching: Possible Causes and Concerns
Regarding muscle weakness and twitching? Hello Doctor, I have been troubled by this issue for a long time. In mid-September last year, I suddenly felt weakness in both legs and my right hand (a burning, sore sensation originating from the muscles, similar to a persistent feeling ...
Dr. Jiang Junyi Reply:
According to your description, the condition commonly referred to as "Lou Gehrig's disease" is formally known as amyotrophic lateral sclerosis (ALS), which is a rare neurodegenerative disease with a prevalence of approximately 5 in 100,000. The cause remains unknow...[Read More] Understanding Muscle Weakness and Twitching: Possible Causes and Concerns
Dealing with Dizziness and Imbalance: When to Seek Medical Help
If you are experiencing dizziness and a sense of imbalance, it is important to take the following steps: 1. **Sit or Lie Down**: Find a safe place to sit or lie down to prevent falls and injuries. 2. **Stay Hydrated**: Drink water to ensure you are not dehydrated, as dehydration...
Dr. Jiang Junyi Reply:
Hello, based on your description, there are many factors that can cause dizziness, such as anemia, autonomic dysfunction, and inner ear imbalance (which typically causes a spinning sensation). It is advisable to first rule out anemia or fluid deficiency that may lead to insuffici...[Read More] Dealing with Dizziness and Imbalance: When to Seek Medical Help
Understanding Dizziness, Nausea, and Pale Skin: When to Seek Neurology Care
Dizziness, nausea, and pale complexion? A few months ago, I frequently experienced dizziness, nausea, abdominal pain, and had a pale complexion. Recently, I was in a car accident; although I only sustained minor injuries, I have been feeling dizzy and nauseous again without reali...
Dr. Jiang Junyi Reply:
Hello, based on your description, there are many factors that can cause symptoms of dizziness, such as anemia, autonomic dysfunction, and inner ear imbalance. As you are a female patient, it is important to first rule out anemia or fluid deficiency that may lead to insufficient c...[Read More] Understanding Dizziness, Nausea, and Pale Skin: When to Seek Neurology Care
Understanding Head Injuries: Pain in the Temple and Behind the Ear
I hit the back of my head, and now I have pain in my left temple and behind my ear? Doctor: Hello, I hit the back of my head on the corner of a table last night. It was extremely painful at the moment, but I did not experience any loss of consciousness or dizziness. I sat down, c...
Dr. Jiang Junyi Reply:
Hello, based on your described symptoms, they are very similar to those of cervical myofascial injury. Clinically, it often presents as pain at the affected site, discomfort, muscle stiffness, or a sensation of heaviness. Sometimes, palpable myofascial trigger points can be felt ...[Read More] Understanding Head Injuries: Pain in the Temple and Behind the Ear
Understanding Headaches and Nausea: When to Seek Medical Help
Headache with nausea? I woke up in the morning with a headache, thinking it was due to lack of sleep, so I rested a bit more. However, when I got up, the headache worsened and was accompanied by a feeling of nausea. The pain was concentrated around my temples, and I felt like vom...
Dr. Jiang Junyi Reply:
Hello, based on your description, the common type of headache in young women is vascular headache (migraine). During an attack, there may be sensations of tingling or weakness in the face, hands, or legs. This is often accompanied by nausea, vomiting, photophobia, phonophobia, an...[Read More] Understanding Headaches and Nausea: When to Seek Medical Help
Understanding Sleep Aid Dosage: Risks of Overconsumption
Dosage of sleeping pills? Hello, doctor: I would like to ask about the Chinese actress Liu Tao. Her husband reportedly consumed over 200 sleeping pills in one day. Doctor, what would happen if someone took over 200 sleeping pills in a single day? For the sleeping medication Stilo...
Dr. Jiang Junyi Reply:
Hello: The recommended dosage of Stilnox is 10mg (one tablet). Since sedative medications can lead to tolerance, patients may find that they need to take more over time, but the effectiveness of sleep induction diminishes. Even taking 4 or 6 tablets may not yield better results t...[Read More] Understanding Sleep Aid Dosage: Risks of Overconsumption
Headache and Dizziness After Nose Injury: Is It Related?
Nasal trauma causing headache? Hello, four days ago while training my dog, I was hit on the bridge of my nose, which resulted in swelling. About 20 minutes later, I suddenly experienced pain in my temples and then vomited four times. After that, I continued to feel dizzy and naus...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, if there is no loss of consciousness, the use of anticoagulants, or obvious local hematomas, head trauma is mostly mild. However, the following conditions should prompt consideration of delayed bleeding and a visit to the emer...[Read More] Headache and Dizziness After Nose Injury: Is It Related?
Neck Pain and Hand Numbness: Understanding the Causes and Treatments
Neck pain and numbness in the hands? I often experience neck pain, and recently I've been waking up with numbness in my hands, especially when I sleep on my back with my hands on my stomach or when lying on my side. I also sometimes feel a tingling sensation in various parts...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms may be due to cervical nerve root compression or peripheral nerve compression. Clinically, the affected area of numbness can help determine which nerve is involved. For example, cervical radiculopathy from the sixth cervical nerve r...[Read More] Neck Pain and Hand Numbness: Understanding the Causes and Treatments
Understanding Unexplained Tingling and Itching in the Thigh and Buttocks
The thigh and buttocks may experience a tingling or itchy sensation? Recently, my father has been experiencing a tingling and itchy sensation in the area from his buttocks to his thighs when sitting, but there are no visible skin abnormalities. He describes the feeling as if some...
Dr. Jiang Junyi Reply:
Hello, based on your description of the tingling sensation in your legs, if lumbar nerve root compression has been ruled out, it may be worth considering whether you have Restless Legs Syndrome (RLS). This condition typically presents with an uncontrollable urge to move the legs,...[Read More] Understanding Unexplained Tingling and Itching in the Thigh and Buttocks
Fainting and Head Injury: Understanding Symptoms and Risks
Fainting while standing and hitting the back of the head? Hello, doctor! A few years ago, I had a drink with friends after a meal, and afterward, I felt dizzy and fainted after urinating in the bathroom, hitting the back of my head (it felt very dizzy and painful, and the impact ...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, in cases of head trauma without post-traumatic amnesia, loss of consciousness, vomiting more than twice, severe headache, post-traumatic seizures, significant subcutaneous hematoma, multiple injuries, penetrating injuries, sku...[Read More] Fainting and Head Injury: Understanding Symptoms and Risks
Understanding Frequent Headaches and Memory Loss: A Neurological Concern
Frequent headaches, occasional mental fog, and recently experiencing brief episodes of amnesia? Hello, doctor. I am asking on behalf of my boyfriend because I am very worried about his condition and cannot accompany him to the hospital. I kindly ask for your assistance. At the en...
Dr. Jiang Junyi Reply:
According to your description: You mentioned that amnesia lasting more than 30 minutes following a head injury is indicative of a more severe brain injury. As for the subsequent multiple seizures, one should consider abnormal electrical discharges in the brain, the most well-know...[Read More] Understanding Frequent Headaches and Memory Loss: A Neurological Concern
Flashing Lights Behind Closed Eyes: Possible Neurological Causes
Seeing something flashing with closed eyes? Hello doctor, I would like to ask you about something. Recently, when I sleep, I often see flashes of light in front of my eyes, sometimes blue and sometimes transparent. I went to an ophthalmologist, but no abnormalities were found. Th...
Dr. Hong Weibin Reply:
Hello: Besides the sensation of light and shadow flickering when closing your eyes, in what other situations might similar symptoms occur? Is it more likely to happen when you are fatigued or have stayed up late? Does it also occur during a midday nap, aside from nighttime sleep?...[Read More] Flashing Lights Behind Closed Eyes: Possible Neurological Causes
Head Pain While Sleeping: Neurological Concerns and Solutions
Experiencing headaches while sleeping on your back? Hello, doctor. At the end of October, I experienced a headache in the back of my head. I visited a traditional Chinese medicine practitioner and took some medication, which improved my condition a bit. However, I still occasiona...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms may be related to cervical nerve root compression, causing cervicogenic headaches. Clinical diagnosis must rely on physical assessment, electromyography, cervical X-rays, and even cervical magnetic resonance imaging (MRI). Most symp...[Read More] Head Pain While Sleeping: Neurological Concerns and Solutions
Chronic Neck and Shoulder Pain: Seeking Effective Treatment Options
Neck pain accompanied by right shoulder pain and limited mobility? Hello Doctor: Every day around 2-3 PM, I experience neck pain, followed by stiffness on the right side of my neck extending to the occipital bone, which then radiates to my right shoulder, causing sharp pain. The ...
Dr. Jiang Junyi Reply:
Hello, based on your description, the treatment for cervical disc herniation is determined by the severity of pain and whether there is compression of the nerve roots or cervical spinal cord. Most symptoms are temporary and respond well to conservative treatments such as medicati...[Read More] Chronic Neck and Shoulder Pain: Seeking Effective Treatment Options
Understanding Post-Concussion Symptoms and Recovery
Post-concussion symptoms? Last week, I slipped at home and hit my head (on the upper right forehead) against the wall. Before going to the hospital, my memory was quite confused and fuzzy, and my head was very painful. After the emergency visit, they said I had a mild concussion,...
Dr. Jiang Junyi Reply:
Hello, based on your description, if it is delayed cerebral hemorrhage, common symptoms include double vision (diplopia), unequal pupil size, watery or bloody discharge from the ears or nose, confusion or abnormal behavior, limb paralysis, and primarily short-term memory loss. As...[Read More] Understanding Post-Concussion Symptoms and Recovery
Understanding Ultrasound Results: Implications for Neurological Symptoms
Ultrasound examination results Hello Doctor, I have been experiencing long-term fatigue, intermittent headaches, difficulty thinking, excessive sleepiness, and blurred vision with a slightly darkened field, feeling as if I have heatstroke that just won't improve (and is gett...
Dr. Gao Chunde Reply:
There is significant stenosis in the intracranial vertebral artery blood flow that requires treatment. Initial management can involve medical therapy. If there is improvement, including a reduction in clinical symptoms and follow-up imaging showing improved blood flow, then stent...[Read More] Understanding Ultrasound Results: Implications for Neurological Symptoms
Understanding Fatigue, Neck Tension, and Cognitive Issues: A Neurology Perspective
Mental fatigue, heavy tiredness, frequent yawning, and tightness in the neck? In the past few days, my mental state has not been good; I often feel distracted, and I experience slight pressure and pain in my head, which is not too severe. I frequently yawn and occasionally feel n...
Dr. Gao Chunde Reply:
Symptoms such as stress and lack of sleep can be alleviated by spending more time outdoors during the day to relax, applying a warm towel to the shoulders and neck before bedtime, and maintaining a regular sleep schedule. If these measures do not improve the situation, consider s...[Read More] Understanding Fatigue, Neck Tension, and Cognitive Issues: A Neurology Perspective