Neck Pain with Headaches: When to See a Neurologist?
Neck pain accompanied by headache? My girlfriend initially experienced sudden pain in her upper body along with chest tightness. Later, she developed sharp pain in the back of her neck accompanied by headaches. Despite visiting the hospital outpatient department, no clear diagnos...
Dr. Gao Chunde Reply:
If the rheumatology department confirms that there are no related issues, consideration should be given to neurological causes such as cervical spinal cord lesions, whether they are due to inflammation, hemorrhage, intervertebral disc problems, or other reasons. The on-site physi...[Read More] Neck Pain with Headaches: When to See a Neurologist?
Understanding Chronic Fatigue and Neurological Symptoms in Young Adults
Brain fog and irritability? Hello, Doctor: I usually go to bed around 11 PM and tend to feel anxious. However, I experience daily symptoms of dizziness, nasal congestion, frequent yawning and tearing, irritability, fatigue, and cold extremities, often feeling excessively sleepy. ...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider sleep disorders. Common causes include obstructive sleep apnea syndrome: habitual snoring, nasal congestion, enlarged tonsils, family members noticing breathing pauses, and a persistent feeling of not being well-re...[Read More] Understanding Chronic Fatigue and Neurological Symptoms in Young Adults
Understanding Lower Back Pain: Causes and Concerns After a Fall
Lower back pain? Hello Doctor: I slipped in the bathroom last time, and since then I've been experiencing some pain in the lower back area, particularly near the spine. The pain tends to be worse when I get up after sleeping for a long time. I would like to know what this mi...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider symptoms of nerve compression due to a herniated disc, which can also occur as a result of sudden injuries, such as twisting the waist suddenly, bending to lift heavy objects, or experiencing excessive force sudden...[Read More] Understanding Lower Back Pain: Causes and Concerns After a Fall
Understanding Dizziness and Breathing Difficulties: A Neurology Perspective
Hello, doctor? Hello, doctor. I have been experiencing frequent dizziness, chest tightness, and shortness of breath lately. These episodes usually last for about 10 to 20 seconds and resolve on their own after a short while, occurring approximately 2 to 3 times a day. I previousl...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider obstructive sleep apnea (OSA). A common cause is the obstruction of the airway by soft tissues near the throat, which narrows the upper airway and leads to snoring and breathing cessation. Abnormalities in upper ai...[Read More] Understanding Dizziness and Breathing Difficulties: A Neurology Perspective
Understanding Dizziness and Fatigue: Can Poor Sleep Affect Brain Oxygen Levels?
Dizziness due to Qi deficiency? Hello, doctor. I used to love sleeping in and often slept for more than 9 hours. In recent years, I have frequently experienced dizziness, sensitivity to heat and cold, and feelings of oxygen deprivation during exercise. Could my previous poor slee...
Dr. Jiang Junyi Reply:
Hello, based on your description, the most common cause of sleep-related brain hypoxia is sleep apnea. If you have this condition, it can lead to daytime concentration difficulties and frequent drowsiness. 1. Obstructive Sleep Apnea (OSA): This is the most common type, accounti...[Read More] Understanding Dizziness and Fatigue: Can Poor Sleep Affect Brain Oxygen Levels?
Daily Right Leg Pain: Understanding Possible Neurological Issues
Daily fixed soreness and pain in the right thigh in the morning and evening? Hello! For the past few years, I have been experiencing pain in my right leg (both thigh and calf) every morning and evening. The pain occurs for about 5 minutes upon waking up and again around 7 or 8 PM...
Dr. Gao Chunde Reply:
The characteristics of this condition make it difficult to provide a direct answer. If the pain occurs at fixed times, lasting five to ten minutes, and is localized, it may be related to neurotransmitters in the brain, hormones, or the hypothalamus associated with the body's...[Read More] Daily Right Leg Pain: Understanding Possible Neurological Issues
Persistent Dizziness When Sleeping on Left Side: Which Specialist to Consult?
It's been at least 10 years. I feel dizzy when I sleep on my left side? It's been at least 10 years that I experience dizziness when sleeping on my left side. Even closing my eyes can trigger it. A few years ago, I took traditional Chinese medicine and it improved for a...
Dr. Lan Shengxing Reply:
Dear Zhen, you can first consult an otolaryngologist for an examination, as there is a higher likelihood of inner ear issues. Thank you.[Read More] Persistent Dizziness When Sleeping on Left Side: Which Specialist to Consult?
Understanding Occasional Stimulating Sensations in the Back of the Head
Why does the surface of the back of the head sometimes feel刺激感? Hello, doctor. Sometimes (this has happened twice with a long interval in between), I suddenly feel a stimulating sensation in my head, as if there is a very sensitive area in my body that is being overstimulated. I ...
Dr. Jiang Junyi Reply:
Hello, based on your description, the symptoms of neuropathic pain differ from typical pain following tissue injury, including sensations such as tingling, stabbing, electric shock, tearing, burning, coldness, numbness, and itching, which may sometimes be accompanied by varying d...[Read More] Understanding Occasional Stimulating Sensations in the Back of the Head
Understanding Persistent Dizziness: When to Seek Neurological Help
Dizzy? Hello doctor, I have been experiencing dizziness for three consecutive days. My head feels warm, and I don't feel well overall. The symptoms persist as long as I am awake, and they disappear only when I sleep. Currently, I do not have any other symptoms such as nausea...
Dr. Gao Chunde Reply:
If you are feeling dizzy and have a warm sensation, along with a lack of energy, it is important to check your body temperature to see if it is elevated. If you have a cold or another type of infection, treatment should be directed towards that. If your blood pressure is elevated...[Read More] Understanding Persistent Dizziness: When to Seek Neurological Help
Can Migraines Cause Severe Pain in the Right Side of the Face?
Can migraines cause severe pain on the right side of the face, especially around the eye? I have already sought medical attention but the pain persists? Recently, I have been experiencing pain near my right eye extending to the temple area, resembling sharp, intermittent pain, wh...
Dr. Gao Chunde Reply:
Please find time to see a neurologist as soon as possible, and inform the doctor about the time of your daily episodes and accompanying symptoms. This is a specific type of headache known as trigeminal autonomic cephalalgia, characterized by severe unilateral pain, tearing, sudde...[Read More] Can Migraines Cause Severe Pain in the Right Side of the Face?
Fainting at Night: Understanding Dizziness and Neurological Concerns
Dizziness and fainting while using the restroom at night? Dear Sir/Madam, I fainted at the bathroom door last night and I'm not sure how long I was unconscious before I woke up. I do not have a history of heart disease or hypertension, I do not smoke or drink alcohol, I sle...
Dr. Gao Chunde Reply:
Fainting accompanied by loss of consciousness, along with your age considerations, suggests that you should visit a neurology clinic for further evaluation.[Read More] Fainting at Night: Understanding Dizziness and Neurological Concerns
Understanding Back Pain, Chest Discomfort, and Possible Depression Symptoms
Back pain, back discomfort, chest pain, chest tightness? 1. Recently, I have been experiencing back pain, chest pain, and a feeling of tightness. Sometimes I feel dizzy, and I have difficulty breathing, as if I can't get enough air. I can also feel my heart racing at times, ...
Dr. Jiang Junyi Reply:
Based on your description, the diagnosis for depressive mood is as follows: 1. The melancholic emotional response persists for more than two years. In children or adolescents, it manifests as irritability or agitation for at least one year. 2. At least two of the following sympto...[Read More] Understanding Back Pain, Chest Discomfort, and Possible Depression Symptoms
Understanding Persistent Heavy Headaches: Causes and When to Seek Help
Heavy head and headache? For about twenty years, I have experienced headaches that occur approximately every two to three weeks or even longer. These headaches typically arise in the late afternoon, especially if I haven't taken a nap around noon or if I've been working...
Dr. Gao Chunde Reply:
The situation still resembles that of tension-type headaches, but the severity has increased, affecting daily life and work. In principle, further medical evaluation by a neurologist is recommended. The physician may initiate some medications or suggest lifestyle modifications fo...[Read More] Understanding Persistent Heavy Headaches: Causes and When to Seek Help
Understanding Hand Numbness: Causes and Solutions for Textile Workers
Hand numbness and tingling? I apologize for the inconvenience, but I would like to ask about my mother, who is in her early 50s and works in the textile industry, managing her own factory. Her job often requires her to use her hands to thread and arrange gears to achieve the desi...
Dr. Gao Chunde Reply:
It is important to further understand the specific location of hand numbness, as different distributions of numbness correspond to different nerves and can indicate various lesion sites, allowing for further speculation on the underlying causes. Overuse commonly leads to carpal t...[Read More] Understanding Hand Numbness: Causes and Solutions for Textile Workers
Understanding Chronic Dizziness: Causes and Management Strategies
Dizziness issues Hello, Dr. Gao! I have been experiencing dizziness since the sixth grade, which has lasted for about eight to nine years. I have undergone examinations in various departments, including otolaryngology and internal medicine, but there are no issues with ear crysta...
Dr. Gao Chunde Reply:
If the neurology department has not conducted an examination, it would be advisable to consult a neurologist to determine whether the issue is related to the function of the vestibular nerve itself or if it is a problem with the higher central nervous system.[Read More] Understanding Chronic Dizziness: Causes and Management Strategies
Understanding Primary Hypersomnia: Symptoms, Diagnosis, and Treatment Options
Primary hypersomnia Hello Doctor, following up on the previous questions regarding OSA and surgery, the treatment is being managed at a medical center where the doctors are mostly sleep specialists (including psychiatrists). After controlling OSA, the patient still experiences fa...
Dr. Gao Chunde Reply:
In cases of hypersomnia related to brain nerves, narcolepsy must first be ruled out, which requires another type of sleep study called the Multiple Sleep Latency Test (MSLT). If abnormalities are found, there are several medications that physicians can consider prescribing. If me...[Read More] Understanding Primary Hypersomnia: Symptoms, Diagnosis, and Treatment Options
Navigating Post-Surgery Sleep Issues: Understanding OSA and UARS Symptoms
Difficult to decide? Hello Doctor, I apologize for summarizing my previous questions again. Fatigue, excessive daytime sleepiness, altered consciousness, difficulty thinking, and poor memory are typical symptoms of Obstructive Sleep Apnea (OSA). Initially, I had severe OSA with a...
Dr. Gao Chunde Reply:
Based on your situation, it appears to be a relatively unique and rare case. Therefore, I recommend seeking a specialist in sleep medicine at a medical center for a more thorough analysis.[Read More] Navigating Post-Surgery Sleep Issues: Understanding OSA and UARS Symptoms
Is It Autonomic Nervous System Dysfunction? Understanding Your Symptoms
Could this be autonomic nervous system dysfunction? Hello, Doctor. I have been experiencing palpitations frequently for about a month. During this time, I underwent an echocardiogram, which diagnosed me with mild mitral valve prolapse and mild arrhythmia. The doctor said it was n...
Dr. Gao Chunde Reply:
Actually, autonomic nervous system dysfunction is not a true medical diagnosis; it is a result of underlying factors such as stress, anxiety, and irregular sleep patterns. When the parasympathetic nervous system is supposed to be active during rest and relaxation, inappropriate s...[Read More] Is It Autonomic Nervous System Dysfunction? Understanding Your Symptoms
Could My Dizziness Be Related to the Cerebellum?
Is this related to the cerebellum? Recently, I have been experiencing a higher frequency of dizziness and a feeling of heaviness in my head, which is quite uncomfortable. I can't sleep for long periods without feeling dizzy. Occasionally, I also experience episodes of vertig...
Dr. Gao Chunde Reply:
If there is a problem with the cerebellum, there may be coordination difficulties, walking like a penguin, slurred speech, and clumsiness when eating, holding a bowl, or writing. Your situation could be considered another manifestation of chronic shoulder and neck fatigue or tens...[Read More] Could My Dizziness Be Related to the Cerebellum?
Addressing Sleep Issues: Understanding SWS Deficiency and Treatment Options
Sleep issues Hello Doctor, I previously inquired about the lack of SWS in sleep structure. After a Brain MRI, the doctor mentioned that there were no significant issues, which aligns with what you said. Given my age, I should still have SWS. Although I have mild OSA, it shouldn&#...
Dr. Gao Chunde Reply:
To increase Slow Wave Sleep (SWS), some non-pharmacological methods can be considered, such as taking a warm bath before bedtime and engaging in vigorous exercise during the day. However, increasing the proportion of sugary foods in the diet is not recommended, as it can have neg...[Read More] Addressing Sleep Issues: Understanding SWS Deficiency and Treatment Options