Managing Epilepsy: Navigating Medication Side Effects and Emotional Health
Antiepileptic drugs I had surgery on my head due to a car accident during high school. I was fine for many years, but after 20 years, I developed post-traumatic epilepsy, which occurs occasionally when I am very tired. Initially, I was only taking one medication, but after experi...
Dr. Cai Zongzhang Reply:
Hello, regarding post-traumatic brain injury sequelae, seizures are quite common. Physicians often choose to use antiepileptic drugs; however, there are various medications available. It is advisable to discuss with your doctor whether the seizures are a side effect of the medica...[Read More] Managing Epilepsy: Navigating Medication Side Effects and Emotional Health
Understanding Hand Tremors: Causes and Concerns for Neck Pain Patients
Tremor issues? Yesterday, after taking a nap on the sofa, I woke up feeling tightness in my neck and shoulders, along with a slight headache. I have a history of C3-C4-C5 cervical disc herniation causing nerve compression (approximately 10 years), with symptoms that fluctuate. Oc...
Dr. Cai Zongzhang Reply:
Hello, Cheng: Neck pain is closely related to neck posture. It is recommended to avoid napping on the sofa, as it can have adverse effects on the cervical spine.[Read More] Understanding Hand Tremors: Causes and Concerns for Neck Pain Patients
Understanding Recovery Patterns After Prolotherapy for Neck Disc Issues
Recovery status after proliferative treatment? Hello Dr. Jiang, I was previously diagnosed by a physician with a tear in the annulus fibrosus of my cervical disc, which has caused some mechanical protrusion affecting my peripheral nerves. My symptoms are primarily located in the...
Dr. Jiang Junyi Reply:
Hello Mr. Cliff: You mentioned that there is a sudden stabbing pain in a specific area of your upper left back. This symptom may still warrant consideration of a localized issue. If the symptoms persist, it is advisable to undergo a musculoskeletal ultrasound examination to check...[Read More] Understanding Recovery Patterns After Prolotherapy for Neck Disc Issues
Evening Headaches: Understanding Causes and When to Seek Help
Evening headache Doctor, I asked you a question a few days ago, but I'm still a bit worried. I've been experiencing increased headaches in the evenings over the past couple of days. The pain is located on both the left and right foreheads. It worsens when I bend down or...
Dr. Jiang Junyi Reply:
Hello Mr. Hsiao-Chien, You mentioned that "the pain associated with changing positions may be related to increased intracranial pressure." This symptom indeed warrants consideration of meningeal involvement causing exacerbation of headaches. If the symptoms persist wit...[Read More] Evening Headaches: Understanding Causes and When to Seek Help
Understanding Symptoms: Excessive Sweating, Pain, and Fatigue Explained
It seems like I'm feeling unwell - sweating at the back of the neck, skin tingling, fatigue, and so on? Hello, Doctor. Since this summer, I have been sweating excessively. On August 7, I visited a rehabilitation specialist due to pain in my lower left back (near the lumbar v...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "there is a very noticeable tingling sensation from the base of the ring finger, along the side of the little finger, on both the front and back sides of the palm, extending to the back of the forearm." This symptom may suggest ulnar nerv...[Read More] Understanding Symptoms: Excessive Sweating, Pain, and Fatigue Explained
Understanding Tightness in the Right Calf: Is It a Disc Issue or Muscle Imbalance?
Tightness in the right calf? Hello Doctor, since mid-June, I have been experiencing tightness in the back of my right calf (without pain). After that, I started to have numbness in my foot, which lasted for over a month. I then visited a neurologist who arranged for an X-ray and ...
Dr. Jiang Junyi Reply:
Dear Ms. N, You mentioned that "nerve testing revealed that the area innervated by L5 is associated with the left foot... muscle imbalance." Your symptoms may still need to consider underlying structural abnormalities, along with the possibility that emotional fluctuat...[Read More] Understanding Tightness in the Right Calf: Is It a Disc Issue or Muscle Imbalance?
Mild Forehead and Temple Pain: When to Seek Further Medical Advice
Mild pain in the head and forehead? Hello, doctor. I have been experiencing some pain in my head for about a week now. The pain is located from my forehead to my temples and feels tight and dull. It’s not severe enough to affect my daily life, and it doesn’t worsen with coughing ...
Dr. Jiang Junyi Reply:
Hello Mr. Hsiao-Chien: You mentioned that "the location is approximately from the forehead to the temples." Your symptoms may suggest tension-type headache. This is caused by muscle tightness in the head. Common manifestations include tight, constricting pain in the for...[Read More] Mild Forehead and Temple Pain: When to Seek Further Medical Advice
Understanding Sleep Disorders: Causes, Symptoms, and Solutions
Sleep disorders Hello Doctor, I usually have a habit of staying up late and drinking red tea and milk tea from aluminum foil packages. Recently, I have experienced insomnia for three consecutive days, poor appetite, constipation, occasional heart pain, and shortness of breath. I ...
Dr. Cai Zongzhang Reply:
Hello: Adequate sleep is related to health, and tea and coffee beverages can worsen insomnia. It is recommended to reduce tea consumption and avoid drinking tea in the evening to improve sleep duration. If symptoms do not improve, please visit a neurology clinic.[Read More] Understanding Sleep Disorders: Causes, Symptoms, and Solutions
Understanding Arm Numbness: Causes and What to Do Next
Numbness sensation Hello doctor, yesterday when I woke up, a part of my arm suddenly felt like there was something covering it (it wasn't like that the day before). Compared to other areas, it feels somewhat numb and not as sensitive as before, but the surrounding areas do n...
Dr. Cai Zongzhang Reply:
Hello: The symptoms mentioned are indicative of neurological dysfunction, with the most common cause being local nerve compression during sleep. If the symptoms persist and do not resolve, it is recommended to consult a neurologist.[Read More] Understanding Arm Numbness: Causes and What to Do Next
Understanding Head Injuries: Symptoms, Risks, and Necessary Evaluations
Head injury Hello, Doctor. About four years ago, I was physically abused by a family member who struck me on the head and forcefully pulled my hair. At that time, the injured area swelled, and I experienced headaches and dizziness. However, due to threats from other family member...
Dr. Cai Zongzhang Reply:
Hello: A scalp swelling caused by a head impact does not necessarily indicate intracranial brain injury. If headaches occur more than 10 days a month, it is advisable to visit a neurology clinic.[Read More] Understanding Head Injuries: Symptoms, Risks, and Necessary Evaluations
Understanding Tinnitus: Causes, Concerns, and Treatment Options
Tinnitus issues? Hello, Doctor. I hope it's not too presumptuous to ask about my tinnitus issue, as it has been bothering me for several days. Initially, it was due to post-nasal drip, which also led to tinnitus, and my ear feels slightly stuffy and painful. I have visited s...
Dr. Cai Zongzhang Reply:
Hello: There are many causes of tinnitus. If the examination results show no abnormalities in the ear, you may consider seeing a neurologist for further evaluation. Additionally, insufficient sleep can also contribute to tinnitus.[Read More] Understanding Tinnitus: Causes, Concerns, and Treatment Options
Understanding Stroke Risks: Symptoms, Prevention, and When to Seek Help
Difficulties with complex medical conditions and stroke issues? Hello, doctor. I would like to consult you regarding the prediction and prevention of strokes in the elderly. My mother is 75 years old and has been managing diabetes for over 20 years without any other chronic or ma...
Dr. Jiang Junyi Reply:
Hello Ms. Water, You mentioned that "after finishing household chores, she suddenly felt a wave of fatigue." This may indicate a potential sleep disorder. I recommend undergoing multiple sleep physiology tests. Regarding your question about whether a stroke requires wa...[Read More] Understanding Stroke Risks: Symptoms, Prevention, and When to Seek Help
Understanding Dizziness and Mild Headaches: A Neurological Perspective
Dizziness and mild headache? Hello Doctor, I started experiencing symptoms of dizziness and lightheadedness in May. I visited an ENT clinic, but it was ineffective. Then I went to Chi Mei Hospital's ENT department, where I underwent tests including a posturography, pure tone...
Dr. Cai Zongzhang Reply:
Hello: Based on the symptoms mentioned, if the ENT examination is normal, it is recommended to visit the neurology outpatient clinic.[Read More] Understanding Dizziness and Mild Headaches: A Neurological Perspective
Understanding Dizziness and Mild Headaches: A Neurological Perspective
Dizziness and mild headache? Hello Doctor, I started experiencing symptoms of dizziness and lightheadedness in May. I visited an ENT clinic, but it was ineffective. Then I went to Chi Mei Hospital's ENT department, where I underwent tests including a posturography, pure tone...
Dr. Cai Zongzhang Reply:
Hello: Based on the symptoms mentioned, if the ENT examination is normal, it is recommended to visit a neurology outpatient clinic.[Read More] Understanding Dizziness and Mild Headaches: A Neurological Perspective
Understanding Tightness and Dizziness While Sitting: Possible Causes and Solutions
When sitting, my head feels tight and swollen, and sometimes I feel dizzy? Recently, I often feel a tight and swollen sensation in my head while sitting in front of the computer, almost like a feeling of inadequate or excessive blood flow to the head. It’s not as severe when I’m ...
Dr. Peng Shiwei Reply:
Hello, if the headache is caused by posture, you may consider consulting a neurologist. However, I believe that if the headache only occurs while sitting, especially when using the computer, it may be related to chronic poor posture. I recommend that you go for a consultation so ...[Read More] Understanding Tightness and Dizziness While Sitting: Possible Causes and Solutions
Understanding Body Tingling: Possible Causes and Concerns
Tingling sensation in the body? Hello, doctor. Last night, I suddenly felt a tingling sensation on the left side of my torso, which went away while I was sleeping after about 4-5 hours. I have experienced this symptom occasionally in the past, and it usually resolves within 1-2 d...
Dr. Jiang Junyi Reply:
Dear Mr. Guang, You mentioned, "Is it possible that it's multiple sclerosis, or is it multiple neuritis? ... Could it be caused by issues with the cervical and lumbar spine?" Your symptoms may need to first consider problems with the cervical and lumbar spine. The...[Read More] Understanding Body Tingling: Possible Causes and Concerns
Understanding Long-Term Effects of Head Injuries from Falls
Hello, doctor. I would like to ask about injuries from falls? Hello doctor, when I was 19 years old, I accidentally fell while going up the stairs and hit my head. At that time, I only felt dizzy but was fully conscious. Since there was bleeding, I went to the hospital. The docto...
Dr. Jiang Junyi Reply:
Hello Mr. Chen, You mentioned, "For the past 6 years, if I experience dizziness, will it be related to my previous injury?" Generally speaking, if there is no loss of consciousness, no anticoagulant medication use, or obvious local hematoma, head trauma is usually mild...[Read More] Understanding Long-Term Effects of Head Injuries from Falls
Understanding Sudden Left-Sided Head Pain: Possible Causes and Concerns
Left-sided headache? Hello Doctor, I apologize for the interruption. I'm not sure if it's related to my late sleeping schedule a couple of days ago, but for the past two days, I've been experiencing sudden sharp pains on the left side of my head, like an electric s...
Dr. Cai Zongzhang Reply:
Hello Andy: Insufficient sleep can easily lead to headaches or trigeminal neuralgia. It is recommended to take appropriate rest, and if symptoms persist, please visit a neurology clinic.[Read More] Understanding Sudden Left-Sided Head Pain: Possible Causes and Concerns
Understanding Persistent Insomnia: When to See a Neurologist
Insomnia has persisted since June 5th? Hello Doctor: I am an office worker who usually engages in weight training. Last month, on June 5th, I suddenly developed insomnia that has persisted until now. I am unable to sleep at night, and I also cannot take a nap during the day. Init...
Dr. Cai Zongzhang Reply:
Hello Tina: Based on the symptoms mentioned, it is recommended to visit a neurology outpatient clinic for an examination.[Read More] Understanding Persistent Insomnia: When to See a Neurologist
Understanding Systemic Joint and Bone Itching: Causes and Next Steps
Systemic joint and bone itching can occur in the hands, feet, back, and pelvis? In 2020, I visited a neurologist due to widespread itching in my bones, along with joint pain in my limbs. Sometimes, I experience a burning, itchy, painful, and aching sensation, both day and night, ...
Dr. Peng Shiwei Reply:
Hello, I recommend that you consistently see one physician. If they believe that assistance from another specialist is necessary, they will inform you accordingly. If you have any concerns about the medication prescribed by your doctor, please discuss them with your primary physi...[Read More] Understanding Systemic Joint and Bone Itching: Causes and Next Steps