Understanding Persistent Tinnitus: Causes, Tests, and Treatment Options
Tinnitus for three months? Hello Doctor: Three months ago, I suddenly experienced tinnitus without any apparent cause. My hearing has not been affected, but I feel like there is a high-frequency cicada sound in the background, which becomes louder after physical activity. I have ...
Dr. Jiang Junyi Reply:
Hello Mr. QQQ: You mentioned that "hearing tests, tympanometry, no sinus inflammation, brainstem auditory evoked potentials, electroencephalogram, SSR+RRIV, intracranial vascular ultrasound, and carotid ultrasound were all normal. I am curious if sleep affects tinnitus?.... ...[Read More] Understanding Persistent Tinnitus: Causes, Tests, and Treatment Options
Understanding Tinnitus and Head Pain: Possible Links and Next Steps
Tinnitus + headache I have been experiencing unilateral tinnitus (in my right ear) for over two months. In early April, I developed temporomandibular joint (TMJ) dysfunction, and since May, I have had tinnitus. I visited an otolaryngologist (ENT) and underwent hearing tests and a...
Dr. Chen Weida Reply:
Hello, Moon! Common symptoms of temporomandibular joint (TMJ) disorders include: 1. Clicking or popping sounds when opening or closing the mouth 2. Pain when opening the mouth 3. Facial pain while chewing 4. Limited mouth opening 5. Jaw deviation when opening the mouth 6. Inabili...[Read More] Understanding Tinnitus and Head Pain: Possible Links and Next Steps
Understanding Visual Snow Syndrome: Symptoms, Diagnosis, and Management
Snow blindness related? Regarding question 210275, there are no severe head trauma symptoms, but occasional headaches do occur, particularly during my menstrual period, and these migraines tend to be unilateral. I do experience sensitivity to light, but I have not had nausea or v...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "during my menstrual period, I occasionally experience migraines that are indeed more one-sided, and while I do not have nausea or vomiting, I am sensitive to light. Since the beginning of last year, I have noticed floaters and have reduced my...[Read More] Understanding Visual Snow Syndrome: Symptoms, Diagnosis, and Management
Understanding Ear Symptoms During a Cold: What You Need to Know
Follow-up after a cold? I currently have a cold. My nasal congestion and runny nose are severe, and I'm feeling extremely uncomfortable. Two nights ago, I felt a strong pulsation in the blood vessels of my right ear, but after sleeping, it improved. Now, I feel a similar pul...
Dr. Jiang Junyi Reply:
Hello Mr. Hsiao: You mentioned, "I have a cold. My nasal congestion and runny nose are very severe, and I feel extremely uncomfortable. The blood vessels in my ear are constantly pulsating. Could a problem with the Eustachian tube cause me to suddenly hear the sound of the b...[Read More] Understanding Ear Symptoms During a Cold: What You Need to Know
Understanding Persistent Tinnitus: Causes, Treatments, and When to Seek Imaging
Tinnitus for two months? Hello Doctor: Two months ago, I started experiencing tinnitus without any apparent cause. There is no feeling of ear blockage, and the sound seems to be emanating from the nasopharynx. It is a high-pitched, non-directional ringing sound that does not affe...
Dr. Jiang Junyi Reply:
Hello Mr. Q: You mentioned that "tympanometry, hearing tests, brainstem auditory evoked potentials, and EEG are all normal..." Is it necessary to perform a CT scan for tinnitus that has persisted for six months? Should we just observe for now? I would also like to ask w...[Read More] Understanding Persistent Tinnitus: Causes, Treatments, and When to Seek Imaging
Facial and Limb Numbness When Standing: Possible Causes and Solutions
Numbness in one side of the face and leg while standing? Hello, Doctor Jiang. I have been experiencing numbness on the right side of my face (with slight tinnitus) since last week when standing. My right hand and right foot also feel numb, and there is a sensation of congestion i...
Dr. Jiang Junyi Reply:
Hello Mr. AC: You mentioned experiencing "numbness on the right side of your face (mild tinnitus), numbness in your right hand and right foot, and a feeling of congestion in your right foot." It is important to first rule out any issues related to brain structure or cer...[Read More] Facial and Limb Numbness When Standing: Possible Causes and Solutions
Understanding One-Sided Headaches: Causes and Solutions for Neurological Symptoms
Unilateral ear fullness, unilateral eye pressure and swelling, unilateral neck tightness, and headache? Hello, I have been experiencing headaches for a long time, which are usually relieved by painkillers. Two years ago, I started having episodes of persistent headaches that are ...
Dr. Jiang Junyi Reply:
Dear Ms. Y: You mentioned experiencing "unilateral tightness and discomfort, always on the same side... with a sensation of 'unilateral ear fullness and unilateral eye pressure' (notably tightness when moving the eyeball)." This may warrant consideration of c...[Read More] Understanding One-Sided Headaches: Causes and Solutions for Neurological Symptoms
Understanding Throat Foreign Body Sensation: Causes and Solutions
Foreign body sensation in the throat? Since starting fitness training in September of last year, I have begun experiencing difficulty swallowing. I have visited an otolaryngologist, neurologist, and endocrinologist, and all tests returned normal results. Eventually, a gastroenter...
Dr. Jiang Junyi Reply:
Dear Mr. Tso, You mentioned that "difficulty swallowing and a sensation of a foreign body in the throat have persisted," which could be due to cervical nerve compression, brainstem dysfunction, or sympathetic nervous system abnormalities, among other reasons. It is mor...[Read More] Understanding Throat Foreign Body Sensation: Causes and Solutions
Understanding Tinnitus: When to Consult a Neurologist?
Tinnitus for three weeks? Hello Doctor: Three weeks ago, I experienced tinnitus without any apparent reason, which is bilateral. I have undergone tympanometry and hearing tests, both of which were normal. The tinnitus sounds more like a non-directional high-pitched ringing, but i...
Dr. Jiang Junyi Reply:
Hello Mr. QQQ: You mentioned "bilateral tinnitus, with normal tympanometry and hearing tests, and the tinnitus sounds more like a non-directional high-pitched ringing." This is more indicative of common causes of tinnitus such as viral infections, trauma, or injury, whi...[Read More] Understanding Tinnitus: When to Consult a Neurologist?
Unexplained Dizziness and Tinnitus: Seeking Answers and Treatment Options
Dizziness and tinnitus with no identifiable cause? Hello Doctor: I started experiencing dizziness about a month ago. It's not a spinning sensation but rather a feeling of heaviness in my head and lightness in my legs. Occasionally, I feel a tingling sensation on my scalp, an...
Dr. Jiang Junyi Reply:
Hello Mr. Zhang, You mentioned: "1. Is the dizziness symptom caused by autonomic nervous system dysfunction the same as the continuous dizziness I am currently experiencing? 2. Could dizziness caused by cervical nerve compression present as my current persistent dizziness? ...[Read More] Unexplained Dizziness and Tinnitus: Seeking Answers and Treatment Options
Understanding Left-Sided Headaches and Pulsatile Tinnitus: Causes and Concerns
Left-sided headache, numbness, and pulsatile tinnitus in the left ear? Hello, doctor. I previously asked this question, and it seems to have worsened. Could it be related to psychological factors? I have seen an ENT specialist, and there were no issues. I have had depression for ...
Dr. Jiang Junyi Reply:
Hello Mr. Hong: You mentioned experiencing a sensation of hearing blood flow or heartbeat, which feels pulsating. It seems to be pulsatile tinnitus, which can also be associated with vascular issues. Your symptoms: one of the most common causes of pulsatile tinnitus is dysfunctio...[Read More] Understanding Left-Sided Headaches and Pulsatile Tinnitus: Causes and Concerns
Managing Tinnitus Linked to Migraine and Jaw Tension: What You Need to Know
Tinnitus issues? Hello Dr. Jiang: I have been troubled by migraines for three years, so I understand the tinnitus that can accompany them. However, in the past year, I have experienced unilateral (right ear) tinnitus when visiting the dentist, particularly when my cheeks or jaw a...
Dr. Jiang Junyi Reply:
Hello Ms. Bang, You mentioned that "exerting force on the jaw causes unilateral (right ear) tinnitus," which may be due to local blood vessels being affected. It is recommended that you undergo a carotid ultrasound examination. I suggest consulting with a neurologist t...[Read More] Managing Tinnitus Linked to Migraine and Jaw Tension: What You Need to Know
Understanding Persistent Head Discomfort: Tinnitus and Sleep Issues
I've been feeling discomfort in my head for a long time? More than three years ago, I started experiencing tinnitus, and about two years ago, I also began to feel a pulling sensation in my head before falling asleep. When I touch my forehead, I can feel a heartbeat that alig...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: You mentioned feeling a "pulling sensation in your head... is this feeling before falling asleep related to possible vascular blockage? I also have mild carotid artery stenosis..." Your symptoms are less likely to be caused by vascular narrowing, as vasc...[Read More] Understanding Persistent Head Discomfort: Tinnitus and Sleep Issues
Understanding MRI Findings: Exploring Causes of Dizziness and Tinnitus
Magnetic Resonance Imaging Report Recently, I have been experiencing frequent dizziness and tinnitus. I underwent a head MRI, and the report indicated the following findings: (The completion time of the examination is displayed on the images) MRI - HEAD & NECK: Routine Brain:...
Dr. Jiang Junyi Reply:
Hello Mr. Ming: You mentioned, "Can a head MRI detect carotid artery stenosis? Could dizziness and tinnitus be caused by this?" It is recommended to also perform a carotid ultrasound, which can provide a clearer view of whether there is an increase in the intima-media t...[Read More] Understanding MRI Findings: Exploring Causes of Dizziness and Tinnitus
Understanding MRI Findings and Tinnitus: What You Need to Know
MRI Report Issues & Tinnitus Hello, I have been experiencing tinnitus for the past few years (I hear a motor sound similar to a heartbeat frequency before falling asleep at night). When the sound is loud, people nearby can also hear it if they are close to my head. Recently, ...
Dr. Jiang Junyi Reply:
Dear Miss Xiao Tao, You mentioned that "the MRI images show some white spots, indicating arteriosclerosis, and you should pay attention to the issues related to the three highs (hypertension, hyperlipidemia, and hyperglycemia)." It is recommended that you undergo a sec...[Read More] Understanding MRI Findings and Tinnitus: What You Need to Know
Understanding Autonomic Nervous System Disorders and Muscle Tremors
Autonomic nervous system dysfunction and muscle (exercise) tremors? Hello, Doctor: I would like to inquire about two aspects related to abnormal neurological and muscular movements: A. When I hold a pen with my right hand to write, I experience involuntary tremors that lead to ...
Dr. Peng Shiwei Reply:
Hello, it is recommended that you visit a neurology or pain management clinic for evaluation. Thank you.[Read More] Understanding Autonomic Nervous System Disorders and Muscle Tremors
Understanding Tinnitus and Chronic Fatigue: Insights from Neurology
Tinnitus and fatigue issues? Hello Dr. Tsai, I am not only troubled by tinnitus, but I also experience fatigue and overall exhaustion. No matter what I do, I just can't seem to muster any energy; I feel very tired. I am not working and have no stress. My tinnitus was checked...
Dr. Cai Zongzhang Reply:
Hello Ms. Chen: There are many causes of tinnitus. If there are no abnormalities found during the examination by an otolaryngologist, you may consider seeing a neurologist for further evaluation.[Read More] Understanding Tinnitus and Chronic Fatigue: Insights from Neurology
Understanding Dizziness and Dry Mouth: When to Seek Neurological Care
Dizziness and dry mouth? Recently, I have been experiencing dizziness, a feeling of pressure in the back of my head, dry mouth, tinnitus, and occasional numbness in my hands. My walking is normal. I visited a family medicine clinic where I was prescribed medication for the dizzin...
Dr. Jiang Junyi Reply:
Hello Mr. Ming: You mentioned feeling "pressure in the back of your head, dry mouth, tinnitus, and occasional hand numbness." Could you clarify the numbness in your hands? Is it bilateral or unilateral? If it is unilateral, we may need to consider cervical spine issues....[Read More] Understanding Dizziness and Dry Mouth: When to Seek Neurological Care
Understanding Persistent Dizziness: Possible Causes and Treatment Options
Persistent dizziness and vertigo? Hello Doctor, I discovered over a year ago that I have poor hearing in my left ear, along with unilateral tinnitus, a feeling of fullness in the ear, and headaches. I began visiting an otolaryngologist for examinations, during which I underwent A...
Dr. Peng Shiwei Reply:
You should seek medical treatment at a neurology outpatient clinic for your symptoms. Thank you.[Read More] Understanding Persistent Dizziness: Possible Causes and Treatment Options
Essential Tests for Tinnitus: A Guide to Neurology Evaluations
Tinnitus and pulsatile tinnitus issues? Dr. Tsai, you just mentioned that I should see a neurologist for an examination. I would like to ask you, what specific tests should be conducted for tinnitus?
Dr. Cai Zongzhang Reply:
Hello Ms. Chen: It is recommended to have a consultation first before deciding which tests to schedule.[Read More] Essential Tests for Tinnitus: A Guide to Neurology Evaluations