Understanding Persistent Tinnitus: Insights from a Neurology Perspective
Tinnitus Hello Dr. Jiang: I have been experiencing high-frequency tinnitus for 11 years, which started suddenly a few weeks after my military discharge. I served as a private in the artillery (not sure if it's related to stress or the sound of artillery?). The tinnitus is on...
Dr. Jiang Junyi Reply:
Hello Allen: You mentioned "right ear tinnitus at 3000-8000 Hz, high at 52 dB and low at 12 dB, left ear at 250-8000 Hz, high at 17 dB and low at 13 dB," which may indicate a loss of auditory nerve cells in the right ear due to the high decibel levels. The "closed ...[Read More] Understanding Persistent Tinnitus: Insights from a Neurology Perspective
Chronic Discomfort: Seeking Answers for Unexplained Neurological Symptoms
Long-term discomfort of various kinds? Hello Doctor: I have been troubled by a persistent feeling of discomfort for a long time, but aside from being diagnosed with mitral valve prolapse, I have not been able to find a definitive cause. I would like to seek your advice, thank you...
Dr. Cai Zongzhang Reply:
Hello, Scorpion: It is recommended to visit the neurology outpatient clinic for an examination.[Read More] Chronic Discomfort: Seeking Answers for Unexplained Neurological Symptoms
Understanding Dizziness and Pressure: Neurological Insights and Solutions
Dizziness and a feeling of heaviness in the head? Hello Doctor: I have been experiencing dizziness, a feeling of pressure in my head, and nausea for almost three weeks. After visiting an ENT specialist and taking medication, I haven't vomited in the past few days, but I stil...
Dr. Jiang Junyi Reply:
Dear Miss Ling, You mentioned that "my head still feels a bit dizzy and swollen, with pain on both sides, and my ears also hurt a little. I feel heavy-headed and light-bodied, and looking at my phone causes some dizziness... After visiting the ENT and taking medication, I h...[Read More] Understanding Dizziness and Pressure: Neurological Insights and Solutions
Understanding Body Tingling: Causes and When to Seek Help
Tingling sensation in the body? Hello, doctor. I have been experiencing tinnitus, general weakness, and tightness along my neck, shoulders, and legs, along with numbness and pain. I consulted a neurosurgeon and had a cervical MRI, which showed degeneration and bone spurs, but the...
Dr. Jiang Junyi Reply:
Dear Mr. Ahao, You mentioned symptoms such as "tinnitus, generalized weakness, tightness and numbness in the neck, shoulders, and legs... pain in one elbow, swelling and tingling after prolonged bending." Your symptoms are more indicative of peripheral nerve injury. Th...[Read More] Understanding Body Tingling: Causes and When to Seek Help
Understanding Anxiety and Discomfort: A Neurology Perspective
Anxiety and multiple discomforts? I have mitral valve prolapse, and my doctor prescribed medication for palpitations, which helped a lot. The doctor didn't mention the need for a follow-up appointment, so I stopped taking the medication after finishing it. However, about a m...
Dr. Cai Zongzhang Reply:
Hello, Ms. Jan: It is recommended to visit the neurology and psychiatry outpatient clinics for examination and treatment.[Read More] Understanding Anxiety and Discomfort: A Neurology Perspective
Understanding Unilateral Tinnitus: Causes and Treatments
Unilateral tinnitus in the right ear? Hello, doctor. I have unilateral tinnitus in my right ear that is synchronized with my heartbeat. I also feel a sensation of airflow in my right ear, but when I went to the clinic to measure my ear pressure, it was normal. The clinic physicia...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to consult a neurologist for an evaluation of the underlying cause.[Read More] Understanding Unilateral Tinnitus: Causes and Treatments
Understanding Unilateral Eye Closure Issues: Causes and Next Steps
Issues with Eye Closure Hello Doctor, currently I am experiencing symptoms where I cannot close my left eye independently, but I can close both eyes simultaneously and also close my right eye alone. When I smile, my left side of the face appears significantly weaker. Additionally...
Dr. Jiang Junyi Reply:
Hello Mr. Sun: You mentioned that "the left side of your face is noticeably weaker when you smile, and there is also tinnitus in your left ear." This may indicate a left-sided facial nerve injury. Facial nerve paralysis is quite similar, primarily affecting the seventh ...[Read More] Understanding Unilateral Eye Closure Issues: Causes and Next Steps
Understanding Persistent Throat Pain: Is It a Neurological Issue?
Is there a problem with the nervous system? Hello Doctor, I have been experiencing a sensation of a foreign body and sharp pain in my oral and pharyngeal walls, which becomes particularly pronounced when swallowing saliva. There is also sharp pain and a foreign body sensation nea...
Dr. Jiang Junyi Reply:
Dear Miss Lin, Regarding the "medication for post-nasal drip" you mentioned, it may cause discomfort such as dry mouth. Additionally, it is important to consider female hormones and autoimmune issues. Since your symptoms are atypical and you have sought multiple medica...[Read More] Understanding Persistent Throat Pain: Is It a Neurological Issue?
Understanding Pulsatile Tinnitus: Causes and Consultations for Ear Sounds
Regular sounds in the left ear? Hello Dr. Hong, I need to work on the computer for long periods. Occasionally, I hear a chirping sound in my left ear that syncs with my pulse. I have undergone carotid and intracranial ultrasounds twice (at different hospitals two years apart), ...
Dr. Hong Weibin Reply:
Hello: Generally speaking, if you hear a sound that is synchronized with your pulse and vascular abnormalities have been ruled out, it may indeed be the vascular pulse being transmitted to your ears. The conduction of sound waves relies on a medium, and bones, muscles, and skin a...[Read More] Understanding Pulsatile Tinnitus: Causes and Consultations for Ear Sounds
Sudden Paralysis, Tinnitus, and Eye Twitching: Neurological Concerns
Inability to move the entire body, eyelid twitching, and tinnitus? I'm sorry to hear that you're feeling this way. Earlier today, I felt a bit tired and decided to lie down for a rest. Just as I was getting up, I suddenly experienced tinnitus, followed by an inability t...
Dr. Jiang Junyi Reply:
Hello Mr. Tony, You mentioned experiencing "tinnitus, inability to move, eyelid twitching, and being unable to make sounds," which may suggest the possibility of "syncope." The primary cause could be vasodilation of the skin microvasculature in a hot outdoor ...[Read More] Sudden Paralysis, Tinnitus, and Eye Twitching: Neurological Concerns
Understanding Throat and Oral Symptoms: A Guide to Neurological Concerns
Oral and throat issues? Hello Doctor, I would like to consult you. I have difficulty describing the exact location of my symptoms, but I will try to explain. For the past few months, the area around my uvula and the posterior pharyngeal wall (below the nasopharynx) has been in a ...
Dr. Jiang Junyi Reply:
Dear Ms. Lin, You have many symptoms that seem to be related to gastroesophageal reflux disease (GERD) or sleep apnea. I wonder if you have any issues with metabolic syndrome? From a neurological perspective, I recommend improving autonomic nervous system function to regulate ga...[Read More] Understanding Throat and Oral Symptoms: A Guide to Neurological Concerns
Understanding Chronic Neck Pain and Dizziness: A Neurology Perspective
I'm not sure where the problem lies? Hello, doctor! For the past 6-7 years, I have been experiencing 1. persistent stiffness in my neck and shoulders. Whenever this stiffness occurs, I feel a pressure in my temples and forehead, as if a rope is tied around or gripping me, fo...
Dr. Jiang Junyi Reply:
Dear Mr. QQ, I am unsure if you have metabolic syndrome (characterized by abdominal obesity, hypertension, elevated fasting blood glucose, and high lipid levels). If you do, you may be at high risk for cardiovascular diseases. You mentioned several issues that seem related to me...[Read More] Understanding Chronic Neck Pain and Dizziness: A Neurology Perspective
Understanding Symptoms of Dizziness and Head Pressure: When to Seek Medical Help
Feeling heavy-headed with a light feeling in the legs, accompanied by dizziness? Hello Doctor, my symptoms include dizziness, a feeling of pressure in my head, a heavy head with light legs, and slowed visual perception (when I turn my gaze from point A to point B, there is a sens...
Dr. Jiang Junyi Reply:
Hello, Sir: Your symptoms may suggest a vascular headache issue, specifically "dizziness and head fullness." This is particularly relevant for migraines. Basilar-type migraine, also known as basilar migraine or vertebrobasilar migraine, is a specific type of migraine. I...[Read More] Understanding Symptoms of Dizziness and Head Pressure: When to Seek Medical Help
Palpitations, Anxiety, and Neurological Symptoms: When to Seek Help
Palpitations, anxiety, and other symptoms? In February, I experienced palpitations for the first time and went to the emergency room. Blood tests showed no abnormalities, and follow-up with a cardiologist also indicated no issues. In March, I suddenly had a sharp pain on the left...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned experiencing "sharp pain on the left side of your face," which may warrant consideration of trigeminal nerve dysfunction. The diagnostic criteria for trigeminal neuralgia are as follows: - At least three attacks - Pain occurring in one or m...[Read More] Palpitations, Anxiety, and Neurological Symptoms: When to Seek Help
Understanding Neck Artery Issues: Risks, Symptoms, and Management
Neck issues Hello Doctor, I experienced sudden unilateral tinnitus in April, which led me to consult an otolaryngologist. My hearing test results were normal. Then one day, I suddenly experienced vertigo and sought medical attention again from the otolaryngologist. The doctor exa...
Dr. Jiang Junyi Reply:
Dear Ms. Yang, If you are concerned about vascular aging, it is advisable to have a clear understanding of your condition regarding the three highs (hypertension, hyperglycemia, and hyperlipidemia). For blood pressure measurement: In the population around 50 years old, systoli...[Read More] Understanding Neck Artery Issues: Risks, Symptoms, and Management
Understanding Symptoms of Cerebellar Herniation: Headaches, Dizziness, and Neck Pain
Dizziness, headache, and tightness and pain in the shoulder and cervical spine? Hello, doctor. I started experiencing severe headaches, dizziness, neck tightness and pain, and numbness in my hands and feet around July of last year. I initially thought it was due to fatigue or hea...
Dr. Jiang Junyi Reply:
Hello, Miss: In addition to your original issues, we may need to consider vascular headaches, which could be related to your menstrual cycle. Furthermore, since you mentioned a connection to posture, we should consider "intracranial hypotension headache." The primary sy...[Read More] Understanding Symptoms of Cerebellar Herniation: Headaches, Dizziness, and Neck Pain
Evening Discomfort: Understanding Symptoms and Seeking Help
I start to feel unwell every evening? Hello Doctor: When I was 19 years old, I underwent a unilateral thyroidectomy due to a thyroid nodule. Around the same time, I developed depression (which was later diagnosed as bipolar disorder) and was subsequently diagnosed with psoriasis ...
Dr. Cai Zongzhang Reply:
Hello Phoebe! Psoriasis is an autoimmune disease, which shares common characteristics with all autoimmune disorders. If you start experiencing discomfort in the evening, it is advisable to monitor your temperature in the morning and evening, engage in regular exercise, as this ca...[Read More] Evening Discomfort: Understanding Symptoms and Seeking Help
Understanding Brain Buzzing: Is It Tinnitus or Something Else?
Cerebral sound? Tinnitus? Hello doctor, I previously experienced tinnitus and a feeling of ear fullness in February. After undergoing examinations, everything was normal. After two months of distress, the ear fullness and tinnitus resolved. However, now I notice a buzzing sound i...
Dr. Hong Weibin Reply:
Hello: Based on your condition, you may seek assistance from a neurologist and an otolaryngologist. It is possible that hearing deterioration is the cause, and examinations can be conducted to confirm this.[Read More] Understanding Brain Buzzing: Is It Tinnitus or Something Else?
Understanding Standing Discomfort: Causes of Dizziness and Imbalance
Discomfort while standing and dizziness after prolonged standing? I have a flat foot, and I tend to walk slightly to the left unless I concentrate hard to walk in a straight line. I find it difficult to maintain stability while standing, and I often experience chest tightness and...
Dr. Cai Zongzhang Reply:
Hello Dale! There are many reasons for difficulty standing for long periods. Based on the symptoms mentioned, possible causes could be low blood pressure or insufficient physical activity, leading to decreased muscle tone in the lower extremities. It is recommended to visit a neu...[Read More] Understanding Standing Discomfort: Causes of Dizziness and Imbalance
Understanding Visual Disturbances: Insights on Flashing Lights and Eye Symptoms
Frequent bright spots and flashes in the eyes are indicative of enhanced Scherer's symptom? Hello Doctor, I am really very anxious and I seek your help to understand what might be wrong with me. I apologize for the lengthy message. My symptoms started in January after I boug...
Dr. Hong Weibin Reply:
Hello: 1-4. It is likely due to eye strain; I recommend reducing the use of VR, mobile phones, and computers, and taking more breaks. Improvement is expected in a few months. 5-6. It may be "typical aura without headache." In some patients, typical auras are always acco...[Read More] Understanding Visual Disturbances: Insights on Flashing Lights and Eye Symptoms