Understanding Post-Fever Complications: Insights from Neurology
Post-fever sequelae Hello, doctor. After I had an eye stone removed from my upper eyelid, I may not have had clean hands and rubbed my eyes. The next morning, I started to have a fever. At that time, I was home alone and couldn't find a thermometer. I felt very tired and wan...
Dr. Jiang Junyi Reply:
Hello: According to your description, there are many causes of tinnitus, including external auditory canal inflammation, foreign body obstruction, and earwax buildup, all of which can lead to tinnitus. Even tooth extraction and temporomandibular joint inflammation can trigger tin...[Read More] Understanding Post-Fever Complications: Insights from Neurology
Understanding Oral Mucosa Issues: Could It Be Autonomic Nervous System Dysfunction?
Autonomic Nervous System Dysregulation Hello Doctor, I would like to consult you. I have been experiencing discomfort in my oral mucosa for a month and a half (since I had my upper left second molar extracted). The symptoms are a burning and stabbing sensation localized to the le...
Dr. Jiang Junyi Reply:
Hello: In addition to considering diseases of the immune system, your symptoms may also suggest trigeminal neuralgia, particularly given your neuropathic pain symptoms that may involve the mandibular branch. According to the International Classification of Headache Disorders, Thi...[Read More] Understanding Oral Mucosa Issues: Could It Be Autonomic Nervous System Dysfunction?
Understanding Trapezius Muscle Issues and Pulsatile Tinnitus
Trapezius muscle issues and pulsatile tinnitus? Hello Dr. Jiang, Since I changed to a new pillow last September, I experienced a stiff neck that healed after a week. However, about a month later, I began to feel soreness and numbness in my left upper trapezius muscle, with inte...
Dr. Jiang Junyi Reply:
Hello: Regarding your questions, may I ask Dr. Jiang whether I can request a cervical ultrasound examination, or seek help from another specialty? A: Typically, vertebral artery issues are more related to hearing. If you request a carotid artery examination, the attending physici...[Read More] Understanding Trapezius Muscle Issues and Pulsatile Tinnitus
Understanding Pulsatile Tinnitus and Its Connection to Cervical Myofascial Pain
Pulsatile tinnitus / Cervical myofascial pain syndrome I have been experiencing unilateral high-frequency continuous tinnitus for over six months, along with a simultaneous high-frequency pulsatile tinnitus (which is slightly quieter). This occurs 24 hours a day, and I can hear i...
Dr. Cai Zongzhang Reply:
Hello, have you been diagnosed with shoulder and neck myofascial pain syndrome? It is recommended that you consult your otolaryngologist to confirm the relationship. Wishing you a speedy recovery.[Read More] Understanding Pulsatile Tinnitus and Its Connection to Cervical Myofascial Pain
Managing Seizures Triggered by Antidepressants: A Patient's Journey
Post-drug-induced epilepsy Hello Doctor, about 14 years ago, I experienced a head injury. I have a history of depression and sleep disorders, and my depression improved over time. However, approximately 12 years ago, I fainted in the bathroom after taking antidepressant medicatio...
Dr. Cai Zongzhang Reply:
Hello, epilepsy requires regular medication adherence and treatment according to the physician's instructions. Additionally, maintaining a stable daily routine can help stabilize the condition.[Read More] Managing Seizures Triggered by Antidepressants: A Patient's Journey
Understanding Dizziness: Causes, Symptoms, and When to Seek Help
Dizziness issues? Hello, doctor. At first, I occasionally experienced dizziness, feeling heavy-headed and light-headed. Then I started to have blurred vision, but resting for a moment helped. However, recently this situation has been occurring more frequently, accompanied by tinn...
Dr. Jiang Junyi Reply:
Hello, based on your description, there are many factors that can cause symptoms such as dizziness and blurred vision, including anemia, autonomic dysfunction, and inner ear imbalance. Generally speaking, women should first rule out anemia or fluid deficiency that could lead to i...[Read More] Understanding Dizziness: Causes, Symptoms, and When to Seek Help
Understanding Neck Pain and Numbness: When to Seek Medical Help
Neck pain and numbness? Last Thursday afternoon, I experienced severe headaches, and after taking painkillers, I felt slightly better. However, on Friday morning, I began to feel soreness and numbness in the back of my neck. After that, whenever I sat or stood, the soreness and n...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest headaches caused by intracranial hypotension. The primary symptom of this type of headache is "postural headache," which worsens when the patient is standing or sitting and significantly improves or disappears when lying down. The most c...[Read More] Understanding Neck Pain and Numbness: When to Seek Medical Help
Understanding the Use of Shunao for Headache Management: Is It Right for You?
Regarding the medication "Shu Nao." Hello doctor, I have been experiencing unexplained headaches for the past two months, which have persisted daily until now. Today, I visited a large hospital and the doctor prescribed me "Shunao," instructing me to take one ...
Dr. Jiang Junyi Reply:
Hello: Shunao is a selective calcium channel blocker, which acts as a cerebral vasodilator and has shown good efficacy in preventing migraines. It can also be used to treat peripheral vascular diseases, particularly obstructive peripheral vascular disease. Additionally, it may pr...[Read More] Understanding the Use of Shunao for Headache Management: Is It Right for You?
Understanding Headaches and Visual Disturbances: When to Seek Help
Headache and visual disturbances? Hello Doctor, I often experience jumping lines and words when reading, and I frequently notice discrepancies between what I see and what I write or say. However, my eye examination showed no issues with my vision (only nearsightedness, with no ot...
Dr. Jiang Junyi Reply:
Hello, based on your description, the first consideration for common prodromal migraine symptoms in women is the occurrence of visual disturbances. These may include seeing bright lights resembling stars and lightning, as well as blurred or distorted vision, which are all prodrom...[Read More] Understanding Headaches and Visual Disturbances: When to Seek Help
Why Do I Feel Dizzy When Walking? Understanding Your Symptoms
Feeling dizzy while walking? I have had tinnitus for many years, and recently I've been experiencing mild dizziness when walking. It’s not a spinning sensation, and I don’t feel nauseous. Sleeping is the most comfortable position, and I don’t feel dizzy while sleeping. I hav...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may be related to disturbances or dysfunction of the inner ear balance system, which commonly occurs in individuals while traveling. Dizziness can trigger sympathetic nervous system responses such as gastrointestinal discomfort, nausea, vomiting, vertigo, pal...[Read More] Why Do I Feel Dizzy When Walking? Understanding Your Symptoms
Understanding Chronic Head Pressure and Dizziness: Causes and Solutions
Heavy head, pressure in the head, dizziness, and stiffness and soreness in the shoulders and neck? Hello Dr. Jiang, my questions are as follows, please help me answer them: ● Medical History 1. For the past five years, I have almost daily experiences of head heaviness, dizziness...
Dr. Jiang Junyi Reply:
Hello: The most important thing for your condition is to cultivate the parasympathetic nervous system. 1. Do I need to have another brain MRI? Under what circumstances should dizziness warrant an MRI? A: Generally, if there are no new neurological symptoms, repeating an MRI is...[Read More] Understanding Chronic Head Pressure and Dizziness: Causes and Solutions
Understanding Balance Issues: Insights on Neurological Symptoms and Management
Frequent feelings of heaviness in the head and lightness in the legs, leading to imbalance during activities? Hello, I often feel unbalanced when I start moving in the morning (I don't feel much when sitting or lying down). For example, if I turn too quickly, I experience a ...
Dr. Jiang Junyi Reply:
Hello: Headaches can be quite bothersome, and if you are experiencing them frequently, you might consider using preventive medications that have low side effects and can be used long-term. Common prodromal symptoms of migraine include visual disturbances, such as seeing bright li...[Read More] Understanding Balance Issues: Insights on Neurological Symptoms and Management
Understanding Dizziness and Balance Issues: Causes and Solutions
Dizziness and loss of balance while walking? Hello, Doctor. On Tuesday evening, I started to feel something unusual while walking; I found myself leaning to the right and began to feel a bit dizzy. My hearing seems to be normal without any issues. I thought that resting at night ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest benign paroxysmal positional vertigo (BPPV), which occurs when turning the head, tilting the head back, or getting up from a lying position. The condition is caused by the displacement of otoliths into the posterior semicircular canal. However, th...[Read More] Understanding Dizziness and Balance Issues: Causes and Solutions
Understanding Tinnitus: When to Consult a Neurologist for Relief
Tinnitus issues Hello Doctor: Over the past year, I have been hearing a high-pitched ringing or hissing sound in my left ear, especially in quiet environments, which often affects my sleep. I have visited an otolaryngologist three times, and the doctors have stated that there are...
Dr. Jiang Junyi Reply:
Hello: Based on your description, if you are experiencing frequent tinnitus, it may be necessary to consider potential issues with the cochlea in the inner ear and the auditory nerve. This is commonly seen in individuals who work in noisy environments for extended periods, use me...[Read More] Understanding Tinnitus: When to Consult a Neurologist for Relief
Understanding Persistent Tinnitus: Causes and When to Seek Help
Suspected persistent tinnitus? Hello Doctor: Recently, I have been frequently cleaning my ears, and I suspect that I may have caused some inflammation in the ear canal. I suddenly started experiencing a persistent sharp, electric-like sound in one ear, but my hearing in both ears...
Dr. Jiang Junyi Reply:
Hello: Tinnitus can be attributed to issues originating from the ear or related to the brain. Common causes include external auditory canal inflammation, foreign body obstruction, and earwax buildup, which can all lead to tinnitus. Even dental extractions and temporomandibular jo...[Read More] Understanding Persistent Tinnitus: Causes and When to Seek Help
Should You Get Further Tests for Suspected Concussion After an Accident?
Is further examination needed for a suspected concussion? Hello Doctor, I was in a car accident on December 11th where my head hit the ground, but I did not sustain any external injuries. At the time, I was fully conscious and did not experience any nausea or vomiting. The hospit...
Dr. Jiang Junyi Reply:
Hello: Generally speaking, if there is no loss of consciousness, and no symptoms such as taking anticoagulants or obvious localized hematomas, head injuries are mostly minor. Your symptoms are more indicative of cervical myofascial inflammation. The high-risk period for delayed b...[Read More] Should You Get Further Tests for Suspected Concussion After an Accident?
Could Head Symptoms Indicate a More Serious Condition Like a Tumor?
Is it possible that there is a more serious issue, such as a tumor? Head – When experiencing dizziness, it feels like a heavy, fleeting sensation. Sometimes there is blurred vision and intermittent headaches that are not severe, more like a throbbing pain, with a dull, tight sens...
Dr. Jiang Junyi Reply:
Hello: I'm not sure if your intraocular pressure is elevated. If there is a difference between your two eyes, it may be worth considering the possibility of glaucoma. Additionally, your symptoms cannot rule out vascular headaches such as migraines, although they are less com...[Read More] Could Head Symptoms Indicate a More Serious Condition Like a Tumor?
Jaw Injury: Headaches, Nausea, and Possible Concussion Symptoms
Hit on the chin, headache, and nausea? A few days ago, I bumped my chin against someone's shoulder while playing basketball. There were no external injuries, but the impact was quite strong. At the time, I did not lose consciousness or experience confusion. However, afterwar...
Dr. Jiang Junyi Reply:
Hello: Head trauma with the following medical history is usually more severe and requires further head CT examination: – Vomiting 2 times or more – Age over 65 years or under 2 years – Drug or alcohol overdose – Persistent severe diffuse headache – Loss of consciousness for more ...[Read More] Jaw Injury: Headaches, Nausea, and Possible Concussion Symptoms
Understanding Recurrent Nausea and Dizziness: A Neurology Perspective
請提供您想詢問的內容，我將為您翻譯 Hello, doctor. When I was in sixth grade, I suddenly woke up feeling nauseous while sleeping. I immediately ran to the bathroom, feeling like I needed to vomit, but I couldn't. I experienced tinnitus, my vision became very bright and blurry, my limbs felt w...
Dr. Jiang Junyi Reply:
Based on your description: First, it is important to consider the symptoms of syncope, with the most common causes being reflex syncope. This can occur due to excessive stimulation of the vagus nerve, leading to bradycardia and decreased cardiac output. Other triggers include pos...[Read More] Understanding Recurrent Nausea and Dizziness: A Neurology Perspective
Understanding Pulsating Head Sensations: When to See a Neurologist
The head may feel pulsating? Hello doctor, I started experiencing ear fullness about a month ago, followed by tinnitus. The noise from the tinnitus is really loud, and I can only sleep until around two or three in the morning. Then I began to have dizziness with a sensation of sp...
Dr. Jiang Junyi Reply:
Based on your description, your dizziness symptoms may suggest Meniere's disease, which is characterized by recurrent episodes of vertigo accompanied by tinnitus or hearing loss. During episodes, resting and using some antihistamine anti-vertigo medications along with anxiol...[Read More] Understanding Pulsating Head Sensations: When to See a Neurologist