Understanding Mysterious Headaches: Causes and Concerns
Unexplained headache Dr. Jiang: Hello! A couple of days ago at work, I experienced a sharp, electric-like pain located about 2 to 3 centimeters above my left eyebrow. The pain comes and goes, and it has persisted for two and a half days. The location of the pain has shifted from ...
Dr. Jiang Junyi Reply:
Dear Mr. Wu, Regarding the symptoms you mentioned, if dental issues are ruled out, it may be necessary to consider trigeminal neuralgia. According to the International Classification of Headache Disorders, Third Edition (ICHD-3), the diagnostic criteria for trigeminal neuralgia ...[Read More] Understanding Mysterious Headaches: Causes and Concerns
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 Facial Numbness: Is It Related to Trigeminal Nerve Issues?
I would like to ask some questions? Three days ago, I started experiencing a tingling sensation when touching the right lower lip and chin. There is also a small area on the front of the right side of my tongue that feels tingly. My cheek and chin feel slightly warm. What could b...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest trigeminal neuralgia, which is typically unilateral. Pain is most commonly experienced in the maxillary and mandibular branches (your symptoms are in the mandibular branch). The pain is characterized by severe, superficial, sharp, paroxysmal episo...[Read More] Understanding Facial Numbness: Is It Related to Trigeminal Nerve Issues?
Understanding Trigeminal Neuralgia: Symptoms, Diagnosis, and Treatment
Trigeminal neuralgia with toothache? Hello, doctor. I would like to inquire about a sudden pain in my right teeth that started a few weeks ago as I approach my 24th birthday. I often experience severe pain in the upper canine and lower areas, or occasionally in the entire right s...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are very similar to the second branch of trigeminal neuralgia. However, the underlying cause still requires further examination. The diagnostic criteria for trigeminal neuralgia are as follows: - At least three attacks - Pain occurring in one or more divisi...[Read More] Understanding Trigeminal Neuralgia: Symptoms, Diagnosis, and Treatment
Understanding Facial Numbness and Twitching: Is It Trigeminal Neuralgia?
Left facial pain, with twitching of the upper left lip? Doctor, I have been experiencing a tingling sensation in the upper left corner of my mouth recently, and sometimes it twitches like a spasm. There is also soreness around the inner side of my left cheekbone. Could this be tr...
Dr. Cai Zongzhang Reply:
Hello, if your symptoms persist, it is recommended to visit a neurology outpatient clinic for further evaluation and treatment.[Read More] Understanding Facial Numbness and Twitching: Is It Trigeminal Neuralgia?
Understanding Head, Eye, and Tooth Pain: Neurological Insights
Pain in the back of the head, pain around the eyes, and toothache? Hello Dr. Jiang: I am 25 years old and have recently experienced intermittent tooth pain, discomfort around my eye socket, and pain in the back of my head. I visited the dentist just two weeks ago, so I don't...
Dr. Jiang Junyi Reply:
Hello, based on your description: your symptoms may suggest trigeminal neuralgia. As for the brain injury from four years ago, it is unlikely to be the cause of the symptoms you mentioned. Generally, if there is no loss of consciousness, no anticoagulant use, or obvious local hem...[Read More] Understanding Head, Eye, and Tooth Pain: Neurological Insights
Understanding Trigeminal Neuralgia: Symptoms and Possible Causes
Trigeminal neuralgia? The patient has recently experienced pain in the upper right teeth, described as a dull ache, and visited a dentist. The dentist indicated that the teeth themselves are fine, but there is mild inflammation of the gums. However, the patient has noticed that s...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are very similar to trigeminal neuralgia, but a period of observation is needed. According to the International Classification of Headache Disorders, Third Edition (ICHD-3), the diagnostic criteria for trigeminal neuralgia are as follows: - At least three ep...[Read More] Understanding Trigeminal Neuralgia: Symptoms and Possible Causes
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 Phantom Saliva Sensation: A Neurological Perspective
The corners of my mouth often feel like they are drooling, but there is no saliva? Hello: About two years ago, I occasionally felt saliva at the corner of my right mouth, and I would naturally suck it in. Recently, the frequency of this sensation has increased. I have been biting...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are more indicative of trigeminal neuralgia, particularly involving the third branch. I recommend that you consult a neurologist for discussion and treatment. Wishing you good health and peace. Dr. Jiang from Taoyuan Hospital cares about you.[Read More] Understanding Phantom Saliva Sensation: A Neurological Perspective
Understanding Unexplained Severe Head Pain: Possible Causes and Insights
Abnormal head pain Recently, my father has been experiencing severe headaches that are so intense they cause him to tear up. He has already seen doctors at Cheng Kung University and Chi Mei Hospital, but they all mentioned that neuralgia is difficult to diagnose and there are no ...
Dr. Hong Weibin Reply:
There are many causes of headaches, including primary headaches (such as migraines and tension-type headaches) and secondary headaches (such as brain tumors). There are also neuropathic pain conditions (such as trigeminal neuralgia) and vascular pain (such as cerebral aneurysms)....[Read More] Understanding Unexplained Severe Head Pain: Possible Causes and Insights
Understanding Nerve Pain: A Case of Throat and Neck Discomfort
I got shocked and it hurts a lot? On the first day, I experienced dizziness, nausea, and a slightly elevated temperature of about 37.5°C. On the second day, I developed a fever of 38.5°C, and my throat began to hurt, accompanied by sharp pain on the right side of my neck (located...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are more indicative of neuropathic pain, which is typically caused by damage to the sensory nervous system. Particularly, peripheral nervous system disorders are common, such as postherpetic neuralgia, but some central nervous system diseases can also cause s...[Read More] Understanding Nerve Pain: A Case of Throat and Neck Discomfort
Understanding Facial Nerve Issues: Symptoms and When to Seek Help
Facial issues Hello Dr. Jiang, last November, I experienced intermittent twitching in my lower left lip for almost a month. I went to a neurologist for an examination, and tests for trigeminal nerve and thyroid function were normal, with no signs of inflammation. The doctor sugge...
Dr. Jiang Junyi Reply:
Hello: The clinical manifestation of facial nerve paralysis is muscle weakness. If accompanied by other sensory symptoms, one should consider the possibility of trigeminal nerve involvement. The most common cause of trigeminal nerve pathology is compression by vascular structures...[Read More] Understanding Facial Nerve Issues: Symptoms and When to Seek Help
Understanding Facial and Scalp Tightness and Pain: A Neurology Perspective
Tightness and tingling pain in the face and scalp? The area around the left eye, forehead, and scalp feels tight, with a prickling sensation upon touch. The eyes can close tightly, and daily activities are normal with low stress levels and regular exercise. This symptom has persi...
Dr. Jiang Junyi Reply:
Hello: The location you described may suggest trigeminal neuralgia, as touching the area can cause a sharp, stabbing sensation. Trigeminal neuralgia is more common in women than in men and typically occurs in adults around the age of 50. The primary cause is often due to vascular...[Read More] Understanding Facial and Scalp Tightness and Pain: A Neurology Perspective
Facial Numbness After Eating Sweets: Possible Neurological Issues
Numbness in the face after consuming sweets? Whenever I eat sweets (especially cake), my face and chin become numb (particularly the right side of my face), regardless of how sweet they are. However, drinks do not cause this issue. This has been happening for two years, and recen...
Dr. Jiang Junyi Reply:
Hello: You mentioned that the issue of chin numbness may be due to abnormal nerve signaling of the trigeminal nerve. The trigeminal nerve originates from the brainstem, and conditions such as vestibular schwannoma, multiple sclerosis, herpes zoster, or even dental issues causing ...[Read More] Facial Numbness After Eating Sweets: Possible Neurological Issues
Understanding Facial Nerve Pain: Causes, Symptoms, and Treatment Options
Facial nerve neuralgia I have already consulted both an otolaryngologist and a dentist, and no abnormalities were found. Currently, I am continuing to take anti-inflammatory pain medication and muscle relaxants prescribed by a neurologist (three times a day). I can close my eyes ...
Dr. Jiang Junyi Reply:
Hello: Your neuropathic pain is likely trigeminal neuralgia, which is more common in women and typically occurs in adults around the age of 50. There are many causes, most commonly due to compression of the trigeminal nerve by vascular structures as it exits the brainstem. Other ...[Read More] Understanding Facial Nerve Pain: Causes, Symptoms, and Treatment Options
Understanding Trigeminal Neuralgia Symptoms and Treatment Options
Trigeminal nerve symptoms Doctor, two months ago I experienced a dull pain in the area of the second-to-last tooth on the upper left side. I also felt numbness and a throbbing sensation from the lower left corner of my left eye to my left temple. However, the pain was not severe....
Dr. Jiang Junyi Reply:
Hello, based on your description, it seems more like trigeminal neuralgia affecting the second branch of the trigeminal nerve. There are many causes of trigeminal neuralgia, with approximately 80% attributed to compression of the trigeminal nerve by vascular structures as it exit...[Read More] Understanding Trigeminal Neuralgia Symptoms and Treatment Options
Understanding Facial Tingling: Causes and When to Seek Help
Tingling sensation on one side of the face? Hello, Doctor. Recently, I've experienced a slight tingling sensation on the left side of my face. Initially, I thought it was an allergic reaction to skincare products, but now all the sensations on the left side of my face have b...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider trigeminal nerve inflammation, with the area of sensory abnormality appearing at the location of the ophthalmic branch. The occurrence of trigeminal neuralgia is associated with demyelination of nerve fibers, but t...[Read More] Understanding Facial Tingling: Causes and When to Seek Help
Trigeminal Neuralgia or Migraine: Understanding Your Facial Pain
Trigeminal neuralgia or migraine? Hello doctor, I started having a cold at the end of June, which developed into sinusitis, but by the end of July, I had mostly recovered. However, I have been experiencing several issues since then. Every morning, I feel a sense of fullness in my...
Dr. Jiang Junyi Reply:
Hello: The branches of the trigeminal nerve are distributed from top to bottom in the forehead, cheeks, and chin. Trigeminal neuralgia often occurs in the areas innervated by its lower two branches, with a lower incidence in the region of the first branch. Additionally, trigemina...[Read More] Trigeminal Neuralgia or Migraine: Understanding Your Facial Pain
Understanding Trigeminal Neuralgia: Symptoms, Causes, and Treatment Options
Trigeminal Neuralgia I've been having trouble sleeping at night lately, and taking a lot of painkillers hasn't helped. The pain is mainly located above my left ear, in the upper left teeth, and I feel a tingling sensation below my eyes, around my eyebrows, and next to m...
Dr. Jiang Junyi Reply:
Based on your description, the facial pain you are experiencing is primarily in the area innervated by the second branch of the trigeminal nerve. Generally, the examinations that may be conducted during your visit include: 1. Neurological examination: To identify specific areas...[Read More] Understanding Trigeminal Neuralgia: Symptoms, Causes, and Treatment Options
Understanding Facial Nerve Pain: Symptoms and When to Seek Help
Facial nerve Hello Doctor: I experience pain when pressing on the back end of my left eyebrow, which radiates down to my cheek and feels like nerve pain. I do not have any pain when not pressing on it. I would like to know what this symptom might indicate and which department I s...
Dr. Jiang Junyi Reply:
Hello: The nerve distribution you mentioned seems to resemble the trigeminal nerve. The branches of the trigeminal nerve are roughly distributed from top to bottom in the forehead, cheeks, and chin. The nerve endings that dentists anesthetize during tooth extraction are branches ...[Read More] Understanding Facial Nerve Pain: Symptoms and When to Seek Help