Understanding Blurry Vision: Is It a Neurological Issue?
The dynamic imaging is unclear? Hello doctor, I find that I cannot see clearly and everything appears blurry when watching dynamic images on television (for example, people running or jumping in the scene) or the scrolling news ticker. Could this be a problem with my optic nerve?...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to visit an ophthalmology clinic for an examination.[Read More] Understanding Blurry Vision: Is It a Neurological Issue?
Understanding Cognitive and Emotional Issues After a Car Accident
Issues After a Car Accident I have a family member who is a 40-45 year old female. She previously suffered a minor intracerebral hemorrhage due to a car accident, but the doctor determined that it would absorb on its own, so no surgery was performed. Additionally, she has sustain...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, if there is no loss of consciousness, no anticoagulant use, or obvious localized hematoma, head trauma is mostly mild. However, the following conditions should prompt consideration of delayed bleeding and a visit to the emerge...[Read More] Understanding Cognitive and Emotional Issues After a Car Accident
Understanding Brain Tumors: Symptoms, Diagnosis, and MRI Options
Brain cancer brain tumor I have a history of type 2 diabetes for 8 years and depression for 15 years. I have been taking tricyclic antidepressants DOXEPIN 50MG, LYRICA 20MG, and sleeping pills for at least 15 years. I have suffered from insomnia for 15 years and have a smoking hi...
Dr. Jiang Junyi Reply:
Hello: Here is the answer to your question. It is recommended to first undergo a non-contrast MRI to assess the lesions. (Generally, cerebrovascular diseases and brain tumors can be initially differentiated. As for dental issues, after the MRI, we can evaluate whether they signif...[Read More] Understanding Brain Tumors: Symptoms, Diagnosis, and MRI Options
Understanding Head Injuries: Signs, Symptoms, and Care After a Hit
The right occipital region was struck? 1. Today, I hit the back right side of my head against a pole. At the moment of impact, I was conscious and there were no obvious external injuries. Should I be concerned about a brain hemorrhage? 2. How can I determine the severity of a h...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, if there is no loss of consciousness, use of anticoagulants, or obvious localized hematoma, head trauma is mostly mild. However, the following conditions warrant consideration of delayed bleeding and require a visit to the eme...[Read More] Understanding Head Injuries: Signs, Symptoms, and Care After a Hit
Understanding Parkinson's Disease: Symptoms, Diagnosis, and Concerns
Parkinson's disease Hello Dr. Hong, I am 60 years old and do not have any issues with hypertension, diabetes, or high cholesterol; my overall health condition is fairly good. However, over two years ago, my family noticed that my head would have slight tremors when at rest. ...
Dr. Hong Weibin Reply:
Hello: Common causes of tremors, aside from Parkinson's disease, include essential tremor and physiological tremor, among others. A neurologist needs to conduct a detailed medical history inquiry and monitor the patient over a period of six months to a year to have greater c...[Read More] Understanding Parkinson's Disease: Symptoms, Diagnosis, and Concerns
Should I Worry About Past Head Injuries? A Neurology Perspective
I previously sustained an injury to the back of my head? Hello, doctor. When I was in middle school, I accidentally hit the back of my head while playing with my classmates. I remember it hurt a lot at the moment, and I felt dizzy and had blurred vision for about 10 seconds. I im...
Dr. Hong Weibin Reply:
If none of the following symptoms are present, further observation is recommended: head trauma accompanied by bleeding; not crying or being fussy after the fall, but gradually developing confusion, coma, or excessive drowsiness; experiencing recurrent vomiting, drowsiness, altere...[Read More] Should I Worry About Past Head Injuries? A Neurology Perspective
Head Injury from Medical Infrared Device: Recovery Tips and Risks
Hit on the top of the head? Hello Doctor: Yesterday, I was hit on the top of my head by a medical-grade low-temperature far-infrared device. When I went from sitting to standing, my head hit the device. At the moment, I only felt some pain, but today it still hurts. I do not have...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, if there is no loss of consciousness, no anticoagulant use, or obvious local hematoma, head trauma is mostly mild. However, the following situations should prompt consideration of delayed bleeding and a visit to the emergency ...[Read More] Head Injury from Medical Infrared Device: Recovery Tips and Risks
Head Injury After Car Accident: Pain Management and Care Tips
A friend was in a car accident? Hello, the friend of mine had a car accident yesterday and hit their forehead, resulting in bruising and a small abrasion. Other injuries include abrasions on various parts of the body. After resting at home for a day, they still experience headach...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, if there is no loss of consciousness, use of anticoagulants, or obvious local hematoma, head trauma is mostly mild. However, the following conditions warrant consideration of delayed bleeding and require a visit to the emergen...[Read More] Head Injury After Car Accident: Pain Management and Care Tips
Understanding Neurological Symptoms: Seeking Solutions for Chronic Fatigue and Dizziness
Hello, Dr. Jiang? In April 2019, I received a combined measles vaccine and was taking medication for Helicobacter pylori. After 1-3 days, I experienced severe throat pain, persistent phlegm, general weakness, and fatigue. I consulted an otolaryngologist and underwent a neck ultra...
Dr. Jiang Junyi Reply:
Hello, based on your description, it is unclear whether you are experiencing overweight issues. It may also be necessary to consider sleep apnea: if you have this condition, it can lead to daytime concentration difficulties and frequent drowsiness. There are generally two types...[Read More] Understanding Neurological Symptoms: Seeking Solutions for Chronic Fatigue and Dizziness
Understanding Left-Sided Migraine and Anxiety: A Young Adult's Journey
Tension-type headache? Hello, Doctor Jiang. Let me explain my condition. I am 19 years old, and about three days ago, I started experiencing body aches and weakness. By the afternoon, I developed a headache, and in the evening, I had a fever (37.8°C). The next morning, the fever ...
Dr. Jiang Junyi Reply:
Hello, based on your description, the most common cause of left-sided neck pain is cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscle in the back of the neck, resulting in neck and shoulder discomfort. Initially, resting may al...[Read More] Understanding Left-Sided Migraine and Anxiety: A Young Adult's Journey
Understanding Persistent Vomiting and Neurological Symptoms: When to Seek Help
Continuous vomiting, dizziness, headache, double vision, and impaired memory? Hello Doctor, I have been experiencing continuous vomiting for over four months now. After undergoing various examinations, including abdominal ultrasound, gastroscopy, upper gastrointestinal series, an...
Dr. Hong Weibin Reply:
Hello: You can visit a neurologist for an evaluation to determine if a brain scan is necessary. Wishing you a speedy recovery.[Read More] Understanding Persistent Vomiting and Neurological Symptoms: When to Seek Help
Headache or Eye Strain? Understanding Your Symptoms and Next Steps
I'm not sure if it's a headache or an eye problem? Hello Doctor, I would like to ask about my issue. Two weeks ago, I started experiencing pain above my left eye, possibly due to staying up late or high stress. Last Friday evening, I visited an ophthalmologist who said ...
Dr. Jiang Junyi Reply:
Hello: In addition to considering eye-related issues, your symptoms may also suggest cervical myofascial headache or tension-type headache. Tension-type headache is caused by muscle tightness in the head. Common manifestations include a tightening pain in the forehead and temples...[Read More] Headache or Eye Strain? Understanding Your Symptoms and Next Steps
Understanding Neck Pain After a Fall: When to Seek Medical Attention
Neck pain Hello doctor, I slipped in the bathroom the day before yesterday and hit the back of my head on the threshold. That night, I noticed that when lying down, lifting my neck caused some pain and tightness. It has persisted until today; turning my head slightly to the left ...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms seem more like a neck muscle strain. Regarding intracranial hemorrhage, if there is no loss of consciousness, no anticoagulant use, or obvious local hematoma, head trauma is mostly mild. However, consider delayed bleeding and seek e...[Read More] Understanding Neck Pain After a Fall: When to Seek Medical Attention
Post-Concussion Fatigue: Understanding Symptoms and When to Seek Help
Feeling fatigued one month after a fall? On May 4th, I had a motorcycle accident and was wearing a three-quarter helmet at the time. There was no external injury or bleeding to my brain, but I primarily injured my chin. I was hospitalized for a week, and the diagnosis indicated a...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, if there is no loss of consciousness, use of anticoagulants, or obvious local hematomas, head injuries are mostly minor. However, the following conditions should prompt consideration of delayed bleeding and a visit to the emer...[Read More] Post-Concussion Fatigue: Understanding Symptoms and When to Seek Help
Understanding Sudden Dizziness: Causes and Concerns for Office Workers
Sudden dizziness? Hello Doctor, I would like to ask about something. Since my job involves sitting at a desk, there have been a few instances while at work where I suddenly experience a brief moment of blankness in my vision and dizziness, lasting about one to two seconds, but ...
Dr. Cai Zongzhang Reply:
Hello, please be reminded that adequate rest is necessary and important. If your condition improves, it is recommended that you visit a neurology clinic for further evaluation to determine the possibility of vertigo.[Read More] Understanding Sudden Dizziness: Causes and Concerns for Office Workers
Effective Recovery Strategies After a Head Injury from a Baseball Bat
Head struck by a baseball bat? Hello, doctor! A friend of mine, Peng, accidentally got hit in the head with a baseball bat nearly a year ago. The hospital has been administering glucose and mostly prescribing B12 and painkillers, but he says he hasn't improved. He still expe...
Dr. Jiang Junyi Reply:
Hello: Generally speaking, if there is no loss of consciousness, no use of anticoagulants, or obvious local hematomas, head injuries are mostly mild. However, the following situations should raise concerns for delayed bleeding, and you should seek emergency care: (1) Deterioratio...[Read More] Effective Recovery Strategies After a Head Injury from a Baseball Bat
Understanding Visual Symptoms in Migraine: Causes, Treatments, and Duration
Migraine with visual symptoms Hello Doctor: Recently, I have been experiencing zigzag-shaped flashes in my left eye every few days (without headaches), and whenever I lie down, I notice a slight flashing sensation, similar to a light bulb repeatedly turning on and off, or like te...
Dr. Jiang Junyi Reply:
Hello: 1. What medications are typically prescribed to alleviate migraine with visual symptoms? A: If the visual symptoms occur within half an hour before the headache, it is referred to as migraine with aura. Medications such as ergotamine (e.g., Cafergot) or triptans (e.g., ...[Read More] Understanding Visual Symptoms in Migraine: Causes, Treatments, and Duration
Understanding Myasthenia Gravis: Symptoms, Treatment, and Lifestyle Tips
Myasthenia Gravis Hello, doctor. Recently, I have been experiencing double vision and hand tremors. I first went to an ophthalmologist, who said my eyes were fine and recommended that I see a neurologist. After several follow-up visits, the neurologist diagnosed me with myastheni...
Dr. Jiang Junyi Reply:
Hello: You mentioned that this disease is lifelong? A: It may be necessary to identify the underlying causes and other diagnoses. If it is a thymoma, surgery may effectively control the disease. What are the side effects of frequently taking Pyridostigmine besides diarrhea? A: Th...[Read More] Understanding Myasthenia Gravis: Symptoms, Treatment, and Lifestyle Tips
Severe Headaches: Understanding Causes and Seeking the Right Specialist
Severe headache? Hello, doctor. I am a patient with hypertension. I know that high blood pressure can cause headaches. However, in addition to experiencing headaches when my blood pressure is high, I also experience severe pain in the back of my head when riding a motorcycle over...
Dr. Cai Zongzhang Reply:
Hello, it is recommended that you seek further follow-up diagnosis and treatment from a neurosurgeon or neurologist.[Read More] Severe Headaches: Understanding Causes and Seeking the Right Specialist
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