Assessing Long-Term Effects of a Baseball Head Injury in Teens
Hit on the head by a falling baseball? I am 18 years old now, but about 6 to 8 years ago, when I was in elementary school, I was hit on the head (slightly towards the back right side) by a hard baseball that was thrown high into the air while playing on the playground. At that mo...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, if there was no loss of consciousness at the time of the head injury, no use of anticoagulants, or significant local hematoma, the head injury is mostly minor. Common symptoms of brain injury from head trauma typically occur w...[Read More] Assessing Long-Term Effects of a Baseball Head Injury in Teens
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
Head Injury Symptoms: Dizziness and Headache After a Hit
Head trauma, dizziness, and headache? Two days ago (January 6th), I accidentally got hit on the head while playing with my classmates, specifically on the upper left side and the top of my head. At that moment, I was fully conscious and did not feel any significant pain in the ar...
Dr. Jiang Junyi Reply:
Hello: Generally speaking, if there is no loss of consciousness, use of anticoagulants, or obvious local hematomas, head trauma is mostly mild. However, if the following conditions occur, delayed bleeding should be considered, and you should seek emergency care: (1) Deterioration...[Read More] Head Injury Symptoms: Dizziness and Headache After a Hit
Head Injury Concerns: When to Seek Medical Attention During Pregnancy
Hit on the right side of the head? Hello Dr. Jiang: On Monday night, I bumped into the wall at the bottom of the stairs. At that moment, I only felt pain from the impact and did not apply ice. When I touch the area where I hit, it hurts. The next day, I woke up with a headache th...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, if there is no loss of consciousness, the use of anticoagulants, or obvious localized hematomas, head injuries are mostly mild. However, if the following conditions occur, delayed bleeding should be considered, and you should ...[Read More] Head Injury Concerns: When to Seek Medical Attention During Pregnancy
Understanding Unexplained Chest and Facial Symptoms: A Neurological Perspective
I'm not sure where the problem lies? Hello Doctor, I am currently experiencing the following symptoms: Two nights ago, before going to bed, I felt a tightness near my left chest close to the armpit. Last night, before going to bed, I experienced intermittent sharp pains in t...
Dr. Jiang Junyi Reply:
Hello: The symptoms you mentioned do resemble neuropathic pain, as paresthesia is characteristic of this condition. It may be necessary to consider cervical nerve root compression. The clinical symptoms of herpes zoster can be quite atypical, ranging from severe pain to paresthes...[Read More] Understanding Unexplained Chest and Facial Symptoms: A Neurological Perspective
Understanding Dizziness and Visual Disturbances: When to Seek Help
Dizziness/headache with visual disturbances? Hello Doctor, last weekend I experienced a sudden sharp pain on the left side of my head, and since then I have felt as if a layer of bright glitter has been placed over my vision, which has persisted for about five days. (However, the...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider a migraine with aura. Symptoms include visual disturbances such as seeing stars and lightning-like flashes, as well as blurred or distorted vision, which are all common migraine auras. A few minutes after the aura ...[Read More] Understanding Dizziness and Visual Disturbances: When to Seek Help
Is There a Connection Between Dizziness and Lower Back Pain?
Is there a connection between dizziness and lower back pain? Hello Doctor: I have experienced lower back pain three times in the past five years, each lasting two to three days. The pain occurs when I bend my back slightly. During the first two episodes of back pain, I fainted on...
Dr. Jiang Junyi Reply:
Hello, based on your description, we can divide it into two parts: first, let's discuss the possible causes of syncope (fainting). Common causes include: 1. Neurogenic reflexes leading to decreased peripheral vascular tone, resulting in blood pooling in peripheral tissues an...[Read More] Is There a Connection Between Dizziness and Lower Back Pain?
Is It Autonomic Nervous System Dysfunction? Understanding Your Symptoms
Is this autonomic nervous system dysfunction? Hello, I have been experiencing severe dizziness for over a month now, which occurs constantly every minute of the day. Additionally, I have a sensation of ear fullness on one side, drooping eyelids, and dryness (though there is no vi...
Dr. Cai Zongzhang Reply:
Hello, based on the symptoms you described, it is difficult to determine whether there is a direct relationship with the nervous system. Stress may be a contributing factor, and physical fatigue could also play a role. I recommend maintaining a regular daily routine and consideri...[Read More] Is It Autonomic Nervous System Dysfunction? Understanding Your Symptoms
Struggling with Frequent Dreams and Shallow Sleep: Seeking Solutions
I have been experiencing continuous light sleep and vivid dreaming for almost three weeks? Hello, doctor. For the past two weeks, I have been dreaming every night and experiencing shallow sleep. The longest continuous sleep I get is about four hours, and in the worst cases, I wak...
Dr. Jiang Junyi Reply:
Hello: There are many potential causes for your insomnia, such as watching television before bed, consuming spicy foods at dinner that elevate metabolism, or experiencing sleep apnea. I recommend improving your sleep hygiene: try to avoid napping during the day. Avoid drinking co...[Read More] Struggling with Frequent Dreams and Shallow Sleep: Seeking Solutions
Can a Head Injury Affect Your IQ and Memory?
Head issues I would like to ask the doctor: A few days ago, while hanging laundry, I accidentally bumped my head against a metal plate and it hurt a bit. Will this affect my IQ or memory?
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, if there is no loss of consciousness, the use of anticoagulants, or obvious localized hematomas, head injuries are mostly mild. However, the following conditions should prompt consideration of delayed bleeding and a visit to t...[Read More] Can a Head Injury Affect Your IQ and Memory?
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 Left-Sided Numbness and Weakness: Possible Causes and Next Steps
Numbness and weakness in the left hand and foot? Hello Doctor: For the past two weeks, I have been experiencing numbness in my left hand and foot, particularly in my fingers. Additionally, my left hand has been shaking uncontrollably. The numbness is persistent and spreads quickl...
Dr. Jiang Junyi Reply:
Hello, based on your description, the medication Micobalamin is Vitamin B12, while Baclofen is a muscle relaxant that may cause muscle weakness. A common cause of neck pain is cervical myofascial pain: prolonged periods of looking down can lead to overuse of the trapezius muscle ...[Read More] Understanding Left-Sided Numbness and Weakness: Possible Causes and Next Steps
Understanding Heavy Head Sensation: Neurological Insights and Causes
My head feels very heavy? About a month ago, I suddenly experienced a bout of dizziness (the spinning kind), but fortunately, I managed to hold on. Following that, I felt lightheaded, with a heavy head and light legs. It felt like my head was so heavy that I could faint if I beca...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are not very typical, but common causes for such symptoms may include issues related to cervical myofascial pain or sleep disorders. I wonder if you have a problem with being overweight, as men are more prone to obstructive sleep apnea. Obstructive sleep ap...[Read More] Understanding Heavy Head Sensation: Neurological Insights and Causes
Understanding Eyelid Droop and Facial Tightness: Possible Neurological Issues
Right eyelid ptosis and tightness on the right side of the face? Hello, I noticed that my eyes are uneven about a month ago. The right side of my face droops, causing the asymmetry. I thought it was due to fatigue, but even after getting enough sleep, I woke up the next day with ...
Dr. Hong Weibin Reply:
Hello: Based on your description, I suspect the cause may be right-sided facial nerve paralysis. Additionally, it is important to be cautious about the possibility of myasthenia gravis. I recommend that you seek assistance from a neurologist directly.[Read More] Understanding Eyelid Droop and Facial Tightness: Possible Neurological Issues
Understanding Persistent Mild Headaches: Causes and Next Steps
Mild headache for 50 consecutive days? Hello Doctor, I have been experiencing mild headaches for the past 50 days. The pain occurs approximately every 5 minutes, lasting for about 1 second each time, and it is almost continuous throughout the day. However, I sleep well at night. ...
Dr. Jiang Junyi Reply:
Hello: 1. The symptoms you described are likely due to muscle-related pain, and you may need to consider myofascial issues. 2. Is it possible to have slight discomfort in the neck and shoulders while experiencing continuous head pain? My understanding is that for head pain to ...[Read More] Understanding Persistent Mild Headaches: Causes and Next Steps
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
Understanding Dizziness and Fainting: When to See a Neurologist
Cold sweats and fainting? Hello Dr. Jiang, I would like to inquire about the following: Recently, I fainted while on the subway. I had already eaten breakfast before taking the subway, and I was standing at the time. The symptoms I experienced before fainting included dizziness, ...
Dr. Jiang Junyi Reply:
Based on your description, the symptoms you mentioned are more likely caused by syncope. Loss of consciousness can occur when cerebral blood flow drops below 30 mL per minute, typically due to autonomic dysfunction leading to rapid drops in blood pressure or vasoconstriction, res...[Read More] Understanding Dizziness and Fainting: When to See a Neurologist
Understanding Pituitary Tumors: Impact on Health and Treatment Options
Pituitary tumor The father is 77 years old and has heart disease (arrhythmia, mitral valve insufficiency). According to the cardiologist, his heart function is only at 20%. His kidney function is poor but has not yet reached the stage of requiring dialysis. Currently, he can walk...
Dr. Jiang Junyi Reply:
Hello: Based on your description, you mentioned that the issue with the pituitary tumor was noted three years ago. If you are concerned about the tumor enlarging, a visual field test can be arranged. If the visual field test shows an increase in defects, an MRI can be scheduled f...[Read More] Understanding Pituitary Tumors: Impact on Health and Treatment Options
Could Your Sleep Issues Be Narcolepsy? Understanding the Symptoms
Is it narcolepsy? Hello Dr. Jiang: For the past two months, I have been feeling like I have been dreaming a lot almost every night and not getting enough sleep. Sometimes, even though I am fully aware, my limbs feel paralyzed and it takes a moment for them to return to normal. Ad...
Dr. Jiang Junyi Reply:
Hello: It seems that you may have a sleep disorder, but narcolepsy is somewhat different from your condition. Diagnosing narcolepsy typically requires a detailed medical history, as narcolepsy is usually not directly related to the sleep quality of the previous night. In a sleep ...[Read More] Could Your Sleep Issues Be Narcolepsy? Understanding the Symptoms