Exploring Nerve or Muscle Damage After Orthognathic Surgery: A Case Study
Nerve damage or muscle damage? Three years after orthognathic surgery, I have been experiencing pain and pressure behind my eyes, eye fatigue, blurred vision, and mental exhaustion, with no improvement over the past three years. Muscle relaxants and pain medications have been ine...
Dr. Jiang Junyi Reply:
Hello: I'm not sure if you have any refractive issues, such as myopia or presbyopia due to aging of the ciliary muscle, which may require more effort to focus when using your eyes. Since the distance from the sinuses to the eyeball is considerable, and the extraocular muscle...[Read More] Exploring Nerve or Muscle Damage After Orthognathic Surgery: A Case Study
Severe Headaches Triggered by Breath-Holding and Straining: What to Know
Severe headaches occur when holding breath or straining? Yesterday, while practicing the jellyfish float and breathing techniques during swimming, I experienced severe pain at the back of my head after completing five breathing cycles, accompanied by mild neck soreness. However, ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are more indicative of a variant of migraine or myofascial pain syndrome. However, if the headache persists for more than three days, it may be necessary to consider the rare possibility of cerebral venous thrombosis, which differs from typical cerebral arter...[Read More] Severe Headaches Triggered by Breath-Holding and Straining: What to Know
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 Dynamic Vision Loss: Neurological Insights and Treatment Options
Dynamic visual acuity loss I participated in a course called "Listening Analysis" organized by a certain religious group. Due to some events that occurred, I felt as if one of my nerves had sunk down, and many neural connections seemed to disappear. Since then, I have b...
Dr. Jiang Junyi Reply:
Hello: If the symptoms are sudden, it may be necessary to consider vascular diseases, and it is recommended to consult a vascular neurologist for evaluation. Regarding rehabilitation, dynamic visual acuity issues are common among many children, and a relevant specialist may be an...[Read More] Understanding Dynamic Vision Loss: Neurological Insights and Treatment Options
Restoring Dynamic Vision: Solutions for Neurological Impairments
Dynamic vision has been lost? Dear Doctor, a few years ago, due to certain events, I lost my dynamic vision. At that time, I felt like one of my nerves sank down to the base, and a significant portion of my neural connections disappeared. As a result, I am now unable to perceive ...
Dr. Jiang Junyi Reply:
Hello: I'm not sure what caused your dynamic vision impairment. The reasons for abnormal dynamic vision can range from injury to the ciliary muscle, damage to the extraocular muscles, to dysfunction of the brainstem nuclei. Generally speaking, for nerve recovery: 1. Avoid st...[Read More] Restoring Dynamic Vision: Solutions for Neurological Impairments
Am I Experiencing Autonomic Nervous System Dysfunction?
Do I have autonomic nervous system dysfunction? Dear Doctor, Hello! After my classes, I practice Taekwondo, and sometimes during practice, I experience symptoms such as darkening of vision, headaches, dizziness, seeing white spots that can become overwhelming, cold sweats, and r...
Dr. Jiang Junyi Reply:
Hello: If you frequently experience near-fainting episodes, it is important to continue monitoring and follow-up. Common causes of fainting include: 1. Neurogenic reflexes leading to decreased peripheral vascular tone, resulting in blood pooling in peripheral tissues and insuffic...[Read More] Am I Experiencing Autonomic Nervous System Dysfunction?
Should You See a Doctor After a Head Injury from a Fall?
Head struck the ground? Today at 2 PM, while playing with my child at home, I was sliding around in a wheeled chair. I hit a threshold in the kitchen because I couldn't stabilize my speed, and I fell backward, hitting the ground. At that moment, I experienced dizziness and d...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, if there is no loss of consciousness, and no use of anticoagulants or obvious local hematomas, head trauma is mostly mild. However, it is important to monitor for neurological symptoms within a week. If any of the following co...[Read More] Should You See a Doctor After a Head Injury from a Fall?
Understanding Forehead Pain Near Eyebrows: Trigeminal Nerve Inflammation
Pain near the forehead close to the eyebrows? Hello Doctor, I have been feeling quite fatigued recently and have also experienced cold symptoms. Three days ago, I started feeling a tingling sensation around my eyebrows, which feels very tight. I initially thought it was due to we...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest that localized pressure is causing peripheral nerve damage, which can result in localized numbness. As for shingles, in addition to tingling, there may also be pain involved. If you notice the appearance of a rash, it is essential to visit a derma...[Read More] Understanding Forehead Pain Near Eyebrows: Trigeminal Nerve Inflammation
Do You Need a Neurology Checkup for Numbness and Weakness?
Do I need to see a neurologist for an examination? Last year, around July and August 2017, I experienced numbness and some weakness on the left side of my hand, foot, waist, and neck. Sometimes, I even felt numbness behind my left ear. At that time, I went to the neurology depart...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may warrant consideration of brain lesions (sudden onset of blurred vision) and spinal cord nerve lesions (abnormal sensations in the left limbs), among others. May I ask what examinations you have undergone at our hospital? Please share your medical history ...[Read More] Do You Need a Neurology Checkup for Numbness and Weakness?
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 Persistent Headaches: Causes and Concerns
Headache for more than two weeks? Hello doctor, I have been experiencing migraines for several years. Previously, the pain was on the left side, occurring before my menstrual period or during times of stress. The pain felt like a throbbing sensation in the back of my head and tem...
Dr. Jiang Junyi Reply:
Hello, I am not sure if you are experiencing any cold symptoms, which could potentially lead to tension-type headaches. Common prodromal symptoms of migraines include visual disturbances, such as seeing stars or flashes of light, as well as blurred or distorted vision. These ar...[Read More] Understanding Persistent Headaches: Causes and Concerns
Understanding Head Injuries: When to Seek Medical Attention
Head issues Hello Doctor, about three weeks ago, I hit my forehead quite hard. I didn't lose consciousness at the time, but after two days, I experienced some dizziness and nausea that lasted for about one to two weeks. I didn't see a doctor. About five days later, due ...
Dr. Jiang Junyi Reply:
Based on your description: The neurological symptoms you mentioned after taking a hot shower are more likely caused by syncope. Loss of consciousness can occur when cerebral blood flow drops below 30 ml per minute, typically due to a rapid decrease in blood pressure or vasoconstr...[Read More] Understanding Head Injuries: When to Seek Medical Attention
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?
Is Waking Up at Night with Head Pain a Sign of Brain Tumor?
Waking up in the middle of the night due to pain is not necessarily indicative of a brain tumor? Last night, I experienced a dull headache before going to bed, and I was awakened by the pain around 5 AM. I took some pain relievers, and after one or two hours, the pain subsided. I...
Dr. Jiang Junyi Reply:
According to your description, the likelihood of a brain tumor causing headaches is relatively low, and the pain tends to worsen over time. Given your age, the more common causes are tension-type headaches or migraines. The symptoms of tension-type headaches are typically bilater...[Read More] Is Waking Up at Night with Head Pain a Sign of Brain Tumor?
Understanding Headaches and Numbness: Which Specialist to See?
Head numbness and headache? Hello Doctor: I have been experiencing headaches for the past six months. Sometimes they feel like sharp pains, other times they are more of a pressure pain, with no fixed pattern or location. Additionally, I have numbness in my head and face, and my e...
Dr. Jiang Junyi Reply:
Hello: Regarding the issue of high intraocular pressure, you can visit an ophthalmologist to measure your eye pressure, which can help rule out the problem of elevated intraocular pressure. As for the headache, it is advisable to first rule out migraine-related issues. Symptoms o...[Read More] Understanding Headaches and Numbness: Which Specialist to See?
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 Persistent Dizziness: Causes and Solutions for Your Symptoms
Feeling dizzy and bloated every day? Hello Dr. Jiang: About two years ago, I experienced similar symptoms where I felt dizzy every day, especially when moving or turning my neck, and even while chewing food. Although I felt dizzy, it wasn't severe enough to cause nausea or v...
Dr. Jiang Junyi Reply:
Hello, based on your description, Benign Paroxysmal Positional Vertigo (BPPV) should be considered first. The characteristic symptoms include brief episodes of dizziness related to changes in head position, such as bending over, tilting back, lying down, getting up, rolling over,...[Read More] Understanding Persistent Dizziness: Causes and Solutions for Your Symptoms
Understanding Migraine Symptoms and Heart Palpitations: A Doctor's Insight
Migraine issues? Hello, doctor. I have a history of migraine with aura, so for the past four years, whenever I experience double vision, I take Ibuprofen along with two other medications for migraine relief. However, recently, after taking these medications, I have experienced ra...
Dr. Jiang Junyi Reply:
Hello: Generally, the acute treatment medications for migraines include 1. Pain relievers such as NSAIDs, Ibuprofen, with side effects including gastritis and renal function impairment. 2. Vasoconstrictors like Ergotamine and Caffeine, with side effects including ischemic heart d...[Read More] Understanding Migraine Symptoms and Heart Palpitations: A Doctor's Insight
Understanding Dizziness and Numbness: Neurological Insights
Dizziness and hand numbness? Hello: Here are my symptoms. It feels like my head has been knocked (a brief moment), but there is no pain, somewhat like the sensation of a pirate ship ride during the downward plunge. I experience dizziness and lightheadedness, which occurs both whe...
Dr. Jiang Junyi Reply:
Hello, your symptoms may suggest Benign Paroxysmal Positional Vertigo (BPPV), characterized by brief episodes of dizziness related to changes in head position, such as bending over, tilting back, lying down, getting up, rolling over, or suddenly turning your head. These episodes ...[Read More] Understanding Dizziness and Numbness: Neurological Insights