Unraveling the Mystery of Unexplained Neurological Symptoms
Unknown etiology? Around June 14, I suddenly experienced a jolt of dizziness, the kind that made it hard to stand, but it was not accompanied by headaches or nausea. I thought it was just due to lack of sleep, as I had been under a lot of stress from final exams and had hardly ea...
Dr. Jiang Junyi Reply:
Hello, Student Chang: You have done a lot of homework, which is impressive. Myofascial pain syndrome in the neck should be considered first. Symptoms may include pain, discomfort, muscle stiffness, or a heavy sensation. Symptoms may worsen with changes in weather and can be allev...[Read More] Unraveling the Mystery of Unexplained Neurological Symptoms
Understanding Numbness in Limbs: Causes and Self-Care Tips
Numbness in all four limbs? Hello, I have a question! My hands and feet often feel numb, and the timing and location of these episodes are quite irregular, but they have been occurring frequently lately. Last month, it was only occasional, but recently, it happens quite often, mo...
Dr. Jiang Junyi Reply:
Based on your description: The symptoms of dizziness and numbness you mentioned are more likely caused by syncope or hyperventilation. A rapid drop in blood pressure or vasoconstriction can lead to decreased cerebral blood flow, which may trigger symptoms such as dizziness or blu...[Read More] Understanding Numbness in Limbs: Causes and Self-Care Tips
Understanding Dizziness: Causes and Solutions for Young Adults
Dizziness and discomfort? I have been experiencing dizziness since elementary school, and now I am about to enter university. For the past few years, regardless of whether I have eaten breakfast, whenever I stand in the sun for more than ten minutes in the morning, I start to fee...
Dr. Jiang Junyi Reply:
Common causes of fainting are due to insufficient cerebral circulation: 1. A decrease in peripheral vascular tone caused by neural reflexes, leading to blood pooling in peripheral tissues and insufficient blood flow to the brain. 2. Hypotension triggered by changes in posture, su...[Read More] Understanding Dizziness: Causes and Solutions for Young Adults
Understanding Headaches and Dizziness: When to Seek Medical Attention
Headache so severe that it prevents sleep? Hello, doctor. Sometimes when I stand up quickly, I feel dizzy, and a few times I even see spots in front of my eyes. I thought it was due to anemia, so I didn't pay much attention to it. However, last night when I lay down, I exper...
Dr. Jiang Junyi Reply:
Hello, based on your description, you are experiencing both postural dizziness and tension-type headaches. Numerous factors can cause dizziness, such as anemia, autonomic dysfunction, and inner ear imbalance. It is essential to rule out anemia or dehydration, which can lead to in...[Read More] Understanding Headaches and Dizziness: When to Seek Medical Attention
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
Experiencing Dizziness and Lightheadedness: Causes and Solutions
I have been experiencing frequent dizziness lately, and even when sitting still, I feel like I'm swaying? I have been staying up late every day last week, almost going to bed around 3 AM and waking up at 6 AM. I took short naps around noon and in the late afternoon. This wee...
Dr. Jiang Junyi Reply:
Hello, based on your description, the headaches related to your menstrual cycle are likely migraines, characterized by visual disturbances. Symptoms may include seeing stars and lightning-like flashes, as well as blurred or distorted vision, which are all common aura symptoms of ...[Read More] Experiencing Dizziness and Lightheadedness: Causes and Solutions
Understanding Chronic Headaches: Causes, Symptoms, and Treatments
Headache - has been painful for a long time? Hello Doctor: I often experience severe headaches that make me feel nauseous, and my eyes hurt. My blood pressure spikes to 180, my vision becomes blurry, and sometimes I feel like I might faint. I have had to take painkillers to relie...
Dr. Jiang Junyi Reply:
Hello: The more common causes are tension-type headaches or migraines. The symptoms of tension-type headaches include: 1. Typically bilateral, located in the occipital and parietal regions, sometimes with widespread pain. The nature of the pain is dull, pressure-like, or tight, w...[Read More] Understanding Chronic Headaches: Causes, Symptoms, and Treatments
Delayed Symptoms After Head Injury: Understanding Long-Term Effects
Brain issues? Hello Doctor: When I was 15 years old, I had a direct impact to my chin against the ground, which caused my entire head to feel numb and my vision to be blurry for about 1 to 2 minutes. I did not experience any discomfort in the week following the incident and did n...
Dr. Jiang Junyi Reply:
Hello, based on your description, the symptoms resemble those of a migraine rather than a consequence of a fall. This type of headache can last from 4 to 72 hours. The characteristics of the headache include unilateral pain, which may feel throbbing or pulsating, often accompanie...[Read More] Delayed Symptoms After Head Injury: Understanding Long-Term Effects
Understanding Post-Concussion Symptoms: Dizziness and Memory Loss
Dizziness and transient amnesia? At the beginning of the month, I fell off my bike and sustained abrasions. Since my head hit the ground, I experienced brief dizziness and a few seconds of blankness. I consulted a doctor and underwent a CT scan, which showed no bleeding. I was as...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, head trauma without loss of consciousness, use of anticoagulants, or obvious local hematomas tends to be mild, and the sequelae of a concussion are usually not significant. As for the occurrence of fainting, it is important to...[Read More] Understanding Post-Concussion Symptoms: Dizziness and Memory Loss
Understanding Symptoms After a Head Injury: What to Expect
The right occipital region was hit? On May 26, I hit the back of my head on the floor. Now, on May 28, I only have pain at the site of the impact, but I also feel dizzy when I get up and when I turn over in bed at night. I am certain that the dizziness is due to the impact. What ...
Dr. Jiang Junyi Reply:
Hello: If there is no loss of consciousness, the use of anticoagulants, or obvious local hematomas, head injuries are mostly minor. However, if the following conditions occur, delayed bleeding should be considered, and you should seek medical attention in the emergency room: (1) ...[Read More] Understanding Symptoms After a Head Injury: What to Expect
Understanding Dizziness and Fainting: Neurological Insights and Causes
Dizziness, loss of vision, loss of hearing, and unconsciousness? Hello, Dr. Jiang. Early this morning, I traveled from the north to the south without any issues. While enjoying the next scenic spot, shortly after getting off the bus, I suddenly felt hot and extremely unwell. My v...
Dr. Jiang Junyi Reply:
Hello, your symptoms are more indicative of fainting due to insufficient blood flow to the brain. Common causes of fainting include: 1. Neurogenic reflexes leading to decreased peripheral vascular tone, resulting in blood pooling in peripheral tissues and insufficient blood flow ...[Read More] Understanding Dizziness and Fainting: Neurological Insights and Causes
Persistent Fatigue and Visual Disturbances: When to See a Neurologist?
Abnormal mental state, slight dizziness, and a strong desire to sleep? Recently, I have been under a lot of stress and have had little sleep due to standardized testing. However, after completing the exam, I have been able to sleep for over 8 hours. Despite this, I have felt unus...
Dr. Jiang Junyi Reply:
Hello, there are many reasons for feeling unwell, such as sudden cessation of caffeine leading to withdrawal symptoms, nutritional deficiencies (such as B vitamins), and poor sleep quality (such as sleep apnea). The treatment for these conditions primarily involves identifying th...[Read More] Persistent Fatigue and Visual Disturbances: When to See a Neurologist?
Understanding Headaches: Symptoms of Migraines or Something Else?
Headache issues Hello, I've been experiencing frequent sensations of swelling in my head over the past couple of days, accompanied by some dizziness. Additionally, when I sit for a while and then stand up, I feel a pulsing pain in my head. Could this be considered a migraine...
Dr. Jiang Junyi Reply:
Common prodromal symptoms of migraine include visual disturbances such as seeing stars and lightning-like flashes, as well as blurred or distorted vision. These are all precursors to a migraine attack. A few minutes after the aura appears, one may experience tingling, weakness, o...[Read More] Understanding Headaches: Symptoms of Migraines or Something Else?
Understanding Dizziness and Imbalance: Causes and Solutions
Dizziness and a sense of imbalance? Hello doctor, sometimes when I stand up suddenly after sitting, my vision goes black and I feel dizzy, and I have trouble walking steadily. If I stand for a long time and then move suddenly, I also experience this. Closing my eyes and resting f...
Dr. Jiang Junyi Reply:
Hello, there are many factors that can cause dizziness, such as anemia, arrhythmias, and autonomic nervous system dysfunction. Since your symptoms occur upon sudden standing, it is important to rule out dehydration and hypotension, which can lead to insufficient cerebral circulat...[Read More] Understanding Dizziness and Imbalance: Causes and Solutions
Understanding Recurring Symptoms: Fatigue, Nausea, and Breathing Difficulties
Generalized weakness > Nausea > Dizziness > Difficulty breathing > Rest > Recovery to normal? Hello doctor, yesterday morning when I woke up to go to work, I felt very tired the moment I opened my eyes. I slowly got up and walked to the bathroom, still feeling very...
Dr. Hong Weibin Reply:
Thank you for your inquiry. I recommend that you first seek assistance from a neurologist to check for any organic lesions or autonomic nervous system disorders. If those are ruled out, then consider consulting a psychiatrist to evaluate for possible panic disorder. Wishing you a...[Read More] Understanding Recurring Symptoms: Fatigue, Nausea, and Breathing Difficulties
Persistent Pulsating Sensation on the Left Side of the Head: Causes and Solutions
There is a persistent pulsating sensation on the left side of my head? Hello Doctor: Recently, I have been experiencing a pulsating sensation on the left side of my head, accompanied by a feeling of pressure, but there is no headache. This pulsating sensation has persisted for se...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest a common type of migraine in women. The symptoms can be categorized as migraine with aura, which includes visual disturbances such as seeing stars and flashes of light, as well as blurred or distorted vision. These are considered the aura of the m...[Read More] Persistent Pulsating Sensation on the Left Side of the Head: Causes and Solutions
Understanding Diplopia Treatment: Does Dali Pill Work Immediately?
Double vision and taking a strong pill? Hello, doctor. I have been experiencing double vision for about five years. A year ago, I had an eye examination with no issues and was prescribed prism glasses. Recently, when I feel more fatigued, I still experience double vision even whi...
Dr. Jiang Junyi Reply:
Hello, based on your description, you mentioned that the neurologist suspects myasthenia gravis, and the treatment involves the use of acetylcholinesterase inhibitors (commonly known as Mestinon). This medication prevents the enzyme from rapidly breaking down acetylcholine, there...[Read More] Understanding Diplopia Treatment: Does Dali Pill Work Immediately?
Understanding Dizziness and Nausea During Study Sessions: Causes and Solutions
Dizziness, hello? Hello, I have an upcoming exam and sometimes I find myself playing on the computer first. When I think about the exam, I try to study, but even in school, while attending classes, my eyes start to flicker, I feel dizzy, and I want to vomit. I’ve asked others, an...
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 flashes of light, as well as blurred or distorted vision, which are all signs of a migraine aura. A few minutes after the aura app...[Read More] Understanding Dizziness and Nausea During Study Sessions: Causes and Solutions
Can Internal Medicine Conditions Ever Be Fully Cured?
Is it really impossible to completely eliminate it? Hello, doctor. In the past, when I would get up from lying down (this only happened after lying down for a long time), I would experience dizziness and blurred vision, which would recover in a few seconds. I have also experience...
Dr. Jiang Junyi Reply:
Common causes of fainting include: 1. Neurogenic reflexes leading to decreased peripheral vascular tone, resulting in blood pooling in peripheral tissues and insufficient blood flow to the brain. 2. Orthostatic hypotension caused by changes in posture, such as when standing up su...[Read More] Can Internal Medicine Conditions Ever Be Fully Cured?
Essential Tests for Stroke and Dementia in Elderly Patients
Examination items for stroke/dementia in the elderly? Hello, my mother is 73 years old. Last month, she had a cold and visited a clinic near our home for medication. The following afternoon, she went out as usual but did not return home for a long time. In the evening, family mem...
Dr. Hong Weibin Reply:
Hello, thank you for your inquiry. Your concern for your mother is truly touching. Based on your description, it seems that your mother is experiencing acute altered mental status (personality changes, slowed movements). Your neurologist is correct; potential causes could include...[Read More] Essential Tests for Stroke and Dementia in Elderly Patients