Understanding Dizziness: When to See a Neurologist for Symptoms
Dizziness issues Hello, doctor. I would like to ask about my recent dizziness issues. Two years ago, I was hospitalized for hyperthyroidism and heart failure. After being discharged, I occasionally experienced a sensation similar to the shaking of an elevator or the feeling of be...
Dr. Gao Chunde Reply:
It could be vestibular migraine, or it may be caused by benign paroxysmal positional vertigo (BPPV) or vestibular neuritis. It is recommended to consult a neurologist, who will conduct a thorough history and examination to determine the appropriate direction for further diagnosti...[Read More] Understanding Dizziness: When to See a Neurologist for Symptoms
Understanding Diplopia: Is It Always a Neurological Issue?
Diplopia issues Is double vision always caused by a problem with the cranial nerves, or can stiffness in the neck and shoulders also lead to double vision? I have been experiencing long-term double vision, but I also have stiffness in my neck and shoulders, along with swelling on...
Dr. Gao Chunde Reply:
Diplopia is not necessarily a neurological issue. If covering one eye still results in double vision, then the problem lies with the eye itself. If the double vision resolves, it indicates an issue with the extraocular muscles or cranial nerves. Stiffness in the shoulders and nec...[Read More] Understanding Diplopia: Is It Always a Neurological Issue?
Understanding Neurological Symptoms: Dizziness, Numbness, and Nausea
Dizziness, numbness on the top of the head, nausea, and numbness in the legs? Recently, I've been experiencing tingling on the top of my head, dizziness, nausea, tingling in my feet and calves, blurred vision, and a feeling of wanting to sleep after eating. What could be the...
Dr. Gao Chunde Reply:
The symptoms are not specific enough to pinpoint certain neurological disorders. It may be related to poor peripheral circulation, high stress, or lack of sleep. Other possibilities may require the physician to conduct a thorough evaluation, including taking a detailed medical hi...[Read More] Understanding Neurological Symptoms: Dizziness, Numbness, and Nausea
Choosing the Right Hospital for Neurology: A Guide to MRI and Pituitary Tumors
Choosing a hospital Hello, doctor. I'm here again to seek your advice. After some time of consultation and reviewing information, I strongly feel that your suggestion to undergo further neurological examination is warranted to check for a non-functional pituitary tumor. Here...
Dr. Gao Chunde Reply:
MRI can only be requested through health insurance or paid out-of-pocket; it cannot be done out-of-pocket and then later submitted to health insurance for reimbursement (if it meets the criteria, it will be approved; if not, even if abnormalities are found, it cannot be submitted...[Read More] Choosing the Right Hospital for Neurology: A Guide to MRI and Pituitary Tumors
Understanding Dizziness and Neck Pain: When to See a Neurologist
Dizziness and neck and shoulder pain? Frequent dizziness (floating, swaying sensation), feeling sleepy, particularly dizzy when lying on the right side, experiencing dizziness and nausea upon standing up, blurred vision when focusing on objects, and shoulder and neck pain. These ...
Dr. Gao Chunde Reply:
If you experience dizziness and drowsiness, and lying on your right side worsens the dizziness while lying down makes you feel nauseous, this is more indicative of Benign Paroxysmal Positional Vertigo (BPPV), and you should consult an otolaryngologist or a neurologist. However, i...[Read More] Understanding Dizziness and Neck Pain: When to See a Neurologist
Managing Dizziness and Fatigue After a Head Injury: What to Do?
Feeling dizzy after a head injury? Hello Doctor, about a week ago, I was struck in the head by a soccer ball while walking. After seeking medical attention and getting an X-ray, the doctor said there didn't appear to be any major issues and advised me to monitor my condition...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, if there is no loss of consciousness, the use of anticoagulants, or obvious local hematomas, head injuries are mostly mild. However, if the following conditions occur, delayed bleeding should be considered, and you should seek...[Read More] Managing Dizziness and Fatigue After a Head Injury: What to Do?
Understanding Left-Sided Head Pain: Causes and When to Seek Help
Left-sided headache? Today, I experienced sudden intermittent sharp pain in my left hemisphere. I'm not sure if it's related to the time I got bumped at the children's festival, as I felt dizzy for a moment after the impact, but it improved within a few seconds. I ...
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] Understanding Left-Sided Head Pain: Causes and When to Seek Help
Understanding Dizziness and Headaches: Possible Neurological Conditions
Dizziness, headache? Hello Dr. Jiang, I often experience a feeling of pressure at the back of my head, sudden dizziness, blurred vision, headaches, and increased sleepiness. These symptoms have been ongoing for almost two months. Could you please tell me what diseases these sympt...
Dr. Jiang Junyi Reply:
Hello, based on your description, the first consideration should be the symptoms of migraine, which typically include visual disturbances. These may manifest as scintillating scotomas or flashes of light, as well as blurred or distorted vision as an aura. A few minutes after the ...[Read More] Understanding Dizziness and Headaches: Possible Neurological Conditions
Understanding the Connection Between Autonomic Dysfunction and Vision Issues
Suspected autonomic nervous system dysfunction? Suspected autonomic nervous system dysfunction presents with symptoms such as head numbness, headaches, dizziness, lightheadedness, a heavy feeling in the head, numbness in the hands and feet, and facial numbness. Recently, there ha...
Dr. Jiang Junyi Reply:
Hello, based on your description, the autonomic nervous system is generally regulated by the sympathetic and parasympathetic nervous systems, with one acting as the accelerator and the other as the brake. The sympathetic nervous system is responsible for accelerating the heart ra...[Read More] Understanding the Connection Between Autonomic Dysfunction and Vision Issues
Understanding Brain Congestion and Dizziness: When to Seek Medical Attention
Cerebral congestion and dizziness issues? Hello, Doctor Gao. In the past, I would often experience symptoms such as "tingling, congestion, and dizziness" in my brain due to anger, and at times, my vision would go completely black. I also tend to have migraines. Recently...
Dr. Gao Chunde Reply:
If you have a blood pressure monitor, you can measure your blood pressure during normal times and when symptoms occur. If there are issues with your blood pressure, further examination and management should be pursued. If there are no issues, it is likely a manifestation of tensi...[Read More] Understanding Brain Congestion and Dizziness: When to Seek Medical Attention
Understanding Flashing Lights in Vision: Possible Neurological Causes
Flashes of light in the eyes? I have floaters in my vision, but after an examination by an ophthalmologist, the doctor confirmed that my retina is fine. However, some of my symptoms resemble those of a migraine, so I was advised to see a neurologist. I experience flashes of light...
Dr. Jiang Junyi Reply:
Hello, based on your description, common symptoms of migraine with aura include visual disturbances such as seeing stars and lightning-like flashes, as well as blurred or distorted vision. These are all signs of a migraine aura. A few minutes after the aura appears, you may exper...[Read More] Understanding Flashing Lights in Vision: Possible Neurological Causes
Understanding Dizziness and Nausea: Possible Causes and Solutions
Dizziness, vision becoming dark, and cold sweats..? Hello doctor, about a month ago on the first day of my menstrual period, I experienced sudden dizziness, blurred vision, and nausea. I initially thought it was related to my period, but this morning at work, I had the same sympt...
Dr. Gao Chunde Reply:
It is important to check if blood pressure is too low or if there are signs of anemia. Based on these issues, we can investigate the causes of low blood pressure or low hemoglobin levels. Of course, fluctuations can occur around the menstrual cycle, and if the bleeding is excessi...[Read More] Understanding Dizziness and Nausea: Possible Causes and Solutions
Understanding Dizziness and Fainting: Possible Neurological Causes
Sudden vision loss, cold sweat, and dizziness? Hello, sometimes when I stand for a while, I start to see black in front of my eyes, the surrounding sounds become muffled, and I experience dizziness and cold sweats. Sometimes I also feel bloated and nauseous. Bending down with my ...
Dr. Gao Chunde Reply:
Possible causes of low blood pressure include hypotension, physical weakness, anemia, fatigue, insufficient sleep, colds, and gastroenteritis. These conditions can lead to inadequate cerebral perfusion when standing, resulting in symptoms similar to pre-shock. However, it may als...[Read More] Understanding Dizziness and Fainting: Possible Neurological Causes
Understanding Post-Workout Headaches: Causes and Solutions
Post-exercise headache? Hello, Dr. Gao. Ten days ago, I was doing squats at the gym (with a barbell on my shoulders, performing deep squats) and gradually increased the weight to a total of 30 kg. During the last two sets, I experienced severe pain in the back of my head. Since t...
Dr. Gao Chunde Reply:
This is a type of headache known as exertional headache. It typically occurs during intense physical exertion or activities that increase intrathoracic pressure. The exact physiological mechanism is unclear, but it may be related to impaired autoregulation of intracranial blood v...[Read More] Understanding Post-Workout Headaches: Causes and Solutions
Understanding Headaches and Vision Issues: Causes and Relief Strategies
Headache and inability to concentrate? Hello Doctor: I occasionally experience headaches, but I cannot determine the type of headache. When the pain is located in the upper front part of my head, I also have difficulty concentrating (similar to a glare sensation). Pressing on my ...
Dr. Lan Shengxing Reply:
Dear Ting, this symptom should raise suspicion for migraine, tension-type headache, or a mixed headache, which are not uncommon conditions among young people. If it is indeed interfering with your daily life, please seek treatment at a neurology outpatient clinic as soon as possi...[Read More] Understanding Headaches and Vision Issues: Causes and Relief Strategies
Should You Seek Further Medical Attention After a Head Injury?
An elderly person fell and hit their head? My grandmother fell and hit her head, and now she has symptoms of a headache. She went to the hospital, had an X-ray, and the doctor said everything was fine and prescribed medication. However, after taking the medication, she still has ...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, if there is no loss of consciousness, the use of anticoagulants, or obvious local hematomas, head injuries are mostly mild. However, if the following situations occur, delayed bleeding should be considered, and you should seek...[Read More] Should You Seek Further Medical Attention After a Head Injury?
Understanding Occipital Headaches: Causes, Symptoms, and When to Seek Help
Occipital headache Hello doctor, about a week ago, I experienced a sudden tightening pain in the back of my head while masturbating before bed. The pain stopped when I ceased the activity. The next day, I repeated the same behavior and felt the pain again, but it was less intense...
Dr. Gao Chunde Reply:
This is a rare type of headache known as sexual headache, which occurs during sexual activity, masturbation, or orgasm. Individuals who experience this type of headache may not have it every time they engage in these activities, and the headache typically diminishes within a few ...[Read More] Understanding Occipital Headaches: Causes, Symptoms, and When to Seek Help
Understanding Sudden Headaches When Standing Up: Causes and Solutions
Sudden standing can cause headaches? Hello doctor, recently when I suddenly stand up after lying down or sitting, I experience a throbbing pain near my right temple that gradually expands. I'm not sure why this happens. Additionally, I often have headaches that occur at irre...
Dr. Gao Chunde Reply:
The symptoms sound very much like a migraine, characterized by pulsating pain, nausea, and vomiting. Some individuals may experience photophobia and phonophobia. Activities such as suddenly standing up, bending over, or squatting can exacerbate the headache, which is typically mo...[Read More] Understanding Sudden Headaches When Standing Up: Causes and Solutions
Understanding Headaches and Vision Issues: When to Seek Neurology Care
Please provide the content you would like to have translated into English? Hello, Doctor: I would like to ask you a question. If a vision test shows 1.2, indicating normal vision, but I occasionally experience stiffness in my shoulders and neck, along with headaches (possibly aro...
Dr. Gao Chunde Reply:
Vision is normal, but sometimes it becomes blurry or unfocused when looking at the computer, which may be caused by eye fatigue leading to weakened accommodation of the ciliary muscle. To alleviate this, it is recommended to take a break after using the eyes for thirty minutes, m...[Read More] Understanding Headaches and Vision Issues: When to Seek Neurology Care
Head Injury: When to Seek Medical Attention After a Bump
Head trauma Hello doctor, on Tuesday at noon, I bumped the top of my head against the door frame of a children's restroom. At the moment of impact, I did not lose consciousness, just felt a bit dazed. I can walk normally, but there is a persistent sharp pain at the site of t...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, if there is no loss of consciousness, the use of anticoagulants, or obvious local hematomas, head injuries are mostly minor (such as localized pain). However, if the following conditions occur, delayed bleeding should be consi...[Read More] Head Injury: When to Seek Medical Attention After a Bump