Understanding Head Pain: Causes and When to Seek Help
Brain Issues - Headache Three days ago, I started experiencing pain in the back of my head. When I woke up today, I felt a heavy sensation in the entire area of the back of my head, and it is also painful. There is no vomiting, and my memory and balance seem fine, but whenever I ...
Dr. Jiang Junyi Reply:
Hello Mr. Jim, You mentioned that "the back of my head started to hurt, and when I woke up today, I felt a heavy sensation throughout the back of my head, and it also hurts." I would like to know if you are experiencing any blurred vision or fever. If your symptoms are...[Read More] Understanding Head Pain: Causes and When to Seek Help
Effective Methods for Assessing Peripheral Nerve Issues in Neurology
Methods for assessing peripheral nerves around the head? I currently have double vision and facial numbness due to peripheral nerve issues. How should I assess my current neurological condition? Which diagnostic method is more effective in general medical facilities, nerve conduc...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned the issue of "diplopia." If the symptoms have occurred acutely, it may be necessary to consider structural abnormalities. Peripheral issues may involve the structures of the eyes and orbits, such as the eyeball and extraocular muscles. Central ...[Read More] Effective Methods for Assessing Peripheral Nerve Issues in Neurology
Understanding Visual Disturbances After Traumatic Experiences in Teens
After seeing or thinking about bloody and nauseating images, the visual field becomes narrowed? Hello Doctor, my son is 19 years old. Since he was about 11, he has experienced episodes where his vision narrows after seeing graphic images (such as corpses or dissection scenes), bu...
Dr. Hong Weibin Reply:
Hello: 1. I have not heard of cases where visual field narrowing occurs intermittently. 2. Most issues related to the brain or eyes that cause changes in the visual field tend to be persistent. 3. It is unlikely that if a fall causes injury to the brain or eyes, nerve damage woul...[Read More] Understanding Visual Disturbances After Traumatic Experiences in Teens
Understanding Morning Eye Muscle Numbness: Causes and Insights
Waking up with a tingling sensation in the muscles at the corners of the eyes? Dr. Jiang, in the past two days, has experienced a tingling sensation in the muscles at the back of his eyes upon waking, but his vision seems to be unaffected. What could this phenomenon be? I kindly ...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "the muscles at the back of the eyes feel numb, but vision seems to be fine." This may indicate symptoms related to the trigeminal nerve... facial sensation. Normal vision could suggest that there are no abnormalities with the optic nerve. It i...[Read More] Understanding Morning Eye Muscle Numbness: Causes and Insights
Sneezing-Induced Headache: Causes and When to Seek Medical Help
Sneezing headache? Hello, I would like to ask about my mother. A few days ago, she sneezed and then started experiencing sharp pain in her head. After a day or two, she said the pain has worsened compared to the previous days. I suggested she see a doctor, but she refuses to go. ...
Dr. Jiang Junyi Reply:
Hello: You mentioned that after your mother sneezed, she started experiencing sharp pain in her head. I'm wondering if there are any localized tender points that can be pressed. If there are, it might indicate an issue with the cervical muscle fascia. However, if the headach...[Read More] Sneezing-Induced Headache: Causes and When to Seek Medical Help
Understanding Concussions: Symptoms, Risks, and When to Seek Help
Head injury / concussion I'm sorry to ask, but I would like to inquire about something. On June 7th, I had a dispute with my family and was slapped forcefully about 5 or 6 times. At the time, I didn't feel anything unusual, but after a while, by June 10th, I have been c...
Dr. Jiang Junyi Reply:
Hello, In general, head trauma without loss of consciousness, anticoagulant use, or obvious local hematomas tends to be mild. However, the following conditions warrant consideration of delayed bleeding and a visit to the emergency room: (1) Deterioration of vision, seeing doubl...[Read More] Understanding Concussions: Symptoms, Risks, and When to Seek Help
Managing Chronic Liver Issues and New Ear Symptoms: A Neurology Perspective
Long-term liver function abnormalities and bronchial sensitivity have recently led to increased ear ringing and worsening headaches? Hello, Doctor. Here is a summary of my pre-existing conditions and the issues that have arisen this past week. I have been a carrier of hepatitis B...
Dr. Jiang Junyi Reply:
Dear Miss Chiu, You mentioned that "the frequency of the popping sound in my left ear has decreased, but there are sudden sharp pains on the right side of my head, which are not the usual occasional dull aches. The pain is severe enough to furrow my brow and make my express...[Read More] Managing Chronic Liver Issues and New Ear Symptoms: A Neurology Perspective
Understanding Sleep Disturbances: When to Seek Neurology Help
Insomnia, sleep disorders Hello, doctor. Thank you very much for taking the time to respond. My symptoms are as follows: Two months ago, while preparing for an exam, I experienced some stress and started waking up occasionally in the middle of the night. However, more than a mont...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "there are no issues falling asleep, going to bed at 11 PM and usually falling asleep within half an hour, but I wake up in the middle of the night, and the timing and frequency of waking are inconsistent." I suggest you start by improving your...[Read More] Understanding Sleep Disturbances: When to Seek Neurology Help
Understanding Facial and Limb Numbness: Possible Causes and Solutions
Numbness in the face and extremities? Recently, I have been experiencing frequent episodes of dizziness, tinnitus, and palpitations, which have made me very anxious. I constantly worry about whether I might be ill, and it has even affected my daily life, leading to emotional inst...
Dr. Jiang Junyi Reply:
Dear Miss Chi, Regarding your mention of "early symptoms of multiple sclerosis," your symptoms do not align with this issue, as they do not present as lesions in a single area of the nervous system. Multiple sclerosis is caused by inflammation in the central nervous sy...[Read More] Understanding Facial and Limb Numbness: Possible Causes and Solutions
Understanding Right-Sided Headaches: Causes and Management Tips
Right-sided migraine? Hello, doctor. I am a first-year junior high school student. I have had a problem for a while where I feel that when my heart beats too fast (especially when I am more excited), it seems like the pressure in my head increases (this is purely my speculation),...
Dr. Jiang Junyi Reply:
Dear Ms. Shiau, You mentioned experiencing "transient headaches, which require me to gradually adjust my breathing for improvement... and I tend to overthink... I really want to improve this aspect and how to fall asleep quickly." If the headache symptoms are causing y...[Read More] Understanding Right-Sided Headaches: Causes and Management Tips
Post-COVID Neurological Symptoms: Understanding Balance and Coordination Issues
The center of gravity feels concentrated in the back of the body? Around the middle of the month, I tested positive for COVID-19. On the fourth day, I suddenly experienced stiffness in my neck in the morning. After sleeping until noon, it improved, but I felt like my entire cente...
Dr. Jiang Junyi Reply:
Hello Ms. E: You mentioned feeling soreness in your neck and back... and you're unsure if it's due to lingering effects of COVID-19. Typically, the recovery time from COVID-19 is longer than that of the flu. Some colleagues around you have experienced symptoms such as f...[Read More] Post-COVID Neurological Symptoms: Understanding Balance and Coordination Issues
Severe Abdominal Pain Leading to Fainting: When to Seek Medical Help?
Abdominal pain leading to fainting? Sudden severe abdominal pain, accompanied by blurred vision, complete darkness, and a feeling of weakness leading to fainting, followed by waking up in a cold sweat and persistent nausea, could indicate a serious medical condition. Although you...
Dr. Jiang Junyi Reply:
Dear Miss Tzu-Yan, You mentioned experiencing symptoms such as "pain, blurred vision, complete darkness in front of me, feeling weak and collapsing to the ground, and waking up a few seconds later." Your symptoms may suggest reflex syncope. This can occur due to intens...[Read More] Severe Abdominal Pain Leading to Fainting: When to Seek Medical Help?
Understanding Involuntary Facial and Hand Tremors: When to See a Neurologist
If you have been experiencing persistent twitching in the forehead area and involuntary shaking in both hands for nearly a year, it would be appropriate to consult a neurologist? The mother-in-law's forehead has been twitching continuously, especially when she is focused on ...
Dr. Hong Weibin Reply:
Hello: You may seek assistance from a neurologist to differentiate the types of tremors commonly seen in the elderly, such as physiological tremor, Parkinsonian tremor, drug-induced tremor, and essential tremor, among others.[Read More] Understanding Involuntary Facial and Hand Tremors: When to See a Neurologist
Understanding Persistent Dizziness and Visual Disturbances: A Neurological Perspective
Dizziness and inability to focus? Hello Doctor: Since November of last year, I have been experiencing dizziness and a feeling of heaviness in my head in the afternoons (not vertigo, but a dull sensation), along with unusual fatigue and low-grade fever. I subsequently underwent va...
Dr. Cai Zongzhang Reply:
Hello: The above symptoms are suspected to be autonomic neuropathy. It is recommended to visit a neurology outpatient clinic.[Read More] Understanding Persistent Dizziness and Visual Disturbances: A Neurological Perspective
Managing Mild Dementia: Strategies for Caregivers and Health Concerns
Could you please clarify the relationship between dementia and occasional shortness of breath along with feelings of weakness? Hello Doctor, recently my father took my mother to the hospital for a neurology examination, and the doctor informed us that my mother has mild dementia....
Dr. Hong Weibin Reply:
Hello: In addition to pharmacological treatment for dementia, there are non-pharmacological interventions, including occupational therapy, cognitive training, reminiscence therapy, art therapy, and social activities, among others. You can contact the dementia care centers or long...[Read More] Managing Mild Dementia: Strategies for Caregivers and Health Concerns
Understanding Systemic Tingling: Possible Causes and Next Steps
Generalized tingling and numbness? Hello Dr. Jiang, this is Mr. Wu, who inquired about multiple sclerosis last time. I had a follow-up appointment on May 6th, and the cervical MRI report showed normal results. I informed the physician about the tingling sensation in the soles of ...
Dr. Jiang Junyi Reply:
Hello: You are currently on too many medications, and many gastrointestinal drugs can actually be adjusted. For example, the side effects of EPILON may include dry mouth, vomiting, constipation, urinary retention, blurred vision, headache, fatigue, and skin flushing, among others...[Read More] Understanding Systemic Tingling: Possible Causes and Next Steps
Unexplained Tingling: Understanding Nerve Issues and Symptoms
Unexplained numbness? On a certain Saturday evening while sitting and watching TV, I felt numbness in the soles of my feet. I got up to move around and noticed that my ring finger and little finger on both hands were also numb. I thought it was due to poor posture and would impro...
Dr. Jiang Junyi Reply:
Dear Ms. Chi, You mentioned that "the location of the numbness changed after taking the medication, and now the entire abdomen feels numb." If you are only experiencing tingling sensations without any weakness, it may be worth considering hyperventilation. However, if ...[Read More] Unexplained Tingling: Understanding Nerve Issues and Symptoms
Managing Exam-Related Headaches: Tips for Students
Exam-related headache Hello, doctor. I don't experience pressure headaches before exams, but during long exams like midterms or finals, I feel a lot of pressure in my head and a sense of heaviness. My eyes become strained and dry from overuse, which affects my performance. I...
Dr. Jiang Junyi Reply:
Dear Mr. Ke, You mentioned whether taking Tylenol during exams could lead to dependence. Pure Tylenol (acetaminophen) does not cause dependence. However, the extra-strength Tylenol contains caffeine, which may lead to dependence. Will taking Tylenol affect your exam performanc...[Read More] Managing Exam-Related Headaches: Tips for Students
Joint Pain After COVID-19 Vaccination: Understanding Possible Causes
Joint pain after COVID-19 vaccination? Doctor: Hello, I received my first dose of the AstraZeneca vaccine on July 30, 2021, and my second and third doses of Moderna on October 3, 2021, and March 14, 2022, respectively. I am approximately 50 years old. About 1 to 2 weeks after the...
Dr. Jiang Junyi Reply:
Hello: Your symptoms do not appear to be indicative of Guillain-Barré syndrome, which is formally known as acute inflammatory demyelinating polyneuropathy. It is an acute peripheral neuropathy that may affect the motor, sensory, and autonomic nervous systems of the body. Typical ...[Read More] Joint Pain After COVID-19 Vaccination: Understanding Possible Causes
Unexplained Bump on the Back of the Head: When to Seek Medical Attention
A sudden protrusion at the back of the head? Hello, doctor. I would like to ask about a change in the shape of my occipital region; there is a protrusion. Over the past year, I have also noticed changes in my vision, as my field of view seems to have expanded, making things that ...
Dr. Jiang Junyi Reply:
Dear Ms. ViVI, You mentioned that "your vision has changed over the past year, and the range of what you see feels larger; things that once seemed quite large now appear smaller... Your thoughts also seem unclear, and you often forget things..." I wonder if you are exp...[Read More] Unexplained Bump on the Back of the Head: When to Seek Medical Attention