Understanding Syncope: When to Seek Neurological Evaluation
Occasional syncope Hello, I have had normal health checks during my military service and school admissions. Recently, I have been increasingly troubled by an intermittent issue, which is fainting. I experience a sensation of almost fainting, accompanied by dry mouth and gradually...
Dr. Hong Weibin Reply:
Hello: Based on your description, it is possible that you are experiencing vasovagal syncope. You may seek assistance from a specialist in autonomic nervous system function to arrange for examinations. Such specialists are typically found in neurology, psychiatry, or cardiology. ...[Read More] Understanding Syncope: When to Seek Neurological Evaluation
Understanding Chronic Headaches: Causes, Symptoms, and Treatments
Head pressure/pain/nausea? I have been experiencing headaches for over a year. Initially, I thought it was just a migraine, and taking painkillers and resting would help. However, the more I slept, the more intense the pain became, accompanied by nausea and a feeling of wanting t...
Dr. Jiang Junyi Reply:
Dear Miss Fei, You mentioned that "the pain location can vary, usually it is unilateral, occasionally in the middle of the forehead or associated with high eye pressure, and whenever a headache occurs, there is a feeling of nausea." First, we should consider typical mi...[Read More] Understanding Chronic Headaches: Causes, Symptoms, and Treatments
Understanding the Differences Between Migraine and Intracranial Hypertension Headaches
I would like to know the difference between migraine and intracranial hypertension headache? Hello, I would like to inquire about my hospitalization this year due to headaches. The attending physician suspected I have migraines. Initially, they treated me with intracranial pressu...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "you were awakened by severe pain in the right occipital region in the early morning," which may need to be considered due to carbon dioxide accumulation causing vasodilation in the brain, leading to increased intracranial pressure. The d...[Read More] Understanding the Differences Between Migraine and Intracranial Hypertension Headaches
Persistent Symptoms After AZ Vaccine: When to Seek Neurology Care
Persistent symptoms one month after receiving the AZ vaccine? Hello, Dr. Jiang: I received the AZ vaccine on September 10, and that night I had a fever of 41.4 degrees Celsius. However, the fever subsided by the morning of the following day. Two weeks later, on September 13, I no...
Dr. Jiang Junyi Reply:
Dear Ms. Chuang, You mentioned that "two weeks after September 13, I found that I seemed unable to express a complete sentence and could only say simple words." It may be necessary to consider the adverse reaction of thrombosis associated with the AZ vaccine, currently...[Read More] Persistent Symptoms After AZ Vaccine: When to Seek Neurology Care
Concerns About Eye Rubbing and Nosebleeds After Child's Head Injury
After my son sustained a head injury, he had a nosebleed the following day, and recently I have noticed him rubbing his eyes? Hello, my son is currently two years and seven months old. Over two months ago, he slipped on water on the floor and hit his head. Since I was not present...
Dr. Jiang Junyi Reply:
Hello Claire, You mentioned that "a little over two months ago, I slipped on water on the floor and hit my head... I wonder if this is a consequence of visual impairment due to the brain impact?" Unless there is a severe head injury resulting in loss of consciousness, ...[Read More] Concerns About Eye Rubbing and Nosebleeds After Child's Head Injury
Persistent Headaches: Seeking Effective Treatment Solutions
The treatment for headaches has not been effective in achieving a cure? Hello, I rarely experience headaches, and when I do, they usually resolve after a good night's sleep. However, this time, I woke up with persistent headaches that did not improve. Therefore, I consulted ...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "I only have a headache, and the doctor measured my ear temperature at 37.4°C, determining that the headache is caused by inflammation in the body. I was treated with injections and medication. During the treatment, I experienced improvement ...[Read More] Persistent Headaches: Seeking Effective Treatment Solutions
Understanding Symptoms: Dizziness, Headaches, and Optic Nerve Swelling
Dizziness, headache, and optic nerve edema? Hello Doctor, since May 20th of this year, I have experienced symptoms such as blurred vision, dizziness, headaches, a sensation of something stuck in my throat, and difficulty breathing. After visiting an ENT clinic, the doctor suggest...
Dr. Jiang Junyi Reply:
Dear Ms. Wu, There are many causes of headaches. If your headaches are related to your menstrual cycle, the likelihood of migraines is higher. However, conditions such as anemia, autonomic dysfunction, and inner ear imbalance may also contribute to your symptoms. First, it is im...[Read More] Understanding Symptoms: Dizziness, Headaches, and Optic Nerve Swelling
Understanding MRI White Matter Lesions: MS and Neurological Symptoms
Brain MRI white matter lesions / Multiple sclerosis Hello Dr. Jiang, due to long-term headaches and sudden changes in my symptoms, I paid out of pocket for a brain MRI. (1) The attending physician said that my images showed no issues, and I even asked her to review them again, bu...
Dr. Jiang Junyi Reply:
Dear Ms. Amy, You mentioned that the MRI showed numerous white matter lesions. It may be necessary to consider some central nervous system inflammation and myelin injury. Myelin is an insulating substance that surrounds nerves, and if it is damaged, the inflammatory process (pat...[Read More] Understanding MRI White Matter Lesions: MS and Neurological Symptoms
Persistent Throat Discomfort and Vision Issues: A Neurological Perspective
Feeling of a lump in the throat, sensation of foreign body, difficulty breathing, blurred vision, eyelids often feel sticky as if sweating, fatigue, hair loss, and poor skin condition? Hello, doctor. My family member is experiencing significant discomfort, so I would like to inqu...
Dr. Jiang Junyi Reply:
Hello: I see that your family has undergone numerous examinations. I would like to suggest a principle to follow, which is the concept of "local healthcare." As we age and experience various symptoms, the recommended approach is to find a nearby hospital with an emergen...[Read More] Persistent Throat Discomfort and Vision Issues: A Neurological Perspective
Head Injury and Thrombocytopenia: When to Seek Medical Attention?
Head trauma with purpura (thrombocytopenia) I have thrombocytopenia (usually below 10,000 platelets) and accidentally bumped my head against the corner of a table while standing up (it hurt quite a bit at the moment), specifically on the left side towards the middle of my scalp. ...
Dr. Jiang Junyi Reply:
Dear Ms. Hsien, Generally speaking, if there is no loss of consciousness, no anticoagulant use, or obvious localized hematoma, head trauma is mostly mild. However, due to your condition of thrombocytopenia, it is important to pay special attention to clinical symptoms. If you ex...[Read More] Head Injury and Thrombocytopenia: When to Seek Medical Attention?
Understanding Dizziness, Blurred Vision, and Nausea: When to Seek Help
Dizziness, blurred vision, and vomiting? Hello Doctor, I need your help! Last month, while waiting for my meal, my vision started to blur and darken, and I began to feel dizzy. After about five minutes, I started to vomit! I experienced weakness in my limbs, and the right side of...
Dr. Jiang Junyi Reply:
Hello, Miss Ke: The symptoms you mentioned may initially suggest syncope. The most common causes to consider are reflex syncope, which can occur due to excessive stimulation of the vagus nerve, leading to bradycardia and decreased cardiac output. Other triggers include transitio...[Read More] Understanding Dizziness, Blurred Vision, and Nausea: When to Seek Help
Is Stress Causing My Blurry Vision and Confusion?
Is it too much stress? Hello, doctor. I would like to ask about experiencing flashing lights in my eyes over the past week or two. I have seen an ophthalmologist, and the tests showed no abnormalities. However, in the last couple of days, I have been feeling very confused and una...
Dr. Jiang Junyi Reply:
Dear Ms. Xiao Wu, You mentioned that your eyes are "twinkling." I wonder if you are also experiencing headaches? Symptoms of migraine with aura can include visual disturbances. These may manifest as bright lights resembling stars or lightning, as well as blurred or dis...[Read More] Is Stress Causing My Blurry Vision and Confusion?
Understanding Electric Shock Sensations in the Back of the Head
Head electrocuted? In the past two months, I have occasionally experienced a sensation in the back of my head that feels like an electric shock, which startles me, but it is not painful. I only feel a bit dizzy afterward, and when I wake up the next day, it feels better. I have s...
Dr. Jiang Junyi Reply:
Dear Ms. Liu, The primary causes of vertigo are issues within the balance sensory system, such as otoliths in the inner ear or vestibular neuritis. The sensation you mentioned of feeling like an electric shock in the head is not closely related. This symptom may be due to periph...[Read More] Understanding Electric Shock Sensations in the Back of the Head
Understanding Pain in the Back of the Head: Causes and Specialist Guidance
Pain in the back of the head can have several potential causes, including tension headaches, migraines, cervicogenic headaches, or issues related to the cervical spine such as herniated discs or arthritis. Other possibilities include occipital neuralgia or even more serious condi...
Dr. Jiang Junyi Reply:
Hello Ms. Chen: Your symptoms may need to be initially considered as inflammation of the muscle fascia at the back of the head. You are concerned about the issue of thrombosis related to the AZ vaccine, which is currently referred to as VITT (Vaccine-induced immune thrombotic thr...[Read More] Understanding Pain in the Back of the Head: Causes and Specialist Guidance
Understanding Visual Disturbances: When Eye Exams Don't Reveal the Cause
Visual problems Hello, doctor. Recently, I've suddenly experienced blurred vision when focusing, but my vision is normal when looking with each eye individually. Interestingly, when I tilt my head slightly to the left, my vision becomes normal. The ophthalmological examinati...
Dr. Jiang Junyi Reply:
Hello Mr. Tim: Your symptoms may suggest an abnormality in the fourth cranial nerve (trochlear nerve). It is recommended that you visit a neurology outpatient clinic for further examination and follow-up. Please ensure to practice self-protection, maintain cleanliness and disinfe...[Read More] Understanding Visual Disturbances: When Eye Exams Don't Reveal the Cause
Understanding Symptoms of Dizziness and Head Pressure: When to Seek Medical Help
Feeling heavy-headed with a light feeling in the legs, accompanied by dizziness? Hello Doctor, my symptoms include dizziness, a feeling of pressure in my head, a heavy head with light legs, and slowed visual perception (when I turn my gaze from point A to point B, there is a sens...
Dr. Jiang Junyi Reply:
Hello, Sir: Your symptoms may suggest a vascular headache issue, specifically "dizziness and head fullness." This is particularly relevant for migraines. Basilar-type migraine, also known as basilar migraine or vertebrobasilar migraine, is a specific type of migraine. I...[Read More] Understanding Symptoms of Dizziness and Head Pressure: When to Seek Medical Help
Understanding Dizziness and Headaches: Insights into Neurological Disorders
Headache and dizziness? About a year ago, I started experiencing dizziness, but a few months ago, the dizziness began to be accompanied by severe shaking in my arms. However, the shaking stops as soon as the dizziness subsides. Sometimes, when I feel dizzy, my vision suddenly goe...
Dr. Jiang Junyi Reply:
Dear Ms. Hsu, Your symptoms may suggest a consideration of syncope. The most common causes include reflex syncope, which can occur due to excessive stimulation of the vagus nerve, leading to bradycardia and decreased cardiac output. This can also happen when transitioning from a...[Read More] Understanding Dizziness and Headaches: Insights into Neurological Disorders
Understanding Nighttime Headaches: Causes and Concerns After Vaccination
The headache has persisted for several days and is causing nighttime awakenings? I received the vaccine on July 23, 2021, and started experiencing side effects the next day, including headaches and muscle and joint pain. However, aside from headaches and dizziness, I returned to ...
Dr. Jiang Junyi Reply:
Hello, sir: May I ask if you received the AZ vaccine? The adverse reaction of thrombosis associated with the AZ vaccine is currently referred to as VITT (Vaccine-induced immune thrombotic thrombocytopenia). The incidence rate is approximately 1 in 10,000 in Europe. It typically o...[Read More] Understanding Nighttime Headaches: Causes and Concerns After Vaccination
Intermittent Thigh Pain After AZ Vaccine: What You Need to Know
Thigh pain Hello, I started experiencing intermittent cramping pain in my left thigh since last night. I recently received the AZ vaccine three to four days ago, and I'm concerned if this could be a related effect. Thank you.
Dr. Jiang Junyi Reply:
Hello, Miss: Your symptoms seem less likely to be caused by a thrombus and more indicative of a muscular issue. Do you experience any tingling or numbness? The adverse reaction of thrombosis associated with the AZ vaccine is currently referred to as VITT (Vaccine-induced immune t...[Read More] Intermittent Thigh Pain After AZ Vaccine: What You Need to Know
Post-Masturbation Shaking, Chills, Dizziness, and Headaches Explained
Shaking, chills, dizziness, and headaches after orgasm during masturbation? Dear Doctor, I am a 36-year-old male. I usually masturbate about 1-2 times a day, and this frequency has been consistent recently. Yesterday morning, I also ejaculated without any particular issues. Howe...
Dr. Jiang Junyi Reply:
Hello, sir: Your symptoms resemble "headache associated with sexual activity," and it is important to first rule out structural lesions such as ruptured cerebral aneurysms causing subarachnoid hemorrhage, arterial dissection, cerebral vasospasm, or brain tumors. If the ...[Read More] Post-Masturbation Shaking, Chills, Dizziness, and Headaches Explained