Understanding Symptoms of Cerebellar Herniation: Headaches, Dizziness, and Neck Pain
Dizziness, headache, and tightness and pain in the shoulder and cervical spine? Hello, doctor. I started experiencing severe headaches, dizziness, neck tightness and pain, and numbness in my hands and feet around July of last year. I initially thought it was due to fatigue or hea...
Dr. Jiang Junyi Reply:
Hello, Miss: In addition to your original issues, we may need to consider vascular headaches, which could be related to your menstrual cycle. Furthermore, since you mentioned a connection to posture, we should consider "intracranial hypotension headache." The primary sy...[Read More] Understanding Symptoms of Cerebellar Herniation: Headaches, Dizziness, and Neck Pain
Understanding Dizziness: Causes, Symptoms, and When to Seek Help
I would like to inquire about issues related to dizziness (vertigo)? Hello Doctor, I experienced dizziness for the first time about two years ago after dining at an all-you-can-eat restaurant. The next day, when I opened my eyes, everything around me was spinning wildly, accomp...
Dr. Jiang Junyi Reply:
Hello, sir: 1. I would like to ask what my symptoms might indicate. Should we consider Meniere's disease if I have auditory abnormalities? 2. If I need to see a doctor, would you recommend a neurologist or an otolaryngologist? If it is not a case of benign paroxysmal positi...[Read More] Understanding Dizziness: Causes, Symptoms, and When to Seek Help
Understanding Symptoms of Autonomic Nervous System Dysfunction
I feel like I have autonomic nervous system dysregulation? Since June, I have been experiencing nasal congestion and difficulty breathing. Initially, I was worried about being diagnosed with COVID-19, but I eventually realized that it was just nasal congestion that I hadn't ...
Dr. Jiang Junyi Reply:
Dear Miss Yang, Regarding your issue, we need to first consider the problem of syncope, particularly the experience of "seeing a black screen for over ten seconds before slowly recovering." The most common causes are reflex syncope, which can occur due to excessive sti...[Read More] Understanding Symptoms of Autonomic Nervous System Dysfunction
Should I See a Doctor Three Days After Hitting My Hand?
It has been three days since the injury; should I still see a doctor? Hello, Doctor. I would like to ask about an incident that happened two days ago when I forcefully bumped into the sharp corner of a table. Initially, I thought it was just swollen, but then I ended up bleeding ...
Dr. Jiang Junyi Reply:
Hello, Miss: Generally speaking, if there is no loss of consciousness, no anticoagulant use, or obvious local hematoma, head injuries are mostly mild. However, the following conditions warrant consideration of delayed bleeding and require a visit to the emergency room: (1) Deteri...[Read More] Should I See a Doctor Three Days After Hitting My Hand?
Improving Sleep Quality: Tips for Managing Anxiety-Related Sleep Issues
Sleep issues Hello, doctor. I visited the psychiatric department yesterday and received medication for my anxiety symptoms. My sleep issues have improved significantly, but I still wake up multiple times due to unusual actions, such as suddenly swallowing or taking deep breaths, ...
Dr. Jiang Junyi Reply:
Dear Ms. Nana, It seems that you may have a sleep disorder. Besides taking sleep aids, there are many lifestyle adjustments that can improve sleep quality. 1. Avoid spicy foods before bedtime: Consuming spicy foods may increase metabolism and raise body temperature, leading to...[Read More] Improving Sleep Quality: Tips for Managing Anxiety-Related Sleep Issues
Understanding Sudden Numbness and Pain: Is It a Stroke Warning?
Experiencing numbness in the left side of the body, including the arms and legs, while sleeping? I am a person who often stays up late. Last night at 2 AM, I suddenly experienced swelling and pain on the right side of my face, near the cheek close to the ear. Before going to bed,...
Dr. Jiang Junyi Reply:
Hello, ma'am: Have you measured your blood pressure? "Stroke warning signs?" These are usually accompanied by elevated blood pressure. "Facial dysfunction?" Facial nerve paralysis only affects the area of the facial nerve and does not cause symptoms in th...[Read More] Understanding Sudden Numbness and Pain: Is It a Stroke Warning?
Sudden Facial Drooping After Injury: Understanding Possible Causes
Waking up suddenly with a crooked mouth? Hello Doctor: I have a history of hypertension. Last Wednesday, I was hit on the left big toe by a piece of wood, which turned black and caused me intense pain that nearly made me faint. That evening, I noticed some twitching on the left s...
Dr. Jiang Junyi Reply:
Hello, Ms. Juan: Your symptoms are very similar to peripheral facial nerve palsy, primarily affecting the seventh cranial nerve. The clinical symptoms include occasional numbness or stiffness in the face. Due to the inability to close the eyelids, tearing may also occur. Sometim...[Read More] Sudden Facial Drooping After Injury: Understanding Possible Causes
Understanding Head Pain After Injury: When to Seek Medical Attention
Occasional sharp pain in the head? A few days ago, I accidentally bumped my head against the top of a door frame, specifically towards the back of my head, around the center of my hair. Initially, it felt like a bruise that wouldn't go away. Yesterday, when I got a haircut, ...
Dr. Jiang Junyi Reply:
Hello Mr. Hsiao, based on your description, generally speaking, if there is no loss of consciousness, no anticoagulant use, or obvious local hematoma, head injuries are mostly minor. You mentioned scalp sensitivity, which typically lasts for two weeks as the subcutaneous hematoma...[Read More] Understanding Head Pain After Injury: When to Seek Medical Attention
Neck Pain After a Fall: When to Seek Medical Attention?
Neck pain Yesterday afternoon, I slipped and hit the back of my head after coming out of the bathroom. Since then, I've been feeling stiffness in my neck. Now, it's the next morning, and upon waking up, I feel even more stiffness in the muscles at the front of my neck. ...
Dr. Jiang Junyi Reply:
Dear Ms. Ali, Since you are in isolation, it is advisable to monitor your symptoms for 2-3 days to see if they worsen before considering medical attention. Based on your description, it may be necessary to consider cervical spine disorders, as the likelihood of intracranial hemo...[Read More] Neck Pain After a Fall: When to Seek Medical Attention?
Understanding Standing Discomfort: Causes of Dizziness and Imbalance
Discomfort while standing and dizziness after prolonged standing? I have a flat foot, and I tend to walk slightly to the left unless I concentrate hard to walk in a straight line. I find it difficult to maintain stability while standing, and I often experience chest tightness and...
Dr. Cai Zongzhang Reply:
Hello Dale! There are many reasons for difficulty standing for long periods. Based on the symptoms mentioned, possible causes could be low blood pressure or insufficient physical activity, leading to decreased muscle tone in the lower extremities. It is recommended to visit a neu...[Read More] Understanding Standing Discomfort: Causes of Dizziness and Imbalance
Understanding Head Injuries: Symptoms and Recovery Tips
Head issues Hello Doctor: Last night I fell and hit my buttocks. After getting up, I experienced dizziness and blurred vision that lasted for about 20 seconds. During that time, I also hit the back left side of my head. After 20 seconds, I returned to normal but noticed that touc...
Dr. Jiang Junyi Reply:
Hello: You mentioned (1) Is it normal to experience dizziness, blurred vision, or even a brief loss of consciousness after hitting the back of the head? A: Yes, because the occipital lobe is responsible for vision, external force impacts can cause temporary visual symptoms, such ...[Read More] Understanding Head Injuries: Symptoms and Recovery Tips
Understanding Eye Tremors: Causes and Solutions for Visual Disturbances
The eyes experience oscillation or shaking? Recently, I have been experiencing noticeable shaking and discomfort in both eyes when looking at things. I have symptoms of floaters and flashes, and after seeing a neurologist, I was told that there is nothing wrong with my brain. How...
Dr. Cai Zongzhang Reply:
Hello! It is recommended to consult with an ophthalmologist and a neurologist to investigate possible causes.[Read More] Understanding Eye Tremors: Causes and Solutions for Visual Disturbances
Understanding ALS: A Patient's Journey Through Uncertainty and Fear
About Amyotrophic Lateral Sclerosis (ALS) Hello, doctor. I am the patient who is worried that I might have ALS (167393/167456). After reading your response, I checked its Wikipedia page (my English is not very good). Although I still only partially understand, after hearing your ...
Dr. Jiang Junyi Reply:
Hello: During your medical appointment, if you are concerned about not understanding, you can ask a family member or friend to accompany you. Both multiple sclerosis (MS) and amyotrophic lateral sclerosis (ALS) are considered rare diseases in Taiwan. It is recommended to develop ...[Read More] Understanding ALS: A Patient's Journey Through Uncertainty and Fear
Understanding Muscle Twitches and Visual Disturbances Before Sleep
Your own condition? Hello, doctor. I would like to describe my recent situation. Sometimes, just as I am about to fall asleep, I experience muscle twitches or my limbs move involuntarily. There have been instances where I wake up in the middle of the night to find my muscles twit...
Dr. Hong Weibin Reply:
Hello: There are many types of muscle twitching, including muscle fasciculation, muscle myokymia, muscle spasm, and muscle myoclonus, among others (which are difficult to translate into Chinese). The causes are quite diverse, with the most common being stress, electrolyte imbalan...[Read More] Understanding Muscle Twitches and Visual Disturbances Before Sleep
Understanding Visual Disturbances: Insights on Flashing Lights and Eye Symptoms
Frequent bright spots and flashes in the eyes are indicative of enhanced Scherer's symptom? Hello Doctor, I am really very anxious and I seek your help to understand what might be wrong with me. I apologize for the lengthy message. My symptoms started in January after I boug...
Dr. Hong Weibin Reply:
Hello: 1-4. It is likely due to eye strain; I recommend reducing the use of VR, mobile phones, and computers, and taking more breaks. Improvement is expected in a few months. 5-6. It may be "typical aura without headache." In some patients, typical auras are always acco...[Read More] Understanding Visual Disturbances: Insights on Flashing Lights and Eye Symptoms
Understanding Cervical Spine Issues and Their Impact on Brain Health
Cervical spine issues affecting the brain? Recently, I have been experiencing a significant feeling of pressure in the upper part of my head (crown area), along with frequent dizziness and difficulty focusing my vision. I also feel pain in the cervical spine area and a sensation ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest tension-type headache, which is caused by muscle tightness in the head. Additionally, discomfort can lead to hyperventilation. The symptoms of tension-type headache include a tightening pain in the forehead and temples, similar to wearing a tight ...[Read More] Understanding Cervical Spine Issues and Their Impact on Brain Health
Understanding Cervical Spine Issues and Their Impact on Brain Health
Cervical spine issues related to the brain? Recently, I have been experiencing a significant sense of pressure in the upper part of my head (crown area), frequent dizziness, and difficulty focusing my vision. I also feel pain and tension in my cervical spine, along with frequent ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest tension-type headache, which is caused by muscle tightness in the head. As for the diagnosis of poor circulation in the extremities, it may be related to peripheral vasoconstriction due to emotional stress. It is recommended that you visit a neuro...[Read More] Understanding Cervical Spine Issues and Their Impact on Brain Health
Understanding Uncomfortable Head Sensations: Neurological Insights and Advice
Head discomfort? In the past, I sometimes felt that my surroundings were chaotic, but it wasn't a visual issue; it was purely a personal sensation that occurred only occasionally. My head would feel uncomfortable, as if I was receiving messages from others that I couldn'...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms may suggest a migraine with aura, which typically presents with visual disturbances. These can include seeing stars and lightning-like flashes, as well as blurred or distorted vision, all of which are common migraine auras. A few mi...[Read More] Understanding Uncomfortable Head Sensations: Neurological Insights and Advice
Understanding Persistent Lightheadedness: When to See a Neurologist
The head feels unsteady (only a sensation of swaying and dizziness, without vertigo)? Hello, Doctor... I am 29 years old, 177 cm tall, weighing 64 kg, and I do not have any chronic diseases. I would like to ask a few questions. Recently, I have been experiencing dizziness for abo...
Dr. Jiang Junyi Reply:
Hello: Based on your description, can shoulder and neck pain lead to dizziness? It is important to consider that tightness in the neck muscles may affect proprioception. Is it a problem with blood circulation, or is there another issue? Can a rapid heartbeat also cause dizziness?...[Read More] Understanding Persistent Lightheadedness: When to See a Neurologist
Understanding Muscle Tremors: Symptoms, Concerns, and Next Steps
About muscle twitching? Hello Doctor, I have recently noticed a lack of sensation in a specific area at the back of my throat, which made me worried enough to see a doctor. The doctor reviewed my previous reports, tested my reflexes with a hammer, conducted a consultation, and ha...
Dr. Jiang Junyi Reply:
Hello: You are concerned about Parkinson's disease, which typically does not occur in your age group unless there are familial genetic factors involved. Instead, you should consider drug-induced extrapyramidal syndrome, which occurs when the body's motor system is disru...[Read More] Understanding Muscle Tremors: Symptoms, Concerns, and Next Steps