Understanding Trigeminal Neuralgia: Symptoms, Diagnosis, and Treatment
Trigeminal neuralgia with toothache? Hello, doctor. I would like to inquire about a sudden pain in my right teeth that started a few weeks ago as I approach my 24th birthday. I often experience severe pain in the upper canine and lower areas, or occasionally in the entire right s...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are very similar to the second branch of trigeminal neuralgia. However, the underlying cause still requires further examination. The diagnostic criteria for trigeminal neuralgia are as follows: - At least three attacks - Pain occurring in one or more divisi...[Read More] Understanding Trigeminal Neuralgia: Symptoms, Diagnosis, and Treatment
Understanding Visual Disturbances: Managing Symptoms Beyond Neurology
Feeling disoriented? I feel that my visual perception of the surrounding environment appears chaotic, but it is not actually disordered. I have undergone neck ultrasound, head MRI, and CT scans, all of which showed no abnormalities. My confirmed diagnoses are schizophrenia and al...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are related to your vision. Neck ultrasound, head MRI, and CT scans have not explained the issues with your optic nerve, as well as functional problems such as migraines. If your symptoms improve after taking migraine medication, it may be worth considering t...[Read More] Understanding Visual Disturbances: Managing Symptoms Beyond Neurology
Understanding Diplopia in Myasthenia Gravis: Diagnosis and Treatment Insights
Diplopia caused by myasthenia gravis? Hello Doctor: I have been experiencing double vision for nearly a year, and since the situation has worsened, I went to a neurologist for an examination. The tests included a contrast-enhanced brain MRI, skin sympathetic nerve reflex (SSR), R...
Dr. Jiang Junyi Reply:
Hello: Based on your description, the effects of the medication typically begin around thirty minutes after administration, with peak effects occurring approximately two hours later, followed by a gradual decline. There are many causes of diplopia: binocular causes include ocular...[Read More] Understanding Diplopia in Myasthenia Gravis: Diagnosis and Treatment Insights
Understanding Neurogenic Disorders: Dizziness, Sleep Issues, and Blood Pressure
Hypoxia? Orthostatic hypotension? Hello, doctor! I have been experiencing issues with autonomic nervous system dysregulation for the past year, with symptoms that vary. Recently, I often feel dizzy when I stand up after sitting, experiencing a sensation of pressure in my head, bl...
Dr. Jiang Junyi Reply:
Hello: Your symptoms have been present for a while, and it is recommended to first improve your sleep hygiene. If there are issues with sleep disorders, it is advisable to undergo a polysomnography. In a sleep center, during the polysomnographic examination, patients are asked to...[Read More] Understanding Neurogenic Disorders: Dizziness, Sleep Issues, and Blood Pressure
Chin Tuck Exercises: Causes of Headaches and Eye Pain Explained
The chin tuck exercise caused a migraine accompanied by swelling and pain in the eyes? Hello, doctor. Due to prolonged computer use, I have developed what is commonly referred to as "turtle neck." To help relax my neck, I perform chin tucks, but every time I do, my righ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms still suggest the possibility of muscle tension in the C3-C4 region of the cervical spine. It may be that some muscles are not fully relaxing. I recommend consulting a physical therapist to learn proper relaxation techniques. Also, pay attention to your postu...[Read More] Chin Tuck Exercises: Causes of Headaches and Eye Pain Explained
Understanding Post-Concussion Symptoms: When to See a Neurologist
Approximately five years ago, I sustained a significant blow to the back of my head? At around 14 years old, I experienced a significant blow to the back of my head while playing. Recently, I've noticed that I sometimes forget what I wanted to say or the names of my high sch...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, head trauma without loss of consciousness, the use of anticoagulants, or significant local hematomas is usually mild. If your symptoms have persisted for more than six months, they may be less related to the incident that occu...[Read More] Understanding Post-Concussion Symptoms: When to See a Neurologist
Understanding the Effects of Occipital Impact: What to Expect After a Fall
Occipital impact? While playing basketball, I tripped and fell, landing on my buttocks, back, and the back of my head. It hurt a lot at the moment and immediately swelled up. I heard a loud sound when my head hit the ground. I applied ice afterward, and by the next day, the swell...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, if there is no loss of consciousness, no use of anticoagulants, or obvious localized hematomas, head trauma is mostly mild. However, the following situations should prompt consideration of delayed bleeding, and you should seek...[Read More] Understanding the Effects of Occipital Impact: What to Expect After a Fall
Understanding Dizziness, Temple Pain, and Blurred Vision Symptoms
Dizziness, bilateral temple pain, and blurred vision? Hello Dr. Tsai, my mother has been experiencing dizziness for over two years, with more severe episodes occurring around November to December and January to February each year. Recently, in the past two months, she has also be...
Dr. Cai Zongzhang Reply:
Hello: Based on the described symptoms, cerebrovascular circulation disorders are a possible cause. The use of the aforementioned medications is appropriate; however, if drowsiness occurs, it is advisable to reduce the dosage. It is recommended to consult a neurologist.[Read More] Understanding Dizziness, Temple Pain, and Blurred Vision Symptoms
Understanding Post-Concussion Symptoms: Seeking Expert Advice
Dr. Cheng, I would like to ask you again? Hello, since my head was injured from a collision on July 14, 2020, I have experienced dizziness, blurred vision, a feeling of pressure in my head, vomiting, numbness in my limbs, tongue numbness, left facial numbness, and high blood pres...
Dr. Jiang Junyi Reply:
Hello: It is recommended that you seek treatment at the same hospital for more comprehensive information. If there are physical injuries caused by trauma, you may consider adding hyperbaric oxygen therapy to accelerate the body's healing process. Hyperbaric oxygen therapy is...[Read More] Understanding Post-Concussion Symptoms: Seeking Expert Advice
Understanding Post-Concussion Symptoms: Seeking Answers and Next Steps
Concussion inquiry 🙏 Hello, I experienced a head injury from a collision on July 14, 2020, and have since been suffering from dizziness, blurred vision, a feeling of pressure in my head, vomiting, numbness in my limbs, tongue numbness, left facial numbness, and elevated blood pre...
Dr. Jiang Junyi Reply:
Hello: Based on your description, it seems that in addition to the brain, issues related to the cervical musculoskeletal system should also be considered. The symptoms related to the brain include facial and tongue numbness, as well as difficulty in immediately recognizing past p...[Read More] Understanding Post-Concussion Symptoms: Seeking Answers and Next Steps
Understanding Head Injuries: Symptoms and When to Seek Help
Head trauma Yesterday, while sitting down, I hit the back of my head against a wooden podium. Occasionally, I experience pain in my left ear, which has become more frequent today. Additionally, I now have pain in my right ear and a feeling of drowsiness.
Dr. Jiang Junyi Reply:
Hello: 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 the patient should seek emergency care: (1...[Read More] Understanding Head Injuries: Symptoms and When to Seek Help
Dizziness When Lying Flat at Night: Possible Causes and Solutions
Experiencing dizziness (vertigo) while lying flat at night? In recent days, when lying flat at night, I feel as if there is an earthquake, and my vision seems to be spinning. However, after lying down for a while or closing my eyes, the sensation goes away (I don't experienc...
Dr. Hong Weibin Reply:
Hello: Your condition may be related to an inner ear issue causing dizziness. In addition to benign paroxysmal positional vertigo (BPPV), there are other potential causes of inner ear problems. It is advisable to seek assistance from an otolaryngologist.[Read More] Dizziness When Lying Flat at Night: Possible Causes and Solutions
Understanding Dizziness and Heart Palpitations When Lying Down
Lying flat feels like the world is spinning? In recent days, I have experienced sudden episodes of dizziness while lying flat at night, feeling as if the bed is shaking and my vision is also swaying. I can also hear my heart beating rapidly for a moment, but then it returns to no...
Dr. Hong Weibin Reply:
Hello: Your condition is likely due to an inner ear issue causing dizziness. It is advisable to seek assistance from an otolaryngologist. Adequate rest may also help improve your symptoms.[Read More] Understanding Dizziness and Heart Palpitations When Lying Down
Understanding Chronic Headaches in Children: Causes and Solutions
My child frequently experiences headaches? I have a son who frequently experiences headaches, which are often accompanied by severe nausea, vomiting, and dizziness. He reports that his headaches initially cause some blurriness in his vision, followed by numbness in his hands and ...
Dr. Cai Zongzhang Reply:
Based on the symptom description, these symptoms are paroxysmal and not persistent, and the cause may not be identifiable upon examination. It is recommended to seek immediate medical attention (neurology) during the onset of symptoms.[Read More] Understanding Chronic Headaches in Children: Causes and Solutions
Managing Dizziness, Headaches, and Vision Changes: A Neurology Guide
Dizziness, headache, and vision changes? Hello Doctor, I have a problem with anemia. Since last week, I have been experiencing frequent dizziness and nausea, and I have difficulty walking and standing steadily. About three days ago, I visited a doctor who prescribed me Iron suppl...
Dr. Jiang Junyi Reply:
Hello, Have you had a blood test? Do you have iron deficiency anemia? The iron supplement you mentioned, "Yixuekang," contains Ferrous Fumarate 50mg, Vitamin B2 1mg, Vitamin B12 2mcg, Vitamin B1 1mg, Niacinamide 3mg, and Folic Acid 2mg. Generally speaking, if your ane...[Read More] Managing Dizziness, Headaches, and Vision Changes: A Neurology Guide
Understanding Fainting and Tremors During Blood Draws: A Neurology Perspective
Loss of consciousness during blood draw, accompanied by whole-body tremors and wide-open eyes? Whenever I have a slightly larger blood draw (or if I haven't eaten before the blood draw), I experience a series of symptoms: my vision goes dark, I lose consciousness, my eyes wi...
Dr. Cai Zongzhang Reply:
This symptom is likely neurogenic syncope; it is recommended to undergo a detailed examination by a neurologist.[Read More] Understanding Fainting and Tremors During Blood Draws: A Neurology Perspective
Understanding Recurrent Dizziness: Causes and Solutions
Recurrent dizziness? Hello, doctor: I would like to inquire about a recent issue I've been experiencing. I've been having frequent episodes of dizziness, where I suddenly feel lightheaded while walking, and at times my vision becomes blurry. I have to squat down to alle...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest a consideration of Benign Paroxysmal Positional Vertigo (BPPV). The characteristic symptoms include brief episodes of dizziness related to changes in head position, such as bending over, tilting back, lying down, getting up, rolling over, or sudde...[Read More] Understanding Recurrent Dizziness: Causes and Solutions
Understanding Dizziness: Insights from Neck Ultrasound Findings
Unexplained dizziness and neck ultrasound examination? Two months ago, I experienced two episodes of directional dizziness that occurred only when lying on my left side (without double vision, speech difficulties, or nausea). I was diagnosed with benign paroxysmal positional vert...
Dr. Jiang Junyi Reply:
Hello: 1. If dizziness improves over time, can we rule out non-cerebral issues? A: Dizziness related to cerebrovascular diseases may present with other neurological symptoms, such as sensory abnormalities, diplopia (brainstem), or balance issues (cerebellum). However, improvem...[Read More] Understanding Dizziness: Insights from Neck Ultrasound Findings
Navigating Brain Tumor Diagnosis: MRI, CT, and PET/CT Options Explained
Brain tumor, brain cancer I have a history of type 2 diabetes for 8 years and depression for 15 years. I have been taking tricyclic antidepressants DOXEPIN 50MG, LYRICA 20MG, and sleeping pills for at least 15 years. I have suffered from insomnia for 15 years and I smoke. My medi...
Dr. Hong Weibin Reply:
1. It is recommended that you directly inquire with the hospital's health examination center for clearer information. The same type of examination can have different modalities, and the purpose and results may vary. 2. Generally, a CT scan or MRI with contrast agent should b...[Read More] Navigating Brain Tumor Diagnosis: MRI, CT, and PET/CT Options Explained
Understanding Post-Concussion Symptoms and Chronic Headaches
Head trauma Hello Doctor, three weeks ago I bumped my head on a medical far-infrared device. I experienced dizziness and headaches for about 7 days, which then subsided. I haven't had any headaches for the past two weeks, but today the headache has returned, along with dizzi...
Dr. Jiang Junyi Reply:
Hello: Two months ago, I underwent a CT scan due to cervical spine issues, and I really prefer not to use a CT scan for confirmation. Are there any other methods available? A: You may consider arranging a brain MRI at your own expense. Generally, if there is no loss of consciousn...[Read More] Understanding Post-Concussion Symptoms and Chronic Headaches