Frequent Involuntary Toe Twitches: Should You Be Concerned?
Involuntary frequent twitching of the toes? I would like to ask the doctor, since last night until today, my left little toe has been twitching slightly every three minutes, mostly while sitting and lying down. Is this normal? The continuous repetition makes me very anxious. Than...
Dr. Peng Shiwei Reply:
It is recommended to visit a neurology outpatient clinic for evaluation. Thank you.[Read More] Frequent Involuntary Toe Twitches: Should You Be Concerned?
Understanding Pulsating Pain in the Back of the Head After Bathroom Visits
Sometimes after using the restroom, I experience a noticeable pulsating pain in the left back of my head for a few seconds? Hello, Doctor. About 4-5 years ago, I started experiencing a pulsating pain in the left posterior part of my head for a few seconds after using the restroom...
Dr. Jiang Junyi Reply:
Hello Mr. Tsai: "Regarding your question about headaches, which specialty should I consult to find out the cause... I have pulsating pain in the left posterior part of my head for a few seconds." Pulsatile headaches may initially suggest a vascular headache, particularl...[Read More] Understanding Pulsating Pain in the Back of the Head After Bathroom Visits
Is It Carpal Tunnel Syndrome? Understanding Symptoms and Diagnosis
Is this carpal tunnel syndrome? 1. I experience a tingling sensation in the interphalangeal joints, sometimes accompanied by a tearing pain that radiates downward. Additionally, when using a mouse or smartphone, I feel soreness in my wrist (the dorsal side), and my fingers are sw...
Dr. Jiang Junyi Reply:
Dear Mr. Wei, You mentioned the "tingling sensation in the metacarpophalangeal joint area... carpal tunnel syndrome will definitely cause numbness." This is because sensory nerves are usually affected first, so most patients present with a tingling sensation initially....[Read More] Is It Carpal Tunnel Syndrome? Understanding Symptoms and Diagnosis
Understanding Numbness and Swelling in the Left Foot and Leg
There is swelling and numbness from the left big toe to the left leg? There is a slight numbness and swelling sensation in the left big toe, but it is not completely devoid of feeling. The nerve sensation extends all the way to the left groin. Although it is uncertain if there is...
Dr. Jiang Junyi Reply:
Dear Ms. Chiu, You mentioned that "there is some numbness and swelling in the left big toe... the sensation of nerve twitching extends all the way to the left leg." This may indicate the possibility of lumbar nerve root compression. Typical discomfort symptoms associat...[Read More] Understanding Numbness and Swelling in the Left Foot and Leg
Sudden Sharp Pain in the Back of the Head When Turning: Causes Explained
Occasional sudden severe pain in the back of the head when turning the head? Hello, doctor. I have been experiencing this condition for about three to four years, but it occurs only occasionally, roughly every few months. When I turn my head, I feel a sharp, concentrated pain in ...
Dr. Jiang Junyi Reply:
Dear Mr. Chen Li, You mentioned that "occasionally turning my head causes intense pain concentrated at a specific point in the left back of my head," which may suggest cervicogenic headache. Symptoms of cervicogenic headache include unilateral severe headache, stiffnes...[Read More] Sudden Sharp Pain in the Back of the Head When Turning: Causes Explained
Exploring the Link Between Mitochondrial Diseases and Myasthenia Gravis
The relationship between mitochondrial diseases and myasthenia gravis? In April 2021, I noticed that my right eye had unilateral esotropia. After an ophthalmological examination, the doctor referred me to the neurology department for further evaluation. Since then, I have been re...
Dr. Peng Shiwei Reply:
You should discuss your concerns directly with your attending physician. If necessary, you can also bring a family member along for the medical evaluation. Thank you.[Read More] Exploring the Link Between Mitochondrial Diseases and Myasthenia Gravis
Understanding Recovery in CIDP: Symptoms, Treatments, and Prognosis
The recovery status of CIDP (Chronic Inflammatory Demyelinating Polyneuropathy)? My father was diagnosed with CIDP last year, and his condition has progressed to the point where he has difficulty walking and cannot use chopsticks with both hands. He has already received the first...
Dr. Peng Shiwei Reply:
Each person's condition is different, so it is advisable to discuss this with your father's attending physician. Thank you.[Read More] Understanding Recovery in CIDP: Symptoms, Treatments, and Prognosis
Recovery Insights After 60cc Brain Hemorrhage: A Patient's Journey
Recovery status after a 60cc intracerebral hemorrhage? Hello Doctor, my mother experienced a hemorrhagic stroke in mid-December with a volume of 60cc (right hemisphere). At that time, the doctor assessed that my mother, being 72 years old, might not have a good postoperative cond...
Dr. Wu Mukhan Reply:
Hello, the blood clot from a cerebral hemorrhage can generally be completely absorbed, usually taking from one month to several months. If the cerebral hemorrhage has caused brain damage, it typically results in residual symptoms. Different locations of damage will lead to differ...[Read More] Recovery Insights After 60cc Brain Hemorrhage: A Patient's Journey
Understanding Eyebrow Bone Pain: Causes and When to Seek Help
Frontal bone pain In the past year or two, I have started experiencing pain in my brow bone, which I initially thought might be due to the use of electronic devices. As a result, I significantly reduced my usage of these devices for a while. I also visited the ophthalmology depar...
Dr. Cai Zongzhang Reply:
Hello, Ms. Chang: The pain occurring in the brow area may have other potential causes, including sinusitis or trigeminal neuralgia. If the ophthalmic examination shows no abnormalities, it is recommended to consult an otolaryngologist and a neurologist for further evaluation.[Read More] Understanding Eyebrow Bone Pain: Causes and When to Seek Help
Feeling Saliva on Your Face Without Actual Drooling: Possible Causes
Sometimes there is a sensation of drooling on the face, but when I touch it, it feels dry? Hello doctor, since last week I have frequently felt a sensation of drooling on my face. Sometimes it feels like saliva is flowing from the corner of my mouth down to my chin, but when I to...
Dr. Wu Mukhan Reply:
Hello, your symptoms may be related to a trigeminal nerve issue. If the symptoms do not improve, it is advisable to visit a hospital's neurology department for further evaluation.[Read More] Feeling Saliva on Your Face Without Actual Drooling: Possible Causes
Understanding Dizziness: Causes and Solutions for Neurological Issues
Recently, I have been frequently experiencing dizziness and lightheadedness? Hello Doctor, I have been experiencing frequent dizziness during the day, usually lasting one to two seconds. The situation worsens at night, where I feel increasingly dizzy, culminating in a sensation o...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that you often feel dizzy during the day, usually lasting one to two seconds. Your irregular lifestyle, with reversed day and night cycles, along with significant tobacco and alcohol use, is concerning. If the symptoms continue to progress, you may need ...[Read More] Understanding Dizziness: Causes and Solutions for Neurological Issues
Understanding Neck and Shoulder Pain After Prolonged Sitting: When to Seek Help
I would like to inquire about what condition these symptoms may indicate? Sitting for 1-2 hours (such as in a car or at a desk) causes intense stabbing pain throughout the neck, shoulders, and upper back, along with a feeling of tightness and swelling around the neck and shoulder...
Dr. Jiang Junyi Reply:
Hello Ms. QZ: You mentioned experiencing a strong stabbing pain from your neck to your shoulders and upper back. I wonder if you also have any tingling sensations? We should first consider cervical nerve root compression, which is often related to tightness in the cervical muscle...[Read More] Understanding Neck and Shoulder Pain After Prolonged Sitting: When to Seek Help
Understanding Dizziness and Concentration Issues: Possible Causes and Treatments
Dizziness / tightness in the back of the head / difficulty concentrating? Hello Doctor, since mid-2021, I have been experiencing intermittent tightness and numbness in the back of my head, along with dizziness (similar to motion sickness), accompanied by difficulty concentrating ...
Dr. Cai Zongzhang Reply:
Hello Ms. Chen: Based on the above, after a thorough examination, including an MRI, it has been confirmed that there are no organ abnormalities. It is recommended to improve sleep quality and engage in moderate exercise, in conjunction with medication treatment.[Read More] Understanding Dizziness and Concentration Issues: Possible Causes and Treatments
Understanding Your Carotid Ultrasound and MRI Results: A Guide for Patients
CT Report Hello Doctor, I have diabetes and have been experiencing frequent headaches lately, which makes me worry about a stroke. I had a neck ultrasound and a brain MRI done in June, and I would like your assistance in understanding any important points to note. Thank you. Car...
Dr. Cai Zongzhang Reply:
Hello, Xiaoping: Both the carotid ultrasound and MRI show no abnormalities, indicating that there are no serious pains in the organs. It is recommended to improve sleep, increase physical activity, and enhance the control of blood sugar and lipids to alleviate symptoms.[Read More] Understanding Your Carotid Ultrasound and MRI Results: A Guide for Patients
Understanding Dizziness and Dry Mouth: When to Seek Neurological Care
Dizziness and dry mouth? Recently, I have been experiencing dizziness, a feeling of pressure in the back of my head, dry mouth, tinnitus, and occasional numbness in my hands. My walking is normal. I visited a family medicine clinic where I was prescribed medication for the dizzin...
Dr. Jiang Junyi Reply:
Hello Mr. Ming: You mentioned feeling "pressure in the back of your head, dry mouth, tinnitus, and occasional hand numbness." Could you clarify the numbness in your hands? Is it bilateral or unilateral? If it is unilateral, we may need to consider cervical spine issues....[Read More] Understanding Dizziness and Dry Mouth: When to Seek Neurological Care
Understanding Fluctuating Weakness: Is It Anxiety or a Neurological Issue?
The soft tissue in the area is moving around? Recently, I woke up with sudden weakness and soreness in my left arm (it felt as sour as squeezing a lemon), and the next day it shifted to my right leg. The following day, I woke up with a stiff neck. After visiting a rehabilitation ...
Dr. Cai Zongzhang Reply:
Hello, Ms. Shu: Based on the symptoms mentioned above, it is recommended to consult a neurologist for an examination.[Read More] Understanding Fluctuating Weakness: Is It Anxiety or a Neurological Issue?
Understanding Intermittent Pain in Arms and Ears: When to Seek Help
Pain inside the abdomen? I experience intermittent sharp pain in my arm and inside my earlobe, lasting about 2 minutes each time. I would like to know what could be causing this and whether I need to see a doctor.
Dr. Wu Mukhan Reply:
Hello, the sensation of aching pain may be caused by muscle or nerve issues. If the symptoms persist without improvement, it is advisable to consult a neurologist or a rehabilitation specialist.[Read More] Understanding Intermittent Pain in Arms and Ears: When to Seek Help
Managing Headaches: Medication Adjustments and Patient Concerns
Headache medication Hello Dr. Jiang, I have recently been experiencing headaches and dizziness, and I have consulted with you twice. During the first visit, you prescribed medication for my heart rhythm and Cerebrolysin, to be taken once in the morning and once in the evening. My...
Dr. Jiang Junyi Reply:
Dear Miss Chien, If you have experienced improvement while taking medications for heart rhythm and brain clarity, it may be worth considering migraine-associated dizziness. There are primarily two types of medications for treating migraines: preventive and acute treatment. Oral ...[Read More] Managing Headaches: Medication Adjustments and Patient Concerns
Sudden Weakness and Unconsciousness in Elderly: Causes and Risks
Sudden paralysis and coma? The patient is 87 years old and has moderate Alzheimer's disease. At the end of 2022, he was diagnosed with aortic regurgitation, with no follow-up appointments. He has experienced two episodes (one year apart) of sudden loss of consciousness and w...
Dr. Jiang Junyi Reply:
Hello Ms. Huang, You mentioned experiencing "sudden loss of consciousness and weakness for about 5-10 minutes." I'm wondering if blood pressure and heart rate monitoring were conducted at that time? This symptom should be considered as a sign of syncope, with the ...[Read More] Sudden Weakness and Unconsciousness in Elderly: Causes and Risks
Understanding Neck and Shoulder Inflammation: Is It Affecting Your Ears and Eyes?
Shoulder and neck inflammation? Recently, I visited an orthopedic doctor due to pain in my left shoulder and neck, and I was diagnosed with muscle inflammation in that area. I took medication, but I still experience sudden pain or a tight sensation in my neck. Occasionally, I als...
Dr. Wu Mukhan Reply:
Hello, neck tightness may be related to inflammation of the shoulder and neck muscles. Symptoms related to the eyes and ears are usually not significantly affected by the shoulder and neck. It is recommended to consult a rehabilitation specialist to address the muscle inflammatio...[Read More] Understanding Neck and Shoulder Inflammation: Is It Affecting Your Ears and Eyes?