Uncontrolled Twitches in the Left Index Finger: Causes and Solutions
Involuntary twitching of the left index finger? Hello, doctor. For about a week now, my left index finger has been experiencing sudden involuntary twitching, occurring both during the day and while sleeping, with a frequency of about five times a day, sometimes more. The twitchin...
Dr. Cai Zongzhang Reply:
Hello Doris Liu: It is recommended to visit the neurology outpatient clinic for an examination to determine the cause.[Read More] Uncontrolled Twitches in the Left Index Finger: Causes and Solutions
Understanding Unusual Body Symptoms: A Guide to Neurological Issues
Feeling unwell? Hello doctor, about three months ago, while I was using my phone, I suddenly experienced a moment of darkness (not sure if it was a hallucination). Later, after waking up in the afternoon, I felt my heart racing and noticed a flickering sensation in my vision, whi...
Dr. Cai Zongzhang Reply:
Hello San: It is recommended to visit the neurology outpatient clinic.[Read More] Understanding Unusual Body Symptoms: A Guide to Neurological Issues
Understanding the Dietary Effects of Medication for Dizziness Management
The effects of drug consumption? Hello: I have been experiencing dizziness, and my doctor recently prescribed a medication called "Shunao" for me. However, I have many questions regarding the dietary implications of this medication. Please clarify the following: 1. Thi...
Dr. Peng Shiwei Reply:
Hello, the medication Shunao is a selective calcium channel blocker, meaning it does not lower the concentration of calcium ions in the blood but rather affects the efficiency with which certain cells utilize calcium ions to achieve its therapeutic effects. The physician advised ...[Read More] Understanding the Dietary Effects of Medication for Dizziness Management
Understanding Numbness in Fingers and Toes: When to See a Doctor
Numbness in the fingers and toes while lying flat, resembling the sensation of ants crawling? Recently, I have been experiencing numbness in my fingers and toes before sleeping and upon waking up. I'm uncertain about the possible causes. If I need to see a doctor, which spec...
Dr. Peng Shiwei Reply:
Hello, regarding your issue, it is recommended to consult a neurologist. Thank you for your inquiry.[Read More] Understanding Numbness in Fingers and Toes: When to See a Doctor
Feeling Off Balance When Standing: Could It Be a Neurological Issue?
When standing up, the center of gravity tilts to the right, making it impossible to stand straight without leaning against the wall? As mentioned, I have experienced a similar situation before. When I wake up, I feel like my body is tilting to one side, as if gravity has changed ...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, it is recommended that you consult a neurologist at a major hospital. Additionally, stroke symptoms are typically persistent, so your symptoms do not seem to align with those of a stroke. Thank you for your inquiry.[Read More] Feeling Off Balance When Standing: Could It Be a Neurological Issue?
Can Botox Help with Non-Facial Nerve Pain Like Gingival Neuralgia?
Non-facial neuralgia issues Hello, I would like to inquire if it is possible to receive Botox injections for non-facial neuralgia (gingival neuralgia).
Dr. Cai Zongzhang Reply:
Hello, Ms. Tsai: Tooth root pain may be related to trigeminal nerve disorders. It is recommended to visit a neurology outpatient clinic.[Read More] Can Botox Help with Non-Facial Nerve Pain Like Gingival Neuralgia?
Understanding Nerve Pain and Tingling: Is It Related to Spinal Issues?
Occasional tingling and pain in the hands and feet? Hello, doctor. When I turn my neck to the left, I experience tightness and pain. Sometimes, my left arm also hurts, and my fingers occasionally feel numb. Additionally, I have soreness in the left side of my lower back, and my s...
Dr. Cai Zongzhang Reply:
Hello Mr. Wang: The symptoms mentioned are consistent with cervical nerve root compression. In addition to rehabilitation, maintaining good neck posture is crucial for treatment. If the symptoms persist and do not improve, it is advisable to visit a neurology outpatient clinic.[Read More] Understanding Nerve Pain and Tingling: Is It Related to Spinal Issues?
Can You Fly with Spontaneous Intracranial Hypotension?
Can a person with spontaneous intracranial hypotension fly on an airplane? In December 2022, I experienced spontaneous intracranial hypotension due to cerebrospinal fluid leakage and was hospitalized for 10 days. A blood patch was performed, but I was discharged the day after the...
Dr. Cai Zongzhang Reply:
Hello: It is advisable to wait until the condition improves before traveling abroad.[Read More] Can You Fly with Spontaneous Intracranial Hypotension?
Head Injury and Dizziness: When to Seek Medical Attention
Dizziness after hitting the head? Hello doctor, I accidentally bumped into a scaffold at the construction site yesterday while wearing a hard hat. I felt that the impact wasn't significant, but I felt a bit dizzy and had some nausea (though I didn't vomit) that day. I s...
Dr. Peng Shiwei Reply:
Hello, based on your inquiry, it is recommended that if your symptoms have persisted for more than 24 hours, you should visit a hospital to check for a concussion or any potential brain injury. Thank you for your question.[Read More] Head Injury and Dizziness: When to Seek Medical Attention
Managing Facial Nerve Pain and Reconstruction After Trauma
Facial nerve Hello Doctor, I was in a car accident in May of this year. 1. I sustained a head contusion with a small amount of subdural hematoma. 2. I have facial contusions that have resulted in soft tissue depression on the left side of my face, accompanied by persistent sorene...
Dr. Jiang Junyi Reply:
Hello Ms. Lisa, You mentioned experiencing "sour, numb, and painful sensations that persist," which may indicate neuropathic pain. The current treatment approaches for neuropathic pain primarily focus on addressing the underlying causes. There are medications that have...[Read More] Managing Facial Nerve Pain and Reconstruction After Trauma
Understanding Neurological Issues: Walking Imbalance and Cognitive Concerns
Head issues Hello doctor, I have recently been experiencing a tendency to lean to one side while walking, and I often find myself rereading text. I frequently feel dry mouth and have issues with rumination. These symptoms have persisted for over six months. Additionally, I am con...
Dr. Peng Shiwei Reply:
Hello, based on your inquiry, it is recommended that you make an appointment for a consultation with a physician. Thank you for your question.[Read More] Understanding Neurological Issues: Walking Imbalance and Cognitive Concerns
Understanding Dizziness: Insights from Neurology for Better Health
Dizziness issues? The link above refers to a question asked in February of this year. People tend to be carefree until something happens, and then they start to feel anxious. So, after a gap of nine months, I really made an appointment for your clinic on November 8th in the morni...
Dr. Peng Shiwei Reply:
Hello Mr. Chang, we will discuss this further in the clinic on November 8th. Thank you for your questions.[Read More] Understanding Dizziness: Insights from Neurology for Better Health
Understanding ADHD: The Role of Piracetam and Dopamine Release
ADHD and Brain-Related Issues 1. Yes, it is correct that Piracetam may enhance the release of dopamine. Some studies suggest that it can influence neurotransmitter systems, including dopamine, which may contribute to its cognitive-enhancing effects. 2. Piracetam can be used in c...
Dr. Wu Mukhan Reply:
Hello, whether Piracetam can increase dopamine release still requires further research, as current studies show varying results. Piracetam is not currently a first-line treatment for ADHD, and it is advisable to discuss with your primary care physician before deciding whether it ...[Read More] Understanding ADHD: The Role of Piracetam and Dopamine Release
Understanding EEG Reports: Insights into Mild Diffuse Slow Waves
Electroencephalogram (EEG) Report Type of Recording: Routine Condition: Awake 1. EEG Diagnosis: Abnormal Mild occasional diffuse slow waves 2. EEG Description: a. Background Activities: Alpha 9-10Hz 20-40µV, posterior dominant rhythm; symmetry +; reactiv...
Dr. Jiang Junyi Reply:
Dear Ms. Jim, You mentioned "Theta 5-6Hz, 20-40uV, occasional, diffuse" slow waves in a localized area, indicating potential damage to that brain region, which requires special attention. The presence of diffuse slow waves typically suggests that the subject may be dro...[Read More] Understanding EEG Reports: Insights into Mild Diffuse Slow Waves
Understanding Sleep-Related Muscle Twitches and Anxiety Disorders
Teeth clenching and facial muscle twitching upon falling asleep? Hello Dr. Jiang: I have been experiencing anxiety and autonomic nervous system dysregulation for the past six years. During severe episodes, I take half a Xanax for relief. In recent years, I have noticed that somet...
Dr. Jiang Junyi Reply:
Hello Ms. Cocoa: You mentioned that "the eyelid nerves and even the facial nerves at the corners of the mouth are twitching involuntarily... the teeth are clenching involuntarily, and after clenching, the facial muscles (near the cheekbones) also start to twitch significantl...[Read More] Understanding Sleep-Related Muscle Twitches and Anxiety Disorders
Understanding Involuntary Muscle Twitches in the Hand: Causes and Solutions
Involuntary muscle twitching in the palm? Hello Doctor, I have been experiencing intermittent rapid muscle twitching in my palms (both inside and outside). During these episodes, my palms and fingers tend to curl up as if I were trying to make a fist (similar to a chicken claw), ...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "your fingers seem to be in a fist-like position (like a chicken claw) and cannot be extended." This may indicate a consideration of abnormal muscle tone, characterized by persistent muscle contractions that can sometimes lead to limb twi...[Read More] Understanding Involuntary Muscle Twitches in the Hand: Causes and Solutions
Understanding Autonomic Nervous System Disorders and Their Symptoms
Autonomic nervous system dysfunction? Hello, last week I visited a clinic due to a cold and was prescribed medication. After taking the medication, I started experiencing thirst and dry lips, and no matter how much water I drank, I couldn't quench my thirst; in fact, it seem...
Dr. Jiang Junyi Reply:
Hello Mr. Xiao Ming, You mentioned that "you have stopped taking medication for about a week... and the thirst is not as severe the next day." Since the duration of the drug's action has exceeded five half-lives, the effects of these two medications should be rule...[Read More] Understanding Autonomic Nervous System Disorders and Their Symptoms
Neck Injury After Basketball: When to See a Doctor?
Neck issues A few days ago, while playing basketball, I jumped and got hit by someone, causing my head to tilt backward in the air. I heard a cracking sound from my neck, and afterward, I felt some stiffness in my neck. By the evening, I started experiencing dizziness, and it has...
Dr. Jiang Junyi Reply:
Dear Mr. Huang, You mentioned that "I started feeling dizzy in the evening, and it has persisted for several days." I apologize for the delay in my response. Your symptoms may suggest a possible muscle injury in the cervical spine. If you experience any ischemic neurol...[Read More] Neck Injury After Basketball: When to See a Doctor?
Understanding Facial Numbness: Insights for Ankylosing Spondylitis Patients
Frequent facial numbness? I was diagnosed with ankylosing spondylitis (AS) this May. In addition to the pain associated with AS, I have been experiencing persistent numbness on the right side of my face and right lip, along with occasional numbness in my right ear. This numbness ...
Dr. Jiang Junyi Reply:
Dear Ms. Lee, You mentioned that "cervical disc herniation can affect facial numbness," specifically regarding high cervical nerve root compression at the levels of C1 to C3. Since the nerves pass through the trigeminal nerve nucleus, this may be related to the persist...[Read More] Understanding Facial Numbness: Insights for Ankylosing Spondylitis Patients
Could Your Evening Diarrhea Be Linked to Autonomic Nervous System Dysfunction?
Could diarrhea be caused by autonomic nervous system dysfunction? Hello, Dr. Jiang. I am a patient with diarrhea-predominant irritable bowel syndrome (IBS-D). I have undergone numerous gastrointestinal examinations, including a colonoscopy, and my body has shown no issues. I have...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned that "you often experience diarrhea after dinner... but there are no issues with lunch or late-night snacks... and you suspect autonomic nervous system dysfunction." First, it's important to clarify that if diarrhea is caused by dietary fa...[Read More] Could Your Evening Diarrhea Be Linked to Autonomic Nervous System Dysfunction?