Uncontrollable Muscle Twitches from Left Foot to Calf: What to Do?
Involuntary muscle twitching from the left foot to the calf? Hello Doctor, for the past few days, I have been experiencing a rhythmic and persistent twitching from my left foot up to my calf. I often feel soreness in my left lower back and left leg. Three months ago, I had an X-r...
Dr. Jiang Junyi Reply:
Hello, Miss Cat: You mentioned that "the left side of my waist and left leg tend to feel sore... I wonder if this might affect the nerve conduction in my left leg muscles." Your symptoms may suggest that the left sciatic nerve is being compressed. If there is no muscle...[Read More] Uncontrollable Muscle Twitches from Left Foot to Calf: What to Do?
Why Your Left Pinky and Ring Finger Numbness After a Minor Injury Matters
The little finger and ring finger of the left hand may experience numbness after being struck? Hello, today while walking on the road, I was brushed by a motorcycle on the inner side of my left hand's little finger and ring finger. At the moment, I felt significant pain, but...
Dr. Jiang Junyi Reply:
Hello Ms. Chen, You mentioned, "Will the numbness in the inner side of my left pinky and ring finger disappear over time?" Your symptoms may suggest compression of the ulnar nerve on the left side. If there is no weakness in the fingers, it indicates that primarily the...[Read More] Why Your Left Pinky and Ring Finger Numbness After a Minor Injury Matters
Understanding Ear Symptoms During a Cold: What You Need to Know
Follow-up after a cold? I currently have a cold. My nasal congestion and runny nose are severe, and I'm feeling extremely uncomfortable. Two nights ago, I felt a strong pulsation in the blood vessels of my right ear, but after sleeping, it improved. Now, I feel a similar pul...
Dr. Jiang Junyi Reply:
Hello Mr. Hsiao: You mentioned, "I have a cold. My nasal congestion and runny nose are very severe, and I feel extremely uncomfortable. The blood vessels in my ear are constantly pulsating. Could a problem with the Eustachian tube cause me to suddenly hear the sound of the b...[Read More] Understanding Ear Symptoms During a Cold: What You Need to Know
Loss of Appetite and Weakness: When to Seek Neurological Help
Loss of appetite and physical weakness? Hello doctor, for the past week, I have been experiencing a loss of appetite, lack of energy, and sometimes a feeling of shortness of breath. I feel hungry in my stomach but have no desire to eat. After taking a few bites, I feel nauseous, ...
Dr. Cai Zongzhang Reply:
Hello DingDang: Based on the symptoms mentioned, it is recommended to visit a neurology outpatient clinic for an examination to determine the cause.[Read More] Loss of Appetite and Weakness: When to Seek Neurological Help
Understanding Facial and Hand Numbness: Possible Neurological Causes
Numbness in the face, hands, and scalp (mild tingling sensation)? Hello, I would like to ask about experiencing symptoms of facial and scalp numbness that occur repeatedly. Sometimes it affects the right cheek and the scalp at the back of the head, and after a while, it may shift...
Dr. Cai Zongzhang Reply:
Hello Mr. Huang: Based on the symptoms mentioned, it is recommended to visit a neurology outpatient clinic to determine the cause.[Read More] Understanding Facial and Hand Numbness: Possible Neurological Causes
Understanding Muscle Atrophy: Causes, Diagnosis, and Treatment Options
Muscle atrophy Hello, Doctor! I received two doses of the BNT COVID-19 vaccine on October 18, 2021, and November 24, 2021. Since then, I have experienced symptoms of generalized muscle atrophy, which are still worsening, along with some areas of my skin becoming rough, dark, and ...
Dr. Chen Weida Reply:
Hello, Huang! Regarding your inquiry about muscle atrophy, for systemic muscle atrophy, it is recommended that you consult a neurologist (who can also diagnose dermatomyositis). The specialist will arrange further examinations and treatments, such as electromyography. Wishing you...[Read More] Understanding Muscle Atrophy: Causes, Diagnosis, and Treatment Options
Managing Perineal Nerve Pain: Tips for Relief and Treatment Options
Pudendal neuralgia Hello doctor, I have chronic prostatitis and went to a neurologist for trigeminal neuralgia. The doctor prescribed me Carbamazepine and Topiramate. Shortly after starting the medication, I developed perineal nerve pain, which has persisted for three months. Wha...
Dr. Jiang Junyi Reply:
Dear Mr. David, You mentioned that "chronic prostatitis... triggers my perineal neuralgia." It may be necessary to first consider pelvic nerve inflammation caused by prostatitis. When the dosage of Tamsulosin exceeds 200 mg, a small number of patients may experience se...[Read More] Managing Perineal Nerve Pain: Tips for Relief and Treatment Options
Understanding Neurological Inflammation: Managing Symptoms and Home Care
Suspected neuroinflammation Hello, doctor. My father is 70 years old. Two months ago, he caught a cold, which led to nightly coughing and lower back pain. After recovering from the cold, the back pain worsened instead of improving. About a week later, he developed severe pain in ...
Dr. Jiang Junyi Reply:
Dear Ms. Awan, You mentioned that your father is suspected to have a metabolic issue, and it is recommended that he be referred to a neurologist. I suggest that he first consult with an internist or a rehabilitation physician at the same hospital for blood tests and peripheral n...[Read More] Understanding Neurological Inflammation: Managing Symptoms and Home Care
Struggling to Communicate: Understanding Cognitive Issues After Head Injury
Often struggles to express thoughts clearly, unable to fully articulate an event or a sentence? Hello, Doctor. About eight years ago, I lost consciousness suddenly while getting off a bus and fell to the ground, hitting my forehead against a parked motorcycle. I regained consciou...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that you are becoming increasingly forgetful, such as opening the refrigerator and suddenly forgetting what you were going to get, or switching tabs on your phone and forgetting what you were just about to do. Since this has already affected your daily ...[Read More] Struggling to Communicate: Understanding Cognitive Issues After Head Injury
Managing Perineal Nerve Pain: Treatment Options and Recovery Insights
Pudendal neuralgia Hello, doctor. I have atypical trigeminal neuralgia, and my physician prescribed Lyrica, Topamax, and Depakote, but they haven't been very effective. After taking Depakote for a while, I developed perineal nerve pain due to my chronic prostatitis, which ha...
Dr. Huang Hongling Reply:
Hello: Pudendal neuralgia is not induced by a hernia. Additionally, the diagnosis of pudendal neuralgia must exclude other factors (such as prostatitis). Since you have a history of chronic prostatitis, it is recommended that you consult a urologist to rule out whether the pain i...[Read More] Managing Perineal Nerve Pain: Treatment Options and Recovery Insights
Understanding Muscle Cramps: Causes and Solutions for Your Symptoms
Frequent muscle cramps in the hands and feet? Hello Dr. Jiang, I have been experiencing severe cramps in my fingers, arms, and calves recently. I have visited the neurology, orthopedics, and metabolic departments at Taichung Chung Shan Hospital, where I underwent MRI scans of my ...
Dr. Jiang Junyi Reply:
Hello Mr. Chang, You mentioned experiencing "severe cramps from your fingers to your elbows and calves..." Cramps are caused by involuntary muscle contractions. Common causes include: Dehydration: Dehydration is a common cause of muscle cramps. When the body is lackin...[Read More] Understanding Muscle Cramps: Causes and Solutions for Your Symptoms
Understanding Exercise-Induced Dizziness in Student Athletes: Causes and Solutions
My son wants to know, is it normal to experience hypoxia for about one minute during exercise on Mondays? Hello doctor, I would like to ask about my 15-year-old son who is a student athlete. He practices intensely from Monday to Friday, but he has been experiencing a situation wh...
Dr. Chen Weida Reply:
Hello! Regarding the issue of hypoxia during exercise, it may be caused by low blood pressure leading to insufficient blood flow and oxygen deprivation in the brain. When this occurs, it is advisable to stop the activity, sit down, and rest while maintaining regular breathing. Re...[Read More] Understanding Exercise-Induced Dizziness in Student Athletes: Causes and Solutions
Understanding Trigeminal Neuralgia: Causes and Sleep Disruptions
Pain issues, thank you? Hello, doctor. I would like to ask why I wake up with trigeminal neuralgia just before fully waking up. It seems that the pain from the trigeminal nerve wakes me up first. What could be the reason for this? I started experiencing this after having a bone s...
Dr. Cai Zongzhang Reply:
Hello: Trigeminal neuralgia that lasts longer than 6 months is classified as chronic pain, which is difficult to cure. Medications can be used to help control and reduce the intensity and frequency of the pain.[Read More] Understanding Trigeminal Neuralgia: Causes and Sleep Disruptions
Understanding Daytime Sleepiness: Causes and Solutions for Your Symptoms
Feeling sleepy several times throughout the day? Hello, doctor. In recent weeks, I've been feeling sleepy after breakfast and also around noon. Could this be due to insufficient sleep? During these episodes, my eyes are somewhat sensitive to light, and I experience eye strai...
Dr. Jiang Junyi Reply:
Hello Ms. Rose, You mentioned, "This happens only after the second confirmation. Previously, when I was diagnosed with post-COVID sequelae, the traditional Chinese medicine practitioner felt my pulse and told me I have mild anemia, so I am currently undergoing treatment.&qu...[Read More] Understanding Daytime Sleepiness: Causes and Solutions for Your Symptoms
Understanding Benign Muscle Twitches: When to Worry and When to Relax
Nervous tics Hello, Doctor! I would like to inquire about my muscles twitching or spasming almost every day. However, there is no pain; the twitching stops after a moment and then resumes later, which is noticeable. I have also been to the hospital for tests like electromyography...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "the hospital conducted tests such as electromyography, and the doctor said everything is normal with no concerning abnormalities, indicating that this is benign muscle twitching..." The causes of muscle twitching can include not only mus...[Read More] Understanding Benign Muscle Twitches: When to Worry and When to Relax
Understanding Trigeminal Neuralgia After Dental Surgery: Causes and Insights
Trigeminal neuralgia Hello, doctor. After undergoing surgery on March 1st to contour the alveolar bone of my upper left first molar (tooth #17), I started experiencing trigeminal neuralgia. The pain has persisted since the surgery, and it begins as soon as I wake up. I consulted ...
Dr. Chen Weida Reply:
Hello Anne! Thank you for your inquiry regarding trigeminal neuralgia. The typical cause of trigeminal neuralgia is often due to vascular compression of the trigeminal nerve at the brainstem root entry zone. Since the symptoms can resemble dental pain, it is essential to have an ...[Read More] Understanding Trigeminal Neuralgia After Dental Surgery: Causes and Insights
Facial Numbness When Touching Left Side: What Could It Mean?
Touching the face can cause numbness? Hello, doctor. I have noticed that when I touch my left cheek or left ear, I experience a tingling sensation in my face, while touching my right cheek does not produce this sensation. This has been ongoing for quite some time. I would like to...
Dr. Cai Zongzhang Reply:
Hello: The above symptoms are suggestive of trigeminal nerve inflammation. It is recommended to visit a neurology outpatient clinic.[Read More] Facial Numbness When Touching Left Side: What Could It Mean?
Understanding Ear Pulsations: Possible Causes and Remedies
I'm not sure what happened? Hello Doctor, I occasionally feel a pulsating sensation in the blood vessels of my ears that lasts about ten seconds. This happens occasionally in both ears, mostly before and during my menstrual period, as well as when I am sleep-deprived. Someti...
Dr. Jiang Junyi Reply:
Hello Ms. Yan: You mentioned that "the blood vessels are pulsating... mostly occurring before menstruation, during menstruation, and when sleep-deprived... headaches during menstruation have become more severe... I take one Panadol daily for about three to four days." T...[Read More] Understanding Ear Pulsations: Possible Causes and Remedies
Understanding Abnormal EEG Results in a 3-Year-Old: What Parents Should Know
Abnormal EEG findings in a 3-year-old child? A 3-year-old boy in our family was hospitalized around November 2023 due to fever and experienced two episodes of febrile seizures within three hours. A few weeks after discharge, an EEG was performed, and the doctor noted a small abno...
Dr. Jiang Junyi Reply:
Hello Mr. Hsieh: Pediatric neurologists typically aim to minimize the use of antiepileptic medications unless epilepsy has significantly impacted the child's daily life. After all, antiepileptic drugs can lead to cognitive decline in children's learning abilities. It is...[Read More] Understanding Abnormal EEG Results in a 3-Year-Old: What Parents Should Know
Patient in Coma After Brainstem Hemorrhage: Ongoing Care Challenges
The patient has suffered a brainstem hemorrhage and remains in a coma post-surgery (for over 70 days)? The aunt has been in a coma (Glasgow Coma Scale score of 8) following a recent brainstem hemorrhage and subsequent brain surgery. At one point, her heart stopped but was revived...
Dr. Jiang Junyi Reply:
Hello Sir: I suggest that you invite the family members of your aunt and her attending physician to hold a "family meeting." Discuss the desire for aggressive treatment with the medical team to reach a consensus between your needs and the available medical options. If f...[Read More] Patient in Coma After Brainstem Hemorrhage: Ongoing Care Challenges