Understanding Nerve Pain from Foreign Objects: Risks and Concerns
Numbness and tingling in the hands and feet due to foreign objects? Hello Doctor, I would like to ask you about an issue I experienced a few days ago. My right pinky finger was struck by a foreign object, and I suspect there may be metal shavings in my skin or blood vessels. Sinc...
Dr. Jiang Junyi Reply:
Dear Mr. Hsiao-An, You mentioned, "Is it possible for metal shavings to get lodged in blood vessels and cause infection? Is there a direct relationship between hand numbness and metal shavings getting stuck in nerves or blood vessels?" Foreign objects that enter the ar...[Read More] Understanding Nerve Pain from Foreign Objects: Risks and Concerns
Understanding Stroke Risks: Symptoms, Prevention, and When to Seek Help
Difficulties with complex medical conditions and stroke issues? Hello, doctor. I would like to consult you regarding the prediction and prevention of strokes in the elderly. My mother is 75 years old and has been managing diabetes for over 20 years without any other chronic or ma...
Dr. Jiang Junyi Reply:
Hello Ms. Water, You mentioned that "after finishing household chores, she suddenly felt a wave of fatigue." This may indicate a potential sleep disorder. I recommend undergoing multiple sleep physiology tests. Regarding your question about whether a stroke requires wa...[Read More] Understanding Stroke Risks: Symptoms, Prevention, and When to Seek Help
Understanding Unusual Sensations in the Face and Neck: A Neurological Perspective
The face or the scalp at the back of the neck feels strange? Hello, doctor. About ten years ago, I had an MRI of my cervical spine that diagnosed a herniated disc at the C3-C4-C5 levels, which was compressing a nerve. At that time, my main symptoms included pain in the left shoul...
Dr. Jiang Junyi Reply:
Dear Mr. Wang, You mentioned that "the fingers on my right hand occasionally feel a bit numb, or my arm suddenly feels a bit cool (not sure if it's numbness)." In addition to cervical nerve root compression, we should also consider the possibility of peripheral ne...[Read More] Understanding Unusual Sensations in the Face and Neck: A Neurological Perspective
Can Facial Nerve Issues from Childhood Be Treated in Adulthood?
Facial nerve I had facial nerve paralysis when I was in elementary school, and I underwent electrotherapy for treatment. My parents said it was cured, but now at 22 years old, I notice that when I blink in front of a mirror or on video, the corner of my mouth moves as well. Docto...
Dr. Jiang Junyi Reply:
Dear Mr. John Wick, You mentioned that "the corners of the mouth move when blinking," which may indicate facial nerve damage and the subsequent misinnervation of muscles during nerve regeneration. Additionally, some metabolic disorders, such as hyperthyroidism and elec...[Read More] Can Facial Nerve Issues from Childhood Be Treated in Adulthood?
Understanding Occasional Numbness and Dizziness: When to Seek Help
Occasional sensation of tingling in the head? Hello, doctor. Last year, I experienced a severe episode of dizziness where everything felt like it was spinning, along with loss of muscle control in my limbs, vomiting, and incontinence. After vomiting, I rested for about 1 to 2 hou...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, it seems more like an issue related to inner ear imbalance. If you experience this condition again, it is recommended that you consult an otolaryngologist.[Read More] Understanding Occasional Numbness and Dizziness: When to Seek Help
Understanding Nerve Conduction Studies: Insights on Ulnar Nerve Issues
Nerve conduction study Hello, doctor. Recently, I've been experiencing occasional pain in my right hand, so I went to check for ulnar nerve compression. The doctor arranged for nerve conduction studies and cervical spine examinations. The results showed that the conduction v...
Dr. Jiang Junyi Reply:
Dear Mr. Thelewa, You mentioned that "Lou Gehrig's disease" is a rare condition. Ulnar nerve injury is commonly associated with resting the elbow on a hard surface, such as a table, and applying pressure to the elbow can also lead to cubital tunnel syndrome. Activ...[Read More] Understanding Nerve Conduction Studies: Insights on Ulnar Nerve Issues
Understanding Head Pain and Tinnitus: A Journey Through Neurology and Dentistry
I have a severe headache that feels like an explosion on both sides, and the ringing in my ears has become louder? I have a terrible headache. I thought taking a nap would help, but the pain woke me up. I first went to a neurologist for an MRI, which showed no issues. I visited a...
Dr. Jiang Junyi Reply:
Dear Ms. Lin, You mentioned issues related to "headaches and cranial noises," which may suggest tension-type headache, a form of myofascial pain. Myofascia refers to the connective tissue that envelops the surface of muscles. Tension-type headaches are caused by tightn...[Read More] Understanding Head Pain and Tinnitus: A Journey Through Neurology and Dentistry
Understanding Nerve Pain and Tingling After COVID-19: A Neurology Perspective
Occasional tingling and pain in the hands and feet? Hello, doctor. Since I tested positive for COVID-19 in June, I have been experiencing occasional soreness in my left eye for about one to two weeks. I have seen a doctor who said my eyes are fatigued and performed examinations, ...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, I believe there is a possibility of cervical spine compression, which can indeed cause symptoms on both sides. I recommend that you consult a neurologist for further evaluation. Thank you for your inquiry.[Read More] Understanding Nerve Pain and Tingling After COVID-19: A Neurology Perspective
Understanding Dizziness and Mild Headaches: A Neurological Perspective
Dizziness and mild headache? Hello Doctor, I started experiencing symptoms of dizziness and lightheadedness in May. I visited an ENT clinic, but it was ineffective. Then I went to Chi Mei Hospital's ENT department, where I underwent tests including a posturography, pure tone...
Dr. Cai Zongzhang Reply:
Hello: Based on the symptoms mentioned, if the ENT examination is normal, it is recommended to visit the neurology outpatient clinic.[Read More] Understanding Dizziness and Mild Headaches: A Neurological Perspective
Understanding Dizziness and Mild Headaches: A Neurological Perspective
Dizziness and mild headache? Hello Doctor, I started experiencing symptoms of dizziness and lightheadedness in May. I visited an ENT clinic, but it was ineffective. Then I went to Chi Mei Hospital's ENT department, where I underwent tests including a posturography, pure tone...
Dr. Cai Zongzhang Reply:
Hello: Based on the symptoms mentioned, if the ENT examination is normal, it is recommended to visit a neurology outpatient clinic.[Read More] Understanding Dizziness and Mild Headaches: A Neurological Perspective
Understanding Arm Muscle Pain and Tremors: Possible Neurological Causes
Arm muscle tenderness and tremors? Hello doctor, I currently have the following symptoms and would like to ask about possible causes: 1. When I raise both arms, I often feel soreness in my hands. When holding my phone with one hand, my hand shakes slightly. My fingers tremble w...
Dr. Cai Zongzhang Reply:
Hello Mr. Wang: Based on the symptoms mentioned, it is recommended to visit the neurology outpatient clinic (please bring your MRI results).[Read More] Understanding Arm Muscle Pain and Tremors: Possible Neurological Causes
Dizziness When Turning Head: Possible Causes and Solutions
Dizziness when turning the head? This morning, when I got up and turned my head, I felt very dizzy and had a sense of delay. When I stood up, I felt unsteady, and when I lay down, I experienced nausea. I would like to know what condition this might be. (I have a vertebral arch fr...
Dr. Peng Shiwei Reply:
Hello, your symptoms may be caused by inner ear imbalance leading to dizziness. If the symptoms persist, it is recommended to consult an otolaryngologist. Thank you.[Read More] Dizziness When Turning Head: Possible Causes and Solutions
Choosing the Right Slippers After Nerve Injury: Flip-Flops vs. Regular Slippers
Choosing Slippers After Nerve Injury Hello, doctor: I previously experienced an ankle sprain while hiking, and after a series of repeated injuries to the same area, I consulted a neurologist who diagnosed me with nerve damage (but no rupture). After taking vitamin B for a week an...
Dr. Peng Shiwei Reply:
Hello, based on your condition, I would recommend wearing shoes with a heel support to reduce the risk of tripping. Thank you for your question.[Read More] Choosing the Right Slippers After Nerve Injury: Flip-Flops vs. Regular Slippers
Understanding Lower Eyelid Twitching: Causes and Solutions
Lower eyelid twitching? The left lower eyelid twitches slightly when drinking water, and it stops after finishing. Later, I noticed that when I forcefully flare my left nostril, the twitching of the left lower eyelid becomes more pronounced, but it stops when I relax the nostril....
Dr. Cai Zongzhang Reply:
Hello Hebe: Based on the symptoms mentioned, it may be a left-sided facial nerve lesion. It is recommended to visit a neurology outpatient clinic.[Read More] Understanding Lower Eyelid Twitching: Causes and Solutions
Understanding Tightness and Dizziness While Sitting: Possible Causes and Solutions
When sitting, my head feels tight and swollen, and sometimes I feel dizzy? Recently, I often feel a tight and swollen sensation in my head while sitting in front of the computer, almost like a feeling of inadequate or excessive blood flow to the head. It’s not as severe when I’m ...
Dr. Peng Shiwei Reply:
Hello, if the headache is caused by posture, you may consider consulting a neurologist. However, I believe that if the headache only occurs while sitting, especially when using the computer, it may be related to chronic poor posture. I recommend that you go for a consultation so ...[Read More] Understanding Tightness and Dizziness While Sitting: Possible Causes and Solutions
Understanding Neck Ultrasound Results: Hypoplasia of the Left Vertebral Artery
Neck ultrasound examination Hello Doctor, I recently underwent a neck ultrasound examination, and the results indicated decreased flow volume and small caliber at the left vertebral artery (VA), suggesting hypoplasia. The diameter of the right/left VA (mm) is 3.5/-. Upon further ...
Dr. Cai Zongzhang Reply:
Hello Jim: According to the above report, there is a significant difference in the diameter of the left vertebral artery compared to previous examinations. It is recommended to schedule an earlier follow-up appointment to discuss your condition with the physician.[Read More] Understanding Neck Ultrasound Results: Hypoplasia of the Left Vertebral Artery
Can Head Injuries Lead to Mental Illness? Understanding the Risks
Can a head injury lead to mental illness? When my brother was in the second year of junior high school, we were playing basketball, and in a moment of anger, I pushed him while he was in the air. This caused him to fall face-first onto the ground. At that moment, he had facial br...
Dr. Jiang Junyi Reply:
Hello Mr. Stephen: Generally speaking, if there is no loss of consciousness, no anticoagulant use, or obvious local hematomas, head trauma is mostly mild. You mentioned that "a few months later, your brother developed a high fever and experienced symptoms of epilepsy," ...[Read More] Can Head Injuries Lead to Mental Illness? Understanding the Risks
Head Pain When Swallowing: Understanding Neurological Symptoms
Swallowing saliva causes headaches? In late June, after I sneezed forcefully, I experienced a sharp pain at the top right of my head. Initially, I had headaches when swallowing, but that subsided. However, I still occasionally feel pain when swallowing saliva, although eating foo...
Dr. Jiang Junyi Reply:
Hello Mr. Wu: You mentioned that "swallowing saliva causes headaches." Your symptoms may suggest the possibility of high cervical nerve root compression, specifically at the levels of C1 to C3. This is because the nerves pass through the trigeminal nerve nucleus. These ...[Read More] Head Pain When Swallowing: Understanding Neurological Symptoms
Understanding Occasional Numbness and Tingling in Limbs: Causes and Concerns
Occasional tingling or numbness in the hands and feet? Hello doctor, last week I experienced soreness in my left eye for four to five days and consulted a physician who mentioned that my eyes were fatigued. During this time, I occasionally felt tingling sensations in my left arm ...
Dr. Jiang Junyi Reply:
Hello Mr. Zhe, You mentioned that "the right side has somewhat similar symptoms," which may still warrant consideration of spinal nerve root compression. Additionally, cerebrovascular diseases should also be ruled out. Multiple sclerosis is considered a rare disease in...[Read More] Understanding Occasional Numbness and Tingling in Limbs: Causes and Concerns
Can Zinc Supplements Help with Appetite Issues in Epilepsy Patients?
Zinc for epilepsy medication? Dear Doctor: I usually take Lamictal due to a diagnosis of poor appetite. Can I supplement with zinc? Some articles mention that excessive zinc should be avoided in epilepsy. Since there is still some time until my next appointment, I would like to a...
Dr. Cai Zongzhang Reply:
Hello, Xi Xi: Nutritional intake should be balanced, and one should avoid excessive consumption of a single component. It is recommended to use according to the suggested dosage and not to exceed it.[Read More] Can Zinc Supplements Help with Appetite Issues in Epilepsy Patients?