Understanding Body Tingling: Possible Causes and Concerns
Tingling sensation in the body? Hello, doctor. Last night, I suddenly felt a tingling sensation on the left side of my torso, which went away while I was sleeping after about 4-5 hours. I have experienced this symptom occasionally in the past, and it usually resolves within 1-2 d...
Dr. Jiang Junyi Reply:
Dear Mr. Guang, You mentioned, "Is it possible that it's multiple sclerosis, or is it multiple neuritis? ... Could it be caused by issues with the cervical and lumbar spine?" Your symptoms may need to first consider problems with the cervical and lumbar spine. The...[Read More] Understanding Body Tingling: Possible Causes and Concerns
Understanding Long-Term Effects of Head Injuries from Falls
Hello, doctor. I would like to ask about injuries from falls? Hello doctor, when I was 19 years old, I accidentally fell while going up the stairs and hit my head. At that time, I only felt dizzy but was fully conscious. Since there was bleeding, I went to the hospital. The docto...
Dr. Jiang Junyi Reply:
Hello Mr. Chen, You mentioned, "For the past 6 years, if I experience dizziness, will it be related to my previous injury?" Generally speaking, if there is no loss of consciousness, no anticoagulant medication use, or obvious local hematoma, head trauma is usually mild...[Read More] Understanding Long-Term Effects of Head Injuries from Falls
Can Piracetam Improve Brain Development and Focus in Adults?
Piracetam medication consultation? As a 27-year-old who has been taking piracetam, you have experienced slower cerebellar development since childhood, which has affected your learning and comprehension abilities, impacting your work and studies. You are currently seeking to impro...
Dr. Jiang Junyi Reply:
Hello Mr. A-Yang: You mentioned, "Does piracetam enhance concentration in the brain? Can it increase the release of dopamine?" Piracetam acts on the central nervous system by regulating neurotransmission, promoting neuroplasticity, and protecting neuronal metabolism. It...[Read More] Can Piracetam Improve Brain Development and Focus in Adults?
Understanding MRI Results: When to Seek Further Medical Advice
Magnetic Resonance Imaging Interpretation Issues Hello, doctor. I have been experiencing some health issues, so I underwent a health check-up and paid for a full-body MRI. I would like to ask the following questions: 1. The MRI report from the health check-up only mentioned a cy...
Dr. Jiang Junyi Reply:
Dear Mr. Wang, You mentioned, "it's not a significant issue, so it wasn't documented." This often reflects the personal judgment of the radiologist who interprets the report; some physicians may choose to minimize descriptions to avoid complicating explanatio...[Read More] Understanding MRI Results: When to Seek Further Medical Advice
Understanding Sudden Left-Sided Head Pain: Possible Causes and Concerns
Left-sided headache? Hello Doctor, I apologize for the interruption. I'm not sure if it's related to my late sleeping schedule a couple of days ago, but for the past two days, I've been experiencing sudden sharp pains on the left side of my head, like an electric s...
Dr. Cai Zongzhang Reply:
Hello Andy: Insufficient sleep can easily lead to headaches or trigeminal neuralgia. It is recommended to take appropriate rest, and if symptoms persist, please visit a neurology clinic.[Read More] Understanding Sudden Left-Sided Head Pain: Possible Causes and Concerns
Understanding Persistent Insomnia: When to See a Neurologist
Insomnia has persisted since June 5th? Hello Doctor: I am an office worker who usually engages in weight training. Last month, on June 5th, I suddenly developed insomnia that has persisted until now. I am unable to sleep at night, and I also cannot take a nap during the day. Init...
Dr. Cai Zongzhang Reply:
Hello Tina: Based on the symptoms mentioned, it is recommended to visit a neurology outpatient clinic for an examination.[Read More] Understanding Persistent Insomnia: When to See a Neurologist
Understanding Systemic Joint and Bone Itching: Causes and Next Steps
Systemic joint and bone itching can occur in the hands, feet, back, and pelvis? In 2020, I visited a neurologist due to widespread itching in my bones, along with joint pain in my limbs. Sometimes, I experience a burning, itchy, painful, and aching sensation, both day and night, ...
Dr. Peng Shiwei Reply:
Hello, I recommend that you consistently see one physician. If they believe that assistance from another specialist is necessary, they will inform you accordingly. If you have any concerns about the medication prescribed by your doctor, please discuss them with your primary physi...[Read More] Understanding Systemic Joint and Bone Itching: Causes and Next Steps
Understanding Unexplained Skin Pain: When to See a Neurologist
Unexplained skin prickling? Hello, doctor. This symptom has been persistent for many years, with occasional localized skin tingling. It hurts when the wind blows or when touched lightly, and there is no specific location. Usually, it resolves by the next day. Although it does not...
Dr. Peng Shiwei Reply:
Hello, if there are no lesions on the skin and the symptoms are of short duration, you can either continue to observe or visit a dermatologist. If the dermatologist feels it is necessary, they may refer you to a neurologist. Thank you for your inquiry.[Read More] Understanding Unexplained Skin Pain: When to See a Neurologist
Can Neuromyelitis Optica Be Transmitted Through Bodily Fluids?
Neuromyelitis optica (NMO) is not transmitted through bodily fluids and does not pose a risk of infection affecting health in this manner? Hello, I have read about the causes of neuromyelitis optica and understand that it may be related to genetic factors or viral triggers. Howev...
Dr. Jiang Junyi Reply:
Dear Ms. R: You mentioned that "neuromyelitis optica" is usually the result of various factors leading to autoimmune responses in the body. The concern you have regarding fluid transmission does not occur with normal sexual activity. If a patient requires long-term ste...[Read More] Can Neuromyelitis Optica Be Transmitted Through Bodily Fluids?
Understanding Nerve Pain: When Hand and Foot Numbness Occurs
Numbness in the hands followed by numbness in the feet? In May, I experienced a stiff neck and accidentally strained my back while lifting heavy objects. I applied heat therapy, which helped somewhat. However, starting in mid-June, I began to experience unexplained pain in my arm...
Dr. Jiang Junyi Reply:
Hello Ms. HARU: You mentioned that "the joints in your fingers hurt and your shoulders are stiff." If your issue involves multiple joints, it may be related to a multi-joint disease. You might also want to consider autoimmune-related arthritis. Thank you for your inquir...[Read More] Understanding Nerve Pain: When Hand and Foot Numbness Occurs
Understanding Sharp, Lightning-Like Pain in the Ankle: Causes and Solutions
Sharp, lightning-like needle sensations? Hello Dr. Jiang: In the past week, I have been experiencing intermittent sharp, lightning-like pain on the inner side of my left ankle. The frequency is irregular, and if it occurs while I am sleeping, it wakes me up. I also feel a crawlin...
Dr. Jiang Junyi Reply:
Dear Ms. Yen, Based on your description of experiencing a crawling sensation in your limbs and a lightning-like prickling feeling on the inner side of your right ankle, it is important to consider the possibility of lumbar nerve root compression. Symptoms of peripheral nerve com...[Read More] Understanding Sharp, Lightning-Like Pain in the Ankle: Causes and Solutions
Severe Morning Headaches: Understanding Nocturnal Pain and Its Causes
Severe headache on one side at a specific time during sleep? Since last week, I have been waking up in severe pain around five or six in the morning. The pain starts from my left temple and radiates to the entire left side of my face, lasting about five minutes before subsiding f...
Dr. Jiang Junyi Reply:
Dear Ms. Qianyu, You mentioned that "you are often awakened by severe pain around five or six in the morning, starting from the left temple." Your symptoms may suggest a consideration of sinus headache. Typically, there is a feeling of pressure or fullness around the e...[Read More] Severe Morning Headaches: Understanding Nocturnal Pain and Its Causes
Understanding Left Back and Thigh Discomfort: A Neurological Perspective
When sitting and lying flat, there is something unusual in the left back area and the left thigh? Hello, doctor! This issue has been troubling me for two years, but it has become particularly severe in the past few months. When I sit upright (with my back relatively straight) and...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, it cannot be ruled out that they are related to deep muscle issues. If you are feeling very troubled, you may consider going to a major hospital to check your muscle enzymes, or consult with your physician about whether an MRI is necessary. Thank yo...[Read More] Understanding Left Back and Thigh Discomfort: A Neurological Perspective
Headaches Triggered by Strong Smells: Understanding the Connection
Headache and Taste Sensation Hello, doctor. After quitting smoking for a year or two, I have been experiencing headaches triggered by the smell of smoke or strong food aromas. The pain can be so intense that it only improves the next day after I wake up. For example, I have stron...
Dr. Jiang Junyi Reply:
Dear Ms. Jun, You mentioned that "smelling smoke or food odors can trigger headaches," which may warrant consideration of migraine issues. The diagnosis of migraine includes the following criteria: 5: Headaches occurring more than 5 times. 4: Headaches lasting more th...[Read More] Headaches Triggered by Strong Smells: Understanding the Connection
Is It Autonomic Nervous System Disorder? Understanding Your Symptoms
Could this be classified as autonomic nervous system dysfunction? Hello, doctor. I am 23 years old, with a height of 157 cm and a weight of 65 kg. (Personal experience: I have had nasal allergies since childhood, but the condition has not been severe as I grew up, experiencing oc...
Dr. Cai Zongzhang Reply:
Hello J: Based on the symptoms mentioned, it is recommended to visit an otolaryngologist to check if nasal issues are causing difficulty in ventilation. The symptoms described are not caused by autonomic nervous system disorders, and regular exercise may help improve the conditio...[Read More] Is It Autonomic Nervous System Disorder? Understanding Your Symptoms
Understanding Chronic Fatigue: Causes and Solutions for Brain Fog
Feeling fatigued no matter what you do? Doctor, I sleep at least 8 hours every day. Usually, when I wake up in the morning, I don't feel refreshed. Sometimes on my days off, even after sleeping for 8 or 9 hours, I still feel very sleepy and can't go back to sleep. In th...
Dr. Cai Zongzhang Reply:
Hello Junjun: Based on the symptoms mentioned, it is recommended to first visit a family medicine clinic to check for any thyroid disorders. If none are found, it is advised to continue exercising to strengthen cardiovascular function, which can enhance physical stamina.[Read More] Understanding Chronic Fatigue: Causes and Solutions for Brain Fog
Understanding Chest Discomfort: Causes and Concerns for Nighttime Symptoms
Chest tightness and a feeling of pressure, with sudden episodes of anxiety, rapid heartbeat, and shortness of breath occurring before sleep in the early morning or at midnight, leading to awakening? Two years ago, I visited a cardiologist and underwent X-rays and an electrocardio...
Dr. Cai Zongzhang Reply:
Hello Mr. Wei: The symptoms mentioned may be indicative of a autonomic nervous system disorder. It is recommended that you visit a neurology outpatient clinic for an examination.[Read More] Understanding Chest Discomfort: Causes and Concerns for Nighttime Symptoms
Understanding Body Tremors: When to Seek Medical Attention
Body tremors Hello doctor, yesterday while I was sleeping, I suddenly noticed that the left side of my body and my left hand were trembling. I was abruptly awakened by the shaking, and the symptoms lasted for several seconds. After waking up, I found that the entire left upper ha...
Dr. Cai Zongzhang Reply:
Hello, Song: The symptoms mentioned above may indicate a neurological disorder. It is recommended to visit a neurology outpatient clinic for examination.[Read More] Understanding Body Tremors: When to Seek Medical Attention
Understanding Limb Weakness: When to Seek Neurological Care
Weakness in the limbs? Last Thursday, after watching a movie about amyotrophic lateral sclerosis (ALS), I gained a preliminary understanding of this disease but also found myself becoming anxious about the possibility of developing it. Coincidentally, since that day, I have been ...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms and age, it is more likely that you are experiencing chronic muscle fatigue. Amyotrophic lateral sclerosis (ALS) typically occurs in middle age and is characterized by noticeable weakness, muscle atrophy, and muscle twitching. Therefore, you may want...[Read More] Understanding Limb Weakness: When to Seek Neurological Care
Understanding Sensory Loss: Possible Causes and Solutions
Numbness sensation Hello Doctor: About three days ago, I noticed a reduction of approximately 80% in the sensation of cold and heat in my left hand's ring and little fingers, along with a slight decrease in strength, but there is no significant numbness or pain. In addition ...
Dr. Jiang Junyi Reply:
Dear Ms. K: You mentioned that you have decreased sensitivity to temperature in your left ring and little fingers. Your symptoms may suggest an abnormality in ulnar nerve function. The ulnar nerve innervates part of the little finger, half of the ring finger, and the correspondi...[Read More] Understanding Sensory Loss: Possible Causes and Solutions