Muscle Twitches and Crawling Sensation in Legs: Possible ALS Concerns
Muscle twitching and a sensation of ants crawling in the legs? In the past month, I have experienced muscle twitching, and while sitting or lying down, my legs feel tingly as if ants are crawling on them. After researching online, I found that it could possibly be amyotrophic lat...
Dr. Peng Shiwei Reply:
Based on the symptoms you described, the likelihood of amyotrophic lateral sclerosis (ALS) is extremely low. If you are still concerned, it is advisable to seek consultation at an outpatient clinic. Thank you for your inquiry.[Read More] Muscle Twitches and Crawling Sensation in Legs: Possible ALS Concerns
Understanding Sudden Vision Changes: Possible Causes and Concerns
Vision problems I would like to ask the doctor under what circumstances symptoms of optic nerve compression could cause a sudden increase in my eye prescription. I primarily have issues with my eyes, but the ophthalmologist has not found any abnormalities. Here are my symptoms: ...
Dr. Peng Shiwei Reply:
Hello, regarding your question: 1. Generally, there are two types of brain lesions associated with the optic nerve. The first type involves brain lesions that cause compression of the optic nerve, with symptoms primarily manifesting as visual field defects, such as loss of peri...[Read More] Understanding Sudden Vision Changes: Possible Causes and Concerns
Understanding Groin Pain: Causes and Treatment Options for Nerve Issues
Inguinal pain accompanied by burning and weakness in the inner thigh and spermatic cord? Hello, Doctor. About 2-3 years ago, I started experiencing dull pain in the right inguinal region, which radiates to the right side of the scrotum and causes a burning sensation on the inner ...
Dr. Cai Zongzhang Reply:
Hello Mr. Chen: The symptoms mentioned may be indicative of neuropathic pain. It is recommended that you visit a neurology outpatient clinic for further evaluation to determine the cause.[Read More] Understanding Groin Pain: Causes and Treatment Options for Nerve Issues
Managing Anticoagulants and PPI Use in Neurology Patients
Medication issues? Dear Doctor, I am currently taking anticoagulants (Pradaxa) twice daily due to a minor stroke. I am experiencing gastrointestinal discomfort and need to undergo an endoscopy. How long should I stop taking Pradaxa, and when can I resume it? Additionally, can I t...
Dr. Peng Shiwei Reply:
Hello, generally speaking, Prasugrel only needs to be discontinued for one day. However, if your kidney function is impaired, it may need to be stopped for 1.5 to 2 days. There is no specific interaction between Prasugrel and PPIs, so they can be used together.[Read More] Managing Anticoagulants and PPI Use in Neurology Patients
Understanding Dizziness and Confusion: Possible Neurological Causes
Dizziness and altered consciousness? Hello, doctor. Since February of last year, I've been experiencing a heavy, dizzy sensation in my forehead and around my eyes. This feeling has significantly impacted my daily life. When I look at things, everything used to be clear, but ...
Dr. Jiang Junyi Reply:
Dear Mr. Yu, You mentioned that "the area between the eyebrows feels very heavy, and my vision is gradually becoming blurry, but it gets a bit better after resting." These symptoms may suggest autonomic nervous system dysfunction leading to decreased cerebral circulati...[Read More] Understanding Dizziness and Confusion: Possible Neurological Causes
Understanding CT Scan Results for Brain Issues: Key Questions Answered
CT Report for Brain Issues After getting my new glasses, I felt an immediate increase in my prescription. I noticed a faint shadow in areas with light, and I have been experiencing some headaches. Concerned that it might be caused by a brain tumor, I underwent a brain CT scan. Th...
Dr. Jiang Junyi Reply:
Hello Mr. Li: First of all, the symptoms of "brain tumors" can vary depending on the location in the brain. You mentioned that "after getting new glasses... it feels like the prescription suddenly increased," which may require ruling out refractive issues. Cou...[Read More] Understanding CT Scan Results for Brain Issues: Key Questions Answered
Managing Visual Aura Migraines: Tips for Relief and Prevention
Dry heaving, dizziness, and migraine? Hello Doctor, this is Kevin, who asked a question previously. After your response, I have tried to avoid caffeine, alcohol, and chocolate, and I have also maintained a regular schedule (going to bed at midnight and waking up at 7 AM). I am dr...
Dr. Jiang Junyi Reply:
Dear Mr. Kevin, You mentioned the clinical recommendations for using migraine prophylactic medications for "visual aura migraines." Here are the key points: 1. Recurrent migraine attacks that significantly affect the patient's quality of life or daily activities,...[Read More] Managing Visual Aura Migraines: Tips for Relief and Prevention
Understanding Trigeminal Neuralgia: Symptoms and Treatment Options
Trigeminal Neuralgia Hello, doctor: I have a dull, tingling pain in the back of my neck and on my cheeks. It feels sharp and sore. What should I do about trigeminal neuralgia?
Dr. Cai Zongzhang Reply:
Hello, Avi: The symptoms mentioned are indicative of neuropathic pain, which can have various causes. It is recommended that if the symptoms do not improve with adequate rest, you should visit a neurology outpatient clinic.[Read More] Understanding Trigeminal Neuralgia: Symptoms and Treatment Options
Understanding Dizziness and Brain Fog: Exploring Neurological Causes
Dizziness and a feeling of heaviness in the head? Hello! I have been experiencing dizziness, a feeling of heaviness in my head, and difficulty concentrating for the past two weeks. I also feel tightness and numbness in my head. I have undergone an electrocardiogram and thyroid fu...
Dr. Peng Shiwei Reply:
Hello, general dizziness and a feeling of heaviness in the head can be related to many factors. If your current examinations are all normal, it is possible that it is caused by primary headaches. I recommend that you discuss this further with your primary physician. Thank you for...[Read More] Understanding Dizziness and Brain Fog: Exploring Neurological Causes
Understanding Mild Subdural Hydrocephalus: Causes, Risks, and Concerns
Some questions regarding mild hydrocephalus (subdural hydrocephalus)? Hello Doctor: I previously inquired about my girlfriend's CT scan showing mild hydrocephalus (consultation number <a href="https://adoctor.tw/article/197529">#197529</a>). Your respon...
Dr. Peng Shiwei Reply:
Hello, generally speaking, subdural hygromas are usually associated with old injuries, and as you mentioned, they are more likely to occur in children and the elderly. In the case of subdural hygromas, we typically assess the volume of the fluid and whether it is causing any comp...[Read More] Understanding Mild Subdural Hydrocephalus: Causes, Risks, and Concerns
Understanding Lip Numbness: Causes and Relief Strategies
Numbness in the lower lip? This month, the patient has experienced lip numbness twice, with episodes lasting approximately one to two hours, occurring just before sleep. What should be noted and how can it be alleviated?
Dr. Jiang Junyi Reply:
Dear Ms. Chiu, You mentioned that "your husband is experiencing lip numbness." Are there any other symptoms, such as numbness in the limbs or unilateral weakness? First, we should consider "hyperventilation syndrome," which can lead to decreased carbon dioxid...[Read More] Understanding Lip Numbness: Causes and Relief Strategies
Understanding Seizures: When to Worry and What to Monitor
Time interval between seizures? Hello, doctor. My husband is 30 years old. He had a seizure in October 2019 when I was not present. The doctor examined him and said everything was fine. A few days later, he saw another doctor who diagnosed him with influenza type A. I'm not ...
Dr. Jiang Junyi Reply:
Dear Ms. Lisa, You mentioned that your husband "suddenly stared in one direction, then let out a low growl, with his eyes rolling back and his arms extending and twitching." These are typical symptoms of epilepsy, as the eye deviation may indicate abnormal electrical d...[Read More] Understanding Seizures: When to Worry and What to Monitor
Understanding Sleep Breathing Issues: Causes and Solutions
Sleep breathing disorders Hello Doctor, yesterday while I was sleeping, I woke up gasping for air due to a lack of oxygen. This situation occurs about once every six months; although the frequency is low, it is always very uncomfortable, and I worry about the possibility of suffo...
Dr. Jiang Junyi Reply:
Hello Mr. Hsu: You mentioned that "the sleep study showed an RDI of 1.9 and a minimum blood oxygen level of 84." These values do not meet the criteria for obstructive sleep apnea (OSA), which is greater than 5. Symptoms of sleep apnea include insomnia, nightmares, irrit...[Read More] Understanding Sleep Breathing Issues: Causes and Solutions
Understanding Persistent Dizziness: Possible Causes and Next Steps
Dizziness and an unsteady sense of balance? Hello Doctor, I have been experiencing dizziness for over a month. I have consulted with a neurologist, an otolaryngologist, and a cardiologist, and all tests have come back normal. However, my symptoms have not improved with medication...
Dr. Jiang Junyi Reply:
Hello Mr. Wang, You mentioned that "the symptoms improve slightly after getting up in the morning... and the body feels like it's swaying." This may indicate proprioceptive abnormalities caused by cervical spine issues. Often, this is related to muscle fascia tigh...[Read More] Understanding Persistent Dizziness: Possible Causes and Next Steps
Understanding Persistent Dizziness: Possible Causes and Next Steps
Dizziness and an unsteady sense of balance? Hello, Doctor. I have been experiencing dizziness for over a month. I have seen specialists in neurology, otolaryngology, and cardiology, and all tests have come back normal. However, my symptoms have not improved with medication. I wou...
Dr. Jiang Junyi Reply:
Hello Mr. Wang, You mentioned that "the symptoms improve slightly after getting up in the morning... and the body feels like it's swaying." This may indicate proprioceptive abnormalities caused by cervical spine issues. Often, this is related to muscle fascia tigh...[Read More] Understanding Persistent Dizziness: Possible Causes and Next Steps
Understanding Outer Thigh Numbness: Causes and Solutions for Active Individuals
Numbness in the outer thigh caused by exercise (I have already researched and found no similar conditions)? Hello Doctor, I have been troubled by this issue for some time, and it may be a bit lengthy. I hope you can provide me with advice and assistance. (I have not experienced a...
Dr. Jiang Junyi Reply:
Hello Mr. Tommy, You mentioned experiencing a tingling sensation on the outer side of your right thigh near the knee. In addition to possible compression of the lumbar nerve roots (L2 and L3), it may be necessary to consider inflammation of the lateral femoral cutaneous nerve. T...[Read More] Understanding Outer Thigh Numbness: Causes and Solutions for Active Individuals
Understanding Head and Tooth Pain: When to Seek Neurological Help
Head and tooth pain? Hello Doctor, I am a 23-year-old female. I have been experiencing pain in my head and teeth for a week. The headache is located on the left side, above the ear, extending to the top of the head. Accompanying symptoms include sharp pain in the lower left teeth...
Dr. Jiang Junyi Reply:
Hello Ms. Zhyn, You mentioned that "the location of the trigeminal nerve sometimes feels like being scratched by something, with a sharp pain similar to an electric shock lasting for a second; sometimes it occurs continuously, and other times with longer intervals. However,...[Read More] Understanding Head and Tooth Pain: When to Seek Neurological Help
Understanding Muscle Tension: Symptoms and Solutions for Neurological Issues
Involuntary muscle tension? Hello Doctor: Since around middle school, I have experienced episodes where my head involuntarily turns to the left, and the muscles in my face, neck, and limbs temporarily (for about ten seconds) maintain a rigid posture, becoming twisted and unable t...
Dr. Peng Shiwei Reply:
Hello, there are many possible diagnoses for your symptoms. I recommend that you visit a neurology clinic for a detailed evaluation. Thank you for your inquiry.[Read More] Understanding Muscle Tension: Symptoms and Solutions for Neurological Issues
Persistent Right Calf Pain: When to See a Specialist?
Right calf? If you have been experiencing pain in your right calf for over a month, and the pain persists even with Tramadol (37.5 mg) and Acetaminophen (325 mg), along with tenderness upon touch, it is advisable to consult a specialist. Given that you have a small varicose vein ...
Dr. Jiang Junyi Reply:
Hello Mr. Li: You mentioned that "touching causes pain, and there is a small varicose vein that has been checked with ultrasound and found to be normal. Should I see a neurologist, a rehabilitation specialist, or a pain management specialist?" It is recommended that you...[Read More] Persistent Right Calf Pain: When to See a Specialist?
Low Ceruloplasmin Levels: Impacts on Neurological Health and Symptoms
Test values are low? Hello Doctor, I would like to ask about my previous blood test for ceruloplasmin, which showed a low value of 185 mg/L (normal range 200-600). Sometimes my hands shake involuntarily. Is there a direct relationship between this symptom and low ceruloplasmin le...
Dr. Jiang Junyi Reply:
Hello Mr. Andy, You mentioned that "ceruloplasmin is low," which is commonly used in clinical practice to diagnose tremor-related disorders, particularly Wilson's disease. This is a genetic disorder characterized by impaired copper transport and accumulation of co...[Read More] Low Ceruloplasmin Levels: Impacts on Neurological Health and Symptoms