Understanding Weakness and Tremors in the Elderly: A Neurology Perspective
Generalized weakness and tremors? Hello, doctor! My mother is 78 years old and started experiencing generalized weakness and trembling about a month ago. However, her condition improves significantly after she eats and replenishes her caloric intake. The key issue is that she nee...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "as long as she eats... the situation will improve significantly, the key is that she needs to eat every 2-3 hours." It may be necessary to consider autonomic nervous system abnormalities. Generally, the autonomic nervous system is regulat...[Read More] Understanding Weakness and Tremors in the Elderly: A Neurology Perspective
Chronic Lower Back Pain After Gynecological Surgery: Possible Nerve Issues?
Long-term lower back pain after gynecological surgery? Hello Doctor, I have undergone about five surgeries due to gynecological issues including chocolate cysts, fibroids, endometriosis, and uterine fibrosis. The last surgery was approximately 5-6 years ago when I had a laparosco...
Dr. Peng Shiwei Reply:
Hello, while it may be related to the surgery, it is difficult to provide a definitive assessment based solely on the information provided. I recommend that you consult with the physician who performed your examination for a detailed inquiry. If you wish to seek assistance from a...[Read More] Chronic Lower Back Pain After Gynecological Surgery: Possible Nerve Issues?
Understanding Hip and Leg Pain: When to Seek Medical Advice
Medication Consultation Hello Dr. Peng: I often experience discomfort and aching in my right thigh near the hip joint, which extends to the thigh muscles. Pressing on that area causes significant soreness. When I sleep with my knees straightened or bent, I often hear cracking sou...
Dr. Peng Shiwei Reply:
Hello, it is recommended that you take B12 after meals, which may help improve your symptoms. As for the discomfort related to the hip, it seems to be more related to muscle or fascia issues. It is advisable to consult a neurologist or a rehabilitation specialist. Thank you for y...[Read More] Understanding Hip and Leg Pain: When to Seek Medical Advice
Understanding the Tingling Sensation When Relaxing: A Neurological Perspective
Relaxation of the body can lead to a tingling sensation? I don't know when it started, but whenever I relax, I experience a sensation of goosebumps and a tingling feeling that spreads from my body to my limbs, and sometimes even to my head. This sensation occurs frequently w...
Dr. Cai Zongzhang Reply:
Hello: The above symptoms are suggestive of a neurological disorder. It is recommended to visit a neurology outpatient clinic for an examination to determine the cause.[Read More] Understanding the Tingling Sensation When Relaxing: A Neurological Perspective
Understanding Finger Numbness: Could It Be Autonomic Nervous Dysfunction?
Numbness in the fingers? When pressing on the right index finger, there is a tingling sensation on the side close to the thumb. The thumb and middle finger also experience some sensation, but not as pronounced as the index finger. However, there is no sensation when not pressing....
Dr. Cai Zongzhang Reply:
Hello: The finger symptoms are consistent with carpal tunnel syndrome. It is recommended to visit another neurology clinic to check for other potential conditions.[Read More] Understanding Finger Numbness: Could It Be Autonomic Nervous Dysfunction?
Managing Anxiety and PVCs: A Patient's Journey to Heart Health
Anxiety issues Hello Dr. Jiang, thank you for allowing me to have an extra appointment the other day; it was very helpful. However, I have been worried about the issue of ventricular tachycardia (VT) since then. You mentioned that three consecutive ventricular premature contracti...
Dr. Jiang Junyi Reply:
Hello: Essentially, three ventricular premature contractions (VPCs) and ventricular tachycardia are two different issues, but the risk is increased. It is recommended to use a smart wristband for monitoring. If there is a sudden decrease in heart contractions or an abrupt drop in...[Read More] Managing Anxiety and PVCs: A Patient's Journey to Heart Health
Should You See a Neurologist for Eye Flashing and Floaters?
Eye problems Hello, doctor. Last month, I visited an ophthalmologist due to floaters and underwent a dilated eye exam, which showed a normal retina. Recently, I've been experiencing regular flashes of light (more noticeable at night), along with occasional brief flashes rese...
Dr. Cai Zongzhang Reply:
Hello: For the above symptoms, it is recommended to visit a neurology outpatient clinic for examination to confirm the cause.[Read More] Should You See a Neurologist for Eye Flashing and Floaters?
Understanding Finger Pain: Cold Water Sensitivity Explained
Pain in the fingertips? Hello: Recently, I have noticed a tingling sensation in the first phalanx of my left hand fingers when washing my hands with cold water, but there are no symptoms when using warm or hot water. There are no other abnormalities in that area during daily acti...
Dr. Jiang Junyi Reply:
Hello Mr. Huang: You mentioned that you experience a tingling sensation in the first joint of your left hand while washing your hands with cold water. This may raise two concerns. One is related to vascular constriction, and the other is peripheral nerve abnormalities. The nerve ...[Read More] Understanding Finger Pain: Cold Water Sensitivity Explained
Post-Surgery Nerve Pain: Understanding Ankle Fracture Complications
Seven months after undergoing surgery for a fracture above the left ankle with the placement of a metal plate, there is still persistent numbness and tingling below the ankle? Hello Doctor, I am writing on behalf of my father. He is 56 years old. Last September, he had an acciden...
Dr. Jiang Junyi Reply:
Hello: You mentioned that your father is experiencing peripheral nerve damage. If the peripheral neuropathy is caused by nerve compression, it may exhibit the following characteristics: 1. The pain is described as burning or electric-like. 2. Symptoms have a specific dermatomal d...[Read More] Post-Surgery Nerve Pain: Understanding Ankle Fracture Complications
Could My Symptoms Indicate Amyotrophic Lateral Sclerosis?
Am I at risk of developing amyotrophic lateral sclerosis (ALS)? Hello doctor, I have been experiencing difficulty swallowing since the beginning of this year, and when I speak, it feels like something is stuck in my nose, causing me to be unable to produce certain sounds. Could t...
Dr. Cai Zongzhang Reply:
Hello: Based on the symptoms mentioned, the cause cannot be determined. It is recommended to visit a neurology outpatient clinic for further evaluation.[Read More] Could My Symptoms Indicate Amyotrophic Lateral Sclerosis?
How to Differentiate Between Headaches and Neurological Issues
How to differentiate between various types of headaches that last for several months? I have been experiencing pain for six months in the area between my temple and ear, sometimes accompanied by a feeling of pressure or a sensation of a foreign body, as if something is pressing i...
Dr. Jiang Junyi Reply:
Hello Mr. Hong: You mentioned distinguishing between headaches and neurological or dermatological conditions. The pain you described, "often occurring between the temple and the ear, sometimes with a throbbing sensation," may suggest tension-type headache. The symptoms ...[Read More] How to Differentiate Between Headaches and Neurological Issues
Uncontrollable Neck and Facial Twitches After Roller Skating: Causes and Solutions
Involuntary twitching of the neck and face after exercise? Hello, doctor. My child is in sixth grade and has been practicing artistic roller skating for two and a half years. Recently, the difficulty level has increased, and they have been falling frequently and sweating profusel...
Dr. Wu Mukhan Reply:
Excessive exercise and prolonged training can lead to fatigue and muscle soreness, especially when there is insufficient rest and recovery time, which may result in more pronounced discomfort. Over-sweating can cause dehydration and electrolyte imbalances, potentially leading to ...[Read More] Uncontrollable Neck and Facial Twitches After Roller Skating: Causes and Solutions
Understanding PPPD: Managing Dizziness After Ear Stone Displacement
I have been experiencing dizziness for over four months? Hello, after the displacement of my otoliths, I have been experiencing persistent dizziness. The doctor diagnosed me with PPPD (Persistent Postural-Perceptual Dizziness) and advised me to undergo some rehabilitation and tak...
Dr. Peng Shiwei Reply:
Hello, I recommend that you continue with your rehabilitation. However, you can hold each position for a bit longer and transition between positions more slowly. This will allow your body to gradually adapt to the sensations of dizziness, and I believe you will see improvement ov...[Read More] Understanding PPPD: Managing Dizziness After Ear Stone Displacement
Understanding Scalp Numbness: Causes and When to Seek Help
Scalp tingling? Recently, I have been experiencing a tingling sensation throughout my head and feeling a bit lightheaded. In the past, I would occasionally have episodes where I couldn't think clearly, but these would typically last about an hour to a day. However, these sym...
Dr. Peng Shiwei Reply:
Hello, your symptoms require an in-person consultation and physical examination for an accurate assessment. I recommend that you visit a neurology outpatient clinic. Thank you for your inquiry.[Read More] Understanding Scalp Numbness: Causes and When to Seek Help
Understanding Sleep Paralysis and Severe Shaking Sensations
Feeling severe shaking while sleeping and experiencing tinnitus? This issue has persisted for over 10 years, with the first episode occurring during middle school. I have documented common symptoms. 1. On the night of an episode, I initially experience insomnia, tossing and turni...
Dr. Peng Shiwei Reply:
Hello, based on your description, it seems that the symptoms occur during sleep. I recommend that you visit a hospital with a "sleep center" for consultation and examination. Before your appointment, you can keep a sleep diary. During the sleep study, you will be asked ...[Read More] Understanding Sleep Paralysis and Severe Shaking Sensations
Can You Transmit Meningitis After Recovery? Understanding Symptoms and Risks
Is there a possibility of transmitting meningitis to others after recovery? Does meningitis always present with symptoms? Additionally, if someone recovers from it, is there still a risk of transmission? Recently, my girlfriend learned during her examination that she had previous...
Dr. Cai Zongzhang Reply:
Hello: Meningitis can be classified into infectious and non-infectious types. Non-infectious meningitis is not contagious. In mild cases of meningitis, symptoms may be subtle, leading patients to believe that no examination is necessary, and thus they may overlook it. Severe case...[Read More] Can You Transmit Meningitis After Recovery? Understanding Symptoms and Risks
Understanding Scalp Tingling: Causes and Concerns in Neurology
Scalp tingling? Hello, doctor. Today, after writing with my head down for about an hour, I lifted my head to grab something and felt a sudden tingling sensation in the back left side of my scalp. This is the first time I've experienced this situation. Could you please tell m...
Dr. Cai Zongzhang Reply:
Hello: Prolonged head-down posture can easily lead to cervical nerve root compression pain.[Read More] Understanding Scalp Tingling: Causes and Concerns in Neurology
Understanding Sleep Disorders: When Stress Affects Your Rest
Sleep issues Hello, doctor. Last night, I felt very hot in the middle of my sleep, so I instinctively reacted by trying to get up to find the remote control for the fan. However, I actually don't have a fan or a remote control for one at home, and I didn't dream about a...
Dr. Cai Zongzhang Reply:
Hello YY: The above symptoms are suspected to be caused by insufficient sleep. If there is no improvement after rest, it is recommended to visit a neurology outpatient clinic.[Read More] Understanding Sleep Disorders: When Stress Affects Your Rest
Numbness in the Left Foot: Understanding Neurological Symptoms
Numbness in the dorsal aspect of the left foot? The entire dorsum of my left foot has felt a bit strange for an unknown period. I still have sensation in that area, and there is no tingling when I don't touch it. However, when I touch or scratch it, the sensation feels diffe...
Dr. Cai Zongzhang Reply:
Hello Alice: The symptoms mentioned are suggestive of a left dorsum foot nerve disorder. It is recommended to visit a neurology outpatient clinic for examination.[Read More] Numbness in the Left Foot: Understanding Neurological Symptoms
Experiencing Visual Disturbances: Understanding Your Symptoms
Seeing objects shaking up and down? Hello, doctor. Recently, I suddenly feel like my house is shaking up and down, as if it is about to collapse. This sensation is especially severe at night in my bedroom, which is relatively small. Whenever I turn off the lights, the room seems ...
Dr. Cai Zongzhang Reply:
Hello, Wang Hsien: The symptoms mentioned above are suspected to be related to inner ear disorders. It is recommended to consult an otolaryngologist.[Read More] Experiencing Visual Disturbances: Understanding Your Symptoms