Understanding Sudden Thigh Pain and Mobility Issues in Seniors
Thigh pain, significant difficulty walking, occasional cramping? Hello, Doctor. My mother is 82 years old. A few days ago, she suddenly experienced pain in her right leg and the inner side of her right thigh, making it difficult for her to walk. Sometimes she also feels sudden sh...
Dr. Jiang Junyi Reply:
Hello: You mentioned that your initial diagnosis might be a muscle strain... and there are concerns about potential lumbar spine issues. It is important to first consider muscle injury, as nerve root compression typically results in radiating pain and numbness extending to the lo...[Read More] Understanding Sudden Thigh Pain and Mobility Issues in Seniors
Traveling by Plane After a Stroke: Safety Tips for Patients
Flying After a Stroke Hello Doctor, my father is 58 years old. He had a mild stroke in early November 2021 (at that time, he was unable to speak, had complete weakness in his limbs, and was unable to manage his bowel and bladder functions, so he could only lie in bed). He has sin...
Dr. Jiang Junyi Reply:
Dear Mr. Hua, You mentioned that your father "had a stroke in 2021... has been undergoing dialysis since 2018, and underwent coronary artery bypass surgery at the end of 2018." Generally, for stroke patients, it is recommended to wait at least 2-4 weeks after the strok...[Read More] Traveling by Plane After a Stroke: Safety Tips for Patients
Understanding Weather-Related Symptoms: Dizziness and Discomfort Explained
When the weather gets cold, I feel uncomfortable all over? Hello, doctor. I do not have a thyroid condition, anemia, or any chronic diseases. I underwent a comprehensive health check last year, and aside from mild gastroesophageal reflux, everything was normal. I have never exper...
Dr. Jiang Junyi Reply:
Hello, You mentioned that "headache-related dizziness" may need to consider migraine-associated vertigo (MAV), which is a type of dizziness associated with migraines. Migraine is a common neurological disorder characterized by severe headaches and other symptoms. In s...[Read More] Understanding Weather-Related Symptoms: Dizziness and Discomfort Explained
Understanding Thenar Hypoplasia: Causes and Treatment Options
Thenar eminence depression There is a noticeable horizontal indentation in the thenar eminence of the dominant hand, accompanied by wrist pain and finger numbness.
Dr. Wu Mukhan Reply:
Hello, it is recommended to visit a neurology outpatient clinic to evaluate whether the finger numbness is related to the issues you described.[Read More] Understanding Thenar Hypoplasia: Causes and Treatment Options
Understanding Temporary Vision Loss: Causes and Next Steps
The eyes can go blind? Hello Doctor: I first experienced symptoms around the second year of junior high school, and it has been nearly ten years now. The frequency of episodes is not high; over the past ten years, I have had about seven episodes. Initially, I noticed black spots ...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "the black spots... will completely disappear in a few seconds, and after about thirty minutes, your vision will return to normal." If you experience symptoms such as dizziness and low blood pressure, it may be necessary to consider the is...[Read More] Understanding Temporary Vision Loss: Causes and Next Steps
Uncontrollable Hand Movements While Reading: Possible Neurological Causes
During reading, there is an involuntary urge to grasp or hold objects with the hands? Hello, doctor. Recently, I have noticed that when I read, I involuntarily feel the urge to use my left hand to search for and grasp objects, such as flipping the edge of the pages on the left si...
Dr. Wu Mukhan Reply:
Hello, your symptoms may be indicative of a movement disorder, such as chorea, bradykinesia, or dystonia. To determine the underlying cause, it is advisable to visit a neurology clinic for further evaluation.[Read More] Uncontrollable Hand Movements While Reading: Possible Neurological Causes
Managing Anxiety and Autonomic Dysfunction: Understanding Dizziness and Discomfort
dizzy Hello Dr. Jiang, I apologize for bothering you. I previously experienced anxiety and panic, which has led to some autonomic nervous system dysregulation. My symptoms include chest tightness, stomach pain, palpitations, rapid heartbeat, and dizziness. Recently, I've bee...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned, "Is it convenient to make an appointment with Dr. Jiang on the evening of April 11?" Please come to the clinic at 6:00 PM to obtain a referral slip, and you can register for the appointment. We can arrange for a heart rate variability test, bu...[Read More] Managing Anxiety and Autonomic Dysfunction: Understanding Dizziness and Discomfort
Understanding Dizziness: Anxiety, Autonomic Dysfunction, and Solutions
dizzy Hello Dr. Jiang, I apologize for bothering you. I previously experienced anxiety and panic, which has led to some autonomic nervous system dysregulation. My symptoms include chest tightness, stomach pain, palpitations, rapid heartbeat, and dizziness. Recently, I've bee...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned, "Is it convenient to make an appointment with Dr. Jiang on the evening of April 11th..." Please come to the clinic at 6:00 PM to obtain a supplementary appointment slip, and you will be able to register. We can arrange for a heart rate variabi...[Read More] Understanding Dizziness: Anxiety, Autonomic Dysfunction, and Solutions
Understanding Temporary Vision Loss: Causes and Next Steps
The eyes can go blind? Hello Doctor: I first experienced symptoms around the second year of junior high school, and it has been nearly ten years now. The frequency of episodes is not high, approximately seven times over the past decade. Initially, I noticed black spots in my visi...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned that "the black spots... will completely disappear after a few seconds, and your vision will return to normal after about thirty minutes." If you are experiencing symptoms such as dizziness and low blood pressure, it may be necessary to conside...[Read More] Understanding Temporary Vision Loss: Causes and Next Steps
Understanding Diaphragm Muscle Spasms: When to Seek Medical Attention
Diaphragmatic muscle twitching The muscles in the middle of the diaphragm are continuously contracting and pulsating, accompanied by a slight feeling of pressure, similar to a heartbeat but at a faster rate, with a rhythmic "thump-thump-thump" sensation. It feels as if ...
Dr. Jiang Junyi Reply:
Dear Ms. Jun, You mentioned that "the muscles in the middle of the diaphragm are continuously contracting and twitching." The diaphragm is primarily innervated by the phrenic nerve, which originates from the cervical spinal cord, typically from the nerve roots of C3 to...[Read More] Understanding Diaphragm Muscle Spasms: When to Seek Medical Attention
Understanding Neurological Symptoms: Head Pressure, Dizziness, and Vision Changes
Head issues In the past two to three weeks, I have noticed that my head doesn't feel the same as usual. Normally, it feels light, but recently it feels like there is something in my head, a foggy sensation. When I focus on a task, I don't notice it, but after finishing,...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "pressing on the left back of your head is painful, but there is no swelling or pimples." This may indicate issues related to the neck and cervical fascia. Maintaining an improper posture for extended periods can lead to overuse of the tra...[Read More] Understanding Neurological Symptoms: Head Pressure, Dizziness, and Vision Changes
Understanding Your Ultrasound Report: Insights on Vertebral and Carotid Arteries
Ultrasound report, please assist? Hello Dr. Jiang, please help explain the report. I have been experiencing significant discomfort in my neck and shoulders, so I underwent examinations. Thank you! Medical Order: DOPSCAN 1. Mild stenotic flow in the left proximal vertebral artery...
Dr. Jiang Junyi Reply:
Dear Ms. Jen, Your report is primarily divided into two parts: 1. Extracranial Vessels: There is mild stenosis of the left proximal vertebral artery. 2. Transcranial Ultrasound: Except for the left temporal bone, the ultrasound could not obtain signals (which is quite common)...[Read More] Understanding Your Ultrasound Report: Insights on Vertebral and Carotid Arteries
Understanding Body Tremors: Causes and Treatment Options
Body tremors I would like to consult a physician regarding a persistent shaking sensation I've been experiencing in my upper body while lying down at night over the past week. It feels like a rapid, fine tremor, similar to an electric current, although it is not visibly noti...
Dr. Jiang Junyi Reply:
Hello Mr. Shi: You mentioned that you have refrained from drinking alcohol this week due to taking antibiotics for pharyngitis. You also brought up the issue of tremors, which have only recently occurred, and we should first consider whether they are medication-related. Are you t...[Read More] Understanding Body Tremors: Causes and Treatment Options
Understanding Syncope: Causes and Concerns in Elderly Patients
Conscious syncope Hello doctor, my mother is 65 years old and has a history of low blood pressure, chronic moderate insomnia, autonomic nervous system dysfunction, and headaches. She often relies on sleeping pills to fall asleep and takes acetaminophen to alleviate her headaches....
Dr. Wu Mukhan Reply:
Hello, your mother's symptoms may possibly be caused by seizures or syncope related to cardiac issues. It is advisable to arrange for further examinations at a hospital's neurology department.[Read More] Understanding Syncope: Causes and Concerns in Elderly Patients
Sharp Foot Pain During Urination: What Could Be the Cause?
Pain in the soles of the feet during urination? Hello Doctor: Since the morning of March 13th, I have been experiencing severe stabbing pain in my left foot while urinating, similar to neuropathic pain, located near the center of the forefoot close to the big toe. I visited an in...
Dr. Jiang Junyi Reply:
Dear Mr. Hsieh, You mentioned that "there is a sharp pain in the left foot during urination," which may indicate nerve root pain, particularly involving the sciatic nerve. Symptoms of peripheral nerve compression include: 1. Pain characterized by burning or tingling se...[Read More] Sharp Foot Pain During Urination: What Could Be the Cause?
Sharp Pain in Foot During Urination: Possible Neurological Issues?
Pain in the soles of the feet during urination? Hello Doctor: Since the morning of March 13th, I have been experiencing severe stabbing pain in my left foot while urinating, similar to neuropathic pain, located near the center of the forefoot close to the big toe. I visited an in...
Dr. Jiang Junyi Reply:
Dear Mr. Hsiao, You mentioned that "there is a sharp pain in your left foot when urinating," which may suggest radicular pain, particularly from the sciatic nerve. I would like to know if your urinalysis has ruled out the presence of occult blood. If it has been ruled ...[Read More] Sharp Pain in Foot During Urination: Possible Neurological Issues?
Managing Low Blood Pressure Issues from Heart Health Medication
The issue of hypotension caused by heart health supplements? I have a history of low blood pressure, but it is not low enough to be classified as hypotension. However, I was prescribed "Heart Care Tablets" for migraine treatment, taking half a tablet in the morning and ...
Dr. Wu Mukhan Reply:
Hello, it appears that your blood pressure is indeed too low. It is recommended to discontinue the use of XinKangLe and to return to the outpatient clinic as soon as possible to discuss medication options with your physician. There are various other medications available for the ...[Read More] Managing Low Blood Pressure Issues from Heart Health Medication
Understanding Sleep Kicking: Is It a Sleep Disorder?
Kicking during sleep? Hello doctor, I am currently in the second year of high school. Since elementary school, I have been kicking my legs randomly whenever I fall asleep. My family and friends who have slept over have mentioned that I kick them awake. I read online that this mig...
Dr. Wu Mukhan Reply:
Hello, your symptoms may indicate Periodic Limb Movement Disorder (PLMD), which is a sleep disorder characterized by involuntary, repetitive movements of the limbs during sleep. This condition can affect the quality of sleep for both you and those around you. If you find that it ...[Read More] Understanding Sleep Kicking: Is It a Sleep Disorder?
Understanding Calf Muscle Development Issues in Teen Athletes
Calf muscle development issues? For your 16-year-old son who is 185 cm tall but has thinner calves than average and lacks muscle despite being active, it would be advisable to consult an orthopedic specialist or a sports medicine physician. They can assess his muscle development ...
Dr. Wu Mukhan Reply:
Hello, your son may need to undergo some basic examinations, such as measuring body fat and muscle ratio, as well as assessments of skeletal and muscular structures. It is recommended to consult with a pediatrician, sports medicine specialist, or orthopedic doctor for further eva...[Read More] Understanding Calf Muscle Development Issues in Teen Athletes
Understanding Finger Numbness: Causes and When to Seek Help
Numbness in the fingers? Hello, doctor. A few days ago, I felt numbness in my hand, and it felt like I was being electrocuted. Now, only my fingertips are numb. I went to see a neurologist, and after a preliminary examination, he asked if I felt an electric shock sensation. I sai...
Dr. Jiang Junyi Reply:
Dear Mr. Jayen, You mentioned "finger numbness... MRI examination," which clinically may suggest cervical nerve compression. Typical discomfort symptoms associated with cervical radiculopathy include pain in the shoulder or arm, as well as numbness, tingling, and weakn...[Read More] Understanding Finger Numbness: Causes and When to Seek Help