Understanding Morning Seizures: Epilepsy or Other Neurological Issues?
Morning seizures Hello, I would like to ask about my wife, who is 30 years old and had two generalized seizures while sleeping half a month ago, leading to a diagnosis of epilepsy. Currently, all tests show no abnormalities. She has been taking medication in the morning and eveni...
Dr. Jiang Junyi Reply:
Hello Mr. Huang, You mentioned that "my wife experiences abdominal tightness and cramping between 6:00 and 8:00 in the morning." This is not a symptom of ankylosing spondylitis. It resembles symptoms of localized cortical discharges. May I ask if this occurs before tak...[Read More] Understanding Morning Seizures: Epilepsy or Other Neurological Issues?
Understanding Muscle Pain, Weakness, and Swallowing Difficulties: Is It ALS?
Muscle soreness, twitching, dizziness, difficulty swallowing, susceptibility to choking, and sudden cramps? About three days ago, I started experiencing persistent fatigue and weakness, along with a decreased appetite. Despite not engaging in any intense physical activity, I have...
Dr. Peng Shiwei Reply:
Hello, given your age, the likelihood of ALS is low. However, the symptoms you described do need to be properly evaluated. I believe it is more likely to be a purely muscular issue. I recommend that you consult the neurology department at a major hospital. Thank you for your inqu...[Read More] Understanding Muscle Pain, Weakness, and Swallowing Difficulties: Is It ALS?
Headaches When Lying Face Down: What You Need to Know
Experiencing headaches when lying down? Hello, I would like to ask about a situation where I do not experience any issues while sitting, lying flat, or standing, but sometimes when I lie face down (with my elbows propped up), I experience a buzzing sensation in my head along with...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, I believe it may be related to a transient increase in intracranial pressure due to straining. However, a detailed assessment by a physician in person would be preferable. If this situation is causing you significant distress, I recommend consulting...[Read More] Headaches When Lying Face Down: What You Need to Know
Understanding Numbness and Tingling in Hands and Feet: When to Seek Help
Numbness and tingling in the hands and feet? Since Monday, I have been experiencing a tingling and numb sensation in my foot, particularly in the fourth toe of my right foot. This sensation occurs whether I am sitting or standing, but it is less noticeable when I walk. It is not ...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, there could be issues related to peripheral circulation or peripheral nerves. It is recommended that you consult a neurologist. Thank you for your inquiry.[Read More] Understanding Numbness and Tingling in Hands and Feet: When to Seek Help
Sudden Leg Tremors: Causes and When to Seek Medical Attention
Sudden involuntary shaking of the legs? Hello, doctor. Today, while sitting in a meditation position on my toes, my left calf and thigh suddenly began to tremble violently. The shaking stopped when I placed my foot flat. I've never experienced this before; today was the firs...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, it is more likely that the tremors are caused by excessive muscle contractions. However, a detailed assessment by a physician through an in-person consultation and physical examination is necessary for a definitive diagnosis. You may continue to mon...[Read More] Sudden Leg Tremors: Causes and When to Seek Medical Attention
Understanding Autonomic Nervous System Disorders: Diagnostic Methods Explained
Autonomic nervous system dysfunction Hello, doctor: Could you please tell me what the examination methods for autonomic nervous system dysfunction are? Can it be detected when there are no episodes? Thank you.
Dr. Cai Zongzhang Reply:
Hello: Autonomic nervous system examinations cannot directly visualize abnormalities using imaging tools, but abnormalities can be indirectly confirmed through neurological function tests.[Read More] Understanding Autonomic Nervous System Disorders: Diagnostic Methods Explained
Persistent Headache and Dizziness: Understanding Tension-Type Headaches
Continuous headaches and dizziness for several days? The headache and dizziness have persisted for seven days, with the pain localized primarily at the temples and extending to both sides. It is uncertain whether the dizziness is caused by the headache. The symptoms occur continu...
Dr. Peng Shiwei Reply:
Hello, tension-type headaches rarely last for 24 hours. If you do not have a specific history of headaches, it is recommended that you visit a neurology outpatient clinic for assistance. Please pay special attention to any signs of low-grade fever or changes in consciousness/aler...[Read More] Persistent Headache and Dizziness: Understanding Tension-Type Headaches
Understanding Sudden Dizziness: Causes and Treatment Options
Dizziness and vertigo? Hello, doctor! I usually feel fine, but today I suddenly experienced dizziness. No matter if I'm standing or sitting, I feel like the world is spinning, and I can't seem to maintain my balance. Occasionally, I feel nauseous but can't vomit, a...
Dr. Peng Shiwei Reply:
Hello, based on your age and symptoms, it is likely that you are experiencing peripheral vertigo caused by inner ear imbalance. I recommend consulting an otolaryngologist. Thank you for your inquiry.[Read More] Understanding Sudden Dizziness: Causes and Treatment Options
Severe Pain in Left Occipital Area During Freediving: Causes and Concerns
Pain in the left occipital region accompanied by a throbbing sensation? Hello Doctor, I have recently started practicing freediving, but I often experience severe pain in the left posterior part of my head when descending to depths of about five to ten meters, despite normal ear ...
Dr. Jiang Junyi Reply:
Hello Chris, You mentioned experiencing "severe pain in the left occipital region during ascent, which evolved into a throbbing pain accompanied by a heartbeat after resting." Your symptoms may warrant consideration of "decompression sickness." Compared to fr...[Read More] Severe Pain in Left Occipital Area During Freediving: Causes and Concerns
Understanding Muscle Pain: Causes and Solutions for Burning Sensations
Muscle pain Hello, doctor. Recently, I've been experiencing a burning tearing sensation in the front thigh muscles during certain movements. This sensation disappears immediately after I stop the movement, and there is no pain when I press on it. However, I noticed that when...
Dr. Jiang Junyi Reply:
Hello Mr. TOP: You mentioned, "pressing when experiencing a burning tearing sensation causes pain." Your symptoms may suggest a peripheral nerve issue. This could be due to muscle compression of nearby nerves and blood vessels in specific positions. Symptoms of peripher...[Read More] Understanding Muscle Pain: Causes and Solutions for Burning Sensations
Understanding Muscle Atrophy: Is It ALS or Another Condition?
Amyotrophic lateral sclerosis (ALS), muscle atrophy? Hello doctor, I am a 40-year-old male. About six years ago, I suddenly felt unusual soreness in my left arm, and later the small thenar muscle in my left hand began to twitch. A few days later, I noticed slight atrophy. I consu...
Dr. Jiang Junyi Reply:
Dear Mr. Aze, You mentioned that "my arms suddenly tremble continuously, my muscles twitch, and I experience inexplicable spasms throughout my body. I also noticed that my thighs seem to be atrophying, and I wonder if I might have this disease." The muscle atrophy you ...[Read More] Understanding Muscle Atrophy: Is It ALS or Another Condition?
Understanding Mild Dizziness: Possible Causes and Connections to Menstruation
Mild dizziness Hello Doctor, I am currently a third-year junior high school student. I started feeling slightly dizzy during class the day before yesterday. Sometimes I feel like I might faint, but I don't actually fall. I would like to know if this is related to my menstrua...
Dr. Jiang Junyi Reply:
Dear Ms. Jian, You mentioned, "I would like to ask if this is related to my menstrual period, as I started experiencing symptoms on Tuesday, but my period began on Sunday." Typically, migraine-associated vertigo tends to occur within three days prior to menstruation. T...[Read More] Understanding Mild Dizziness: Possible Causes and Connections to Menstruation
Understanding Brain Fog: Causes, Prevention, and Recovery Tips
Cognitive issues: brain fog? Last night (12/28), I discovered that I tested positive. I heard that it's true that if you just sleep and avoid thinking for the first 48 hours after diagnosis, it can help prevent brain fog. If that's true, I've already been thinking ...
Dr. Peng Shiwei Reply:
Hello, based on current evidence, the risk factors for long COVID sequelae include severe cases and patients who required intubation. Vaccination helps reduce the severity of these sequelae. Currently, there is no specific medication for brain fog, nor is there any particular tre...[Read More] Understanding Brain Fog: Causes, Prevention, and Recovery Tips
Understanding Right Occipital Dizziness: Possible Inflammation and Treatment
Dizziness in the right posterior part of the brain / similar to intoxication / inflammation? Hello, doctor. I apologize for the lengthy description of my condition; I hope you don't mind. Background: About ten days ago, I visited Qingjing Farm. After being exposed to some su...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "the infection may have been caused by insect bites in the wild, and I was prescribed antibiotics along with anti-nausea and pain relief medications. After three days, I asked my family to check, and the redness and swelling at the back of my right ...[Read More] Understanding Right Occipital Dizziness: Possible Inflammation and Treatment
Facial Numbness After Waking: Possible Causes and When to Seek Help
Numbness in the upper left side of the face upon waking up? I have been noticing this phenomenon for at least a month now. The main symptom is numbness around my left eye (forehead, temples, cheekbones, etc.), which is not painful. It tends to occur upon waking, especially in the...
Dr. Jiang Junyi Reply:
Hello Mr. Wang: You mentioned that "the symptoms mainly involve numbness around the left eye (forehead, temples, cheekbone, etc.)." This symptom may suggest inflammation of the first branch of the trigeminal nerve (ophthalmic nerve). First, we need to rule out sinusitis...[Read More] Facial Numbness After Waking: Possible Causes and When to Seek Help
Understanding Increased Nerve Pain After Diagnosis: Causes and Treatments
Diagnosis leads to exacerbation of neuropathic pain? Recently, after being diagnosed, the previously occasional neuropathic pain has become frequent, primarily occurring in the abdomen and thighs, both during the day and night (persistent). After taking painkillers, the pain retu...
Dr. Jiang Junyi Reply:
Hello, Ms. Bai: You mentioned that the pain primarily occurs in the abdomen and thighs, is persistent both day and night, and continues after taking pain medication for three to four hours, causing tears. Is this situation common? How should it be assessed and treated? Your sympt...[Read More] Understanding Increased Nerve Pain After Diagnosis: Causes and Treatments
Understanding Parkinson's Disease: Symptoms and Self-Assessment Insights
Parkinson's disease Hello Doctor, I saw online about a self-check for Parkinson's disease using the index and thumb fingers. I found that my left hand becomes stiff after pressing down for 40 times, and I start to slow down. I also tested this six years ago and experien...
Dr. Hong Weibin Reply:
Hello: Generally speaking, in a self-assessment for Parkinson's disease, repeatedly pressing the thumb usually shows a decrease in movement amplitude within 10 to 20 presses. If I press it 40 times, many normal individuals may experience hand fatigue. Additionally, Parkinson...[Read More] Understanding Parkinson's Disease: Symptoms and Self-Assessment Insights
Understanding Persistent Dizziness: Causes, Symptoms, and Relief Strategies
I experience dizziness as soon as I open my eyes? Hello, doctor. I'm quite confused about my condition, so I would like to consult you. In the past, I experienced dizziness and nausea occasionally, but since it happened infrequently, I would forget about it after it passed. ...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to visit the neurology outpatient clinic for a neurological function examination.[Read More] Understanding Persistent Dizziness: Causes, Symptoms, and Relief Strategies
Understanding Suboccipital Muscle Issues and Recovery Strategies
Suboccipital muscles After experiencing chills and shivering, I noticed that when I turn my head to the left, there is a popping sound. Slowly turning my head to the left is manageable, and when I support the back of my head with my hand while turning, there is no sound. I also n...
Dr. Cai Zongzhang Reply:
Hello: The symptoms mentioned may be indicative of cervical spondylosis. It is recommended to visit a neurology outpatient clinic.[Read More] Understanding Suboccipital Muscle Issues and Recovery Strategies
Can Vascular Calcification Be Treated? Understanding Causes and Solutions
Can vascular calcification be treated? Hello, I recently had a neck ultrasound, and the doctor mentioned that I have vascular calcification. However, I usually have a light diet, do not smoke or drink alcohol, and my previous health check-up showed that my kidney function, blood ...
Dr. Peng Shiwei Reply:
According to current evidence, isolated vascular calcification (without blood flow abnormalities) does not require stroke prevention medication. Generally, it is advisable to first assess for risk factors associated with atherosclerosis, which I believe you have already addressed...[Read More] Can Vascular Calcification Be Treated? Understanding Causes and Solutions