Understanding Muscle Twitches: Is It ALS or Something Else?
I'm very afraid it might be amyotrophic lateral sclerosis (ALS)..? Hello doctor, three months ago I started experiencing muscle twitching all over my body. Some areas are more fixed while others vary in intensity. I also have a feeling of weakness in my left hand; when I exe...
Dr. Chen Weida Reply:
Note: The same consultation <a href="https://adoctor.tw/article/208460">#208460</a> was responded to on May 17. Hello! The early symptoms of motor neuron disease primarily include mild weakness in the limbs or enhanced reflexes, and some patients may experie...[Read More] Understanding Muscle Twitches: Is It ALS or Something Else?
Yawning During Sleep: Understanding Neurological Implications in Adults
Yawning while sleeping? Recently, I noticed that my husband yawns while sleeping, often turning his head to yawn again. He has mild nasal allergies that cause him to sneeze when the air quality is poor, and he sometimes experiences nasal congestion depending on the temperature wh...
Dr. Chen Weida Reply:
Hello Lin! Regarding your inquiry about yawning during sleep, please first observe if your husband has any other discomforting symptoms. If he continues to have concerns or any questions, it is advisable to visit a neurology clinic for early diagnosis and treatment. Wishing you g...[Read More] Yawning During Sleep: Understanding Neurological Implications in Adults
Understanding Nasal Nerve Sensations: Causes and Recommended Tests
Nasal nerve questions? Hello, Doctor! I would like to ask about a situation where I feel a sensation of swelling and nerve discomfort in my nose whenever I lie down, making it very uncomfortable and preventing me from sleeping. I have seen many ENT specialists who have said that ...
Dr. Cai Zongzhang Reply:
Hello, Sha: The symptoms mentioned may be indicative of a dysfunction of the nasal nerves. These nerves are very fine and cannot be detected through imaging studies. It is recommended to visit a neurology outpatient clinic.[Read More] Understanding Nasal Nerve Sensations: Causes and Recommended Tests
Effective Strategies for Tapering Off Sleep Medications Safely
Withdrawal from sleeping pills? Hello Doctor: I have been taking Rifapentine 0.5 mg for a year and a half, and later I reduced the dosage to half a pill, which I have been taking for the past three months. During these three months, I have experienced difficulty sleeping for abou...
Dr. Cai Zongzhang Reply:
Hello, Xiao P: Improving insomnia cannot rely solely on medication. Avoid napping during the day, engage in moderate exercise, and combine these with medication before gradually tapering off.[Read More] Effective Strategies for Tapering Off Sleep Medications Safely
Uncontrollable Hand Tremors and Weakness: A Neurological Concern
For a month, I have been experiencing intermittent hand tremors that I cannot control. After maintaining a position for a long time, my legs feel weak when I try to stand up? Hello Doctor: In the past month, I've been experiencing some fine motor difficulties, such as trembl...
Dr. Cai Zongzhang Reply:
Hello Gemma: The symptoms mentioned have many possible causes. If there is no improvement after sufficient rest and sleep, it is recommended to visit a neurology clinic.[Read More] Uncontrollable Hand Tremors and Weakness: A Neurological Concern
Understanding Myoclonic Jerks in Children with EMAS Epilepsy
Involuntary muscle spasms? Hello Doctor: My child is currently 3 years old and was diagnosed with EMAS epilepsy at the age of 2. However, physical examinations (EEG, MRI) and genetic blood tests have not revealed any underlying cause. He is currently taking Depakine and Keppra fo...
Dr. Jiang Junyi Reply:
Dear Ms. Yang, You mentioned that "the attending physician discussed that the muscle twitching while awake is not considered an epileptic seizure... Does muscle twitching while awake count as a focal seizure in epilepsy?" Caring for a child can be very stressful and ch...[Read More] Understanding Myoclonic Jerks in Children with EMAS Epilepsy
Understanding One-Sided Headaches: Causes and Solutions for Neurological Symptoms
Unilateral ear fullness, unilateral eye pressure and swelling, unilateral neck tightness, and headache? Hello, I have been experiencing headaches for a long time, which are usually relieved by painkillers. Two years ago, I started having episodes of persistent headaches that are ...
Dr. Jiang Junyi Reply:
Dear Ms. Y: You mentioned experiencing "unilateral tightness and discomfort, always on the same side... with a sensation of 'unilateral ear fullness and unilateral eye pressure' (notably tightness when moving the eyeball)." This may warrant consideration of c...[Read More] Understanding One-Sided Headaches: Causes and Solutions for Neurological Symptoms
Understanding Muscle Twitches: Symptoms and Concerns in Neurology
Muscle twitching combined with multiple symptoms? Hello, doctor. I have been experiencing muscle twitching for three months now. I have seen doctors during this time, but no tests have been conducted. I finally found a place where I can undergo a nerve conduction study (which has...
Dr. Chen Weida Reply:
Hello! Motor neuron diseases mostly occur in middle-aged and older individuals. The early symptoms primarily involve progressive muscle weakness, while sensory abnormalities are not prominent. Please continue to monitor your symptoms, and if you have any concerns or questions, it...[Read More] Understanding Muscle Twitches: Symptoms and Concerns in Neurology
Understanding Facial Muscle Twitches: When to See a Neurologist or Ophthalmologist
Facial spasms Hello Doctor, I have been experiencing muscle twitching around the tear trough area on my right face (near the apple cheek) for about a month now, and there has been no improvement. Sometimes it occurs first thing in the morning, even when I am not fatigued. I have ...
Dr. Huang Hongling Reply:
If eyelid twitching persists for more than 2-3 weeks, is severe enough to cause the eyes to close, or if there are other symptoms such as twitching of facial or body muscles, redness of the eyes, discharge, or drooping eyelids, it is advisable to visit a neurology clinic for eval...[Read More] Understanding Facial Muscle Twitches: When to See a Neurologist or Ophthalmologist
Understanding Lingual Numbness and Jaw Pain: A Neurological Perspective
Numbness at the base of the tongue and pain in the lower jaw? Hello Doctor, about three days ago I woke up with pain in the right lower jaw (around the area of the second/first molar). When I press on my cheek, it hurts slightly. I have also been experiencing persistent numbness ...
Dr. Jiang Junyi Reply:
Dear Ms. Si, You mentioned that "the right side of my tongue root has been numb continuously, and sometimes the right corner of my mouth also feels numb." Your symptoms may suggest the possibility of trigeminal neuralgia affecting the mandibular branch of the trigemina...[Read More] Understanding Lingual Numbness and Jaw Pain: A Neurological Perspective
Understanding Post-Rest Symptoms: Causes and Solutions for Neurological Issues
Neurological issues related to the head? I’m not sure when it started, but sometimes when I feel more tired, I lie down on the table or bed to rest for about 15 to 30 minutes. After waking up, I experience a slight tremor at the back of my head, my heartbeat feels stronger, and s...
Dr. Jiang Junyi Reply:
Hello, sir: Your symptoms may indicate peripheral nerve compression. 1. The nature of the pain is characterized by burning and tingling sensations. 2. The symptoms have a specific dermatomal distribution, and can be triggered by touch or pressure. 3. There is also accompanying mu...[Read More] Understanding Post-Rest Symptoms: Causes and Solutions for Neurological Issues
Understanding Right Big Toe Tremors: Possible Neurological Insights
Trembling of the right big toe? Hello Doctor, I previously worked in the tech industry and left my job due to excessive stress, which led to symptoms resembling panic attacks, such as chest tightness, difficulty breathing, and palpitations (without medical diagnosis). I initially...
Dr. Cai Zongzhang Reply:
Hello Mr. Chen: Based on the symptoms mentioned, it is recommended to visit a neurologist for further evaluation to confirm the underlying cause.[Read More] Understanding Right Big Toe Tremors: Possible Neurological Insights
Understanding Unexplained Body Pain: A Neurological Perspective
Physical changes in the past three months? Hello, Doctor. I have been experiencing various health issues over the past three months. Initially, I had pain throughout my body (I'm unsure if it's muscle pain or bone pain). The pain is difficult to describe; sometimes it f...
Dr. Huang Hongling Reply:
Fibromyalgia is diagnosed based on clinical symptoms, and some medications used for it also serve as treatments for anxiety or depression. As for amyotrophic lateral sclerosis (ALS), pain is rarely a symptom. It is recommended that you return to your original neurologist for a co...[Read More] Understanding Unexplained Body Pain: A Neurological Perspective
Understanding Throat Foreign Body Sensation: Causes and Solutions
Foreign body sensation in the throat? Since starting fitness training in September of last year, I have begun experiencing difficulty swallowing. I have visited an otolaryngologist, neurologist, and endocrinologist, and all tests returned normal results. Eventually, a gastroenter...
Dr. Jiang Junyi Reply:
Dear Mr. Tso, You mentioned that "difficulty swallowing and a sensation of a foreign body in the throat have persisted," which could be due to cervical nerve compression, brainstem dysfunction, or sympathetic nervous system abnormalities, among other reasons. It is mor...[Read More] Understanding Throat Foreign Body Sensation: Causes and Solutions
Understanding Left Hand Finger Pain: Possible Neurological Issues
Pain in the fingers of the left hand? Hello Doctor, I can make a fist and extend my left hand, but I always experience pain in my middle finger when I try to grip tightly or hold something. Additionally, when I gently tap the junction of my left palm and middle finger with my rig...
Dr. Jiang Junyi Reply:
Hello Mr. Lee: You mentioned that "tapping the junction of your left palm and left middle finger is painful." Is this at the joint? Are there any symptoms of redness or heat? Your description seems to indicate inflammation of a single joint. Common causes of pain in the...[Read More] Understanding Left Hand Finger Pain: Possible Neurological Issues
Sneezing and Numbness: Understanding Neurological Symptoms
Experiencing a tingling sensation on the scalp when sneezing? Recently, whenever I sneeze, I experience a tingling sensation in the back of my head that extends down to my neck and upper back. What could be causing this?
Dr. Jiang Junyi Reply:
Dear Ms. Ling, You mentioned that "after sneezing, I start to feel numbness in the back of my head extending to my neck and upper back." This temporary numbness may be caused by compression of the cervical nerves at the C4-C5 levels due to abnormal cervical posture. I ...[Read More] Sneezing and Numbness: Understanding Neurological Symptoms
Feeling Dizzy and Heart Palpitations: Understanding Neurological Symptoms
Lying down, I feel my body swaying, and my heartbeat is noticeably strong? When sitting in a chair, I feel a noticeable swaying sensation, even though there is no earthquake, and both the chair and the floor are stable. When lying down to rest, I distinctly feel as if I am spinni...
Dr. Jiang Junyi Reply:
Dear Mr. Jiang, You mentioned that "when lying down to rest, I have a distinct sensation of my entire body spinning, almost like going in circles. I can also feel my heartbeat very clearly, thumping strongly." Your symptoms may suggest benign paroxysmal positional vert...[Read More] Feeling Dizzy and Heart Palpitations: Understanding Neurological Symptoms
Uncontrollable Tongue Movement While Speaking: Possible Causes Explained
The tongue may uncontrollably protrude while speaking? A few days ago, I suddenly experienced an inability to control my tongue while speaking, resulting in a lisping effect. I have undergone a CT scan, and there are no issues with my brain. The oral and maxillofacial surgeon als...
Dr. Jiang Junyi Reply:
Hello Mr. Xiao Hei, You mentioned that "your tongue tends to uncontrollably stick out while speaking, leading to a lisping phenomenon." Your symptoms may indicate an abnormality in tongue muscle tone, resulting in a specific posture. This is primarily due to the impact...[Read More] Uncontrollable Tongue Movement While Speaking: Possible Causes Explained
Understanding Tinnitus: When to Consult a Neurologist?
Tinnitus for three weeks? Hello Doctor: Three weeks ago, I experienced tinnitus without any apparent reason, which is bilateral. I have undergone tympanometry and hearing tests, both of which were normal. The tinnitus sounds more like a non-directional high-pitched ringing, but i...
Dr. Jiang Junyi Reply:
Hello Mr. QQQ: You mentioned "bilateral tinnitus, with normal tympanometry and hearing tests, and the tinnitus sounds more like a non-directional high-pitched ringing." This is more indicative of common causes of tinnitus such as viral infections, trauma, or injury, whi...[Read More] Understanding Tinnitus: When to Consult a Neurologist?
Managing Baby's Head Hematoma After a Fall: What Parents Should Know
Baby fell off the bed? The baby is seven months old and fell from the bed onto a tiled floor, with the bed height being approximately 70 cm. The baby was taken to the hospital within 20 minutes and underwent an X-ray, which initially indicated that there were no bone issues. The ...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned, "I would like to ask the doctor how long it takes for a hematoma to resolve and if there are any quick methods to reduce swelling? If it doesn't go away, do I need to return for a follow-up, and could there be any more serious conditions?&quo...[Read More] Managing Baby's Head Hematoma After a Fall: What Parents Should Know