Understanding Underarm Muscle Cramps: Causes and When to Seek Help
Axillary cramping Hello Doctor: In the past six months, I have experienced cramps in my armpits, occurring about 1-2 times a month, lasting around 10-15 seconds each time. However, there are days when it happens 2-3 times. There is no pain, just the cramps. I would like to know w...
Dr. Peng Shiwei Reply:
Hello, based on your description, there is no specific condition that fits your symptoms. However, if you find these symptoms troubling, you can visit a neurology clinic for a detailed consultation to see if there are any solutions available.[Read More] Understanding Underarm Muscle Cramps: Causes and When to Seek Help
Managing Blood Pressure Concerns in Elderly Stroke Survivors
Concerns about Blood Pressure Grandma had a stroke in the past, so she takes one capsule of Lipitor (5 mg/10 mg) daily. Her blood pressure has been stable; however, during a follow-up visit at the end of August, her systolic blood pressure was only in the 90s when measured at the...
Dr. Peng Shiwei Reply:
Hello, 1. When should Caboten be taken? For example, at what systolic blood pressure should it be taken? --> Generally, it can be taken when the systolic blood pressure exceeds 180 or if there are symptoms related to high blood pressure. For instance, if the systolic blood p...[Read More] Managing Blood Pressure Concerns in Elderly Stroke Survivors
Exploring the Connection Between Tinnitus and Neck Muscle Tension
I would like to ask a very peculiar question regarding the relationship between tinnitus and neck muscles? Hello Doctor: About a month ago, I suddenly experienced tinnitus in my left ear. I subsequently underwent hearing tests, tympanometry, and nasopharyngoscopy at two major hos...
Dr. Cai Zongzhang Reply:
Hello MK: Based on the symptoms mentioned, it is recommended to schedule a carotid ultrasound examination with a neurologist.[Read More] Exploring the Connection Between Tinnitus and Neck Muscle Tension
Investigating Post-AZ Vaccine Neurological Issues: A Case of Myasthenia Gravis
Development of myasthenia gravis after receiving the AZ vaccine? Hello Doctor: After receiving my first dose of the AZ vaccine in mid to late July 2021, I noticed that I frequently fell from late July to early August. I initially thought it was due to not exercising for a long ti...
Dr. Hong Weibin Reply:
Hello: Currently, similar case reports can be found in the PubMed search engine of the National Library of Medicine at the National Institutes of Health in the United States.[Read More] Investigating Post-AZ Vaccine Neurological Issues: A Case of Myasthenia Gravis
Understanding Neck Pain: Causes, Symptoms, and Relief Strategies
Neck pain Hello doctor, I have been experiencing frequent pain in the area connecting the back of my head to my neck, which is also causing headaches, dizziness, and occasional nausea. I have been unable to find a suitable position to alleviate the pain. Do you have any recommend...
Dr. Hong Weibin Reply:
Hello: If there is persistent pain in that area, it may be caused by fascial inflammation, often due to prolonged poor posture. It is advisable to seek assistance from a rehabilitation specialist or a physical therapist.[Read More] Understanding Neck Pain: Causes, Symptoms, and Relief Strategies
Understanding Pulsatile Tinnitus: When to Seek Further Evaluation
Please ask again? Hello Doctor: A few days ago, I asked about experiencing a pulsating sensation in my ear when turning my head after being diagnosed, but it doesn't happen every time. Sometimes I don't hear it at all. You mentioned it could be an issue with the Eustach...
Dr. Jiang Junyi Reply:
Hello: You mentioned "brain MRI? Can I find this examination at a health check-up center with self-payment?" Typically, MRI is available only at regional hospitals. "Regarding the time to improve allergies, may I ask how many months should I wait before actively se...[Read More] Understanding Pulsatile Tinnitus: When to Seek Further Evaluation
Which Specialist to Consult for Blood Pressure and Stroke Concerns?
Which department should I see? Patient: Female, Age 40-49, Date: 2022/12/05 Inquiry: My grandmother had a stroke in the past and takes one capsule of Lipitor (5mg/10mg) daily. Her blood pressure has been stable; however, during a follow-up visit at the end of August, her systol...
Dr. Peng Shiwei Reply:
Hello, if there is a difference of more than 20 mmHg in systolic blood pressure between the left and right arms, further examination should be considered. A significant difference between systolic and diastolic blood pressure is generally associated with vascular stiffness and re...[Read More] Which Specialist to Consult for Blood Pressure and Stroke Concerns?
Understanding Neck Ultrasound Results: What Your Report Means
Neck ultrasound examination? Hello Doctor, since August of this year, I have been experiencing a series of physical discomforts. I have undergone many tests, and I frequently have pain in my shoulders and neck, along with numbness in my left hand. Recently, I have also experience...
Dr. Cai Zongzhang Reply:
Hello Serein: Based on the symptoms mentioned, it is suggested that there may be conditions related to cervical spine or intracranial vascular diseases. It is recommended to visit a neurologist for a detailed examination to determine the cause.[Read More] Understanding Neck Ultrasound Results: What Your Report Means
Is Coexisting with Symptoms Enough? Insights on Post-COVID Neurological Issues
Is peaceful coexistence enough? Hello Doctor, I gave birth in September and was diagnosed with COVID-19 in October after completing my postpartum confinement. Since the diagnosis, I have noticed that I feel more fatigued and easily drowsy. Additionally, I have suddenly experience...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "the left ear is more affected by allergies (the left side is more prone to nasal congestion and post-nasal drip, etc.)," which may indicate a problem with the Eustachian tube. It is recommended to identify the allergens and reduce the occurren...[Read More] Is Coexisting with Symptoms Enough? Insights on Post-COVID Neurological Issues
Medication Concerns in Neurology: Managing Blood Pressure After Stroke
Medication issues Grandma had a stroke in the past, so she takes one tablet of Lipitor (5 mg/10 mg) daily. Her blood pressure has been stable; however, during her follow-up appointment at the end of August, her systolic blood pressure was only in the 90s when measured at the hosp...
Dr. Peng Shiwei Reply:
Hello, based on my assessment, it is possible to restore one of the fat veins. However, I still recommend that you take your mother to her usual follow-up clinic for an earlier appointment, as it would be better for the original physician to make the evaluation.[Read More] Medication Concerns in Neurology: Managing Blood Pressure After Stroke
Am I Experiencing Epilepsy or a Brain Tumor? Understanding My Symptoms
Do I have epilepsy? Could I possibly have a brain tumor? Hello Doctor, I have two questions to ask you, regarding headaches and epilepsy. Most importantly, I am very worried that I might have a brain tumor or something similar, and I hope to receive some advice. Regarding epile...
Dr. Cai Zongzhang Reply:
Hello, Student C: The symptoms mentioned may be related to sleep apnea. It is recommended to visit a neurologist for a detailed examination to determine the underlying cause.[Read More] Am I Experiencing Epilepsy or a Brain Tumor? Understanding My Symptoms
Understanding Sensory Disturbances in Schizophrenia and Migraine Auras
Feeling troubled? I am a patient with schizophrenia, but sometimes I often feel a sense of foreignness or sometimes I dislike thinking of sweating as bleeding. Additionally, I would like to ask what a prodromal migraine is; I would like to understand it better.
Dr. Jiang Junyi Reply:
Hello: You mentioned "What is aura migraine?" The symptoms of aura migraine include visual disturbances such as seeing bright lights resembling stars and lightning, as well as blurred or distorted vision. These are all precursors to a migraine. A few minutes after the a...[Read More] Understanding Sensory Disturbances in Schizophrenia and Migraine Auras
Understanding Neck and Shoulder Sounds: Possible Causes and Concerns
Neck issues? Recently, after taking a shower (bending over to wash my hair) and using the computer, I notice a clicking sound at the junction of my neck and shoulder, approximately at the trapezius muscle area, specifically on the right side. This occurs only in the evening and r...
Dr. Jiang Junyi Reply:
Hello: You mentioned that the "cracking sound at the junction of the neck and shoulders" may indicate cervical joint pathology, primarily due to degeneration of the cervical facet joints or symptoms caused by cervical disc herniation. This is commonly seen in cases of p...[Read More] Understanding Neck and Shoulder Sounds: Possible Causes and Concerns
Morning Headaches: Causes and Solutions for Better Sleep
Sometimes I experience headaches after waking up in the morning? Hello doctor, I would like to ask about experiencing headaches upon waking up in the morning (occurring about once or twice every one to two weeks). Sometimes it resolves on its own, while other times I need to take...
Dr. Hong Weibin Reply:
Hello: Possible factors for waking up with a headache include poor sleep quality, sleep apnea, medications, caffeine, and increased intracranial pressure, among others. It is recommended that you seek consultation with a neurologist for further evaluation and assistance.[Read More] Morning Headaches: Causes and Solutions for Better Sleep
Understanding Dizziness and Limb Weakness: A Neurological Perspective
Dizziness, intermittent weakness in the right limbs, and sensations of numbness and tingling? Good day, Dr. Hong: I have developed a habit of exercising in recent years. During one pull-up exercise, I experienced dizziness and weakness in my right limbs. After resting for a few m...
Dr. Hong Weibin Reply:
Hello: It is recommended to maintain normal breathing during exercise and avoid excessive breath-holding, as this can lead to insufficient cerebral blood flow, dizziness, and symptoms such as weakness and numbness in the limbs due to the Valsalva maneuver. Your neck ultrasound ap...[Read More] Understanding Dizziness and Limb Weakness: A Neurological Perspective
Neck Movement Causing Stiffness and Pain in the Back of the Head
Neck rotation causing stiffness and pain in the occipital region of the head? Hello, doctor. I have a question. When I turn my neck at certain fixed angles, it causes stiffness and pain in the back of my head, especially on the left side, which is more painful. The pain also radi...
Dr. Hong Weibin Reply:
Hello: For neck pain, you can consult either a neurologist or an orthopedic specialist. Poor posture over a long period is the most common cause of neck pain and stiffness in the occipital region. It is recommended to limit the use of electronic devices and to avoid looking down ...[Read More] Neck Movement Causing Stiffness and Pain in the Back of the Head
Understanding Palm Pain: Causes and When to Seek Help
Tingling in the palm? Hello doctor, this week I started experiencing a tingling pain in my right palm, specifically in the area extending from my thumb downward. Could you please tell me if there is something wrong with my body, or is this just temporary?
Dr. Peng Shiwei Reply:
Based on your symptoms, both neurological and tendon issues could be monitored further, or you may consider consulting a neurologist or a rehabilitation specialist.[Read More] Understanding Palm Pain: Causes and When to Seek Help
Understanding Neck Pain: Causes, Symptoms, and Relief Strategies
Neck pain Hello Doctor, for the past month, I have been experiencing soreness when tilting my neck backward and downward to the left. When I touch the painful area, it is located on the left side of my neck, and while I can't pinpoint a specific spot on the back, there is a ...
Dr. Cai Zongzhang Reply:
Hello: The symptoms mentioned are related to prolonged poor posture of the neck and upper arms during work. It is recommended to visit a neurology clinic for examination and further treatment recommendations.[Read More] Understanding Neck Pain: Causes, Symptoms, and Relief Strategies
Understanding Lower Limb Numbness: When to See a Specialist
Lower limb paralysis with loss of sensation? Hello Doctor: Regarding the issue of numbness in both calves, what tests should be conducted to confirm if there is peripheral nerve damage? Should I see a neurologist, a neurosurgeon, or an orthopedic surgeon? Thank you.
Dr. Peng Shiwei Reply:
Hello, it is usually necessary to perform a peripheral nerve conduction study. It is recommended to consult a neurologist in the outpatient clinic. Thank you.[Read More] Understanding Lower Limb Numbness: When to See a Specialist
Understanding Cerebrospinal Fluid Leaks: Symptoms and Treatment Options
Suspected cerebrospinal fluid leak? Hello Doctor: I have been experiencing very severe headaches intermittently since childhood. Sometimes they occur due to excessive exertion or fatigue, while at other times the cause is unclear. The symptoms are generally very painful whether I...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "the location of the headache changes with different positions, and if I eat on one side, I feel nauseous (if not, I don't feel anything special).... I suspect it might be a cerebrospinal fluid leak." Your symptoms may need to be co...[Read More] Understanding Cerebrospinal Fluid Leaks: Symptoms and Treatment Options