Understanding Numbness and Weakness in Hands and Feet: When to Seek Help
Numbness and weakness in the limbs? Hello Doctor: Recently, I have noticed that the numbness in my hands and feet has become increasingly severe. I usually sit cross-legged, and previously, if I sat for less than half an hour, my feet would definitely go numb. However, in the pas...
Dr. Cai Zongzhang Reply:
Hello, Ms. Zhao: The symptoms mentioned above are suspected to be caused by peripheral circulatory insufficiency leading to neurological symptoms. It is advised not to sit cross-legged. If the symptoms persist, it is recommended to see a neurologist for further evaluation.[Read More] Understanding Numbness and Weakness in Hands and Feet: When to Seek Help
Persistent Fatigue: Understanding Causes of Constant Sleepiness
Feeling sleepy all day? Recently, I lost weight, but then my weight returned to what it was! I feel sleepy all day and lack energy. I don’t have a habit of staying up late; I usually sleep from around 11 PM to just after 6 AM. I had my liver checked, and it’s fine; my lungs are a...
Dr. Cai Zongzhang Reply:
Hello, Hsin-Yi: The symptoms mentioned above are suspected to be caused by insufficient cerebral blood flow. It is recommended to continue treatment for hyperlipidemia to reduce the risk of stroke.[Read More] Persistent Fatigue: Understanding Causes of Constant Sleepiness
Understanding Left Arm Pain and Numbness: Possible Causes and Solutions
Left arm pain and numbness? Hello Doctor, recently I have been experiencing a tingling sensation in my left arm along with weakness in my left arm, which occurs several times a day but lasts only a few seconds. Additionally, my left foot occasionally feels numb, and I have also e...
Dr. Jiang Junyi Reply:
Hello, Miss: Your symptoms suggest a peripheral nerve issue, but the location of the problem may vary. You mentioned that your "left upper arm feels sore," which may indicate nerve compression in the cervical spine. The "numbness in the left palm" could sugges...[Read More] Understanding Left Arm Pain and Numbness: Possible Causes and Solutions
Understanding Limb Jerking in Sleeping Five-Year-Olds: Causes and Concerns
A five-year-old child experiences body and limb twitching during sleep? Hello, doctor. Recently, I have noticed that my child (a five-year-old boy) experiences twitching in his limbs while sleeping. The intervals between the twitches vary in length, but the range and amplitude of...
Dr. Jiang Junyi Reply:
Hello Mr. Huang: You mentioned that your five-year-old son experiences limb jerking during sleep, with varying intervals. If your child has not shown any signs of learning delays during his developmental history, there is no need to worry too much. There are many reasons that can...[Read More] Understanding Limb Jerking in Sleeping Five-Year-Olds: Causes and Concerns
Understanding Nerve Issues: Upper Back and Limb Numbness Explained
Frequent numbness in the upper left back and numbness in the limbs while sleeping? Hello, doctor. I have the following main symptoms and I'm not sure if they are related: 1. I frequently experience numbness in the upper left back, which started about three years ago. X-ray...
Dr. Jiang Junyi Reply:
Dear Mr. Wu, You mentioned that "your long-standing habit of resting your left elbow on the desk causes numbness, which can be slightly relieved by rolling a fascia ball over the affected area." This may indicate symptoms of ulnar nerve injury. Additionally, you noted ...[Read More] Understanding Nerve Issues: Upper Back and Limb Numbness Explained
Post-Concussion Symptoms: Seeking Help for Persistent Neurological Issues
Post-concussion syndrome A 68-year-old elderly individual fell on the street a few months ago for unknown reasons, resulting in a head injury with a laceration on the left forehead that required 5-6 stitches. After the laceration healed, the individual developed insomnia and a pe...
Dr. Jiang Junyi Reply:
Dear Ms. Yeh, You mentioned that "after the head laceration healed, it caused insomnia and a tingling sensation in the head." This may be attributed to two possible reasons: localized nerve damage due to the injury or compression of the cervical nerve roots caused by e...[Read More] Post-Concussion Symptoms: Seeking Help for Persistent Neurological Issues
Understanding Muscle Twitches: Causes and Concerns in Neurology
Muscle twitching Hello, doctor. Since April of last year, I have been experiencing muscle twitching, primarily located just below the left arch of my foot (I have flat feet and a collapsed arch; additionally, I had a severe ankle sprain in high school that resulted in tightness i...
Dr. Hong Weibin Reply:
Hello: The body's muscles are controlled by nerves, which function like electrical wires, transmitting currents to control muscle movements. However, these wires can occasionally be affected by external factors such as temperature and humidity, leading to electrical leakage....[Read More] Understanding Muscle Twitches: Causes and Concerns in Neurology
Understanding Occipital Pain: Causes, Symptoms, and When to Seek Help
Occipital pain Two days ago, I went out and initially thought it was due to lack of sleep. I started experiencing pain in the back of my head. When I woke up today, I felt a heavy sensation throughout the back of my head, and it is still painful. There is no vomiting, and my memo...
Dr. Hong Weibin Reply:
Hello: Based on your description, it is recommended that you seek assistance from a neurologist at a hospital for a personal examination by the physician.[Read More] Understanding Occipital Pain: Causes, Symptoms, and When to Seek Help
Understanding Dizziness and Confusion: When to Seek Neurological Help
Dizziness and a feeling of mental confusion? Around July 28, I started experiencing a feeling of pressure on the top of my head and intermittent nausea in my forehead. My shoulders and neck initially felt very tight, and I could hear sounds when I moved them. I also experienced i...
Dr. Hong Weibin Reply:
Hello: Based on your description, it is possible that you have been experiencing high levels of stress and poor sleep quality recently. I recommend that you take some time to rest and relax both your body and mind. If the situation persists, you may want to seek assistance from a...[Read More] Understanding Dizziness and Confusion: When to Seek Neurological Help
Understanding Dizziness and Lightheadedness: Causes and Solutions
Dizziness with slight swaying? Hello Doctor: Recently, I often feel dizzy when sitting or lying down, with a slight swaying sensation, and sometimes I even feel a bit nauseous (though I haven't actually vomited, just the sensation). However, as soon as I stand up and walk ar...
Dr. Hong Weibin Reply:
Hello: Based on your description, the most likely cause of your dizziness may stem from an imbalance in the inner ear, with benign paroxysmal positional vertigo being the most common reason. You may seek assistance from an otolaryngologist or a neurologist.[Read More] Understanding Dizziness and Lightheadedness: Causes and Solutions
Understanding Numbness and Weakness: When to See a Neurologist
Numbness in both hands, toes, and scalp? Hello doctor, my situation is as follows: at the beginning of July, while stretching during breaks at work, I experienced dizziness and numbness in the third and fourth toes of my right foot for more than ten minutes. Then, two weeks later...
Dr. Jiang Junyi Reply:
Hello Mr. Lin: You mentioned that "suddenly both hands' fingers, or only the fingers of the right hand, experience a tingling sensation that extends to about ten centimeters into the palm, lasting approximately 10 to 30 minutes." This may indicate a potential issue...[Read More] Understanding Numbness and Weakness: When to See a Neurologist
Medication Consultation for Neurological Recovery After Brain Surgery
Medication consultation Hello Dr. Jiang, after my brain surgery last year, I have developed various neurological sequelae on my face and facial area. The surgeon only prescribed B12 and folic acid for "treatment" during follow-up visits. I would like to know if the bloo...
Dr. Jiang Junyi Reply:
Dear Mr. Zolt, You mentioned whether the "blood-brain barrier" might also reduce the absorption and efficacy of water-soluble vitamins. Vitamins need to bind to proteins to cross the blood-brain barrier, and it seems that Vitamin B12 can pass through. To enhance absorp...[Read More] Medication Consultation for Neurological Recovery After Brain Surgery
Managing Cervical Dystonia in a 70-Year-Old: Treatment Options and Recommendations
Cervical dystonia in a 70-year-old adult? Hello Doctor, my mother is 70 years old and has been suffering from cervical dystonia for the past two years. Her neck often moves involuntarily to one side. She has tried various treatment options, such as Botox injections, medications, ...
Dr. Hong Weibin Reply:
Hello: Cervical dystonia can cause muscle pain and significantly impact the quality of life. Currently, the most effective treatment remains muscle injection of botulinum toxin. This method involves injecting botulinum toxin into the muscles responsible for cervical dystonia, all...[Read More] Managing Cervical Dystonia in a 70-Year-Old: Treatment Options and Recommendations
Persistent Shoulder and Neck Pain: When to Seek Neurology Care?
Shoulder and neck pain? I have been experiencing shoulder and neck pain (without numbness, just a tight sensation and discomfort) for over four months. I have tried physical therapy, traditional Chinese medicine, chiropractic care, and even massage, but my condition has not impro...
Dr. Jiang Junyi Reply:
Dear Miss Yu, You mentioned that you have been experiencing "shoulder and neck pain (without numbness, just a tight feeling and discomfort) for over four months, and have visited rehabilitation, traditional Chinese medicine, and out-of-pocket chiropractic doctors..." Y...[Read More] Persistent Shoulder and Neck Pain: When to Seek Neurology Care?
Understanding Numbness and Pain in the Left Thigh: Causes and Solutions
Numbness and pain in the left thigh? Hello, I occasionally experience an involuntary twitching sensation in the skin on the outer side of my left thigh, and it feels somewhat numb. This has been happening for a while. After doing leg exercises at the gym last week, I felt fine, b...
Dr. Jiang Junyi Reply:
Dear Miss Yingzi, You mentioned that "the sensation is somewhat numb. It has been this way for a while. After doing leg exercises at the gym last week, I felt fine, but the next morning I woke up due to continuous sharp pain and numbness on the side of my left thigh. When I...[Read More] Understanding Numbness and Pain in the Left Thigh: Causes and Solutions
Understanding Balance Issues and Headaches: When to Seek Help
A few days ago, I posted about the issue of headaches? Hello, I asked a question here a few days ago, and Dr. Jiang's response was that if I am very concerned, I can pay for an examination. Over the past few days, my headache has indeed improved, but last night I suddenly fe...
Dr. Jiang Junyi Reply:
Hello Mr. Wang: You mentioned that you suddenly feel as if your balance is unstable and you might fall to the side. If you are concerned, I recommend the following principle for seeking medical attention: find a nearby hospital with an emergency department where you can have inte...[Read More] Understanding Balance Issues and Headaches: When to Seek Help
Understanding One-Sided Scalp Pain: When to See a Neurologist
Unilateral scalp pain? Hello Doctor: I would like to ask about some symptoms I've been experiencing. About a week ago, I noticed pain and tightness on the right side of my scalp. Later, the pain extended to my right neck, where I also developed something that looks like a pi...
Dr. Jiang Junyi Reply:
Hello Miss Piggy: You mentioned that "there are things that look like pimples and cannot be turned," which may suggest a skin rash caused by the herpes virus. I recommend that you consult a dermatologist to discuss examination and treatment, as neurology typically addre...[Read More] Understanding One-Sided Scalp Pain: When to See a Neurologist
Right Eye Focusing Issues and Partial Eyelid Droop: Possible Causes
Inability of the right eye to focus and the eyelid being partially open? Hello, for the past week, I have been unable to focus with my right eye. After seeing an ophthalmologist, both eyes showed no abnormalities, and my vision is normal at 1.0. The ophthalmologist suggested that...
Dr. Jiang Junyi Reply:
Dear Mr. Jack, You mentioned that "your right eye has been unable to focus for the past week." You have a history of hypertension, and I wonder if you also have metabolic syndrome (issues such as increased waist circumference, elevated fasting blood glucose, or abnorma...[Read More] Right Eye Focusing Issues and Partial Eyelid Droop: Possible Causes
Understanding Sharp and Throbbing Head Pain: Possible Causes and Insights
Sharp and throbbing pain in the head? Hello, Dr. Jiang. Recently, I've been experiencing occasional sharp and throbbing pain in the upper left side of my head over the past two days. Each episode lasts about a second. When I press on a specific point, I feel the same pain (s...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "pressing on a certain point also causes the same pain." It is important to first consider the possibility of tissue inflammation, particularly related to cervical myofascial inflammation. Additionally, tension-type headache should be cons...[Read More] Understanding Sharp and Throbbing Head Pain: Possible Causes and Insights
Understanding Persistent Headaches: Causes and When to Seek Help
Headache issues Hello Doctor: I have been experiencing headaches for about a month now, without interruption. Initially, over-the-counter pain relievers were ineffective. The pain is located between the back of my head and the top, generally towards the upper left side, and it fe...
Dr. Jiang Junyi Reply:
Dear Ms. Hsin, You mentioned that "the headache has been persistent for about a month without interruption." Your symptoms may suggest chronic migraine, characterized by experiencing migraine on more than 15 days per month, with varying severity. This condition can eas...[Read More] Understanding Persistent Headaches: Causes and When to Seek Help