Understanding Head Tremors: Causes and Solutions for Neurological Issues
I'm not sure what happened? Recently, when I lie down with my head resting against the back of the chair, and then sit up straight to write, my head starts to shake.
Dr. Jiang Junyi Reply:
Hello, Miss Han: You mentioned, "When I sit up straight to write, my head shakes?" This phenomenon is referred to as tremors. Physiological tremors occur only under certain conditions, such as stress, anxiety, or anger, and do not happen regularly. Some medications, suc...[Read More] Understanding Head Tremors: Causes and Solutions for Neurological Issues
Understanding Tailbone Pain and Nerve Issues in the Legs
Numbness in the feet and pain in the coccyx? After riding a motorcycle, I experience pain in my coccyx when I stand up. I also feel pain when getting up from a chair. This symptom has persisted for a year and a half. In mid-April, I started experiencing a tingling sensation that ...
Dr. Jiang Junyi Reply:
Hello, Miss Jiayou: The issue you mentioned may need to consider the possibility of sciatica. A common cause is a herniated disc leading to localized inflammatory responses, which can result in lower back pain that may extend to one or both sides of the buttocks. When a herniate...[Read More] Understanding Tailbone Pain and Nerve Issues in the Legs
Unexplained Leg Swelling and Pain: A Neurological Concern
Unexplained swelling and pain in both legs? Hello doctor, on the night of April 27th this year, I injured the bottom of my left foot on a plug, leaving a wound. I disinfected it and applied ointment, but the next evening, the top of my left foot suddenly swelled up like a hill. M...
Dr. Jiang Junyi Reply:
Dear Ms. Jill, You mentioned that the discomfort was initially localized below the ankle, but it has now extended to the thigh and is painful to the bone. This upward progression of abnormal sensations may suggest chronic polyneuropathy. However, you also noted symptoms of edema...[Read More] Unexplained Leg Swelling and Pain: A Neurological Concern
Can B12 and Micobalance Help Restore My Lost Sense of Smell?
Should I supplement with Micobalance for the loss of smell? What else can I do? Hello, doctor. Two years ago, I had an accident where I fell from a height, resulting in a skull fracture at the back of my head, intracranial hemorrhage, and a Glasgow Coma Scale score of 3. I was in...
Dr. Hong Weibin Reply:
Hello: If there has already been damage to the olfactory nerve, recovery may be more challenging. Vitamin B12 can be purchased over the counter at pharmacies or community drugstores; it may be worth trying, but it is likely to help maintain the current condition and reduce furthe...[Read More] Can B12 and Micobalance Help Restore My Lost Sense of Smell?
Understanding Isaac's Syndrome: Managing Muscle Spasms and Mobility Issues
Involuntary muscle twitching? Since July of last year, I have been experiencing involuntary muscle twitching in my legs, and now it has become difficult for me to move; even standing and walking are problematic. I have been to the hospital for examinations, and they diagnosed me ...
Dr. Hong Weibin Reply:
Hello: It is recommended that you discuss the disability assessment with your primary physician. Typically, to confirm whether it is amyotrophic lateral sclerosis (ALS), an electromyography (EMG) test will be conducted. You may want to discuss this with your physician.[Read More] Understanding Isaac's Syndrome: Managing Muscle Spasms and Mobility Issues
Persistent Heartbeat Sensation While Lying Down: Seeking Solutions
Palpitations are more pronounced when lying down or at rest? Six months ago, I suddenly became very aware of my heartbeat while sleeping (60-70 beats per minute, regular and stable, with normal blood pressure). It felt like my whole body was shaking. It was not like typical palpi...
Dr. Hong Weibin Reply:
Hello: If you have already undergone cardiac-related examinations and confirmed that there are no abnormalities, it is recommended to continue monitoring and follow-up.[Read More] Persistent Heartbeat Sensation While Lying Down: Seeking Solutions
Understanding Throat Issues: When to Worry About Swallowing Difficulties
Throat issues Hello Doctor, I am the person who previously inquired about concerns regarding ALS. Over the past three days, I have noticed that when I eat, if I am not careful, I tend to aspirate a small amount of liquid into my trachea, which almost leads to choking but I manage...
Dr. Hong Weibin Reply:
Hello: If you have difficulty swallowing, it is recommended to consult an otolaryngologist or a gastroenterologist, who may arrange for a swallowing study based on your condition.[Read More] Understanding Throat Issues: When to Worry About Swallowing Difficulties
Understanding Right-Sided Headaches: Causes and Management Tips
Right-sided migraine? Hello, doctor. I am a first-year junior high school student. I have had a problem for a while where I feel that when my heart beats too fast (especially when I am more excited), it seems like the pressure in my head increases (this is purely my speculation),...
Dr. Jiang Junyi Reply:
Dear Ms. Shiau, You mentioned experiencing "transient headaches, which require me to gradually adjust my breathing for improvement... and I tend to overthink... I really want to improve this aspect and how to fall asleep quickly." If the headache symptoms are causing y...[Read More] Understanding Right-Sided Headaches: Causes and Management Tips
Managing Persistent Facial and Head Numbness: Expert Insights
Numbness and swelling in the head and face? I have been experiencing numbness and swelling in my head and face every day for over ten years. Last year, I went to Fu Jen Catholic University Hospital for a facial nerve examination, and the results were normal. The doctor prescribed...
Dr. Jiang Junyi Reply:
Hello Mr. Cool Dragon 999, You mentioned experiencing daily numbness and swelling in your head and face. This could potentially indicate a vascular headache, such as a migraine. The clinical diagnosis relies on your medical history, including any triggers and alleviating factors...[Read More] Managing Persistent Facial and Head Numbness: Expert Insights
Post-COVID Neurological Symptoms: Understanding Balance and Coordination Issues
The center of gravity feels concentrated in the back of the body? Around the middle of the month, I tested positive for COVID-19. On the fourth day, I suddenly experienced stiffness in my neck in the morning. After sleeping until noon, it improved, but I felt like my entire cente...
Dr. Jiang Junyi Reply:
Hello Ms. E: You mentioned feeling soreness in your neck and back... and you're unsure if it's due to lingering effects of COVID-19. Typically, the recovery time from COVID-19 is longer than that of the flu. Some colleagues around you have experienced symptoms such as f...[Read More] Post-COVID Neurological Symptoms: Understanding Balance and Coordination Issues
Understanding Upper Abdominal Pain: Neurological Insights and Treatment
Stomach right upper abdomen In the past few days, I have been experiencing pain that feels similar to shortness of breath, with an itchy and constricted throat. It is also difficult to swallow when eating. During the painful episodes, I have severe headaches that feel like they a...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to visit the neurology outpatient clinic.[Read More] Understanding Upper Abdominal Pain: Neurological Insights and Treatment
Understanding Muscle Concerns: Insights on Neurological Symptoms
Regarding one's own condition? Hello doctor, I recently noticed a depression on my left thigh that isn't present on the right side. I remember this depression has been there since my middle school years (about 10 years ago). For the past year, I've been worried tha...
Dr. Hong Weibin Reply:
Hello: If you have already undergone relevant examinations and have been diagnosed by a neurologist as normal, there is no need to worry too much.[Read More] Understanding Muscle Concerns: Insights on Neurological Symptoms
Understanding Autonomic Neuropathy: Diagnosis and Testing Options
Dizziness and blurred vision? Hello, Doctor; I am the husband who previously inquired with you. The doctor mentioned that my symptoms are suggestive of autonomic neuropathy. I would like to ask further how to diagnose organic autonomic nerve disorders. I returned to the neurology...
Dr. Cai Zongzhang Reply:
Hello: Arrange for blood tests and autonomic nerve conduction studies.[Read More] Understanding Autonomic Neuropathy: Diagnosis and Testing Options
Understanding Dizziness and Nerve Issues: When to Seek Medical Attention
Dizziness and issues related to the lumbar and cervical spine? Recently, I experienced dizziness followed by numbness in my left limbs. I visited a clinic, and they suggested that the numbness in my legs was due to issues with cervical and lumbar disc herniation. However, the num...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned, "Can X-rays alone reveal any issues with the spine and cervical spine?" This seems insufficient to explain the symptoms of dizziness. There are many factors that need clarification. The causes of dizziness are numerous; if your dizziness is r...[Read More] Understanding Dizziness and Nerve Issues: When to Seek Medical Attention
Headaches After a Childhood Injury: What You Need to Know
I hit my temple when I was a child, and since then, I've been experiencing headaches? At the beginning of seventh grade, I tripped over my shoelaces and fell, hitting my temple. Since then, I've noticed that I occasionally have headaches, specifically in the area where ...
Dr. Jiang Junyi Reply:
Dear Ms. Xing, You mentioned that "the temples sometimes hurt..." If the issue is related to trauma, the body typically heals within 2 to 4 weeks. Your symptoms may suggest a vascular headache, specifically a migraine. This type of headache can last from 4 to 72 hours....[Read More] Headaches After a Childhood Injury: What You Need to Know
Breathing and Thinking: Understanding Cognitive Disruption in Neurology
Breathing and thinking cannot occur simultaneously? I have recently been experiencing issues where I often forget to breathe while thinking or talking to others. Sometimes I realize I need to breathe halfway through my thoughts, which interrupts my thinking process. To ensure I b...
Dr. Jiang Junyi Reply:
Hello Mr. MJ: You mentioned, "When I woke up that morning, my mind was blank, and I felt a dullness in my head, almost like a sensation of hypoxia?" Your symptoms may warrant consideration of certain medications that can cause memory difficulties, such as antihistamines...[Read More] Breathing and Thinking: Understanding Cognitive Disruption in Neurology
Understanding Pulsatile Tinnitus: Causes, Symptoms, and Treatment Options
Pulsatile tinnitus I experience pulsatile tinnitus in my right ear every night. I had an EEG done, which showed no issues, and the medication prescribed has not improved my condition. My hearing is fine. I am scheduled for an MRI on the 24th, but due to the peak of the pandemic a...
Dr. Jiang Junyi Reply:
Dear Miss Lin, You asked, "Can a metal dental implant undergo MRI?" The imaging from an MRI may be affected by metal, potentially causing artifacts. However, the physician will interpret the results based on the available data. You also mentioned, "Straining durin...[Read More] Understanding Pulsatile Tinnitus: Causes, Symptoms, and Treatment Options
Severe Abdominal Pain Leading to Fainting: When to Seek Medical Help?
Abdominal pain leading to fainting? Sudden severe abdominal pain, accompanied by blurred vision, complete darkness, and a feeling of weakness leading to fainting, followed by waking up in a cold sweat and persistent nausea, could indicate a serious medical condition. Although you...
Dr. Jiang Junyi Reply:
Dear Miss Tzu-Yan, You mentioned experiencing symptoms such as "pain, blurred vision, complete darkness in front of me, feeling weak and collapsing to the ground, and waking up a few seconds later." Your symptoms may suggest reflex syncope. This can occur due to intens...[Read More] Severe Abdominal Pain Leading to Fainting: When to Seek Medical Help?
Understanding Left Foot Weakness: A Comprehensive Neurological Evaluation
Weakness in the left foot? The current situation is as follows: Since November 2021, there has been poor walking posture. In January 2022, weakness was noted in the left foot, with an inability to press down or lift up. Additionally, there have been frequent involuntary muscle tw...
Dr. Jiang Junyi Reply:
Hello Mr. Gao: You mentioned that in January 2022, you noticed weakness in pressing down and lifting up your left foot, as well as involuntary muscle twitching in the left foot. It seems that similar examinations are being conducted, and the lumbar MRI has been repeated. This is ...[Read More] Understanding Left Foot Weakness: A Comprehensive Neurological Evaluation
Why Do My Fingers Tingle After Intense Soccer Matches?
Numbness in the hands after intense exercise? Hello doctor, I usually play soccer regularly. Generally, I don't have any issues, but if I play more intensely on a given day (for example, during a match), my fingers on both hands start to feel numb after the activity and this...
Dr. Jiang Junyi Reply:
Dear Mr. George, You mentioned that "after a day of intense kicking (such as during a match), my fingers on both hands start to feel numb." I would like to know if your numbness has a band-like distribution. We need to rule out the possibility of cervical nerve compres...[Read More] Why Do My Fingers Tingle After Intense Soccer Matches?