Understanding the Link Between Sexual Dysfunction and Multiple Sclerosis
Multiple Sclerosis Hello, doctor. I previously experienced sexual dysfunction due to an incident of masturbation. I have difficulties with erection, sensation, and ejaculation, and my penis feels numb with little sensation. This has caused me a lot of stress. Later, I came across...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned whether "sexual dysfunction could indirectly lead to central nervous system diseases such as multiple sclerosis." The answer is "no," as multiple sclerosis is considered a rare disease in Taiwan. Erectile dysfunction can be classified...[Read More] Understanding the Link Between Sexual Dysfunction and Multiple Sclerosis
Understanding Finger Numbness After Archery: Causes and Recovery
Numbness in the fingers after archery? Hello Doctor, I recently experienced soreness and numbness in the tip of my right middle finger after shooting arrows without using a finger tab. It has been two days, and I'm unsure what might be causing this. Will resting help this co...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned that "recently while practicing archery, I did not use a finger tab, which resulted in numbness and soreness in the tip of my right middle finger. It has been 2 days, and I'm not sure what is happening." Your symptoms are likely due to an ...[Read More] Understanding Finger Numbness After Archery: Causes and Recovery
Understanding Nerve Pain: Left Hand and Foot Tingling and Weakness
Numbness and tingling in the left hand and left foot, accompanied by weakness? Hello Doctor, The first symptoms appeared on February 27. After attending a wedding banquet that afternoon, I stepped out of the venue and experienced a sudden, electric shock-like tingling in my lef...
Dr. Jiang Junyi Reply:
Hello Ms. Yang, You mentioned that "my left hand and left foot feel like they are being electrocuted, experiencing intermittent tingling and numbness." This condition may suggest symptoms of neuropathic pain. If it occurs only on one side, it may be necessary to consid...[Read More] Understanding Nerve Pain: Left Hand and Foot Tingling and Weakness
Understanding Nerve Pain: Left Hand and Foot Tingling and Weakness
Numbness and tingling in the left hand and left foot, accompanied by weakness? Hello Doctor, The first symptoms appeared on February 27th. After attending a wedding banquet that afternoon, I stepped out of the venue and suddenly felt a tingling sensation in my left hand and lef...
Dr. Jiang Junyi Reply:
Hello Ms. Yang, You mentioned that "my left hand and left foot feel like they are being electrocuted, with intermittent tingling and numbness." This condition may suggest symptoms of neuropathic pain. If it is only present on one side, it may be necessary to consider l...[Read More] Understanding Nerve Pain: Left Hand and Foot Tingling and Weakness
Understanding Unusual Brain Sensations: When to Seek Neurological Help
Cerebrovascular events feel like an electric shock? Doctor, I have been experiencing sensations in my head that feel like pressure on my blood vessels or like an electric shock. It's similar to the feeling of stepping on a water pipe or compressing it, and it happens frequen...
Dr. Jiang Junyi Reply:
Hello Ms. Hsiao-Yu, You mentioned that your head feels like it's being compressed, similar to pressure on a blood vessel or an electric shock, akin to stepping on a water pipe and squeezing it. This may warrant consideration of cervical headache. The small muscles connected...[Read More] Understanding Unusual Brain Sensations: When to Seek Neurological Help
Understanding Dizziness and Balance Issues: When to Seek Medical Help
Sudden dizziness with a sensation of losing balance? Hello Doctor: About a month ago, I felt dizzy just before my menstrual period, but it went away afterward. This month, the day before my period, I suddenly felt dizzy again! It also passed after a while, but I have been feeling...
Dr. Jiang Junyi Reply:
Dear Ms. Chen, You mentioned, "The day before my menstrual period, I suddenly felt dizzy! It got better after a while, but I still felt lightheaded and unsteady. Later, when I lay down to rest, I gradually improved! On the fourth day of my period, when I looked down at my p...[Read More] Understanding Dizziness and Balance Issues: When to Seek Medical Help
Understanding ALS Symptoms: What to Expect and When to Seek Help
Symptoms of Amyotrophic Lateral Sclerosis (ALS) Hello Doctor, I started feeling weakness in my right hand and right foot when I got up on February 21. It feels unusual, but I can still exert strength if I try hard; otherwise, it feels soft as if I had engaged in intense exercise....
Dr. Jiang Junyi Reply:
Hello, Student Luo: You mentioned "EEG and upper and lower limb evoked potentials, and next month there will be an MRI." Essentially, EEG is not a diagnostic tool for motor neuron diseases. Your concern about amyotrophic lateral sclerosis (ALS) primarily refers to issu...[Read More] Understanding ALS Symptoms: What to Expect and When to Seek Help
Managing Severe Headaches During Pregnancy: Tips and Solutions
Headaches in Pregnant Women I have often experienced migraines even before pregnancy, especially when I go out and don't sleep well; they usually occur about twice a month. A single pain reliever or Eve (a brand of pain medication) typically resolves the issue quickly. Howev...
Dr. Jiang Junyi Reply:
Hello Miss QQ: You mentioned that you often experience migraines, especially when traveling or not sleeping well, and that usually one painkiller or Eve resolves it quickly. Eve contains the active ingredient ibuprofen, along with Anhydrous Caffeine - 80 mg and Allylisopropylacet...[Read More] Managing Severe Headaches During Pregnancy: Tips and Solutions
Understanding Lip Numbness: Possible Causes and Treatments
Numbness of the lips? Hello, doctor. I would like to ask some questions. My father started taking heart medication about six months ago, and since then, his lips have been almost constantly numb, sometimes feeling like they are going to crack. The cardiologist prescribed a topica...
Dr. Jiang Junyi Reply:
Dear Miss Hsiao-Chuan, You mentioned that your lips feel numb almost all day and sometimes have a sensation of cracking. However, you find that applying Nincort oral gel alleviates the numbness for several hours. The active ingredients in Nincort oral gel are steroids and some m...[Read More] Understanding Lip Numbness: Possible Causes and Treatments
Understanding Finger and Toe Tremors: Possible Neurological Causes
The left index finger exhibits bending and trembling, accompanied by a feeling of weakness, while the left foot's fourth toe shows slight trembling? Doctor, what is actually happening with my toes? I am currently taking online classes and spending all day in bed. For the pas...
Dr. Cai Zongzhang Reply:
Hello: The symptoms mentioned may indicate peripheral neuropathy. It is recommended to visit a neurology outpatient clinic.[Read More] Understanding Finger and Toe Tremors: Possible Neurological Causes
Understanding Perceptual Disorders: When to Seek Medical Advice
Regarding issues related to sensory integration disorder? Hello, doctor. Sometimes I suddenly experience a strange sensation where it feels like the surroundings are speeding up, and sounds suddenly become amplified. The speed and volume can be so overwhelming that it makes me fe...
Dr. Cai Zongzhang Reply:
Hello Gina: It is recommended to visit the neurology outpatient clinic for an examination.[Read More] Understanding Perceptual Disorders: When to Seek Medical Advice
Understanding Facial Nerve Paralysis: Symptoms, Steroid Side Effects, and Concerns
Facial nerve paralysis Hello Doctor, my daughter (15 years old) noticed on the afternoon of February 13 that she could not fully close her lips when drinking water, and her right face felt stiff when she opened her mouth wide. She visited the doctor on February 14 and was prescri...
Dr. Jiang Junyi Reply:
Hello, You Ma: You mentioned that "when drinking water, your lips cannot fully close, and your right face feels stiff when your mouth is wide open." You have been taking steroids and gastric medication for a week. Clinically, this may suggest facial nerve paralysis. In...[Read More] Understanding Facial Nerve Paralysis: Symptoms, Steroid Side Effects, and Concerns
Understanding Post-Accident Nausea: Is It Normal After a Car Crash?
Nausea after a car accident? Hello, a couple of days ago I was in a car accident where I did not hit my head and was wearing a helmet. At the time, I did not experience any nausea or dizziness. However, when I got home that evening, I started to have a loss of appetite and felt n...
Dr. Jiang Junyi Reply:
Hello Miss W522: Generally speaking, if there is no loss of consciousness, the use of anticoagulants, or obvious local hematomas, head injuries are usually mild. However, the following conditions should be considered for delayed bleeding, and you should seek emergency care: (1) D...[Read More] Understanding Post-Accident Nausea: Is It Normal After a Car Crash?
Understanding Muscle Pain and Fasciculations: Possible Neurological Causes
Muscle fasciculations and muscle soreness with weakness? Since 2019, I have experienced occasional muscle soreness in my limbs (about once every 3 to 6 months, lasting approximately 1.5 weeks). My hand strength has decreased, and when I go shopping and lift items weighing 2 to 5 ...
Dr. Hong Weibin Reply:
Hello: Based on your symptoms, it is recommended that you seek assistance from a neurologist specializing in neuromuscular diseases at a major hospital. They may arrange for blood tests, electromyography (EMG), and other evaluations. Cervical spine compression or myasthenia gravi...[Read More] Understanding Muscle Pain and Fasciculations: Possible Neurological Causes
Understanding Facial Twitches: When to Seek Medical Advice
Facial twitching? The right upper eyelid has been twitching at the outer edge, and occasionally the left corner of the mouth twitches as well. The frequency is irregular and not frequent (about once or twice a week), but it has persisted for approximately two months. I became awa...
Dr. Jiang Junyi Reply:
Dear Miss Ai, You mentioned "twitching at the end of the right upper eyelid, and occasionally at the left corner of the mouth, with an irregular and infrequent frequency." Eyelid movements are controlled by the facial nerve. If the eyelid is twitching continuously, the...[Read More] Understanding Facial Twitches: When to Seek Medical Advice
Can Autonomic Nervous System Disorders Be Diagnosed with Tests?
Can the autonomic nervous system be tested? Hello Doctor, I have been suffering from various ailments recently and have seen multiple doctors without finding a clear cause, which has left me questioning everything. I noticed your patience in responding to some neurology patients,...
Dr. Jiang Junyi Reply:
Hello Mr. Ben, You asked, "Can autonomic nervous system disorders be detected through instruments, or can they only be assessed through clinical experience? If it can be detected, is it similar to an electrocardiogram that measures the current state?" The most common m...[Read More] Can Autonomic Nervous System Disorders Be Diagnosed with Tests?
Sudden Electric Shock Sensation in Buttocks: What Could It Be?
The flesh on the buttocks feels like it has been punctured? About a month ago, I started experiencing a sensation in my left buttock while sitting, like an electric shock that lasts for about two seconds. This occurs occasionally, sometimes once a day or every two to three days, ...
Dr. Jiang Junyi Reply:
Hello, Ms. Gui: You mentioned experiencing a sensation in your buttock that feels like an electric shock lasting about two seconds, specifically on the left side. This symptom is more indicative of peripheral nerve compression. It may be worth considering "piriformis syndro...[Read More] Sudden Electric Shock Sensation in Buttocks: What Could It Be?
Understanding Coma: Causes, Treatments, and Recovery in Elderly Patients
Coma scale score of 4? My mother is 86 years old. After a nap on January 8, she could not be awakened. That evening, her blood sugar was measured at 183, her blood oxygen level was 89, and her blood pressure was normal. On January 19, she still could not be awakened in the mornin...
Dr. Jiang Junyi Reply:
Dear Ms. Vicky, You mentioned, "Doctors only treat infections with antibiotics. I really want to ask, for a comatose patient like this, do we just have to wait aside from antibiotic treatment? Are there no more aggressive treatment options?" In clinical practice, the m...[Read More] Understanding Coma: Causes, Treatments, and Recovery in Elderly Patients
Understanding Serotonin Syndrome: Symptoms and Specialist Guidance
Serotonin syndrome inquiry? Hello Dr. Jiang, I have stopped taking the medication prescribed by the psychiatric clinic (Leeyo) because I need to undergo other related tests at the hospital. Initially, I was on a low dose (2.5 mg daily for about two weeks). It has been about a m...
Dr. Jiang Junyi Reply:
Hello Ben: You mentioned "serotonin storm syndrome," which refers to serotonin syndrome that typically occurs when two or more medications that increase serotonin activity in the brain are combined, potentially leading to the onset of serotonin syndrome. Recovery usuall...[Read More] Understanding Serotonin Syndrome: Symptoms and Specialist Guidance
Understanding Your Neurological Concerns: A Guide to ALS Anxiety
Regarding one's own condition? I used to come to you with questions often, and back then (8 months ago), I was very worried about amyotrophic lateral sclerosis (ALS), and I still am. My muscles have been twitching lately, and my left leg feels strange, almost like a reflex s...
Dr. Jiang Junyi Reply:
Hello: You mentioned that you feel strain in your bite when chewing on tough foods. If the masticatory muscles are not frequently used, it is indeed possible to experience this strain. I recommend maintaining appropriate exercise to preserve your muscle mass (you can purchase a b...[Read More] Understanding Your Neurological Concerns: A Guide to ALS Anxiety