Unexplained Armpit Pain: Causes and When to Seek Medical Help
Occasionally experiencing a dull pain in the armpit? Hello Doctor: I often experience unexplained pain in my left armpit. I consulted a doctor, and upon examination, no lumps were found. The doctor could not determine the cause, and later, a biopsy of the armpit showed no abnorma...
Dr. Cai Zongzhang Reply:
Hello Andy: It is recommended to visit the neurology outpatient clinic for an examination.[Read More] Unexplained Armpit Pain: Causes and When to Seek Medical Help
Impact of Mirena IUD on the Efficacy of Long-term Medication
Drug interactions Hello, doctor! I have been taking Yu Hsien for 7 years, and I would like to know if using the Mirena IUD will affect the efficacy of Yu Hsien or the effectiveness of the IUD itself? Thank you!
Dr. Cai Zongzhang Reply:
Hello, Shen: Antiepileptic medications may affect the effectiveness of hormonal contraceptives, so it is advisable to discuss this with your physician.[Read More] Impact of Mirena IUD on the Efficacy of Long-term Medication
Understanding Inner Elbow Nerve Pain After Surgery: Causes and Recovery
Numbness and pain on the inner side of the hand? Doctor, I underwent surgery for axillary hyperhidrosis last October, using a spiral curette technique. After the surgery, my right arm is normal, but the entire inner side of my left elbow has been experiencing numbness and pain. D...
Dr. Jiang Junyi Reply:
Hello Mr. Alan, You mentioned that after the surgery with a spiral curette, my right hand is normal, but the entire inner side of my left elbow experiences numbness and pain. This may indicate ulnar nerve compression injury, particularly cubital tunnel syndrome. Frequent bending...[Read More] Understanding Inner Elbow Nerve Pain After Surgery: Causes and Recovery
Understanding Unusual Cold Sensations and Fatigue: A Neurological Perspective
Coolness in the back of the head. Fatigue? I woke up feeling fatigued this morning, but I am currently on my menstrual period, so I'm not sure if that is related. Then tonight, while lying in bed, I suddenly felt a cool sensation at the back of my head, which went away withi...
Dr. Jiang Junyi Reply:
Hello, Miss Xiaozhu: You mentioned feeling a sudden coolness at the back of your head and that your feet have been consistently cool. These may be two separate issues. The cool sensation at the back of your head could indicate an abnormality in the peripheral nerves, such as ner...[Read More] Understanding Unusual Cold Sensations and Fatigue: A Neurological Perspective
Understanding Headaches and Dizziness: Causes and Concerns
Headache and feelings of dizziness or brain fog? Hello Dr. Jiang, Last Monday, while I was taking a shower, the water might have been too hot, and I suddenly felt a rush to my head. After showering, I felt a bit dizzy. A few days later (around last Wednesday), I started experien...
Dr. Jiang Junyi Reply:
Hello Mr. K: I would like to know if you have a smoking habit? This may increase the risk of cerebrovascular diseases. You mentioned that "I feel like my right eye's vision has declined; I have to strain to see things that were once clear." This may warrant conside...[Read More] Understanding Headaches and Dizziness: Causes and Concerns
Feeling Exhausted and Anxious: Understanding Autonomic Nervous System Disorders
I feel exhausted every day and I feel like I'm about to die! Last night, I suddenly felt unwell in the latter half of my sleep. I got up to check my blood pressure, which was 91/56. I felt like crying; I wanted to sleep but couldn't. At first, I experienced hand tremors...
Dr. Jiang Junyi Reply:
Hello: You mentioned symptoms such as "feeling sleepy but unable to sleep well, initially experiencing hand tremors and numbness in the legs... switching positions while sleeping, rapid internal shaking, left-sided numbness, and a fast heartbeat." These symptoms may sug...[Read More] Feeling Exhausted and Anxious: Understanding Autonomic Nervous System Disorders
Facial Pain After Drinking: Is It Related to Trigeminal Nerve Issues?
Sore cheeks after drinking alcohol? Hello: Recently, I've noticed that my cheeks feel sore when I drink alcohol, but it doesn't happen every time, even with the same type of alcohol. Could this be related to the trigeminal nerve? Should I avoid alcohol completely or see...
Dr. Jiang Junyi Reply:
Dear Ms. WH, You mentioned that you experience a tingling sensation in your cheeks when drinking alcohol. I would like to know if you also experience headaches during this time. Is it more pronounced when you drink red wine? The combination of red wine and cheese may trigger mig...[Read More] Facial Pain After Drinking: Is It Related to Trigeminal Nerve Issues?
Understanding Head Pain: Causes and Concerns in Neurology
Head issues Hello, doctor. I experience headaches when I lie back on a specific spot on the back of my head while sitting in a chair. The pain is not located at the area in contact with the chair, but rather closer to the top of my head. I haven't hit my head or experienced ...
Dr. Jiang Junyi Reply:
Hello Mr. Ren, You mentioned that "lying back on a certain spot on the back of your head causes headaches, and the pain is not at the point of contact but rather closer to the top of your head..." This symptom may suggest cervical myofascial pain. Prolonged periods of ...[Read More] Understanding Head Pain: Causes and Concerns in Neurology
Understanding Muscle Tremors: Possible Causes and Next Steps
Muscle twitching for three weeks? Hello, doctor. At the end of 2021, I discovered that my prolactin levels were elevated (29.6), so my obstetrician prescribed cabergoline 0.5 mg, 1 tablet orally once a week, and Yasmin, 1 tablet orally daily. I started taking the medication on De...
Dr. Jiang Junyi Reply:
Hello Ms. Li: You mentioned that "the tremor sensation in the left chest almost never stops, and even when I wake up and open my eyes, I start shaking. If I shake my body and legs vigorously, there is a temporary improvement, and it feels like the tremor disappears, but it q...[Read More] Understanding Muscle Tremors: Possible Causes and Next Steps
Understanding Muscle Weakness: Is It ALS or Just Fatigue?
A young person diagnosed with amyotrophic lateral sclerosis (ALS)? Hello, Doctor. I am the patient with ID 177923 who consulted you on January 23rd. After observing myself over the past few days, I have noticed that my involuntary muscle twitching has almost disappeared. However,...
Dr. Hong Weibin Reply:
Hello: Based on your description, you do not need to worry about amyotrophic lateral sclerosis (ALS). It is recommended to engage in strength training during your spare time from work.[Read More] Understanding Muscle Weakness: Is It ALS or Just Fatigue?
Understanding Occasional Sharp Pain in the Lower Back: Causes and Concerns
Lower back pain? Hello, doctor. I occasionally experience sharp pain in my lower back. I have seen a dermatologist who said my skin is fine, and an orthopedic specialist who also said there is nothing wrong. However, when I'm not lying down, I sometimes feel a bit of sharp p...
Dr. Cai Zongzhang Reply:
Hello, A-Ting: It is recommended to visit a neurologist for an evaluation of the underlying cause.[Read More] Understanding Occasional Sharp Pain in the Lower Back: Causes and Concerns
Understanding Anxiety and Discomfort: A Neurology Perspective
Anxiety and multiple discomforts? I have mitral valve prolapse, and my doctor prescribed medication for palpitations, which helped a lot. The doctor didn't mention the need for a follow-up appointment, so I stopped taking the medication after finishing it. However, about a m...
Dr. Cai Zongzhang Reply:
Hello, Ms. Jan: It is recommended to visit the neurology and psychiatry outpatient clinics for examination and treatment.[Read More] Understanding Anxiety and Discomfort: A Neurology Perspective
Understanding Occipital Neuralgia: Pain Triggered by Gum Inflammation
Occipital neuralgia? Every time I experience gum inflammation and ulceration, I feel a sharp pain in the back of my head. The pain is located slightly above the center of the back of my head, and it feels like an electric shock, occurring intermittently every few seconds. Once th...
Dr. Cai Zongzhang Reply:
Hello: The symptoms mentioned may indicate trigeminal nerve inflammation, possibly due to herpes zoster affecting the trigeminal nerve. It is recommended to consult a neurologist for examination and treatment.[Read More] Understanding Occipital Neuralgia: Pain Triggered by Gum Inflammation
Understanding Unilateral Tinnitus: Causes and Treatments
Unilateral tinnitus in the right ear? Hello, doctor. I have unilateral tinnitus in my right ear that is synchronized with my heartbeat. I also feel a sensation of airflow in my right ear, but when I went to the clinic to measure my ear pressure, it was normal. The clinic physicia...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to consult a neurologist for an evaluation of the underlying cause.[Read More] Understanding Unilateral Tinnitus: Causes and Treatments
Understanding Sudden Pain and Numbness in the Left Foot
Severe pain and numbness in the left dorsum of the foot? Dr. Tsai: Hello. I drove home for over an hour, and after getting out of the car, I took just two steps when I suddenly felt a tingling pain in the top of my left foot. The pain feels like a cramp and has been persistent, e...
Dr. Cai Zongzhang Reply:
Hello, Mrs. Hsieh: The symptoms mentioned above may be caused by nerve compression. It is recommended to visit a neurologist for an evaluation of the underlying cause.[Read More] Understanding Sudden Pain and Numbness in the Left Foot
Managing Sleep Apnea Symptoms: Tips for Immediate Relief
Questions related to respiratory arrest? Hello Doctor, I occasionally experience a heart rate of around 100 beats per minute while lying down at night, and during the day, when sitting at the computer, my heart rate ranges from 100 to 120 (measured with a fingertip pulse oximeter...
Dr. Cai Zongzhang Reply:
Hello Ben: It is recommended to visit an otolaryngologist to check for any other underlying causes.[Read More] Managing Sleep Apnea Symptoms: Tips for Immediate Relief
Understanding Hand Tremors: Insights on Parkinsonism in Young Adults
Regarding hand tremors and juvenile Parkinson's disease? Hello, pharmacist. About three years ago, during my sophomore year, I visited Datong Hospital due to movement disorders (PKD) and restless legs syndrome. The restless legs syndrome has been an issue since I became awar...
Dr. Hong Weibin Reply:
Hello: Based on your description, "the tremor does not occur when the hand is completely relaxed with the palm facing up on the thigh, but it does tremble when the fingers slowly make a fist or when clenching and then slowly relaxing," this type of tremor is more indica...[Read More] Understanding Hand Tremors: Insights on Parkinsonism in Young Adults
Understanding the Increased Dementia Risk After Concussions
The probability of developing dementia after a concussion? A study from Sweden indicates that individuals who have experienced a concussion have an 80% increased risk of developing dementia. Although the likelihood of developing dementia after a head injury decreases over time, e...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned that "nine years ago, you had a motorcycle accident and lost consciousness for more than ten minutes; the doctor said it was a concussion, and that was the only time you have experienced this." Severe head trauma can cause varying degrees of da...[Read More] Understanding the Increased Dementia Risk After Concussions
Understanding Right-Side Numbness: Causes and Concerns in Neurology
Numbness in the right side of the face, hands, and feet? Hello, I initially experienced numbness in my right hand's ring and little fingers, as well as numbness on the right side of my face. Sometimes, I feel saliva pooling in my mouth. I consulted a neurologist who performe...
Dr. Jiang Junyi Reply:
Hello Ms. Ping, You mentioned that "the ring finger and little finger are numb," which is more indicative of ulnar nerve pathology. You also mentioned that "the MRI of the spine shows mild disc herniation." Often, because the MRI is performed while lying down...[Read More] Understanding Right-Side Numbness: Causes and Concerns in Neurology
Understanding Nerve Pain: When to See a Neurologist or Specialist
Pain and numbness in the hands and feet? Hello doctor, I have pain from my lower back to my buttocks and down to my calves, with pain in my heels and soles. My fourth toe has an angle that causes discomfort, possibly due to tight shoes compressing it, which feels like it might be...
Dr. Jiang Junyi Reply:
Dear Mr. Ming-Ting, You mentioned that the pain from the lower back to the buttocks, down to the calves, and from the heels to the soles of the feet resembles a condition related to the sciatic nerve. Additionally, the tingling and numbness in your ring and little fingers are mo...[Read More] Understanding Nerve Pain: When to See a Neurologist or Specialist