Understanding Persistent Numbness: Causes and Treatments for Limb and Abdominal Symptoms
Numbness in the limbs, numbness in the abdomen and back? Hello Doctor: Starting from January 1st of this year, I experienced a progressive numbness in both legs, beginning from the soles and extending up to the waist over a span of five days. The numbness persisted 24 hours a day...
Dr. Jiang Junyi Reply:
Dear Mr. Lai, You mentioned that "the numbness gradually spread from the soles of both feet to the waist over five days." I wonder if you have been exposed to nitrous oxide? If the numbness is rapidly ascending, we may consider acute demyelinating polyneuropathy. Las...[Read More] Understanding Persistent Numbness: Causes and Treatments for Limb and Abdominal Symptoms
Understanding Nerve Compression: Left Upper Back and Limb Numbness Issues
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 unsure if they are related: 1. I frequently experience numbness in the upper left back (around the scapula) that started about three...
Dr. Jiang Junyi Reply:
Hello Mr. Wu: You mentioned, "Could the physician determine if it is due to thoracic nerve compression or a brain issue?" The symptoms include "involuntary muscle twitching in small, localized areas throughout the body, visible to the naked eye, which has persisted...[Read More] Understanding Nerve Compression: Left Upper Back and Limb Numbness Issues
Managing Muscle Cramps in Myasthenia Gravis Patients: Solutions and Medications
Medication issues Hello, doctor. I have been diagnosed with myasthenia gravis, and after starting medication, I have been experiencing cramps in the soles of my feet. The frequency of these cramps is higher than with the previous medication I was taking, and they are quite painfu...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned that "after being diagnosed with myasthenia gravis and starting medication, I experienced cramps in the soles of my feet, and the frequency is higher than with the previous medication." In cases of myasthenia gravis, the use of muscle relaxants...[Read More] Managing Muscle Cramps in Myasthenia Gravis Patients: Solutions and Medications
How Long After Starting Epilepsy Medication Will Seizure Frequency Decrease?
How long after starting medication for epilepsy does it typically take to reduce the frequency of seizures? Hello Doctor: My family member is currently 54 years old and began experiencing absence seizures about four to five years ago. In the past one to two years, they have had a...
Dr. Jiang Junyi Reply:
Dear Ms. Ling, You mentioned that "my family member started treatment last year and currently takes one dose of Levetiracetam in the morning and evening. They have been taking Zolpidem at night due to sleep issues for about six months, but still experience one to two comple...[Read More] How Long After Starting Epilepsy Medication Will Seizure Frequency Decrease?
Can Circulating Medications Improve Dizziness from Vertebral Artery Dysplasia?
Can a congenital hypoplasia of the vertebral artery be improved by taking Xunli Ning to enhance cerebral blood circulation? I currently have symptoms due to cervical spondylosis affecting the C3, C4, and C5 vertebrae, which has led to related symptoms, one of which is dizziness. ...
Dr. Cai Zongzhang Reply:
Hello: There are many factors that can affect cerebral circulation. It is recommended to visit a neurology clinic for relevant examinations and to discuss treatment options with a physician. Please do not self-medicate.[Read More] Can Circulating Medications Improve Dizziness from Vertebral Artery Dysplasia?
Understanding Nerve Issues: Frequent Left Upper Back and Limb Numbness
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 have frequent numbness in the upper left back area, which started about three years ago. X-rays a...
Dr. Jiang Junyi Reply:
Hello Mr. Wu, You mentioned, "Could the physician determine if the issue is due to thoracic nerve compression or a brain problem?" The symptoms include "involuntary muscle twitching in small, non-fixed areas of the body, visible to the naked eye, which has persist...[Read More] Understanding Nerve Issues: Frequent Left Upper Back and Limb Numbness
Understanding Right Brain Pain and Oral Numbness: A Neurology Perspective
Head and face Hello doctor, recently I've been experiencing occasional sharp pains in my right brain, and there's a tingling sensation in the right side of my mouth, similar to the feeling of having a candy in my mouth for too long. I also have increased saliva producti...
Dr. Jiang Junyi Reply:
Dear Ms. Hsuan, You mentioned that you have a tingling sensation in the right side of your mouth, similar to the feeling of having candy in your mouth for too long. This may warrant consideration of trigeminal nerve symptoms. There are many potential causes for trigeminal nerve ...[Read More] Understanding Right Brain Pain and Oral Numbness: A Neurology Perspective
Understanding Neck Stiffness: When to See a Neurologist or ENT
Neck stiffness Recently, I have been experiencing stiffness in my cervical spine, making it difficult to turn my head. It feels tight and rigid, and I sometimes feel dizzy, but the dizziness passes quickly. I'm not sure what the issue could be. Should I see a neurologist or ...
Dr. Jiang Junyi Reply:
Hello Ms. Chen, You mentioned experiencing "stiffness in the cervical spine, difficulty turning your head, tightness, and dizziness that comes and goes." I would like to know if your dizziness is accompanied by any other neurological symptoms, such as hearing abnormali...[Read More] Understanding Neck Stiffness: When to See a Neurologist or ENT
Understanding Muscle Atrophy, Weakness, and Fasciculations: A Neurology Perspective
Muscle atrophy, twitching, weakness? Hello, doctor. I would like to ask you about something. About two months ago, I suddenly noticed a depression on the right side of my thigh near the groin area. Later, I found a similar depression on the left side, measuring approximately 5x5 ...
Dr. Jiang Junyi Reply:
Hello Ms. Chychy, You mentioned that "...but because I feel that the area of indentation has increased, I am now worried every day that I might be in the early stages of ALS..." The symptoms you describe are more indicative of localized muscle or peripheral nerve issue...[Read More] Understanding Muscle Atrophy, Weakness, and Fasciculations: A Neurology Perspective
Can Low Adrenaline Levels Lead to Dementia Symptoms?
Is insufficient secretion of adrenaline (epinephrine) a cause of dementia? Hello: I would like to inquire whether insufficient secretion of adrenaline can cause symptoms of dementia. After treatment, can dementia be cured?
Dr. Hong Weibin Reply:
Hello: Insufficient secretion of adrenocorticotropic hormone can indeed lead to symptoms of cognitive impairment, which may affect memory. If steroid treatment is administered promptly, recovery should be possible. References: 1. Matsuo, Kinya, et al. "Cognitive Impairment C...[Read More] Can Low Adrenaline Levels Lead to Dementia Symptoms?
Optimal Medication Timing for Neurology Patients: A Guide
Medication intervals Hello, doctor. Recently, I have been taking the following two medications: 1. MOSAPIN F.C. TABLETS 2. SURIN TABLETS 200MG. The prescription indicates to take them once after breakfast and once after dinner. However, since I usually wake up close to noon, my f...
Dr. Hong Weibin Reply:
Hello: If medication needs to be taken in the morning and evening, the interval between doses should be approximately 8-10 hours.[Read More] Optimal Medication Timing for Neurology Patients: A Guide
Understanding Early Symptoms of Amyotrophic Lateral Sclerosis (ALS)
Symptoms of amyotrophic lateral sclerosis (ALS) Hello, doctor. Recently, I have been experiencing some involuntary muscle twitching in my legs, and I also feel a lack of strength. However, I don't have much trouble when lifting things normally. About two months ago, I visite...
Dr. Hong Weibin Reply:
Hello: Regarding the symptoms of amyotrophic lateral sclerosis (ALS), you can refer to the CommonHealth Knowledge Base at https://kb.commonhealth.com.tw/library/417.html#data-3-collapse. However, if your symptoms are not progressively worsening, you can be reassured that it is us...[Read More] Understanding Early Symptoms of Amyotrophic Lateral Sclerosis (ALS)
Persistent Head Pressure and Nausea: Possible Neurological Concerns
Persistent head heaviness and dry heaving? Hello Doctor, for the past couple of days, I have been feeling a persistent pressure in my head, almost as if a specific small area in my brain (approximately the middle right side) is covered. I have been unable to muster any energy thr...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned feeling lethargic all day and experiencing constant dry heaving (almost feeling like vomiting every 10 minutes), and that you suddenly woke up after less than three hours of sleep tonight... It may be necessary to consider intracranial structural abnorma...[Read More] Persistent Head Pressure and Nausea: Possible Neurological Concerns
Understanding Unexplained Cool Sensation at the Corner of the Mouth
Occasionally, there is a "cool sensation at the corners of the mouth" (without saliva)? Dear Dr. Jiang, Thank you very much for taking the time to respond to my concerns. Recently, I have been experiencing a "cool sensation at the corners of my mouth" (withou...
Dr. Jiang Junyi Reply:
Dear Mr. Chen, You mentioned that you have recently experienced a "cool sensation at the corners of your mouth" (without saliva), particularly noticeable after meals. You are currently on the 14th day of treatment for prostatitis with levofloxacin. First, we should con...[Read More] Understanding Unexplained Cool Sensation at the Corner of the Mouth
Understanding Arm and Shoulder Numbness: Beyond Cervical Compression
Numbness in the shoulder and upper arm? Hello Doctor, recently I have experienced sudden numbness in my right shoulder and upper arm. I had an X-ray of my neck a while ago, and the doctor said there were no issues. Besides cervical spine compression, what other possibilities coul...
Dr. Jiang Junyi Reply:
Dear Mr. JAM, You mentioned that you suddenly experienced numbness in your right shoulder and upper arm, and that a recent cervical X-ray showed no issues. Your symptoms are more indicative of nerve root compression, which is commonly caused by cervical disc herniation or an imp...[Read More] Understanding Arm and Shoulder Numbness: Beyond Cervical Compression
Dizziness When Turning: Understanding Neurological Symptoms
Dizziness when turning? Hello Doctor, for the past month, I have been feeling a bit dizzy and unsteady whenever I walk, especially when turning or looking back (it's not a spinning sensation). I have tried walking in a straight line, standing on one foot, and performing the ...
Dr. Jiang Junyi Reply:
Hello Mr. Huang, You mentioned that "you have tried walking in a straight line or standing on one foot... and also tried the finger-to-nose test, and personally feel quite stable." This observation suggests that it is less likely to be a cerebellar or brainstem lesion....[Read More] Dizziness When Turning: Understanding Neurological Symptoms
Understanding Symptoms: Multiple Sclerosis vs. Autonomic Nervous System Disorders
Multiple Sclerosis or Autonomic Nervous System Dysfunction Hello Dr. Jiang, I have been experiencing a tingling and numbness in my hands and feet since early September. I visited a neurology clinic, and they suggested it could be either cervical spine inflammation or autonomic ne...
Dr. Jiang Junyi Reply:
Dear Miss Li, You mentioned that "the symptoms really seem very similar to those of multiple sclerosis, and considering that I am 21 years old, which is the age when this condition is more likely to occur..." I believe the chances are low, as multiple sclerosis is clas...[Read More] Understanding Symptoms: Multiple Sclerosis vs. Autonomic Nervous System Disorders
Understanding Muscle Twitches Below the Pinky: Causes and Insights
Twitching of the muscles below the little finger? Hello doctor, I would like to ask about a situation I've been experiencing since last week. There is a twitching sensation in the area just below my palm (specifically the area below my little finger). It doesn't last lo...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that there is a pulsating sensation in the area below the palm (approximately under the little finger). The nerves in that area are primarily innervated by the ulnar nerve. Regarding muscle twitching, current research mainly relates to several factors: e...[Read More] Understanding Muscle Twitches Below the Pinky: Causes and Insights
Understanding Sudden Thigh Pain: Causes and Solutions for Nerve Issues
Leg issue - intermittent sharp pain in the inner thigh (similar to an electric shock sensation)? Last year, between September and October, I frequently experienced sudden sharp pains in the inner thigh of my right leg, close to that side. The pain felt like an electric shock and ...
Dr. Jiang Junyi Reply:
Dear Ms. Hsieh, You mentioned experiencing intermittent sharp pain on the inner side of your right thigh (similar to an electric shock), with each episode being a momentary severe pain. This may warrant consideration of nerve root compression at the lumbar vertebrae L2 and L3. N...[Read More] Understanding Sudden Thigh Pain: Causes and Solutions for Nerve Issues
Understanding Upper Back Pain: Causes and Connections to MRI Findings
Shoulder and back pain? Hello, Doctor. Recently, I've been experiencing frequent upper back pain (on the right side, around the scapula) for the past two months. Sometimes, I also have shoulder pain (on both sides). When I turn my head to the left, I feel a slight pain... It...
Dr. Jiang Junyi Reply:
Dear Miss Sophia, You mentioned, "Is the pain related to previous symptoms? What could be the possible causes?" Your MRI report indicates: 2. Posterior bulging disc of C6/7 with mild anterior indentation on the thecal sac and mild narrowing of bilateral neural foramina...[Read More] Understanding Upper Back Pain: Causes and Connections to MRI Findings