Managing Bruising and Swelling After Head Injury: Expert Advice
A question posed by a patient with a hairy cell vascular condition? On March 25th, I accidentally fainted and hit my head against the wall, resulting in a laceration that bled. The stitches have been removed and it is healing well, but there is a small bruise nearby that is sligh...
Dr. Cai Zongzhang Reply:
Hello, Candy: Based on the above, since the incident occurred more than 3 days ago, it is recommended to use topical application of Xylitol for treatment.[Read More] Managing Bruising and Swelling After Head Injury: Expert Advice
How Long Does It Take for Keppra to Control Seizures?
Questions regarding the leisure use of Keppra? Hello Doctor: I have already learned some information about Keppra from the Q&A, but I haven't seen anyone ask how long it typically takes for this medication to achieve the effect of suppressing abnormal discharges (I am cu...
Dr. Cai Zongzhang Reply:
Hello: There is a certain degree of variability in how each individual absorbs this medication, making it difficult to determine exactly how long it will take to achieve its effects. Generally, initial use requires several weeks of dosage adjustments and observation. Any antiepil...[Read More] How Long Does It Take for Keppra to Control Seizures?
Understanding Heat Sensation in the Outer Side of the Right Pinky Finger
Heat sensation on the outer side of the right palm (near the upper side of the little finger)? Hello Dr. Jiang, During the Qingming holiday, I suddenly noticed that the outer side of my right little finger near the top felt warm while I was cooking. It only lasted for a short ti...
Dr. Jiang Junyi Reply:
Dear Ms. Lee, You mentioned that "the outer side of your right little finger is feeling warm near the top..." This is a symptom of peripheral nerve compression. 1. The nature of the pain is characterized by burning and tingling sensations. 2. The symptoms have a specif...[Read More] Understanding Heat Sensation in the Outer Side of the Right Pinky Finger
Understanding Involuntary Body Tremors: Causes and Concerns
Involuntary muscle spasms? Since around the beginning of my sophomore year in high school, I occasionally experience sudden, significant body tremors while doing everyday activities, similar to a startle response. I have been unsure of the cause and find it quite concerning. I wo...
Dr. Chen Weida Reply:
Hello Ms. Pan, your symptoms sound like a type of involuntary movement known as "myoclonus." It is recommended that you visit a neurology clinic for evaluation. Wishing you health and safety, thank you.[Read More] Understanding Involuntary Body Tremors: Causes and Concerns
Understanding Cervical Spine Disorders: Neck Pain and Swallowing Difficulties
Cervical spine dysfunction I have been experiencing shoulder and neck pain for a long time. Since the end of September last year, I started having some difficulty swallowing. I went to an otolaryngologist who confirmed that there were no growths in my throat. I was then referred ...
Dr. Jiang Junyi Reply:
Dear Mr. Tso, You mentioned that "swallowing is still difficult, and I have recently noticed that the pain in my shoulders, neck, and back has become more severe... Could this be related to my cervical spine?" I suggest considering the symptoms related to the cervical ...[Read More] Understanding Cervical Spine Disorders: Neck Pain and Swallowing Difficulties
Managing Urinary Tract Infections While on Anticoagulants: A Guide
How to supplement with cranberry and related nutrients while taking Lisinopril? Hello, doctor. My family member had a stroke three years ago and is currently taking anticoagulant medication, Rivaroxaban. However, they have been experiencing recurrent urinary tract infections over...
Dr. Jiang Junyi Reply:
Hello: You mentioned "Rivaroxaban anticoagulant medication, but there have been recurrent urinary tract infections over the past few years..." Anticoagulants can interact with cranberry: newer generation anticoagulants, such as Rivaroxaban, typically do not have signifi...[Read More] Managing Urinary Tract Infections While on Anticoagulants: A Guide
Assessing Stroke Risk: Are Neurological Tests Accurate?
Is the stroke test accurate? Hello, Doctor. I have a few questions to ask you. 1. Recently, when I am working or talking to others, I sometimes suddenly speak with a regional accent or experience a slip of the tongue, similar to a verbal error. Could this be due to speaking too...
Dr. Jiang Junyi Reply:
Hello Ms. Lin, You mentioned, "Is slurred speech a sign of a stroke?" Acute stroke refers to a sudden neurological deficit caused by abnormalities in the brain's blood vessels. The symptoms resulting from a stroke are related to the area of the brain that is affec...[Read More] Assessing Stroke Risk: Are Neurological Tests Accurate?
Understanding Dizziness and Dry Mouth: Possible Causes and Solutions
Dizziness and dry mouth? Recently, I visited a clinic due to symptoms such as loss of appetite, bloating, and nausea, and was diagnosed with gastritis. I also mentioned to the physician that I have been experiencing dizziness, which the doctor believes may be caused by allergic r...
Dr. Jiang Junyi Reply:
Dear Ms. Liang, You mentioned experiencing dizziness along with symptoms such as a cold, dermatitis, urethritis, gastritis, and menstrual irregularities, which may indicate a deficiency in qi and blood. You asked whether this could be related to anemia or if a neurology consulta...[Read More] Understanding Dizziness and Dry Mouth: Possible Causes and Solutions
Understanding Syncope: What to Do When Someone Faints While Sitting
Syncope while sitting? Hello Doctor: A few days ago, my father fainted, which has caused me a lot of worry. I was originally going to the hospital to pick up a relative who was being discharged, but the discharge process took longer than expected. My father had been walking in th...
Dr. Jiang Junyi Reply:
Dear Mr. Hsiao, You mentioned that your father exhibited "chest rise and fall with noticeable and somewhat rapid breathing, and then hurriedly called the nursing staff, who first called out and then moved him to the adjacent bed, with the entire process taking less than 30 ...[Read More] Understanding Syncope: What to Do When Someone Faints While Sitting
Finding Treatment for Syringomyelia: Hospitals and Specialists in Northern Taiwan
Syringomyelia I have symptoms of syringomyelia, including pain in my right neck, right shoulder, the area below the right shoulder, and pain in the right hand's thenar eminence, along with numbness in my left foot. Are there hospitals or doctors in the northern region that c...
Dr. Jiang Junyi Reply:
Dear Mr. A-Shan, You mentioned "the pain associated with syringomyelia..." The cause of syringomyelia is the accumulation of fluid within the spinal cord, which compresses the nerves and leads to symptoms such as sensory abnormalities, urinary and fecal incontinence, h...[Read More] Finding Treatment for Syringomyelia: Hospitals and Specialists in Northern Taiwan
Understanding Muscle Twitches: Causes, Concerns, and When to Seek Help
Muscle twitching Hello Doctor, I asked you the same question about three years ago. I am very concerned about frequent muscle twitching, and I fear a serious illness may be affecting me. The situation is as follows: my muscles occasionally twitch (some areas are particularly freq...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned "frequent muscle twitching... electromyography... frequent twitching in the left hand's thenar eminence." If you are concerned about a muscle disease, it typically presents with significant atrophy, and the electromyography would show abno...[Read More] Understanding Muscle Twitches: Causes, Concerns, and When to Seek Help
Understanding Intermittent Headaches: Causes and Concerns
Intermittent headache Recently, I have been experiencing occasional headaches, and bending over also triggers the pain. What could be the issue?
Dr. Chen Weida Reply:
Hello Willy Lee: It is recommended to continue monitoring and keep a headache diary, including the date, duration of the headache, any accompanying symptoms, whether pain relievers were taken, and their effectiveness. If the headaches persist, you may consider visiting a neurolog...[Read More] Understanding Intermittent Headaches: Causes and Concerns
Understanding Mild Cognitive Impairment: Treatment Options and Insights
Dementia Issues - Mild Cognitive Impairment Hello, doctor. I would like to ask about my mother, who is currently 82 years old. Her memory has significantly declined over the past few years. Recently, she underwent a series of tests at the neurology department, where blood test re...
Dr. Jiang Junyi Reply:
Dear Ms. Ivy, You mentioned that "there are significant cavities in the gray matter... with an MMSE score of 22... indicating mild cognitive impairment." Regarding health insurance coverage, it is suggested that patients with an MMSE score between 10 and 26 or those cl...[Read More] Understanding Mild Cognitive Impairment: Treatment Options and Insights
Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Suspected autonomic nervous system dysfunction? Hello Doctor, I have been experiencing episodes of physical agitation about 1 to 2 times a month. Even though I feel like I’m not thinking about anything in particular and don’t feel anxious, my body becomes agitated involuntarily. ...
Dr. Cai Zongzhang Reply:
Hello Mr. Cheng: Based on the symptoms mentioned, it is recommended to visit a neurology clinic for an examination to determine if there is a neurological disorder.[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Persistent Pain and Numbness in the Outer Calf: A Neurological Concern
Tingling and prickling sensation on the outer side of the calf? Hello Doctor, my father is 75 years old and has been experiencing numbness and tingling on the outer side of his calf for the past five days. Pain relievers and injections have not alleviated the pain, which has prev...
Dr. Jiang Junyi Reply:
Dear Mr. Jiang, You mentioned that your father is experiencing "numbness and tingling on the outer side of the calf... and the orthopedic images show no abnormalities..." It may be necessary to consider peripheral nerve compression. Symptoms of peripheral nerve compres...[Read More] Persistent Pain and Numbness in the Outer Calf: A Neurological Concern
Understanding Recurrent Toe Pain: Causes and Solutions
The toes on the left foot are experiencing recurrent cramping pain? Hello Dr. Jiang, since the end of last year, I have been experiencing intermittent sharp pain between the 3rd and 4th toes on my left foot. Sometimes it occurs 5-6 times within an hour, and other times it happens...
Dr. Jiang Junyi Reply:
Dear Ms. Ying, You mentioned that "the area between the 3rd and 4th toes on my left foot experiences recurrent cramping pain, sometimes occurring 5-6 times within an hour, and other times only once every 2-3 days. Although the pain is not very intense..." Poor blood ci...[Read More] Understanding Recurrent Toe Pain: Causes and Solutions
Understanding Head and Chest Discomfort: Possible Neurological Concerns
Occasionally experiencing tingling on both sides of the head? A few weeks ago, I started experiencing chest tightness, difficulty breathing, and a tingling sensation in the area of my left shoulder blade. After a chest X-ray and listening to my heartbeat, the doctor said there we...
Dr. Jiang Junyi Reply:
Hello Mr. Leon, You mentioned that you feel numbness in the area of your left shoulder and occasionally experience a heavy, numb sensation on both sides of your head (around the temples and the top of your head). These symptoms are less indicative of a stroke, which typically pr...[Read More] Understanding Head and Chest Discomfort: Possible Neurological Concerns
Understanding Abnormal Brain Discharges: Causes and Treatment Options
Abnormal electrical discharge in the brain? Recently, it feels like there is abnormal electrical activity in my brain. I have been consistently taking my epilepsy medication (morning and evening), but my face feels numb. Why is that?
Dr. Huang Hongling Reply:
Hello, there are many causes of facial numbness, and it is not necessarily due to abnormal electrical activity in the brain. It is recommended to visit a neurology clinic for further evaluation![Read More] Understanding Abnormal Brain Discharges: Causes and Treatment Options
Understanding Left Eye Twitching and Finger Tremors: Causes and Solutions
Twitching of the left fingers and twitching of the left eye? The patient is currently 28 years old and has a chronic condition of allergic rhinitis, with no family history of hereditary diseases and no history of major surgeries. The left eyelid has been twitching, and the left t...
Dr. Jiang Junyi Reply:
Dear Ms. Jan, You mentioned that your husband has recently experienced "his left thumb being completely relaxed, with small involuntary movements." Generally, muscle twitching while awake may warrant consideration of certain metabolic disorders, such as hyperthyroidism...[Read More] Understanding Left Eye Twitching and Finger Tremors: Causes and Solutions
Understanding Trigeminal Neuralgia: Insights from TMJ Disorders
Temporomandibular joint disorder causing trigeminal neuralgia? Hello, my symptoms began four years ago when I bit down on a hard object, resulting in a sudden electric shock-like pain in the left side of my face. Over the past few years, I have consulted with neurosurgeons, denti...
Dr. Jiang Junyi Reply:
Dear Mr. Kenny, You mentioned "trigeminal neuralgia." The cause of trigeminal neuralgia is primarily due to abnormal transmission of sensory signals by the trigeminal nerve. Approximately 80% of cases are caused by vascular compression of the trigeminal nerve at its en...[Read More] Understanding Trigeminal Neuralgia: Insights from TMJ Disorders