Understanding Pain in the Second Toe When Pressing Down on the Foot
Sharp pain in the second toe of the left foot? When applying pressure downward on the sole of the left foot, there is a sharp pain in the second toe of the left foot. There are no other symptoms normally, and bending the toe directly does not cause pain; the pain only occurs when...
Dr. Cai Zongzhang reply Neurology
Hello Mr. Chen: It is recommended to visit the neurology outpatient clinic for an evaluation of the underlying cause.[Read More] Understanding Pain in the Second Toe When Pressing Down on the Foot
Persistent Headaches and Dizziness: Understanding Neurological Symptoms
Headache for several weeks? At the end of June, I suddenly woke up with moderate dizziness accompanied by a headache, which has persisted until now, the end of July (the dizziness has improved). The headache is usually located at the back of my head and extends to the occipital r...
Dr. Cai Zongzhang reply Neurology
Hello, the symptoms mentioned may indicate a peripheral nerve disorder. If the headache persists, it is recommended to visit a neurology clinic for evaluation.[Read More] Persistent Headaches and Dizziness: Understanding Neurological Symptoms
Understanding Sudden Headaches: When to Seek Further Evaluation
A few days ago, I experienced an unexplained headache right before going to bed at midnight? As described in the title, there is a sudden pain sensation that occurs approximately every few seconds, but it is not particularly intense and does not last long. In the following days, ...
Dr. Cai Zongzhang reply Neurology
Hello Mr. Wang: Headache is not the most common symptom of a brain tumor. It is recommended that if the headache persists and does not improve with medication, further evaluation should be conducted.[Read More] Understanding Sudden Headaches: When to Seek Further Evaluation
Can Epilepsy Patients Safely Undergo Cosmetic Surgery?
Can patients with epilepsy undergo cosmetic surgery? Hello doctor, I have epilepsy, and my condition has been well-controlled with medication for about five years without any seizures. I am considering undergoing cosmetic surgery for under-eye bags, which requires local anesthesi...
Dr. Cai Zongzhang reply Neurology
Hello CHU: It is recommended to discuss medication and assess risks with your physician before proceeding with surgery.[Read More] Can Epilepsy Patients Safely Undergo Cosmetic Surgery?
Understanding Headaches: Potential Causes and When to Seek Help
Headache issues Hello Doctor: I would like to consult you about a friend who has depression and has been experiencing severe headaches recently. Sometimes, they need to take a considerable amount of painkillers in a day to manage the pain. Recently, they went out to eat at an all...
Dr. Cai Zongzhang reply Neurology
Hello: It is recommended to visit the neurology outpatient clinic to investigate potential causes.[Read More] Understanding Headaches: Potential Causes and When to Seek Help
Managing Epilepsy in Autistic Children: Medication Concerns and Solutions
Antiepileptic drugs Dear Dr. Tsai, I have a child with autism who suffers from epilepsy. He has been taking Apo-Divalproex (250mg & 500mg) for two years and seven months without any recurrence of seizures. However, since starting this medication, he has changed significantly...
Dr. Cai Zongzhang reply Neurology
Hello Mr. Yeh: It is recommended to discuss medication with the prescribing physician and not to discontinue the medication on your own.[Read More] Managing Epilepsy in Autistic Children: Medication Concerns and Solutions
Understanding Tongue Twitches: Causes and Anxiety Connection
Tongue twitching Hello doctor, my tongue keeps twitching in the middle, and the entire tongue feels very tense and cannot relax. It feels a bit numb, and I constantly have the urge to swallow saliva. What could be the reason for this? I have a history of anxiety disorder; could t...
Dr. Cai Zongzhang reply Neurology
Hello, Wan-Ting: It is recommended to visit a neurologist for an examination of possible causes.[Read More] Understanding Tongue Twitches: Causes and Anxiety Connection
Sudden Sharp Pain in Right Forehead: Possible Causes and Concerns
Sudden piercing pain in the right forehead radiating backward? I first told the doctor that my occupation is a daytime security guard. I am overweight, weighing approximately 120 kg and standing 173 cm tall. Currently, I have not been diagnosed with any chronic diseases. However,...
Dr. Cai Zongzhang reply Neurology
Hello Allen: The symptoms mentioned are not related to a stroke. If the symptoms persist, it is recommended to visit a neurology outpatient clinic.[Read More] Sudden Sharp Pain in Right Forehead: Possible Causes and Concerns
Understanding Unilateral Tremors: Causes and Solutions for Neurological Issues
Unilateral tremor Hello, I recently experienced insomnia and hand tremors due to exam stress. I thought it was just because I was too anxious, but now that the exams are over, I find myself excessively sleepy, sleeping more than 12 hours a day. When I write, I have difficulty hol...
Dr. Cai Zongzhang reply Neurology
Hello Ms. Hsiao: Anxiety and lack of sleep can both trigger hand tremors. If there is no improvement after adequate rest, it is recommended to visit a neurology outpatient clinic.[Read More] Understanding Unilateral Tremors: Causes and Solutions for Neurological Issues
Understanding Tongue Tremors: Causes and Anxiety Connections
Tongue twitching Hello Doctor: My tongue cannot relax and feels very tense; it keeps wanting to twitch. Sometimes I also feel a tightness in my throat. I would like to know what the cause of this might be. I have a history of anxiety disorder; could this be related to my anxiety?
Dr. Cai Zongzhang reply Neurology
Hello Wan-Ting: If the symptoms mentioned above appeared after starting psychiatric medication, please discuss with your physician whether the medication may be the cause. If you have not taken any medication, it is recommended to visit a neurology clinic.[Read More] Understanding Tongue Tremors: Causes and Anxiety Connections
Struggling with Sleep: Understanding Restless Legs and Anxiety
I've been having trouble sleeping lately? A few days ago, I suddenly couldn't sleep at night. I kept kicking my legs in bed and got up to walk around several times. I felt easily irritable, and no matter how hard I tried, my mind kept wandering, making it impossible to ...
Dr. Cai Zongzhang reply Neurology
Hello: It is recommended to visit the neurology outpatient clinic for an examination.[Read More] Struggling with Sleep: Understanding Restless Legs and Anxiety
Sudden Dizziness and Weakness: Could It Be Epilepsy?
Dizziness and weakness in the limbs? Hello doctor, I suddenly felt dizzy and weak all over while walking, and I lost control of my body, almost losing consciousness. During this episode, I felt twitching at the junction of my neck and head (but there was no twitching in my limbs)...
Dr. Cai Zongzhang reply Neurology
Hello: The symptoms mentioned are not indicative of epilepsy; they are suspected to be related to orthostatic hypotension. It is recommended to visit a neurology outpatient clinic.[Read More] Sudden Dizziness and Weakness: Could It Be Epilepsy?
Understanding Persistent Headaches: Causes and When to Seek Help
Persistent headache Hello doctor, I have been experiencing persistent headaches since May 31, and they continue to occur even now. Although there are times when I feel some relief, there is always a strange sensation. The headaches are continuous, but the intensity does not feel ...
Dr. Cai Zongzhang reply Neurology
Hello: There are many causes of headaches, most of which are not due to tumors. If the headache persists, it is recommended to continue evaluations in a neurology outpatient clinic.[Read More] Understanding Persistent Headaches: Causes and When to Seek Help
Understanding Eyelid Twitches: Causes and Treatment Options
Eyelid issues Hello, doctor. Since I can remember, every time I chew with my mouth, my upper eyelid twitches continuously, and the frequency matches the movement of my jaw. I couldn't find similar information online. Could you please tell me what this symptom is and if there...
Dr. Cai Zongzhang reply Neurology
Hello: The symptoms mentioned may indicate a facial nerve disorder, and it is recommended to visit a neurology outpatient clinic.[Read More] Understanding Eyelid Twitches: Causes and Treatment Options
Understanding Widespread Numbness and Tingling: Possible Causes and Insights
Generalized body pain? Hello, I started experiencing numbness from the soles of my feet to my upper body about two weeks ago. This has now extended to my face, including my eyes, throat, tongue, and lips. I have intermittent numbness and tingling throughout my entire body. The nu...
Dr. Cai Zongzhang reply Neurology
Hello: It is recommended to continue follow-up treatment in the neurology department.[Read More] Understanding Widespread Numbness and Tingling: Possible Causes and Insights
Understanding Right Shoulder Blade Pain and Numbness: Causes and Solutions
Numbness and pain in the lower right scapula? The symptoms are located near the far right side and persist even after receiving treatment at a martial arts clinic. The numbness is not constant; it was only occasionally present during work a couple of days ago, but today it occurs...
Dr. Cai Zongzhang reply Neurology
Hello: The symptoms mentioned may be caused by cervical nerve root compression. It is recommended to visit a neurologist for a detailed examination.[Read More] Understanding Right Shoulder Blade Pain and Numbness: Causes and Solutions
Understanding Anxiety and Neurological Symptoms: MS or Autonomic Dysfunction?
Multiple Sclerosis / Autonomic Nervous System Dysregulation Hello, doctor. I have been feeling very anxious lately due to symptoms such as dizziness, palpitations, elevated body temperature, a sensation of something stuck in my throat, and difficulty breathing that appeared a few...
Dr. Cai Zongzhang reply Neurology
Hello: It is recommended to consult a neurologist for an examination.[Read More] Understanding Anxiety and Neurological Symptoms: MS or Autonomic Dysfunction?
Understanding the Connection: Symptoms of Neck Pain and Head Pressure
Pressure sensation in the back of the head? Hello Doctor, I have been experiencing severe pain in the back of my neck due to cervical traction and electrical therapy during rehabilitation. I consulted a neurologist and underwent an MRI, which showed no signs of compression or bon...
Dr. Cai Zongzhang reply Neurology
Hello: It is recommended to maintain proper neck posture, which can improve the aforementioned symptoms. Continuing rehabilitation is advised.[Read More] Understanding the Connection: Symptoms of Neck Pain and Head Pressure
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 Neurology
Hello: It is recommended to visit the neurology outpatient clinic.[Read More] Understanding Upper Abdominal Pain: Neurological Insights and Treatment
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 Neurology
Hello: Arrange for blood tests and autonomic nerve conduction studies.[Read More] Understanding Autonomic Neuropathy: Diagnosis and Testing Options