Understanding Dizziness and Mild Headaches: A Neurological Perspective
Dizziness and mild headache? Hello Doctor, I started experiencing symptoms of dizziness and lightheadedness in May. I visited an ENT clinic, but it was ineffective. Then I went to Chi Mei Hospital's ENT department, where I underwent tests including a posturography, pure tone...
Dr. Cai Zongzhang reply Neurology
Hello: Based on the symptoms mentioned, if the ENT examination is normal, it is recommended to visit a neurology outpatient clinic.[Read More] Understanding Dizziness and Mild Headaches: A Neurological Perspective
Understanding Arm Muscle Pain and Tremors: Possible Neurological Causes
Arm muscle tenderness and tremors? Hello doctor, I currently have the following symptoms and would like to ask about possible causes: 1. When I raise both arms, I often feel soreness in my hands. When holding my phone with one hand, my hand shakes slightly. My fingers tremble w...
Dr. Cai Zongzhang reply Neurology
Hello Mr. Wang: Based on the symptoms mentioned, it is recommended to visit the neurology outpatient clinic (please bring your MRI results).[Read More] Understanding Arm Muscle Pain and Tremors: Possible Neurological Causes
Understanding Lower Eyelid Twitching: Causes and Solutions
Lower eyelid twitching? The left lower eyelid twitches slightly when drinking water, and it stops after finishing. Later, I noticed that when I forcefully flare my left nostril, the twitching of the left lower eyelid becomes more pronounced, but it stops when I relax the nostril....
Dr. Cai Zongzhang reply Neurology
Hello Hebe: Based on the symptoms mentioned, it may be a left-sided facial nerve lesion. It is recommended to visit a neurology outpatient clinic.[Read More] Understanding Lower Eyelid Twitching: Causes and Solutions
Understanding Neck Ultrasound Results: Hypoplasia of the Left Vertebral Artery
Neck ultrasound examination Hello Doctor, I recently underwent a neck ultrasound examination, and the results indicated decreased flow volume and small caliber at the left vertebral artery (VA), suggesting hypoplasia. The diameter of the right/left VA (mm) is 3.5/-. Upon further ...
Dr. Cai Zongzhang reply Neurology
Hello Jim: According to the above report, there is a significant difference in the diameter of the left vertebral artery compared to previous examinations. It is recommended to schedule an earlier follow-up appointment to discuss your condition with the physician.[Read More] Understanding Neck Ultrasound Results: Hypoplasia of the Left Vertebral Artery
Can Zinc Supplements Help with Appetite Issues in Epilepsy Patients?
Zinc for epilepsy medication? Dear Doctor: I usually take Lamictal due to a diagnosis of poor appetite. Can I supplement with zinc? Some articles mention that excessive zinc should be avoided in epilepsy. Since there is still some time until my next appointment, I would like to a...
Dr. Cai Zongzhang reply Neurology
Hello, Xi Xi: Nutritional intake should be balanced, and one should avoid excessive consumption of a single component. It is recommended to use according to the suggested dosage and not to exceed it.[Read More] Can Zinc Supplements Help with Appetite Issues in Epilepsy Patients?
Understanding Sudden Left-Sided Head Pain: Possible Causes and Concerns
Left-sided headache? Hello Doctor, I apologize for the interruption. I'm not sure if it's related to my late sleeping schedule a couple of days ago, but for the past two days, I've been experiencing sudden sharp pains on the left side of my head, like an electric s...
Dr. Cai Zongzhang reply Neurology
Hello Andy: Insufficient sleep can easily lead to headaches or trigeminal neuralgia. It is recommended to take appropriate rest, and if symptoms persist, please visit a neurology clinic.[Read More] Understanding Sudden Left-Sided Head Pain: Possible Causes and Concerns
Understanding Persistent Insomnia: When to See a Neurologist
Insomnia has persisted since June 5th? Hello Doctor: I am an office worker who usually engages in weight training. Last month, on June 5th, I suddenly developed insomnia that has persisted until now. I am unable to sleep at night, and I also cannot take a nap during the day. Init...
Dr. Cai Zongzhang reply Neurology
Hello Tina: Based on the symptoms mentioned, it is recommended to visit a neurology outpatient clinic for an examination.[Read More] Understanding Persistent Insomnia: When to See a Neurologist
Is It Autonomic Nervous System Disorder? Understanding Your Symptoms
Could this be classified as autonomic nervous system dysfunction? Hello, doctor. I am 23 years old, with a height of 157 cm and a weight of 65 kg. (Personal experience: I have had nasal allergies since childhood, but the condition has not been severe as I grew up, experiencing oc...
Dr. Cai Zongzhang reply Neurology
Hello J: Based on the symptoms mentioned, it is recommended to visit an otolaryngologist to check if nasal issues are causing difficulty in ventilation. The symptoms described are not caused by autonomic nervous system disorders, and regular exercise may help improve the conditio...[Read More] Is It Autonomic Nervous System Disorder? Understanding Your Symptoms
Understanding Chronic Fatigue: Causes and Solutions for Brain Fog
Feeling fatigued no matter what you do? Doctor, I sleep at least 8 hours every day. Usually, when I wake up in the morning, I don't feel refreshed. Sometimes on my days off, even after sleeping for 8 or 9 hours, I still feel very sleepy and can't go back to sleep. In th...
Dr. Cai Zongzhang reply Neurology
Hello Junjun: Based on the symptoms mentioned, it is recommended to first visit a family medicine clinic to check for any thyroid disorders. If none are found, it is advised to continue exercising to strengthen cardiovascular function, which can enhance physical stamina.[Read More] Understanding Chronic Fatigue: Causes and Solutions for Brain Fog
Understanding Chest Discomfort: Causes and Concerns for Nighttime Symptoms
Chest tightness and a feeling of pressure, with sudden episodes of anxiety, rapid heartbeat, and shortness of breath occurring before sleep in the early morning or at midnight, leading to awakening? Two years ago, I visited a cardiologist and underwent X-rays and an electrocardio...
Dr. Cai Zongzhang reply Neurology
Hello Mr. Wei: The symptoms mentioned may be indicative of a autonomic nervous system disorder. It is recommended that you visit a neurology outpatient clinic for an examination.[Read More] Understanding Chest Discomfort: Causes and Concerns for Nighttime Symptoms
Understanding Body Tremors: When to Seek Medical Attention
Body tremors Hello doctor, yesterday while I was sleeping, I suddenly noticed that the left side of my body and my left hand were trembling. I was abruptly awakened by the shaking, and the symptoms lasted for several seconds. After waking up, I found that the entire left upper ha...
Dr. Cai Zongzhang reply Neurology
Hello, Song: The symptoms mentioned above may indicate a neurological disorder. It is recommended to visit a neurology outpatient clinic for examination.[Read More] Understanding Body Tremors: When to Seek Medical Attention
Weight Gain from Medication: Struggling to Lose After Switching Drugs
Medication-induced weight gain can be a concern, and even after switching medications, some individuals may struggle to lose weight? Due to schizophrenia, I have been on medication for a year now. Initially, I gained 25 kilograms because of the side effects. In the middle of my t...
Dr. Cai Zongzhang reply Neurology
Hello, Youyou: The symptoms mentioned above are not caused by a neurological disorder. It is recommended that you discuss medication with the psychiatrist who is treating you for schizophrenia.[Read More] Weight Gain from Medication: Struggling to Lose After Switching Drugs
Understanding Groin Pain: Causes and Treatment Options for Nerve Issues
Inguinal pain accompanied by burning and weakness in the inner thigh and spermatic cord? Hello, Doctor. About 2-3 years ago, I started experiencing dull pain in the right inguinal region, which radiates to the right side of the scrotum and causes a burning sensation on the inner ...
Dr. Cai Zongzhang reply Neurology
Hello Mr. Chen: The symptoms mentioned may be indicative of neuropathic pain. It is recommended that you visit a neurology outpatient clinic for further evaluation to determine the cause.[Read More] Understanding Groin Pain: Causes and Treatment Options for Nerve Issues
Understanding Trigeminal Neuralgia: Symptoms and Treatment Options
Trigeminal Neuralgia Hello, doctor: I have a dull, tingling pain in the back of my neck and on my cheeks. It feels sharp and sore. What should I do about trigeminal neuralgia?
Dr. Cai Zongzhang reply Neurology
Hello, Avi: The symptoms mentioned are indicative of neuropathic pain, which can have various causes. It is recommended that if the symptoms do not improve with adequate rest, you should visit a neurology outpatient clinic.[Read More] Understanding Trigeminal Neuralgia: Symptoms and Treatment Options
Understanding Non-Specific Dizziness: Symptoms and Next Steps
Non-specific dizziness has multiple symptoms? Hello, doctor. I have been experiencing dizziness for a month. It started a month ago due to academic pressure, but even though the pressure has decreased, the dizziness persists. I have seen both a neurologist and an ENT specialist, ...
Dr. Cai Zongzhang reply Neurology
Hello Mr. Wang: There are many possible causes for headaches and dizziness, most of which fall under the specialties of neurology or otolaryngology. If the symptoms persist without improvement, you may consider visiting a second neurologist for an evaluation of potential underlyi...[Read More] Understanding Non-Specific Dizziness: Symptoms and Next Steps
Understanding Hand Tremors: When to Seek Neurological Help
Tremor issues? My son experiences involuntary hand tremors when he holds a coffee cup and puts it into a bag. We took him for an examination, and there were no thyroid issues. The doctor mentioned that this is a primary issue. His father feels that this is unusual since our son d...
Dr. Cai Zongzhang reply Neurology
Hello, Xiao Zhen: It is recommended to visit the neurology outpatient clinic for an examination.[Read More] Understanding Hand Tremors: When to Seek Neurological Help
Should You Visit the ER for Severe Headaches and Nausea?
Do headaches, vomiting, and chest pain require a visit to the emergency room for evaluation? Hello Doctor, I would like to ask about the symptoms I started experiencing a few days ago. I have been having intermittent headaches, and after seeing a doctor, I was told it might be du...
Dr. Cai Zongzhang reply Neurology
Hello, Xiao Hao: If your headache continues to worsen and does not improve with rest, it is recommended to visit a neurology outpatient clinic.[Read More] Should You Visit the ER for Severe Headaches and Nausea?
Persistent Numbness in Right Big Toe After Injury: Causes and Solutions
Toe issues with numbness upon touch or pressure? Six months ago, an object fell and pressed on my right big toe, causing no external injury or bruising. I experienced pain for a few days, and while walking, I didn't feel much discomfort. However, when I pressed on the big to...
Dr. Cai Zongzhang reply Neurology
Hello Lin: The symptoms mentioned above are likely caused by nerve damage in the right thumb. It is recommended to visit a neurology clinic for examination and treatment.[Read More] Persistent Numbness in Right Big Toe After Injury: Causes and Solutions
Feeling Breathless Before Sleep: Understanding Sleep Disruptions
Waking up feeling like you've forgotten to breathe just as you're about to fall asleep? For the past couple of days, I've been experiencing a sensation of forgetting to breathe just as I'm about to fall asleep. I wake up briefly, feel alert for a while, and th...
Dr. Cai Zongzhang reply Neurology
Hello, the symptoms mentioned may indicate sleep apnea; however, there are other potential causes. It is recommended to visit a neurology outpatient clinic.[Read More] Feeling Breathless Before Sleep: Understanding Sleep Disruptions
Misaligned Lips: Which Specialist to Consult for Treatment?
Facial asymmetry with misaligned lips? Hello, doctor. When I graduated from junior high school, my portrait showed that my lips were noticeably misaligned, with my lower lip shifted to the right. Now that I'm in my second year of college, I had a dental check-up, and my bite...
Dr. Cai Zongzhang reply Neurology
Hello, V. It is recommended to visit the neurology outpatient clinic to check for any facial nerve disorders.[Read More] Misaligned Lips: Which Specialist to Consult for Treatment?