Understanding Sharp Pain Under Right Rib: When to Seek Medical Help
Sharp pain between the right chest and the ribs? Hello, doctor. I experience intermittent sharp pain at the junction of my ring finger and palm, as well as between my right chest and ribs. It feels like being pricked by a needle, and often occurs simultaneously. The pain lasts ab...
Dr. Cai Zongzhang reply Neurology
Hello Rachel: The symptoms mentioned may indicate a cervical spine nerve disorder. It is recommended to visit a neurology clinic for an examination to confirm the cause.[Read More] Understanding Sharp Pain Under Right Rib: When to Seek Medical Help
Understanding Blood Pressure Issues: Insights on Medication and Autonomic Dysfunction
Inquiry Consultation Dear Dr. Tsai, My mother is 68 years old and has been experiencing blood pressure issues since last year. Initially, she would feel palpitations, with her blood pressure rising to 200/100 mmHg, accompanied by symptoms such as shortness of breath, instability...
Dr. Cai Zongzhang reply Neurology
Hello: Blood pressure measurements are the basis for hypertension treatment, so it is very important to measure blood pressure correctly. Blood pressure should be measured after a period of rest, and one should not become anxious about high blood pressure, as this can affect the ...[Read More] Understanding Blood Pressure Issues: Insights on Medication and Autonomic Dysfunction
Understanding MRI Results: Implications of Cerebral Leukoaraiosis and Ischemic Changes
The MRI findings suggest suspected ischemic lesions in both cerebral hemispheres? Hello Dr. Tsai: I have been experiencing severe headaches intermittently since the year before last, with varying frequency. Most of the time, I manage the pain with acetaminophen. Earlier this year...
Dr. Cai Zongzhang reply Neurology
Hello, Aikes: The aforementioned MRI report indicates that small vessel degeneration in the brain has led to ischemic changes, which are lesions caused by reduced blood flow resulting in localized brain tissue ischemia. The common causes of small vessel diseases in the brain are ...[Read More] Understanding MRI Results: Implications of Cerebral Leukoaraiosis and Ischemic Changes
Understanding Multiple Sclerosis: Symptoms, Diagnosis, and Brain Wave Tests
Multiple Sclerosis I would like to ask that at the beginning of this month, I felt discomfort in my eyes and visited several doctors who all said it was eye fatigue but noted that my intraocular pressure was elevated. Following that, I experienced symptoms of heaviness in my head...
Dr. Cai Zongzhang reply Neurology
Hello, based on the symptoms mentioned, it cannot be definitively determined as multiple sclerosis. It is recommended to visit a neurologist for further evaluation and testing.[Read More] Understanding Multiple Sclerosis: Symptoms, Diagnosis, and Brain Wave Tests
Understanding Right Calf Numbness and Burning Sensation: Causes and Insights
Numbness in the right calf? About two months ago, I accidentally touched the outer side of my right thigh, and I felt a tingling sensation on the outer side of my right calf. Recently, I have also been experiencing a slight burning sensation.
Dr. Cai Zongzhang reply Neurology
Hello Mr. Tsai: Based on the above, the symptoms have persisted for 2 months. It is recommended to visit a neurologist for further evaluation to determine the underlying cause.[Read More] Understanding Right Calf Numbness and Burning Sensation: Causes and Insights
Understanding the Tingling Sensation When Relaxing: A Neurological Perspective
Relaxation of the body can lead to a tingling sensation? I don't know when it started, but whenever I relax, I experience a sensation of goosebumps and a tingling feeling that spreads from my body to my limbs, and sometimes even to my head. This sensation occurs frequently w...
Dr. Cai Zongzhang reply Neurology
Hello: The above symptoms are suggestive of a neurological disorder. It is recommended to visit a neurology outpatient clinic for an examination to determine the cause.[Read More] Understanding the Tingling Sensation When Relaxing: A Neurological Perspective
Understanding Finger Numbness: Could It Be Autonomic Nervous Dysfunction?
Numbness in the fingers? When pressing on the right index finger, there is a tingling sensation on the side close to the thumb. The thumb and middle finger also experience some sensation, but not as pronounced as the index finger. However, there is no sensation when not pressing....
Dr. Cai Zongzhang reply Neurology
Hello: The finger symptoms are consistent with carpal tunnel syndrome. It is recommended to visit another neurology clinic to check for other potential conditions.[Read More] Understanding Finger Numbness: Could It Be Autonomic Nervous Dysfunction?
Should You See a Neurologist for Eye Flashing and Floaters?
Eye problems Hello, doctor. Last month, I visited an ophthalmologist due to floaters and underwent a dilated eye exam, which showed a normal retina. Recently, I've been experiencing regular flashes of light (more noticeable at night), along with occasional brief flashes rese...
Dr. Cai Zongzhang reply Neurology
Hello: For the above symptoms, it is recommended to visit a neurology outpatient clinic for examination to confirm the cause.[Read More] Should You See a Neurologist for Eye Flashing and Floaters?
Could My Symptoms Indicate Amyotrophic Lateral Sclerosis?
Am I at risk of developing amyotrophic lateral sclerosis (ALS)? Hello doctor, I have been experiencing difficulty swallowing since the beginning of this year, and when I speak, it feels like something is stuck in my nose, causing me to be unable to produce certain sounds. Could t...
Dr. Cai Zongzhang reply Neurology
Hello: Based on the symptoms mentioned, the cause cannot be determined. It is recommended to visit a neurology outpatient clinic for further evaluation.[Read More] Could My Symptoms Indicate Amyotrophic Lateral Sclerosis?
Can You Transmit Meningitis After Recovery? Understanding Symptoms and Risks
Is there a possibility of transmitting meningitis to others after recovery? Does meningitis always present with symptoms? Additionally, if someone recovers from it, is there still a risk of transmission? Recently, my girlfriend learned during her examination that she had previous...
Dr. Cai Zongzhang reply Neurology
Hello: Meningitis can be classified into infectious and non-infectious types. Non-infectious meningitis is not contagious. In mild cases of meningitis, symptoms may be subtle, leading patients to believe that no examination is necessary, and thus they may overlook it. Severe case...[Read More] Can You Transmit Meningitis After Recovery? Understanding Symptoms and Risks
Understanding Scalp Tingling: Causes and Concerns in Neurology
Scalp tingling? Hello, doctor. Today, after writing with my head down for about an hour, I lifted my head to grab something and felt a sudden tingling sensation in the back left side of my scalp. This is the first time I've experienced this situation. Could you please tell m...
Dr. Cai Zongzhang reply Neurology
Hello: Prolonged head-down posture can easily lead to cervical nerve root compression pain.[Read More] Understanding Scalp Tingling: Causes and Concerns in Neurology
Understanding Sleep Disorders: When Stress Affects Your Rest
Sleep issues Hello, doctor. Last night, I felt very hot in the middle of my sleep, so I instinctively reacted by trying to get up to find the remote control for the fan. However, I actually don't have a fan or a remote control for one at home, and I didn't dream about a...
Dr. Cai Zongzhang reply Neurology
Hello YY: The above symptoms are suspected to be caused by insufficient sleep. If there is no improvement after rest, it is recommended to visit a neurology outpatient clinic.[Read More] Understanding Sleep Disorders: When Stress Affects Your Rest
Numbness in the Left Foot: Understanding Neurological Symptoms
Numbness in the dorsal aspect of the left foot? The entire dorsum of my left foot has felt a bit strange for an unknown period. I still have sensation in that area, and there is no tingling when I don't touch it. However, when I touch or scratch it, the sensation feels diffe...
Dr. Cai Zongzhang reply Neurology
Hello Alice: The symptoms mentioned are suggestive of a left dorsum foot nerve disorder. It is recommended to visit a neurology outpatient clinic for examination.[Read More] Numbness in the Left Foot: Understanding Neurological Symptoms
Experiencing Visual Disturbances: Understanding Your Symptoms
Seeing objects shaking up and down? Hello, doctor. Recently, I suddenly feel like my house is shaking up and down, as if it is about to collapse. This sensation is especially severe at night in my bedroom, which is relatively small. Whenever I turn off the lights, the room seems ...
Dr. Cai Zongzhang reply Neurology
Hello, Wang Hsien: The symptoms mentioned above are suspected to be related to inner ear disorders. It is recommended to consult an otolaryngologist.[Read More] Experiencing Visual Disturbances: Understanding Your Symptoms
Struggling with Sleep: Breathing Issues and Unexplained Pain
Difficulty breathing during sleep? I have trouble falling asleep and when I do, it feels like I can't breathe, which wakes me up. I have a slight pain on the left side of my head, not very severe. I also experience chest tightness, lower back pain, and a dull ache in my back...
Dr. Cai Zongzhang reply Neurology
Hello, Xuan: Based on the symptoms mentioned above, it is recommended to visit the neurology and pulmonology outpatient clinics.[Read More] Struggling with Sleep: Breathing Issues and Unexplained Pain
Managing Post-Surgery Seizures: A Patient's Journey with Neurology
Hello, Dr. Tsai? Hello Dr. Tsai, I am doing well after my arteriovenous malformation surgery, but I occasionally experience seizures. Previously, I was taking 6 capsules of Levetiracetam and 2 capsules of Vimpat (total daily dosage). However, I still had a seizure last Monday and...
Dr. Cai Zongzhang reply Neurology
Hello Ms. Hsieh: After surgery for brain disorders, it is common to experience residual symptoms of epilepsy. Even with regular medication adherence, it can be challenging to achieve complete seizure control. The treatment goal is to reduce the frequency of seizures. It is recomm...[Read More] Managing Post-Surgery Seizures: A Patient's Journey with Neurology
Medication Consultation for Autonomic Nervous System Disorders
Medication Consultation Hello, Doctor: I would like to inquire about the use of medications for autonomic nervous system disorders. I have been taking Xanax and Mirtazapine for about a month. I take Xanax at least 1 to 3 times a day during panic attacks, and I take half a tablet ...
Dr. Cai Zongzhang reply Neurology
Hello: The side effects of Clomipramine may not occur in every patient taking the medication, so it is advisable to discuss this further with your physician.[Read More] Medication Consultation for Autonomic Nervous System Disorders
Concerns About Drug Interactions: Lyrica and Circulating Medications
Please provide information regarding the drug interactions between medications used for fibromyalgia and cyclobenzaprine? Hello, Dr. Tsai. I would like to ask about my fibromyalgia issue. My doctor prescribed me Lyrica to take one capsule every night, but my family is concerned a...
Dr. Cai Zongzhang reply Neurology
Hello, Ms. Kuo: Circulin is a medication for peripheral circulation. It is essential to have a physician evaluate and confirm that the underlying cause is due to circulatory disorders before taking this medication. Please do not self-medicate.[Read More] Concerns About Drug Interactions: Lyrica and Circulating Medications
Dizziness and Numbness: Understanding Neurological Symptoms
Dizziness and numbness in both hands? Hello doctor, I experienced a situation that made me very agitated and loud. During that process, I suddenly felt dizzy and my hands became numb. After calming down, I felt much better, but since then, I occasionally experience dizziness, and...
Dr. Cai Zongzhang reply Neurology
Hello, Chen: If the above symptoms persist without improvement, it is recommended to visit a neurology outpatient clinic for evaluation.[Read More] Dizziness and Numbness: Understanding Neurological Symptoms
Understanding Nerve Pain: Causes and Treatment Options
Is it neuropathic pain? Hello, doctor: I accidentally strained my left ear, and now it hurts. Is this nerve pain? I also feel a tingling and sharp pain in my left cheek, in front of my ear, under my jaw, and in my neck. What should I do? What could be the cause? Which specialist ...
Dr. Cai Zongzhang reply Neurology
Hello: The symptoms mentioned may be indicative of neuropathic pain caused by nerve damage. If the symptoms persist without improvement, it is recommended to consult a neurologist for further evaluation.[Read More] Understanding Nerve Pain: Causes and Treatment Options