Exploring the Connection Between Tinnitus and Neck Muscle Tension
I would like to ask a very peculiar question regarding the relationship between tinnitus and neck muscles? Hello Doctor: About a month ago, I suddenly experienced tinnitus in my left ear. I subsequently underwent hearing tests, tympanometry, and nasopharyngoscopy at two major hos...
Dr. Cai Zongzhang reply Neurology
Hello MK: Based on the symptoms mentioned, it is recommended to schedule a carotid ultrasound examination with a neurologist.[Read More] Exploring the Connection Between Tinnitus and Neck Muscle Tension
Understanding Neck Ultrasound Results: What Your Report Means
Neck ultrasound examination? Hello Doctor, since August of this year, I have been experiencing a series of physical discomforts. I have undergone many tests, and I frequently have pain in my shoulders and neck, along with numbness in my left hand. Recently, I have also experience...
Dr. Cai Zongzhang reply Neurology
Hello Serein: Based on the symptoms mentioned, it is suggested that there may be conditions related to cervical spine or intracranial vascular diseases. It is recommended to visit a neurologist for a detailed examination to determine the cause.[Read More] Understanding Neck Ultrasound Results: What Your Report Means
Am I Experiencing Epilepsy or a Brain Tumor? Understanding My Symptoms
Do I have epilepsy? Could I possibly have a brain tumor? Hello Doctor, I have two questions to ask you, regarding headaches and epilepsy. Most importantly, I am very worried that I might have a brain tumor or something similar, and I hope to receive some advice. Regarding epile...
Dr. Cai Zongzhang reply Neurology
Hello, Student C: The symptoms mentioned may be related to sleep apnea. It is recommended to visit a neurologist for a detailed examination to determine the underlying cause.[Read More] Am I Experiencing Epilepsy or a Brain Tumor? Understanding My Symptoms
Understanding Neck Pain: Causes, Symptoms, and Relief Strategies
Neck pain Hello Doctor, for the past month, I have been experiencing soreness when tilting my neck backward and downward to the left. When I touch the painful area, it is located on the left side of my neck, and while I can't pinpoint a specific spot on the back, there is a ...
Dr. Cai Zongzhang reply Neurology
Hello: The symptoms mentioned are related to prolonged poor posture of the neck and upper arms during work. It is recommended to visit a neurology clinic for examination and further treatment recommendations.[Read More] Understanding Neck Pain: Causes, Symptoms, and Relief Strategies
Understanding Involuntary Muscle Twitches: Causes and Solutions
Involuntary muscle twitching? Hello, doctor! Recently, I have been experiencing occasional muscle twitching and facial spasms. It feels like my face is on the verge of twitching, causing discomfort, particularly around the area near my eye socket close to my nose and the masseter...
Dr. Cai Zongzhang reply Neurology
Hello, if the above symptoms persist despite adequate rest and sleep, it is recommended to visit a neurology outpatient clinic for evaluation.[Read More] Understanding Involuntary Muscle Twitches: Causes and Solutions
Understanding Sleep Disorders: Involuntary Movements During Sleep
Sleep issues Hello, doctor. I would like to ask about a recent experience during sleep where I feel like my hands are moving on their own in a half-awake, half-asleep state. I am unable to control these movements, and sometimes when there are objects nearby, I feel as if I am pic...
Dr. Cai Zongzhang reply Neurology
Hello: It is recommended to visit a neurologist to investigate the possible causes of the symptoms mentioned above.[Read More] Understanding Sleep Disorders: Involuntary Movements During Sleep
Post-COVID Weakness: Understanding Neurological Symptoms and Recovery
Weakness in the limbs after diagnosis? Dear Dr. Tsai, During my diagnosis on September 2, I experienced weakness in my limbs, which gradually evolved into weakness only when exerting force. I can normally pick up objects, but I have noticed that when performing fine motor tasks,...
Dr. Cai Zongzhang reply Neurology
Hello, Miss Jian: The symptoms mentioned above may be indicative of a peripheral neuropathy. It is recommended to consult a neurologist for further evaluation.[Read More] Post-COVID Weakness: Understanding Neurological Symptoms and Recovery
Is Methylcobalamin Safe for Seniors? Risks and Side Effects Explained
Methycobal Hello, Dr. Tsai! My mother is 90 years old and regularly takes medication for heart disease and hypertension, as well as vitamins and fish oil supplements. However, friends and relatives have been giving her additional medications without any reason, and she has been t...
Dr. Cai Zongzhang reply Neurology
Hello Ms. Wang: Methylcobalamin is a high-dose form of vitamin B12, which is water-soluble and can be purchased and taken without a doctor's prescription. This medication should only be taken in cases of vitamin B12 deficiency to be effective. Please have a doctor evaluate t...[Read More] Is Methylcobalamin Safe for Seniors? Risks and Side Effects Explained
Which Specialist Should You See for Persistent Dizziness and Pain?
Which specialty should I see? Hello doctor, I would like to ask about my condition: I have been experiencing noticeable dizziness 24 hours a day for the past few days, and since yesterday, I have been feeling a distinct swelling and pain in the back right side of my head. My brea...
Dr. Cai Zongzhang reply Neurology
Hello: It is recommended to consult both an otolaryngologist and a neurologist for the above symptoms.[Read More] Which Specialist Should You See for Persistent Dizziness and Pain?
Understanding Neurological Disorders: Symptoms and Concerns Explained
Neurodisorder Hello Doctor, my recent condition is as follows: On the night of November 2nd, I experienced tinnitus and dizziness. On the morning of November 3rd, I woke up with muscle cramps and palpitations, and I began to feel numbness in my tongue. On the night of November 6t...
Dr. Cai Zongzhang reply Neurology
The above symptoms are related to dysfunction of the right facial nerve. It is recommended to visit a neurology outpatient clinic for examination and treatment.[Read More] Understanding Neurological Disorders: Symptoms and Concerns Explained
Understanding the Differences Between Sleep Aids, Sedatives, and Sleeping Pills
What is the difference between sleep aids, sedatives, and hypnotics? Are the above three medications classified as prescription drugs that can only be prescribed by a physician? What are the differences in their ingredients? Do over-the-counter sleep aid supplements qualify as sl...
Dr. Cai Zongzhang reply Neurology
Sedatives and hypnotics have similar pharmacological effects, but they differ in dosage and potency. These types of medications are classified as controlled substances and can only be prescribed by a physician. Over-the-counter sleep aids are not classified as medications, and th...[Read More] Understanding the Differences Between Sleep Aids, Sedatives, and Sleeping Pills
Understanding Facial Twitching: Risks and Treatment Options
Facial twitching or facial spasms? Is there a danger if the facial muscles are constantly twitching? How should it be treated? A friend told me that continuous facial twitching could harm the brain nerves. Thank you.
Dr. Cai Zongzhang reply Neurology
There are various possible causes for involuntary facial muscle twitching. If the symptoms persist and do not improve, it is recommended to visit a neurology clinic for evaluation.[Read More] Understanding Facial Twitching: Risks and Treatment Options
Understanding Facial Tics: Risks and Neurological Implications
Involuntary facial twitching and facial spasms? Involuntary facial twitching of the facial nerve raises concerns about potential life-threatening conditions. Continuous twitching may not directly cause brain damage or lead to the death of brain neurons; however, it can be indicat...
Dr. Cai Zongzhang reply Neurology
There are various possible causes for involuntary facial muscle twitching. If the symptoms persist and do not improve, it is recommended to consult a neurologist for an evaluation.[Read More] Understanding Facial Tics: Risks and Neurological Implications
Understanding Autonomic Nervous System Disorders and Trigeminal Neuralgia
Autonomic nervous system dysfunction, trigeminal neuralgia? Hello Doctor, my recent condition is as follows: On the night of November 2, I experienced tinnitus and dizziness. On the morning of November 3, I woke up with muscle cramps and palpitations, and I began to feel numbness...
Dr. Cai Zongzhang reply Neurology
The above symptoms are related to the function of the right facial nerve, and it is recommended to visit a neurology outpatient clinic for treatment.[Read More] Understanding Autonomic Nervous System Disorders and Trigeminal Neuralgia
Is My Recent Muscle Spasm a Sign of Epilepsy Relapse?
Previously, it was epilepsy caused by encephalitis? Hello, I had encephalitis in 2017 that led to epilepsy, and I was hospitalized and treated with medication until around 2020. I have been regularly following up with my doctor and have had no seizures, gradually tapering off the...
Dr. Cai Zongzhang reply Neurology
Hello Duoduo: Whether the above symptoms indicate a recurrence of epilepsy depends on whether they are similar to the previous epileptic symptoms. It is recommended to visit a neurologist for an EEG, which can provide a better assessment.[Read More] Is My Recent Muscle Spasm a Sign of Epilepsy Relapse?
Unusual Sensation in Left Pinky: Understanding Neurological Issues
My left pinky finger feels strange? While taking a shower, I suddenly noticed that my left pinky finger felt strange and uncoordinated, without any numbness or pain. When I extended my fingers, my right hand could easily touch my left pinky, but the left pinky couldn't smoot...
Dr. Cai Zongzhang reply Neurology
Hello: The symptoms mentioned may indicate a neurological or cervical nerve dysfunction. It is recommended to consult a neurologist for an evaluation to determine the underlying cause.[Read More] Unusual Sensation in Left Pinky: Understanding Neurological Issues
Left Hand Finger Coordination Issues While Typing: Possible Causes
Left hand finger coordination issues while using the keyboard? In the past two months, I have experienced a slight resistance sensation in my left hand fingers, particularly the index and middle fingers, when using the keyboard. While typing, my left hand unconsciously bends the ...
Dr. Cai Zongzhang reply Neurology
Hello: The symptoms mentioned are indicative of neurological dysfunction, and there could be various potential lesions. It is recommended to visit a neurology outpatient clinic for examination.[Read More] Left Hand Finger Coordination Issues While Typing: Possible Causes
Managing Medication for Diabetic Neuropathy: Key Considerations
Regarding the issue of discontinuing medication for neuropathy? Hello Dr. Tsai, I would like to ask about my father who has diabetes. About a month ago, he experienced discomfort with symptoms such as pain and cramps in his limbs, as well as headaches, and he visited a neurologis...
Dr. Cai Zongzhang reply Neurology
Hello Ms. Lin: If there is no pain, the anticonvulsant medication can be discontinued, and Methycobal, which is a high-dose vitamin B12, can be continued.[Read More] Managing Medication for Diabetic Neuropathy: Key Considerations
Understanding Muscle Cramps: Fibromyalgia and Dryness Symptoms Explained
Back muscle cramps Hello doctor, I have suddenly started experiencing muscle cramps that feel like someone is squeezing my fascia, and my arm and leg muscles are also twitching involuntarily. Three doctors have diagnosed me with fibromyalgia, and I have a dry mouth, raising suspi...
Dr. Cai Zongzhang reply Neurology
Hello Ms. Liu: It is recommended to consult with the Neurology and Rheumatology departments.[Read More] Understanding Muscle Cramps: Fibromyalgia and Dryness Symptoms Explained
Understanding Persistent Dizziness: Causes, Treatments, and Next Steps
Dizziness for two months, with fluctuations in severity? Hello Doctor: My condition began when I developed a stiff neck (twisted to the right) from sleeping while sitting, which caused dizziness with a spinning sensation and eye twitching when I moved. I could only lie flat in be...
Dr. Cai Zongzhang reply Neurology
Hello: Dizziness has not improved for two months; it is recommended to see a neurologist for a detailed examination.[Read More] Understanding Persistent Dizziness: Causes, Treatments, and Next Steps