Dizziness and Sweating After Drinking: A Neurological Concern
Dizziness and sweating after drinking alcohol? After eating a little and drinking two to three glasses of beer, I stood up to go outside to talk about fifteen to twenty minutes later, and suddenly felt dizzy, with my vision going blank and sweating profusely.
Dr. Gao Chunde reply Neurology
If subsequent episodes of recurrent dizziness occur with changes in head position, lasting from a few seconds to one or two minutes, it is likely related to benign paroxysmal positional vertigo (BPPV) associated with otoliths in the inner ear. Sometimes, it may gradually resolve ...[Read More] Dizziness and Sweating After Drinking: A Neurological Concern
Muscle Twitches and Aches: Understanding Causes and Solutions
Muscle twitching and soreness? Hello, doctor. For the past three to four weeks, I have been experiencing irregular muscle twitching, sometimes in my eyelids, mouth, calves, knees, and hands. Occasionally, there is soreness. I visited a clinic, and the doctor suggested that it mig...
Dr. Gao Chunde reply Neurology
Some benign muscle twitches are related to psychological stress and do not accompany muscle weakness. It is advisable to maintain a regular daily routine, reduce the intake of stimulants (such as tea or coffee), and spend some fixed time each week outdoors, preferably in nature, ...[Read More] Muscle Twitches and Aches: Understanding Causes and Solutions
Understanding Muscle Twitches: When to Worry About Neurological Issues
Muscle twitching Since June of last year, I have been experiencing twitching in my left eyelid. After a month of this, I visited a neurologist who prescribed muscle relaxants and Riluzole, asking me to observe the symptoms for two weeks before returning for a follow-up. During th...
Dr. Gao Chunde reply Neurology
In fact, muscle twitching is primarily associated with peripheral nerve and muscle issues in the field of neurology, and it is not easily linked to the central nervous system unless there is a confirmed problem with the peripheral nerves, and the lesions point to an invasion of t...[Read More] Understanding Muscle Twitches: When to Worry About Neurological Issues
Understanding Muscle Twitches and Heartbeat Sensations: A Neurology Perspective
Feeling the heartbeat when touching the body? Hello doctor, I have recently been experiencing muscle twitching (in my hands, feet, and face). It tends to improve when I relax, but it starts again after a while. My hands also get quite fatigued (especially when tying my hair), and...
Dr. Gao Chunde reply Neurology
It is recommended to schedule an appointment with a physician to check for hyperthyroidism, which only requires a blood test.[Read More] Understanding Muscle Twitches and Heartbeat Sensations: A Neurology Perspective
Understanding Subtle Facial Tics: A Neurological Perspective
Facial twitching The right side of my face feels like it's twitching, but there are no visible signs of twitching on the surface.
Dr. Gao Chunde reply Neurology
Sometimes, there are muscles that contract very slowly or only a small group of muscle fibers twitch, which may not be visible externally. This can also be influenced by the amount of subcutaneous tissue covering the muscles. Alternatively, it could be a sensory nerve experiencin...[Read More] Understanding Subtle Facial Tics: A Neurological Perspective
Concussion Concerns: Neck Tightness After Head Injury Explained
Concussion or Stroke!? Hello, I bumped my head last week and saw a doctor who diagnosed me with a mild concussion. However, after 8 days, I am experiencing tightness in the area just below my right earlobe, down to my chin and right cheek. Is this normal? I'm concerned there...
Dr. Gao Chunde reply Neurology
The area from the lower part of the right ear, extending to the neck and right cheek, is innervated by a peripheral nerve known as the greater auricular nerve. This nerve branches from the cervical plexus and is responsible solely for sensation, lacking any motor function. Occasi...[Read More] Concussion Concerns: Neck Tightness After Head Injury Explained
Understanding Left Leg Cramps: Causes, Symptoms, and Solutions
Left foot cramp? Hello, doctor. Recently, I've been experiencing intermittent sharp pains in my left foot that last only a moment, after which my foot feels weak. Sometimes, the symptoms change over time and manifest as pain in the back of my head, which feels similar. Usual...
Dr. Gao Chunde reply Neurology
These symptoms can certainly be attributed to exam stress and irregular sleep patterns. It's important to maintain a balanced diet and limit the intake of stimulants such as coffee and caffeinated teas. However, if we consider all the symptoms collectively, we cannot complet...[Read More] Understanding Left Leg Cramps: Causes, Symptoms, and Solutions
Unconscious Neck Twitches: Understanding Stress and Muscle Tension
Unconscious twitching? When I feel tension and pressure in my neck, it involuntarily twitches. This started in high school when I switched classes and began to meet new classmates. In class or in social situations, I put pressure on myself, and when my neck feels sore, I don’t im...
Dr. Gao Chunde reply Neurology
It is a type of involuntary movement characterized by neck spasms, typically manifesting during elementary school years, with symptoms gradually easing in adolescence. If there are multiple areas of motor tics or complex movements accompanied by involuntary sounds or inappropriat...[Read More] Unconscious Neck Twitches: Understanding Stress and Muscle Tension
Understanding Numbness and Tingling in the Right Pinky Toe
The little toe on the right foot feels numb? Hello, I live in Australia and I have to stand for long hours at work. For the past three days, I have been experiencing numbness in my little toe, and I have tried applying heat to my right foot. The entire foot feels fine, but the li...
Dr. Gao Chunde reply Neurology
Yes, there is compression of the lateral plantar nerve. Since it is a distal nerve, standard nerve conduction studies may not detect it. The improvement methods include avoiding further compression of the lateral plantar area, applying heat and massage regularly, and supplementin...[Read More] Understanding Numbness and Tingling in the Right Pinky Toe
Understanding Numbness in the Right Big Toe: When to See a Specialist
Numbness in the big toe without pain sensation? Hello, Doctor Gao. Recently, the outer side of my right big toe has been in a state of numbness. I haven't bumped it or been bitten by any insects. It doesn't hurt when I press on it, and there are no wounds. This has been...
Dr. Gao Chunde reply Neurology
It is likely that there is an issue with the medial plantar nerve's branch to the big toe. Since it is a distal nerve, it is generally difficult to detect through standard nerve conduction studies. This condition is usually due to post-compression changes, particularly from ...[Read More] Understanding Numbness in the Right Big Toe: When to See a Specialist
Understanding Migratory Pain During Sleep: A Neurological Perspective
Experiencing body pain while sleeping? Hello, Doctor: I experience "migratory" pain throughout my body while sleeping (in my head, neck, hands, feet, body, and groin). The pain shifts around (it hurts in one area for a moment, then disappears when I touch it, and then i...
Dr. Gao Chunde reply Neurology
There are generalized sensory abnormalities that are migratory in nature, but they tend to resolve on their own with some sensory feedback, occurring during sleep. It is agreed that this is a central nervous system dysfunction, but I am unable to provide a definitive diagnosis at...[Read More] Understanding Migratory Pain During Sleep: A Neurological Perspective
Understanding Sudden Severe Head Pain: Causes and Concerns
Sudden severe pain on the right side of the head. Please continue with your questions? Hello, doctor. I am the person who asked about "sudden severe pain on the right side of the head" on May 18. Thank you, Dr. Gao, for your response. I would like to continue asking: af...
Dr. Gao Chunde reply Neurology
There are two common types of headaches. The first is characterized by tightness in the eyes and head, with tenderness upon applying pressure to the affected area; this is known as tension-type headache. The second type involves nausea and a throbbing pain that worsens with movem...[Read More] Understanding Sudden Severe Head Pain: Causes and Concerns
Sudden Severe Pain on Right Side of Head: Possible Causes and Next Steps
Sudden severe pain on the right side of the head? Hello, doctor. Around 7 PM today, while I was using the computer, I suddenly experienced a sharp pain on the right side of my head near the temple (it was instantaneous). The pain was so intense that I couldn't describe it, b...
Dr. Gao Chunde reply Neurology
The sudden and intense pain is generally more akin to neuropathic pain. As for the flashes, they do not resemble the aura associated with migraines. The duration of fifteen minutes is somewhat difficult to explain. This condition can begin as early as middle school. It is importa...[Read More] Sudden Severe Pain on Right Side of Head: Possible Causes and Next Steps
Head Injury and Persistent Headaches: When to Seek Medical Attention
Head injury and headache issues? Hello, Dr. Lan. Two days ago, I fell asleep on the bus and hit my right temple multiple times. There was one instance where it was particularly hard, and the next morning when I woke up, I had a severe headache on the right side of my head, not wh...
Dr. Gao Chunde reply Neurology
Based on your description, it seems you have a history of habitual migraines characterized by throbbing pain, nausea, and exacerbation with activity. This episode may also be a migraine, as symptoms from brain edema or hemorrhage due to trauma typically worsen progressively and p...[Read More] Head Injury and Persistent Headaches: When to Seek Medical Attention
Understanding Atypical Symptoms: Chronic Fatigue and Neurological Concerns
Atypical symptoms Hello, Doctor. I have been experiencing persistent fatigue and excessive sleepiness, both during workdays and weekends. Even after getting enough sleep, I start feeling this way shortly after waking up. Initially, I was diagnosed with Obstructive Sleep Apnea (OS...
Dr. Gao Chunde reply Neurology
When considering symptoms, it is essential to evaluate for depressive disorders. However, before addressing this issue, other potential non-emotional causes must be ruled out, such as chronic inflammation, fluid accumulation, or other conditions leading to increased intracranial ...[Read More] Understanding Atypical Symptoms: Chronic Fatigue and Neurological Concerns
Concussion and Dementia: Understanding Long-Term Risks After Injury
Concussion and Dementia Hello, I had a concussion from a car accident two years ago, but there was no intracranial hemorrhage. I recovered after a month, but I am worried if this could lead to dementia in the future. Thank you.
Dr. Gao Chunde reply Neurology
According to literature statistics, a single concussion does not increase the likelihood of developing dementia later on; however, repeated concussions do increase the risk of developing dementia, Parkinson's disease, or depression in the future.[Read More] Concussion and Dementia: Understanding Long-Term Risks After Injury
Understanding Two Types of Headaches: When to See a Neurologist
Two types of headaches? Hello, doctor. I have a few questions regarding headaches. A friend of mine often experiences pain on both sides of the temples when he doesn't get enough sleep and feels fatigued. He finds relief through massage and sometimes uses essential oils. Add...
Dr. Gao Chunde reply Neurology
The first type of headache, characterized by symptoms and related descriptions, tends to be tension-type headache, which is caused by muscle contraction. It can be alleviated through massage, relaxation techniques, and rest. However, it may not necessarily be related to episodes ...[Read More] Understanding Two Types of Headaches: When to See a Neurologist
Uncontrollable Hand Tremors: When to Seek Neurological Evaluation
Hand tremors Hello Doctor: Recently, my right thumb and index finger have been twitching involuntarily, as if I'm rubbing something. The twitching becomes more pronounced when I watch tense or stimulating videos, and sometimes my entire palm also twitches involuntarily. I ha...
Dr. Gao Chunde reply Neurology
It is recommended to see a neurologist for further evaluation.[Read More] Uncontrollable Hand Tremors: When to Seek Neurological Evaluation
Understanding Severe Headaches After High Fever: Causes and Solutions
Throbbing headache? Hello Doctor: Since early Saturday morning (April 19) at 2:00 AM, I have been experiencing a high fever (39.3°C), which rose to 40.3°C by 3:45 AM. By 10:00 AM, my temperature dropped to 38.3°C, and I went to a major hospital's ENT department due to severe...
Dr. Gao Chunde reply Neurology
Severe headaches persisting for three days, whether due to central nervous system infections, cluster headaches, or other specific causes, should be re-evaluated by a healthcare professional to address the headache issue properly. If there is still no improvement, it is advisable...[Read More] Understanding Severe Headaches After High Fever: Causes and Solutions
Understanding Asymmetrical Limb Atrophy: Causes and Next Steps
Gradual atrophy of one side of the limbs? The left side of my limbs has become noticeably thinner compared to the right side, which was normal and equal a month ago. However, the left side has lost a lot of mass during this month. My blood pressure is also elevated (130-150), and...
Dr. Gao Chunde reply Neurology
If there is unilateral limb atrophy accompanied by weakness, differing sensations on both sides, and it has only been present for a month, it is important to pay attention to any lesions in the contralateral central nervous system. Therefore, it is recommended to promptly visit a...[Read More] Understanding Asymmetrical Limb Atrophy: Causes and Next Steps