Seeking Further Evaluation for Neurological Symptoms and Sleep Issues
How to seek further medical consultation? Hello, doctor. I'm sorry to bother you again. After my examination, I was diagnosed with mild sleep apnea (partly central). I have started using a ventilator, but I only feel a reduction in dizziness in the mornings upon waking. Abou...
Dr. Gao Chunde reply Neurology
Since half of the cases are central in nature, and the use of a ventilator only improves some symptoms, it may be time to consider a consultation with a neurologist. As for the examinations, we should not pre-determine what tests to conduct; rather, we should respect the professi...[Read More] Seeking Further Evaluation for Neurological Symptoms and Sleep Issues
Understanding Unilateral Sensory Changes: A Neurological Perspective
Altered sensation on the left side of the body? A month ago, I swallowed a fish bone, and now I have different sensations on the left side of my body compared to the right (the right side is normal). My left cheek is slightly swollen and numb (the chin and cheek are noticeably mo...
Dr. Gao Chunde reply Neurology
Swelling and tenderness indicate the presence of inflammation or infection. It is recommended to promptly visit a major hospital's otolaryngology department for a detailed examination, as deep neck infections and cellulitis cannot be ruled out.[Read More] Understanding Unilateral Sensory Changes: A Neurological Perspective
Understanding Dizziness vs. Fatigue: A Neurology Perspective
Dizziness or fatigue? Hello, doctor... I would like to inquire about my personal experience with poor sleep quality due to respiratory pauses, which leads to fatigue, excessive daytime sleepiness, and a lack of energy. Sometimes I also feel slightly dizzy and experience visual di...
Dr. Gao Chunde reply Neurology
Sleep apnea can significantly affect sleep quality, leading to symptoms such as daytime drowsiness, difficulty concentrating, and even memory impairment, as you described. The fundamental solution is not medication, but rather addressing the underlying issue of sleep apnea. Depen...[Read More] Understanding Dizziness vs. Fatigue: A Neurology Perspective
Poor Posture and Its Impact on Nerve Health: Understanding Your Symptoms
Poor posture while sitting? Hello, doctor! I have been riding a motorcycle for a long time, which has caused inflammation in the thick muscle between my anus and coccyx. This inflammation has recurred twice, and since the second occurrence, I have started to experience pain radia...
Dr. Gao Chunde reply Neurology
If the source of the problem is related to sitting posture, it is advisable to consult a rehabilitation physician to learn the correct way to sit, as correcting this is fundamental to treatment. If there is no improvement after correction, further investigation is necessary to de...[Read More] Poor Posture and Its Impact on Nerve Health: Understanding Your Symptoms
Buzzing Sounds in the Back of the Head: What Could It Mean?
A buzzing sound is coming from the back of the head? Hello doctor, I recently noticed that my occipital area occasionally produces a sound similar to a buzzing or crackling, like the sound of electricity passing through. I hear this about 4 to 5 times a day. There is no pain or d...
Dr. Gao Chunde reply Neurology
I'm not quite sure what the issue is; it could be the static electricity in my hair due to the cold weather, or it might be the temporary contraction and movement of the muscles under the scalp causing the sound of hair friction. If the greater occipital nerve or lesser occi...[Read More] Buzzing Sounds in the Back of the Head: What Could It Mean?
Understanding Insomnia After Gastroenteritis: A Neurology Perspective
Insomnia and difficulty falling asleep? After recovering from a gastroenteritis last week, my father has been unable to sleep every night. He later visited a neurologist at the city hospital, who only prescribed him sleeping pills. Do you understand what this situation might be?
Dr. Gao Chunde reply Neurology
Gastroenteritis may cause some disturbances in sleep, but as the illness resolves, sleep should return to its previous state. The medication prescribed by the physician was likely based on their understanding and analysis of the patient's sleep issues at that time. It is imp...[Read More] Understanding Insomnia After Gastroenteritis: A Neurology Perspective
Persistent Left Eye Twitching: Causes and Solutions Explained
The lower left eyelid is twitching continuously? The lower eyelid of my left eye has been twitching slightly for a week. I initially thought it was due to lack of sleep, but even after getting more rest in the past few days, the twitching hasn't stopped. Could you please tel...
Dr. Gao Chunde reply Neurology
This is a common temporary phenomenon among office workers, often occurring during periods of high workload and stress, typically resolving after a busy period, usually within one to two weeks. If the above situations do not apply, sometimes the consumption of stimulants such as ...[Read More] Persistent Left Eye Twitching: Causes and Solutions Explained
Does Radiation Therapy Affect Brain Function and Memory?
Will radiation therapy affect the brain? Hello, Doctor Gao. My father has been receiving high-dose radiation therapy for oral cancer for over four years. His condition is currently stable, but recently he has been experiencing memory decline, slowed movements, and takes a long ti...
Dr. Gao Chunde reply Neurology
Delayed complications of radiation therapy can lead to neurological symptoms, but individuals who have not undergone radiation treatment may also experience cognitive decline, memory impairment, or slowed movements due to primary or other secondary causes. Therefore, it is essent...[Read More] Does Radiation Therapy Affect Brain Function and Memory?
Dizziness and Nausea When Turning in Bed: What to Do?
Dizziness and nausea when turning over? In the past, I was diagnosed with anemia, so I pay close attention to my daily diet. However, recently, when I turn from lying on my left side to my right side while sleeping, I experience severe dizziness (the surroundings appear to be spi...
Dr. Gao Chunde reply Neurology
This is a type of positional vertigo, and you can consult an otolaryngologist or a neurologist. If there is a detection of otolith dislodgment, it can also be repositioned during the examination.[Read More] Dizziness and Nausea When Turning in Bed: What to Do?
Understanding Treatment Options for Cavernous Malformations in Children
Inquiry about cerebrovascular diseases? My son fainted suddenly two months ago. After being taken to the hospital, a CT scan and MRI revealed a congenital multiple cerebral vascular malformation with cavernous hemangiomas. The doctor prescribed him Lamotrigine. Since the last fai...
Dr. Gao Chunde reply Neurology
The most common neurological symptom of cerebral venous malformations is epilepsy. Some individuals may go their entire lives without symptoms and remain unaware of the condition. If seizures occur, abnormal electrical discharges in the brain can lead to loss of consciousness, ne...[Read More] Understanding Treatment Options for Cavernous Malformations in Children
Understanding Involuntary Head and Facial Movements: A Patient's Journey
Involuntary movements of the head include constant tension and shaking of the head, face, and ears throughout the day? Hello, Dr. Gao! I have been suffering from involuntary tension and shaking in my head, face, and ears for nearly fourteen years. It has been incredibly painful, ...
Dr. Gao Chunde reply Neurology
Based on your description, both neurology and psychiatry should be followed up with regular appointments for treatment. Additionally, participating in activities such as hospital volunteering or other programs that provide care and support to patients can be beneficial. By helpin...[Read More] Understanding Involuntary Head and Facial Movements: A Patient's Journey
Understanding Persistent Sounds in the Left Back of the Head
There are often sounds occurring in the left posterior part of the brain? Hello, Doctor. I have been experiencing sounds in the left back of my head for almost a year now. Recently, for the past two months, it has been occurring several times a day. Previously, it only happened o...
Dr. Gao Chunde reply Neurology
If this sound can also be heard by others, or if it pulsates in sync with your heartbeat, it is advisable to see a neurologist as soon as possible. This could be due to turbulent sounds generated by vascular abnormalities in the intracranial area or the meninges, or other underly...[Read More] Understanding Persistent Sounds in the Left Back of the Head
Understanding Persistent Pain in Right Hand and Foot: Possible Causes
There is a slight tingling sensation in my right hand and right foot? Hello Doctor: For about seven years, I have been experiencing some soreness in my right hand (extending to my fingers) and my right foot. Occasionally, I also feel slight soreness in my right lower back (but it...
Dr. Gao Chunde reply Neurology
Of course, symptoms in the same side of the limbs and waist can raise suspicion of a single lesion above the cervical spine, including the brainstem or cerebrum, in neuroanatomy. However, symptoms such as numbness, weakness, lack of coordination, or stiffness are generally more i...[Read More] Understanding Persistent Pain in Right Hand and Foot: Possible Causes
Understanding Unusual Head Sounds After Liver Transplant Surgery
Sounds coming from the head? Hello Doctor, I underwent a liver transplant surgery in February of this year, and it has been over eight months since then. I have been recovering normally, but due to long-term sleep issues, my doctor prescribed sleeping pills. Recently, I have expe...
Dr. Gao Chunde reply Neurology
Based on the symptoms, it is possible that they are side effects of medications (including sleep aids or other medications) or it may not be the case, but rather that the underlying causes of insomnia have not been diagnosed and treated appropriately. It is recommended to consult...[Read More] Understanding Unusual Head Sounds After Liver Transplant Surgery
Understanding Prolonged Migraine: Causes and When to Seek Help
I have had a migraine for two days? I rarely drink coffee, but since I had a latte yesterday afternoon, I've been experiencing intermittent sharp pain in the left side of my head, occurring one to two times per minute. As of 7 PM tonight, the pain persists, and the location ...
Dr. Gao Chunde reply Neurology
Coffee generally has a relieving effect on headaches and rarely causes headaches unless consumed in large quantities on a regular basis. If a headache occurs after a single coffee intake, it will typically resolve as the caffeine is metabolized over time. For common headaches, co...[Read More] Understanding Prolonged Migraine: Causes and When to Seek Help
How Long Does Nerve Recovery Take After a Humerus Fracture?
How long does it take for nerves to recover? It has been over a year since I had surgery for a humeral fracture, and my little finger still feels swollen and somewhat uncontrollable. Initially, it was slightly bent, and my attending physician placed a splint to keep it straight. ...
Dr. Gao Chunde reply Neurology
Please have a neurologist evaluate the patient and arrange for nerve conduction studies and electromyography to assess whether there is any damage or abnormality in the nerves and muscles of the hand.[Read More] How Long Does Nerve Recovery Take After a Humerus Fracture?
Understanding Localized Pain in the Right Brain: Causes and Concerns
Localized pain in the right hemisphere of the brain? Hello, Doctor Gao! Recently, I have been experiencing localized sharp pain in the upper front area of my right ear, averaging once every 10 minutes, lasting 2 to 3 seconds each time. I'm concerned that this might be a seri...
Dr. Gao Chunde reply Neurology
The location is the right temple, where there are sharp pains occurring every ten minutes lasting two to three seconds. The pain pattern resembles neuralgia and is associated with the second branch of the trigeminal nerve, which innervates the area in front of the ear and the upp...[Read More] Understanding Localized Pain in the Right Brain: Causes and Concerns
Should My Elderly Mother Undergo Surgery After a Stroke?
Does a stroke require surgery? Dear Doctor, My mother has suffered a stroke, which the physician described as hemorrhagic but small in size. She is over 80 years old, and we, her children, are uncertain whether to proceed with surgery. It is a difficult decision. I would like to...
Dr. Gao Chunde reply Neurology
The surgical intervention for intracerebral hemorrhage serves two primary purposes: one is to relieve pressure and save lives, as the formation of a hematoma can lead to increased intracranial pressure and pose a life-threatening risk; the other is to diagnose the cause of atypic...[Read More] Should My Elderly Mother Undergo Surgery After a Stroke?
Understanding Sacral Nerve Issues: Healing and Treatment Options
Issues related to sacral nerve? Hello, Doctor Gao. I previously asked about experiencing numbness in the right foot. If it is due to an injury to the sacral nerve, will it heal on its own, or does it require further treatment? Additionally, could it be related to my recent left f...
Dr. Gao Chunde reply Neurology
It is possible for a minor injury to heal on its own with some rest. A fracture of the left rib will not affect the peripheral nerve symptoms in the leg.[Read More] Understanding Sacral Nerve Issues: Healing and Treatment Options
Understanding Numbness in the Right Foot: Possible Causes and Solutions
Numbness in the right foot dorsum? Hello, Doctor. My right foot's dorsum feels numb (around the area just below the little toe) and it has been like this for over a week. What could be the possible causes? Thank you!
Dr. Gao Chunde reply Neurology
This area may correspond to the distribution of a peripheral nerve or the first sacral nerve root. Therefore, it is important to consider other accompanying clinical symptoms, such as lower back pain, numbness or tingling in the posterior thigh, or weakness in the right foot when...[Read More] Understanding Numbness in the Right Foot: Possible Causes and Solutions