Understanding Dizziness: Connection to Diabetes and Hypertension
Dizziness and discomfort? I have been experiencing dizziness for over a month and visited a neurologist at the hospital. I underwent brainstem auditory evoked potential testing, carotid ultrasound, and blood tests, all of which were normal. The doctor prescribed Diphenidol 25 mg,...
Dr. Gao Chunde reply Neurology
Dizziness upon standing is quite common among the elderly. In addition to vestibular dysfunction, it is important to pay attention to orthostatic hypotension, especially in patients with diabetes or Parkinson's disease, as their autonomic nervous system responses are slower....[Read More] Understanding Dizziness: Connection to Diabetes and Hypertension
Understanding Confusion and Headaches After Dialysis: What to Know
Altered mental status? Hello, Doctor Gao. My mother returned from the hospital after dialysis on the second day of the Lunar New Year, complaining of a headache and experiencing confusion after 9 PM, sometimes not recognizing family members. Her condition seems to fluctuate betwe...
Dr. Gao Chunde reply Neurology
The consciousness fluctuates, and at times, the individual may not recognize family members, which raises the possibility of acute delirium. Common causes include medications (such as cold medications, gastrointestinal drugs, and sedatives), infections (such as colds, urinary tra...[Read More] Understanding Confusion and Headaches After Dialysis: What to Know
Why Do My Calves Sweat at Night? Understanding Nocturnal Sweating
Nighttime sweating in the calves can be caused by several factors, including: 1. **Hyperhidrosis**: A condition characterized by excessive sweating without an obvious cause. 2. **Hormonal changes**: Fluctuations in hormones, such as those occurring during menopause or puberty, c...
Dr. Gao Chunde reply Neurology
I'm sorry, there seems to be some garbled text in the question. Please clarify, thank you![Read More] Why Do My Calves Sweat at Night? Understanding Nocturnal Sweating
Understanding Unexplained Head Pain and Dizziness: Causes and Solutions
Intermittent sharp pain in the head or brain accompanied by brief episodes of dizziness? I experience sudden sharp pains in my head or brain accompanied by brief episodes of dizziness. I am 40 years old and have a history of hypertension for 3 years and panic disorder for 1 year,...
Dr. Gao Chunde reply Neurology
At this age, if the pain occurs occasionally during the day, it could be neuropathic pain or benign ice pick headaches. However, if the headache wakes you up at night, it is uncommon in young individuals, and it is advisable to schedule an appointment with a neurologist.[Read More] Understanding Unexplained Head Pain and Dizziness: Causes and Solutions
Pain When Pressing a Specific Point on the Head: Causes and Solutions
Pressing on a certain point on the head causes significant pain? Hello: Recently, I have been experiencing pain when pressing a specific point located 2 to 3 centimeters above the right ear, parallel to the temple. However, there is no pain unless pressure is applied, and there i...
Dr. Gao Chunde reply Neurology
When pressing on the scalp, you can feel the scalp, muscles, blood vessels, nerves, and acupoints. The brain cannot be directly pressed. However, in elderly individuals, caution should be exercised regarding potential lesions on the skull, as certain diseases may cause damage or ...[Read More] Pain When Pressing a Specific Point on the Head: Causes and Solutions
Understanding Stroke Risks After Straining: Key Questions Answered
Please ask about stroke issues? Hello: Thank you for your clarification. I would like to ask again, I exerted too much effort while having a bowel movement yesterday and am concerned about a stroke. Currently, I have no symptoms of a stroke. May I ask: 1. Does this mean that the ...
Dr. Gao Chunde reply Neurology
A stroke occurs suddenly and rapidly, typically with symptoms appearing within seconds or minutes, so you can feel a bit more at ease.[Read More] Understanding Stroke Risks After Straining: Key Questions Answered
Understanding Stroke Risks: Can Straining During Bowel Movements Trigger Symptoms?
Stroke issues Hello: If excessive straining during bowel movements leads to a stroke, how soon can stroke symptoms appear? Thank you.
Dr. Gao Chunde reply Neurology
For hemorrhagic conditions, it is important to assess the speed and location of the bleeding, as it can lead to nerve compression and result in noticeable functional deficits. In ischemic conditions, the extent and location of the blockage must be evaluated, as nerve ischemia and...[Read More] Understanding Stroke Risks: Can Straining During Bowel Movements Trigger Symptoms?
Unexplained Toe Pain: When to Seek Medical Attention?
Unexplained toe pain? Hello Doctor: Since I woke up this morning, I have been experiencing inexplicable numbness and pain in all ten of my toes, feeling as if something has just hit my feet. There is a tingling sensation that can be slightly relieved by changing positions, but in...
Dr. Gao Chunde reply Neurology
If the numbness and pain are spreading upwards (from the calf to the thigh) and even affecting the fingertips, or if there is some weakness in the legs, it could be an early sign of acute neuritis, and it is important to seek medical attention promptly.[Read More] Unexplained Toe Pain: When to Seek Medical Attention?
Understanding ALS: Dexpramipexole's Journey to Market in Taiwan
Motor neuron disease Hello, doctor. My father was recently diagnosed with motor neuron disease, which has been a significant blow to us. However, I saw online that Dexpramipexole has passed phase three clinical trials. Could you please tell me how long it typically takes for a dr...
Dr. Gao Chunde reply Neurology
This is a new drug that, if it passes the Phase III clinical trials, should be used soon. However, it is still uncertain when it will be available in Taiwan and whether it will be covered by health insurance after its launch. This drug, like Riluzole currently used in Taiwan for ...[Read More] Understanding ALS: Dexpramipexole's Journey to Market in Taiwan
Understanding Lower Back Pain: When to Consult a Neurologist
Lower back pain Dear Doctor, I have been experiencing lower back pain for the past two weeks and am unsure which specialty to consult. I noticed that the neurology department addresses back pain, so I am seeking your advice. Here are my recent symptoms: 1. About a month ago, I ...
Dr. Gao Chunde reply Neurology
You can first consult a neurologist to assess whether there is an issue with the lumbar nerve roots, especially since you experience pain in the right thigh when leaning backward. Irritable bowel syndrome typically does not cause lower back pain; it is partially attributed to wha...[Read More] Understanding Lower Back Pain: When to Consult a Neurologist
Left Leg Discomfort: When to Seek Medical Advice for Nerve Issues
Left leg soreness with abnormal sensations? I have been experiencing many discomfort symptoms recently. I have undergone a cardiac ultrasound, cervical spine MRI, chest X-ray, EEG, and visual evoked potentials, all of which did not reveal any issues. The neurologist believes that...
Dr. Gao Chunde reply Neurology
There are some symptoms of sciatica, as well as mild symptoms of restless legs syndrome. If the symptoms become more persistent and pronounced, it would be advisable to return to a neurologist for evaluation. Perhaps some diagnostic tests can confirm the condition, and targeted t...[Read More] Left Leg Discomfort: When to Seek Medical Advice for Nerve Issues
Break Free from Blushing: Innovative Surgery for Social Anxiety
Easily blushing sympathetic nerve surgery? In Spain, a surgical procedure has been developed to treat excessive blushing associated with shyness. According to Spanish doctors, blushing due to shyness can be considered a medical condition that, if severe, may lead to psychological...
Dr. Gao Chunde reply Neurology
This type of sympathetic nerve surgery performed through the armpit is used in Taiwan to treat hyperhidrosis, and its effectiveness for facial blushing still needs to be confirmed by thoracic surgeons who frequently perform this procedure. For them, this surgery is considered min...[Read More] Break Free from Blushing: Innovative Surgery for Social Anxiety
Understanding Urinary Syncope: Causes and Implications for Health
Causes of Syncope I am 33 years old and have experienced three episodes in the past five years where I suddenly felt dizzy and fainted while urinating. Each episode lasted about 10-15 seconds, after which I regained consciousness and stood up. Upon standing, I noticed my face was...
Dr. Gao Chunde reply Neurology
It is called micturition syncope, which typically occurs due to a sudden reflex drop in blood pressure after a large volume of urination. It is more likely to happen after drinking alcohol, dehydration, excessive physical exertion, or during illnesses that cause significant chang...[Read More] Understanding Urinary Syncope: Causes and Implications for Health
Understanding Pinky Finger Numbness: Causes and Solutions
Pinky finger numbness? The phenomenon you described occurs only during sleep, specifically when lying on your back with your hands placed on your chest for a period of time, resulting in a tingling sensation in your little finger. This sensation resolves quickly after you straigh...
Dr. Gao Chunde reply Neurology
Many people experience this symptom. If it resolves upon changing positions, you can monitor it. However, if the duration of numbness increases gradually, it may be worth consulting a neurologist to examine whether there are other underlying causes affecting the nerve. It may be ...[Read More] Understanding Pinky Finger Numbness: Causes and Solutions
Persistent Headaches and Dizziness: When to Seek Neurological Help
Headache and dizziness for several days? Doctor, I started experiencing a fever and weakness in my limbs around 11 PM on November 4th. Since I didn't have a thermometer at home, I assumed I had a fever. The next day, the fever subsided, but I continued to experience mild diz...
Dr. Gao Chunde reply Neurology
Acetaminophen is a standard medication for pain relief and fever reduction, and it is one of the least likely medications to cause allergic reactions and side effects. It is indeed the first-line treatment for dizziness and headaches. Side effects, such as dizziness and headaches...[Read More] Persistent Headaches and Dizziness: When to Seek Neurological Help
Understanding Muscle Twitches and Cramps: When to Seek Neurology Help
I'm sorry, but I need specific content to translate. Please provide the text you would About a month ago, I started experiencing muscle twitching in various parts of my body. Then, starting in October, I began to feel intermittent contractions in my rib cage, entire abdomen,...
Dr. Gao Chunde reply Neurology
It is correct to consult a neurologist. If there is no improvement after examination and medication, you can directly ask for a referral to a specialist. If the specialist is unable to manage your condition or if the hospital's facilities and resources are limited, you may c...[Read More] Understanding Muscle Twitches and Cramps: When to Seek Neurology Help
Understanding Blood Tests in Neurology: What to Expect During Your Visit
Neurology Hello, doctor. When visiting a neurologist for an examination, what blood tests are typically ordered?
Dr. Gao Chunde reply Neurology
Blood tests are not always necessary; it depends on the patient's issues when consulting a physician. If the physician determines that further confirmation of their suspected diagnosis is needed, various tests may be conducted, which can include imaging studies, electrophysi...[Read More] Understanding Blood Tests in Neurology: What to Expect During Your Visit
Managing Sciatica: Exploring High-Frequency Heat Therapy for Relief
Sciatica Dear Dr. Gao, My father has a scoliosis at the fifth lumbar vertebra that is compressing his nerves, resulting in numbness and discomfort in his left leg. I have come across high-frequency thermal therapy technology that can alleviate neuropathic pain. Given that my fat...
Dr. Gao Chunde reply Neurology
This technique is indeed aimed at pain management, and since there is only numbness without weakness, it would be advisable to first try rehabilitation therapy or oral medications to improve the symptoms. If the results are unsatisfactory, then invasive treatments can be consider...[Read More] Managing Sciatica: Exploring High-Frequency Heat Therapy for Relief
Intermittent Numbness in Right Cheekbone: Causes and When to Seek Help
For the past two to three days, I have been experiencing intermittent tingling in the right cheekbone? Hello~ Recently, I occasionally experience a tingling sensation near my right cheekbone, which feels somewhat like being punched in that area (it's not painful). This sensa...
Dr. Gao Chunde reply Neurology
Symptoms of the trigeminal nerve on the right side of the face often appear before a cold or during times of fatigue and stress. Generally, these discomforts improve as the overall health condition improves over a few days. However, if the symptoms persist or become more pronounc...[Read More] Intermittent Numbness in Right Cheekbone: Causes and When to Seek Help
Managing Muscle Twitches: Concerns About Long-Term Muscle Relaxant Use
Muscle Issues 2 I apologize for asking again. Last time I mentioned to the doctor that I experience muscle twitching in various spots throughout my body, especially on the left side near the ribs, where it feels more severe with a tightening sensation, twitching, and cramping, bu...
Dr. Gao Chunde reply Neurology
If the symptoms are due to life stress or tension, one should adjust their lifestyle and seek ways to relieve emotional stress, such as engaging in exercise, hiking, or taking trips to relax. It is advisable to avoid caffeine, alcohol, tea, or other stimulants. Long-term use of m...[Read More] Managing Muscle Twitches: Concerns About Long-Term Muscle Relaxant Use