Understanding Chronic Abdominal Pain: Neurological Connections and Diagnosis
Long-term.? I apologize for bothering you again with the following questions. I have been experiencing thigh and abdominal pain for a long time. The abdominal pain is characterized by cramping, bloating, and colicky sensations. It starts from the lower back on both sides and exte...
Dr. Gao Chunde reply Neurology
The thoracolumbar nerves and the lumbar or sacral plexus primarily provide sensation to the back, abdominal wall, buttocks, perineum, and lower limbs. Visceral pain from abdominal pain is typically mediated by the vagus nerve. Diagnostic imaging options include magnetic resonance...[Read More] Understanding Chronic Abdominal Pain: Neurological Connections and Diagnosis
Progressive Asymmetrical Numbness and Weakness in Hands and Feet
Progressive numbness and weakness with asymmetry in the limbs? The mother is 51 years old and has been experiencing numbness and weakness in her fingers and toes for the past month. Initially, the symptoms were limited to the tips of her fingers, but this month they have progress...
Dr. Gao Chunde reply Neurology
Peripheral neuropathy is progressing quite rapidly, especially in terms of weakness. It is recommended to seek further detailed examination at a major hospital's neurology department as soon as possible. If the progression is too fast, hospitalization may be necessary, but t...[Read More] Progressive Asymmetrical Numbness and Weakness in Hands and Feet
Understanding Shoulder and Neck Pain: Insights on Myofascial Pain Syndrome
Shoulder and neck issues? Hello, I would like to ask about my shoulder discomfort. I saw a doctor who diagnosed me with myofascial pain syndrome and prescribed pain relievers and muscle relaxants. After taking the medication, I felt somewhat better, but I still experience pain oc...
Dr. Gao Chunde reply Neurology
You can consult a rehabilitation physician who specializes in sports medicine. In addition to X-rays for assessing bone conditions, some physicians may also use soft tissue ultrasound to check for other abnormalities that are not related to the bones, and even perform localized a...[Read More] Understanding Shoulder and Neck Pain: Insights on Myofascial Pain Syndrome
Understanding Chronic Abdominal Pain: A Neurological Perspective
Long-term.....................? Doctor, I'm sorry, but my question is quite complex. I hope you can help me. I've been experiencing long-term abdominal pain that feels like cramping, bloating, and colicky pain. The pain starts from my lower back and radiates to the midd...
Dr. Gao Chunde reply Neurology
It seems that many tests do not provide clear conclusions. I would recommend consulting a neurologist to consider issues related to the thoracolumbar nerves or nerve plexus, and even to consider porphyria (you can look it up online for a better understanding). As for the imaging ...[Read More] Understanding Chronic Abdominal Pain: A Neurological Perspective
How to Help Your Loved One Overcome Sleep Issues Due to Nerve Pain
Difficulty falling asleep urgently? Dear Dr. Gao, My mother has recently been experiencing frequent leg numbness at night, which has severely affected her sleep quality. I would like to seek your advice on how to assist her in obtaining medical help to resolve this issue. Than...
Dr. Gao Chunde reply Neurology
Severe leg numbness at night, but not during the day, may warrant consideration of structural issues, such as insufficient blood supply due to lying down or remaining still (possibly related to lumbar spine or lower extremities), or exacerbation of symptoms related to lumbar spin...[Read More] How to Help Your Loved One Overcome Sleep Issues Due to Nerve Pain
Understanding Chronic Abdominal Pain and Its Impact on Back Pain
Pain issues Hello, doctor. I apologize for bothering you. I have been experiencing persistent pain in my lower abdomen, which has now progressed to almost daily pain in my lower back for over a year. A gastroenterologist diagnosed me with irritable bowel syndrome (IBS). The abdom...
Dr. Gao Chunde reply Neurology
Irritable bowel syndrome (IBS) is primarily a functional issue, which is why symptoms can fluctuate. If the lower back pain is simply due to a strain or muscle soreness, rest and medication should lead to improvement. However, since this has been ongoing for over a year, I would ...[Read More] Understanding Chronic Abdominal Pain and Its Impact on Back Pain
Effective Treatments for Frozen Shoulder: Finding Local Specialists
Treatment for Frozen Shoulder My brother is experiencing severe shoulder pain and cannot lift his arm. I heard that Dr. Fang Jingwen from Hualien Mennonite Hospital is well-known for his acupuncture treatment, but he has returned to Singapore. Could you please recommend a nearby ...
Dr. Gao Chunde reply Neurology
I apologize, but my primary services are in the Taichung area, and I am not very familiar with Hualien. It may be more appropriate to consult with an orthopedic or rehabilitation physician at Hualien County Hospital.[Read More] Effective Treatments for Frozen Shoulder: Finding Local Specialists
Understanding Body Sensation Delays: Possible Causes and Solutions
Generalized sensory sluggishness? Hello, for the past two weeks, my sleep schedule has been completely reversed, and I have been maintaining irregular hours. About two days ago, I noticed a sluggish sensation and a slight tingling feeling throughout my body when I touched it. I c...
Dr. Gao Chunde reply Neurology
Irregular sleep patterns and reversed day-night cycles can easily lead to sleep deprivation, primarily manifesting as central nervous system symptoms such as dizziness, headaches, difficulty concentrating, or forgetfulness. Peripheral nerve symptoms like numbness or sluggishness ...[Read More] Understanding Body Sensation Delays: Possible Causes and Solutions
Understanding Morning Dizziness and Leg Weakness: Possible Neurological Issues
I feel dizzy almost every morning, unsteady while walking, and experience weakness in my legs? Since around May, just before the basic competency test, I've been feeling dizzy almost every morning (after waking up between 6 and 9 AM). I feel unsteady while walking, and I...
Dr. Gao Chunde reply Neurology
It seems more likely that the physical symptoms are related to tension or stress, but I cannot conclude that there are no other issues. I agree that you should go to the hospital for a physician to examine you in person to determine the cause.[Read More] Understanding Morning Dizziness and Leg Weakness: Possible Neurological Issues
Understanding Occipital Neuralgia: Causes and Long-Term Solutions
Occipital Neuralgia Doctor: Why are these symptoms occurring, and is there a method to improve them? (Permanent improvement!)
Dr. Gao Chunde reply Neurology
The occipital region, commonly referred to as the back of the head, contains the greater and lesser occipital nerves. Sometimes, trauma or unknown reasons can lead to neuralgia, where the surrounding muscles, fascia, or other soft tissues compress these nerves. If there is no obv...[Read More] Understanding Occipital Neuralgia: Causes and Long-Term Solutions
Long-Term Effects of Falls: Understanding Neurological Symptoms
Regarding the sequelae of injuries from falls? Several years ago, I fell from the second floor and injured my left hip (did not seek medical attention). For a while, I was unable to bend my left leg while running. After standing for a long time, my vision would turn black and whi...
Dr. Gao Chunde reply Neurology
Prolonged standing while looking at something can lead to symptoms such as blackouts, dizziness, numbness in the hands, and impaired movement. The relationship with a fall resulting in a bruised buttock is minimal; most likely, these symptoms are due to a weakened body and insuff...[Read More] Long-Term Effects of Falls: Understanding Neurological Symptoms
Alternative Treatments and Causes of Parkinson's Disease Beyond Medications
Parkinson's disease In addition to medication management, are there other methods for controlling Parkinson's disease? What causes this condition?
Dr. Gao Chunde reply Neurology
Parkinson's syndrome refers to symptoms such as tremors, rigidity, bradykinesia, and impaired postural reflexes in patients. There are many potential causes, including medications, genetic factors, inflammation, stroke, heavy metals, and infections, all of which can affect t...[Read More] Alternative Treatments and Causes of Parkinson's Disease Beyond Medications
Choosing the Right Specialist for Neurological Rehabilitation Needs
Which specialty should I consult? Recently, the foreign caregiver's contract has expired, and we need to reopen the Barthel Index assessment. However, during a follow-up visit to the "Rehabilitation Department" of a large hospital, the doctor stated that the patien...
Dr. Gao Chunde reply Neurology
The Barthel Index is a scale used to assess a patient's overall ability to perform activities of daily living. You can obtain a copy online, at a service desk, or from an agency to review it yourself. Additionally, you can evaluate the patient from an impartial and objective...[Read More] Choosing the Right Specialist for Neurological Rehabilitation Needs
Understanding Balance Issues and Occipital Pain in Essential Tremor Patients
Pain in the back of the head leading to poor balance? Hello Doctor, I have had a long-standing issue with unsteady walking. This year, my doctor diagnosed me with essential tremor. After starting medication, my condition improved, but in the past two months, I have begun experien...
Dr. Gao Chunde reply Neurology
Waking up after sleep has been improving, but it gets worse the later it is. This is more likely related to chronic fatigue or tension in the shoulder and neck muscles. It can be alleviated by dedicating an hour to light stretching activities or applying a warm towel during a sho...[Read More] Understanding Balance Issues and Occipital Pain in Essential Tremor Patients
Understanding Temporary Numbness in Fingers: Causes and Solutions
Numbness in the fingers? I usually have very sensitive hands and feet, and my movements for picking up things are normal. I have no symptoms on a daily basis, but sometimes my right hand's five fingers temporarily become numb and lose sensation (the left hand is normal). Thi...
Dr. Gao Chunde reply Neurology
Based on your age and symptoms, it is highly likely that you are experiencing a transient ischemic attack (TIA), which is a warning sign of a stroke. Please seek medical attention at a neurology outpatient clinic as soon as possible.[Read More] Understanding Temporary Numbness in Fingers: Causes and Solutions
Understanding the Causes of Heaviness in the Back of the Head
Head heaviness Hello, Dr. Gao. It's been a while since I've experienced a heavy sensation in the back of my head. This feeling becomes more pronounced when I slightly shake my head. What could be the issue with this phenomenon?
Dr. Gao Chunde reply Neurology
The sensation of heaviness can be described as not quite pain, especially in the absence of pulsating moderate to severe headaches, which makes migraine less likely. However, a significant portion of patients with tension-type headaches in the outpatient setting report a tight, u...[Read More] Understanding the Causes of Heaviness in the Back of the Head
Understanding Persistent Dizziness and Heavy Head: Possible Causes and Solutions
Persistent and irregular episodes of dizziness and lightheadedness (heaviness in the back of the head)? Hello Doctor: I suddenly experienced dizziness symptoms over two years ago, particularly when looking at the computer screen, which lasted for about a month. After seeing a doc...
Dr. Gao Chunde reply Neurology
If there are no symptoms of ear fullness, tinnitus, or hearing loss, it is more likely to be benign paroxysmal positional vertigo (BPPV), albeit with a higher frequency of episodes. However, some conditions that warrant attention include multiple sclerosis in young women, vestibu...[Read More] Understanding Persistent Dizziness and Heavy Head: Possible Causes and Solutions
Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Severe autonomic nervous system dysfunction? Dear Doctor, I have read a lot of relevant information and would like to focus on my daily routine and dietary intake. I would also like to explain my symptoms. In recent years, I have developed a strong liking for very spicy food, to...
Dr. Gao Chunde reply Neurology
It seems that there may be symptoms of anxiety and even approaching panic attacks. This can be examined in daily life to identify any specific external causes, such as dietary factors, work, family, or other stressors. If no external causes are found, it may be related to intrins...[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Feeling Lightheaded While Walking: Understanding Your Symptoms
Feeling lightheaded with a heavy head and unsteady legs while walking? Hello Doctor, I would like to ask you something. I am a 25-year-old male, and recently while brisk walking, I sometimes feel a sensation of heaviness in my head and lightness in my legs, almost like I'm f...
Dr. Gao Chunde reply Neurology
The symptoms appear to be quite nonspecific. There's no evidence to suggest benign paroxysmal positional vertigo of the inner ear, nor any indication of cerebellar or brainstem dysfunction. Since the symptoms occur intermittently, I would like to know if there have been any ...[Read More] Feeling Lightheaded While Walking: Understanding Your Symptoms
Why Does My Ear Tingle When Lying Flat? Possible Causes and Solutions
Experiencing numbness in the ear while lying flat? Hello, I have a question. When I sleep on my back, my right ear experiences persistent numbness, to the point that I have to sleep on my right side for it to stop. If I sleep on my left side, my right ear still feels numb. This i...
Dr. Gao Chunde reply Neurology
I must honestly say that this symptom is the first time I have encountered in my over ten years of practice. I can only provide answers based on my understanding of neurophysiology and other related clinical experiences. Consider the possibility of circulatory issues; lying flat ...[Read More] Why Does My Ear Tingle When Lying Flat? Possible Causes and Solutions