Understanding Post-Anesthesia Symptoms After Laser Mole Removal
Post-anesthesia condition after laser mole removal? I had laser mole removal on Monday. Before the procedure, a local anesthetic was applied near my philtrum. When I went in, the doctor noticed that the mole was larger and administered two additional injections of anesthesia belo...
Dr. Gao Chunde reply Neurology
Local anesthetics, in principle, do not spread as far as you described; they primarily act in the vicinity of the injection site. It is difficult to provide a logical explanation for sensations in the abdominal skin nerves or the nerves in the soles of the feet.[Read More] Understanding Post-Anesthesia Symptoms After Laser Mole Removal
Understanding Muscle Atrophy: Symptoms, Diagnosis, and Next Steps
Muscle atrophy Hello Doctor, I am a 38-year-old female, and for the past six months, I have been experiencing weakness in my left fingers that has gradually extended to my arm, resulting in increasing weakness. I have also noticed atrophy in the back of my hand and the area aro...
Dr. Gao Chunde reply Neurology
Weakness and atrophy should prompt an electromyography (EMG) examination to confirm whether it is a localized neuropathy or a motor neuron disease. If there are concerns about dysarthria and biting weakness, a more widespread motor neuron issue should be considered.[Read More] Understanding Muscle Atrophy: Symptoms, Diagnosis, and Next Steps
Understanding Organic Dementia and Alzheimer's Disease: Key Differences
Organic dementia and Alzheimer's disease? Hello, doctor: Is organic dementia the same as Alzheimer's disease? What does the term "organic" refer to? What is the relationship between organic psychosis and organic dementia? Thank you, doctor.
Dr. Gao Chunde reply Neurology
Alzheimer's disease is classified as a primary form of dementia, excluding all secondary causes such as stroke, encephalitis, tumors, trauma, and metabolic disorders. Organic dementia refers to dementia caused by identifiable factors, such as those mentioned above.[Read More] Understanding Organic Dementia and Alzheimer's Disease: Key Differences
Managing Dizziness and Sharp Pain: Neurological Insights
Dizziness with sharp pain? Recently, I have been experiencing frequent headaches, especially when squatting down and standing up. After standing, the sharp pain lasts for about a minute. At the same time, my vision becomes blurry and dark, and sometimes I suddenly feel warm, but ...
Dr. Gao Chunde reply Neurology
Vascular headaches, such as migraines, can be considered in this context. Generally, rest or the use of analgesics may provide relief. If the pain persists, it is advisable to seek further evaluation and treatment from a neurologist.[Read More] Managing Dizziness and Sharp Pain: Neurological Insights
Understanding Breathing Difficulties: Insights from Neurology
Shortness of breath? Hello doctor, I experienced difficulty breathing during my middle school years, often needing to take deep breaths to feel like I was getting enough air into my lungs. Eventually, this issue improved, but recently, similar symptoms have returned. I often feel...
Dr. Gao Chunde reply Neurology
Deep breathing or taking large breaths can enhance the effects of the parasympathetic nervous system. During times of tension or stress, the body instinctively engages in this action to compensate for insufficient parasympathetic activity, helping to achieve balance in the autono...[Read More] Understanding Breathing Difficulties: Insights from Neurology
Understanding Thumb Numbness: When to Seek Medical Attention
Numbness in the thumb? Hello doctor, on July 27th around noon, I went to a buffet restaurant to buy food. I was holding a tray with my left hand and using my right hand to pick up food. Since I had no place to put my coin purse (which has some weight) and keys, I hung them on the...
Dr. Gao Chunde reply Neurology
It is likely that a small branch of the median nerve is compressed, leading to neurological dysfunction. As long as the cause of the compression is removed and some heat therapy and massage are applied, the nerve function should gradually recover.[Read More] Understanding Thumb Numbness: When to Seek Medical Attention
Understanding Involuntary Movements: Exploring Causes and Concerns
Involuntary movements Hello, doctor. Previously, I experienced involuntary twitching and shaking in my hands, and I underwent tests for copper and ceruloplasmin, both of which were low. Therefore, there was a suspicion of Wilson's disease. The doctor advised me to go to a la...
Dr. Gao Chunde reply Neurology
In fact, the physicians at larger hospitals likely consider the same potential causes that we are aware of. They have likely thought of everything I can come up with. If the cause cannot be identified, one possibility is that it is truly primary, meaning there is no known cause, ...[Read More] Understanding Involuntary Movements: Exploring Causes and Concerns
Understanding Numbness in Feet: Circulation Issues and Neurological Concerns
Numbness in the soles of the feet, poor blood circulation? My mother is 51 years old and has been experiencing several health issues, including hypertension, urticaria, anxiety disorder, and intestinal adhesions. Recently, she has been troubled by a significant problem: her legs ...
Dr. Gao Chunde reply Neurology
Numbness can be due to peripheral nerve abnormalities, central nervous system disorders, peripheral circulation issues, central vascular circulation problems, or emotional causes. There are many potential reasons. If a transient ischemic attack (TIA) is suspected, it is advisable...[Read More] Understanding Numbness in Feet: Circulation Issues and Neurological Concerns
Understanding Sudden Arm Numbness Upon Waking: Causes and Insights
Issues related to the arm? When I woke up this morning, my right arm suddenly went numb, and I needed to lift it with my other hand. After a few minutes, it returned to normal. What could be the cause? How can I assess this?
Dr. Gao Chunde reply Neurology
Sudden loss of sensation and weakness in a single limb that resolves after a few minutes should be considered as a transient neurological deficit. There are many potential causes, some of which require further investigation to establish a diagnosis. It is advisable to consult a n...[Read More] Understanding Sudden Arm Numbness Upon Waking: Causes and Insights
Understanding Trigeminal Neuralgia: Symptoms, Causes, and Treatment Options
Trigeminal neuralgia Hello, doctor. For the past couple of days, I've been experiencing pain on the left side of my teeth. Sometimes it affects my lower jaw, and other times it shifts to my upper jaw. There are moments when the pain subsides, but when it does hurt, I also fe...
Dr. Gao Chunde reply Neurology
Trigeminal neuralgia can sometimes have an unknown cause, while in other cases, it may be due to irritation from surrounding blood vessels or issues with the nerve itself, such as inflammation or compression. Stress can also be a contributing factor. If using carbamazepine in a 2...[Read More] Understanding Trigeminal Neuralgia: Symptoms, Causes, and Treatment Options
Understanding Persistent Dizziness After a Mild Concussion in Teens
Dizziness in the back of the head? Last November, while playing, a classmate accidentally bumped my forehead against the back of my head. I went to see a doctor, who performed some simple tests but did not take any X-rays. The doctor diagnosed me with a mild concussion and mentio...
Dr. Gao Chunde reply Neurology
If it is a mild concussion, symptoms should generally improve after a few weeks. The dizziness you experience when smelling smoke is a common occurrence among many individuals, and it typically resolves as the body metabolizes the stimulus. Regarding frequent dizziness, there are...[Read More] Understanding Persistent Dizziness After a Mild Concussion in Teens
Understanding Finger Numbness: Causes and When to Seek Help
Numbness in the fingertips? Previously, I only experienced numbness at the tips of my fingers during winter, and it was only at the front part, not the entire finger, affecting almost every finger. At that time, I thought it was just due to the cold weather. However, it has start...
Dr. Gao Chunde reply Neurology
At this age, common issues include poor circulation or carpal tunnel syndrome. As for other hereditary or specific causes of peripheral neuropathy, a physician should personally conduct an interview and examination to determine the underlying reasons.[Read More] Understanding Finger Numbness: Causes and When to Seek Help
Understanding Facial Numbness: Causes and When to Seek Help
Numbness on the left side of the face? Hello Doctor, since last Saturday, I've been feeling something unusual on the left side of my face, with a tingling sensation that feels different from the right side. However, there is no drooping of the face, and I can speak and eat n...
Dr. Gao Chunde reply Neurology
It could be an issue with the trigeminal nerve or the brainstem. As for the underlying cause, it may be due to nerve inflammation, ischemia, or compression. A definitive diagnosis will likely require further examination or tests arranged by a physician during your visit.[Read More] Understanding Facial Numbness: Causes and When to Seek Help
Understanding Limb Numbness: When to Seek Medical Attention
Numbness in the limbs? Hello Doctor, I would like to ask about the issue of limb numbness. Recently, over the past month or two, I have noticed that my limbs easily become numb, but there is no pain, and it is limited to the palms of my hands and the soles of my feet. The numbnes...
Dr. Gao Chunde reply Neurology
The most common manifestation of peripheral neuropathy is a sensation resembling wearing gloves or socks, characterized by numbness or tingling that gradually worsens and then spreads proximally. If you are experiencing such symptoms, it is necessary to undergo a neurological exa...[Read More] Understanding Limb Numbness: When to Seek Medical Attention
Understanding Alcohol-Related Neurological Symptoms: A Guide
Alcohol-related issues I would like to ask about a symptom that occurs once every few years. Recently, after drinking alcohol, I experienced the same symptoms: my vision started to blur when I stood up, to the point where I couldn't see (not like myopia), along with tinnitus...
Dr. Gao Chunde reply Neurology
These symptoms are more indicative of severe hypotension, approaching shock. As for the cause, it is difficult to determine whether it is related to alcohol or other components within the alcohol, whether it is associated with anaphylactic shock, or simply due to vasodilation lea...[Read More] Understanding Alcohol-Related Neurological Symptoms: A Guide
Understanding Concussion Symptoms After a Motorcycle Accident
Concussion from a car accident? Hello Doctor: Last month, I had an accident while riding my bike on a rainy and slippery road, and I fell, hitting the back of my head. I was wearing a helmet, but I only remember a little bit from the time of the incident until I got to the hospit...
Dr. Gao Chunde reply Neurology
At that time, there may have been a mild concussion, which could affect some memory and attention. The dizziness is likely related to the displacement of otoliths in the semicircular canals of the inner ear following the impact, which usually resolves on its own. The recent sympt...[Read More] Understanding Concussion Symptoms After a Motorcycle Accident
Persistent Hand Numbness After Volleyball: Causes and Relief Tips
Persistent hand numbness after exercise? After playing volleyball today, my hands have been numb, and neither cold nor hot water has helped relieve it. This has never happened before. What methods can I use to alleviate this? The numbness is in every finger of both hands!
Dr. Gao Chunde reply Neurology
Excessive impact on the wrist may lead to injury of the median nerve within the wrist. Other issues, such as cervical spine problems or electrolyte imbalances, are less likely to solely cause numbness in the fingers. If there is indeed an injury, it is necessary to use some medic...[Read More] Persistent Hand Numbness After Volleyball: Causes and Relief Tips
Understanding Persistent Dizziness and Neck Tension: Possible Causes and Solutions
Dizziness and neck stiffness? I have tightness in my neck and shoulders, and it feels like something is blocked in the back of my head, which makes me feel dizzy and lightheaded. This situation has been ongoing for two months. I have seen a neurologist and a cardiologist, and I w...
Dr. Gao Chunde reply Neurology
I currently lean towards a diagnosis of tension-type headache, so the examination may not show any significant abnormalities. However, it is essential to rely on the physician who examines and consults with you in person. This issue can be effectively managed through adjustments ...[Read More] Understanding Persistent Dizziness and Neck Tension: Possible Causes and Solutions
Understanding Recent Tremors and Anxiety: Is It Hypochondria?
I have been experiencing frequent tics lately? Recently, I have been experiencing tremors in my hands and feet, along with a sensation of wanting to twitch my body. Because I have previously suffered from a serious illness, I often feel that something is wrong with me, which keep...
Dr. Gao Chunde reply Neurology
First, endocrine diseases, drug side effects, and electrolyte abnormalities should be ruled out. The physician will determine whether your condition is due to anxiety or if there are specific underlying causes that can be treated for improvement.[Read More] Understanding Recent Tremors and Anxiety: Is It Hypochondria?
Understanding Postural Dizziness: Causes and Treatment Options
Positional vertigo Hello, doctor! About two years ago, one night I suddenly felt dizzy and experienced vertigo when getting out of bed. The hospital diagnosed it as an ear-related issue, and I had continuous vertigo for about four days. In the following two months, I experienced ...
Dr. Gao Chunde reply Neurology
Postural vertigo may gradually improve, but it can recur after some time due to underlying microstructural issues. Therefore, the diagnosis should be confirmed through clinical symptoms and physical examination. Aortic valve insufficiency may lead to dizziness; however, I persona...[Read More] Understanding Postural Dizziness: Causes and Treatment Options