Understanding Muscle Twitches: Anxiety and Neurological Insights
Muscle spasm Hello doctor, I have anxiety disorder and sometimes when I feel particularly tense, I experience muscle twitching in my thighs (it's not a cramp, but a contraction and relaxation sensation that isn't painful). At that moment, I also feel quite cold. This si...
Dr. Hong Weibin reply Neurology
Hello: There are many causes of muscle cramps, including nerve root disorders, electrolyte imbalances, medications, and stress. You may first try to rest well and relax. If there is no improvement, please seek assistance from a physician. Wishing you a speedy recovery.[Read More] Understanding Muscle Twitches: Anxiety and Neurological Insights
Understanding Parkinson's Surgery: Costs, Benefits, and Long-Term Effects
Surgery for Parkinson's Disease Hello Doctor, my mother was diagnosed with Parkinson's disease in 2012 and has been on medication for many years. Recently, she has been experiencing numerous side effects, such as involuntary movements and a feeling that the medication i...
Dr. Hong Weibin reply Neurology
Hello: 1. The National Health Insurance Administration included "Deep Brain Stimulators" in the health insurance benefits starting from January 1, 2015. Subsequently, on July 1, 2016, the reimbursement regulations were relaxed, removing the lifetime limit of one-time ...[Read More] Understanding Parkinson's Surgery: Costs, Benefits, and Long-Term Effects
Understanding Vestibular Neuritis: Symptoms, Diagnosis, and Treatment Options
Vestibular Neuritis Hello, doctor. I am a graduate student. My usual routine involves going to bed around midnight and waking up at 9 AM. I regularly go to the gym about twice a week and also play basketball and jog. My BMI is normal, and I rarely smoke, drink alcohol, or consume...
Dr. Hong Weibin reply Neurology
Hello: Based on your description, it may also be a central issue. One condition that combines both dizziness and headache is called vertiginous migraine (migraine associated with vertigo), also known as vestibular migraine. You can refer to the following information (from the Tai...[Read More] Understanding Vestibular Neuritis: Symptoms, Diagnosis, and Treatment Options
Understanding Central Respiratory Arrest Due to Medullary Stroke
Central apnea caused by medullary stroke? Dear Doctor, My father was hospitalized earlier this year due to respiratory failure (elevated carbon dioxide levels in the blood) and was advised by the physician to use a ventilator. In August of this year, he was again admitted for th...
Dr. Hong Weibin reply Neurology
Hello: Medullary strokes can indeed affect the respiratory centers in the body, leading to respiratory suppression during sleep. During sleep, the control of respiratory muscles diminishes, resulting in carbon dioxide accumulation, a condition known as Ondine's curse. It is ...[Read More] Understanding Central Respiratory Arrest Due to Medullary Stroke
Prolonged Dizziness: Could It Indicate Serious Neurological Issues?
Dizziness lasting more than 2 months? On May 8th, I experienced mild dizziness and unsteadiness while walking. That evening, I had a condition where half of my left eye was blurry and appeared pixelated, and I was unable to focus; my right eye was normal. On May 10th, an ophthalm...
Dr. Hong Weibin reply Neurology
Hello: Based on your description, it is possible that you are experiencing vestibular migraine. A brain imaging study can be arranged to rule out the concerns you have. It is recommended that you seek assistance from a neurologist.[Read More] Prolonged Dizziness: Could It Indicate Serious Neurological Issues?
Understanding Involuntary Eye Blinking: Causes and Solutions
Involuntary twitching Hello, Doctor. Yesterday, while I was using my phone, my aunt noticed that my left eye was blinking involuntarily. She mentioned that this could lead to some health issues if it continues. I would like to ask the doctor why this is happening and how I can im...
Dr. Hong Weibin reply Neurology
Hello: The most common causes of uncontrollable eyelid twitching may include irritation from foreign objects, fatigue, lack of sleep, side effects of medications, smoking, alcohol, caffeine, and stress, among other factors. It is recommended to get plenty of rest and maintain ade...[Read More] Understanding Involuntary Eye Blinking: Causes and Solutions
Can Cranberry Supplements Be Safely Taken with Pradaxa for UTI Prevention?
Frequent recurrent urinary tract infections: Is it safe to supplement with cranberry health products while taking the anticoagulant "Pradaxa"? Hello, doctor. I have diabetes and experience urinary tract infections every few months. I am considering taking cranberry caps...
Dr. Hong Weibin reply Neurology
Hello: There are indeed many case reports indicating that Warfarin may interact with cranberry, potentially leading to an extended INR (International Normalized Ratio), which increases the risk of bleeding. Currently, based on foreign research reports, most findings are limited t...[Read More] Can Cranberry Supplements Be Safely Taken with Pradaxa for UTI Prevention?
Does Hypoglycemia from Insulin Overdose Cause Brain Damage?
Hypoglycemia can cause brain damage? Hello, Dr. Hong. I am a long-term insulin-dependent patient with high blood sugar. The situation is as follows: I injected too much insulin, which caused hypoglycemia and confusion. My family thought something was wrong with me and kept callin...
Dr. Hong Weibin reply Neurology
If the hypoglycemia is temporary and quickly corrected, it will not cause damage to brain cells. However, if the hypoglycemic state persists for too long, it may lead to loss of consciousness, which can result in injury to brain cells.[Read More] Does Hypoglycemia from Insulin Overdose Cause Brain Damage?
Is Forgetfulness a Sign of Dementia? Understanding Early Symptoms
Dementia in the elderly Hello Dr. Hong, yesterday afternoon at work, I suddenly couldn't remember my computer's login password, which I've been using daily for the past five or six years; in fact, I had used it that morning. It took me over two hours to recall it. ...
Dr. Hong Weibin reply Neurology
Hello: This indicates that there may be an issue with the retrieval aspect of your memory, which is a normal part of aging. The phenomenon where you can't quite find the words you want to say is known as the "tip-of-the-tongue" phenomenon, and it is not a disease; ...[Read More] Is Forgetfulness a Sign of Dementia? Understanding Early Symptoms
Numbness Around the Back of the Head: Possible Causes and Concerns
Numbness near the occipital region? Hello doctor, starting today, I have been experiencing a tingling sensation in my head and face intermittently (sometimes lasting for a long time), primarily around the back of my head and near my cheeks. Could you please tell me what this migh...
Dr. Hong Weibin reply Neurology
Hello: External stress and irregular lifestyle can often lead to physiological issues, such as excessive fatigue, numbness, pain, and general discomfort. It is recommended that you get plenty of rest and observe whether your condition improves. Wishing you a speedy recovery.[Read More] Numbness Around the Back of the Head: Possible Causes and Concerns
Understanding Eye Issues: When to Worry About Muscle Weakness
Eye problems Hello Doctor, On May 3, 2019, I visited a neurologist due to arm pain. The doctor mentioned that it was caused by work-related issues and long-term poor posture. However, the doctor advised me to pay attention to my eyes, as I have a noticeable difference in size (...
Dr. Hong Weibin reply Neurology
Hello: If the drooping eyelids have been a pre-existing symptom, and the drooping is not episodic (for example, more pronounced when fatigued or in the late afternoon, and improves after a brief rest with closed eyes), and there are no symptoms such as double vision, difficulty s...[Read More] Understanding Eye Issues: When to Worry About Muscle Weakness
Understanding Dopamine Deficiency and Its Impact on Anxiety Medications
Dopamine deficiency and medications such as Levodopa and Clonazepam? In mid-August last year, I started experiencing noticeable symptoms where sometimes while walking, my left foot would suddenly start to twitch involuntarily (possibly due to anxiety or other reasons), or my left...
Dr. Hong Weibin reply Neurology
You are very diligent! You've done a lot of homework. Occasionally, you experience muscle twitching in your left leg, sometimes accompanied by a tingling sensation, followed by pain in your left thigh. My thought is that it may be due to lumbosacral radiculopathy. Lumbosacra...[Read More] Understanding Dopamine Deficiency and Its Impact on Anxiety Medications
Persistent Headaches and Chest Pain: Seeking Answers for Unexplained Symptoms
Intermittent pain in the left temple and behind the right ear (Fengchi point) for 24 hours, accompanied by chest pain? My husband has been experiencing headaches for 6 days, which is unusual for him. He has visited the hospital twice, but the doctors have been unable to determine...
Dr. Hong Weibin reply Neurology
Hello: If you have never experienced similar headaches in the past and are currently experiencing neck stiffness, it is advisable to seek a consultation with a neurologist for a personal evaluation. It may be necessary to rule out dangerous causes of headaches, such as central ne...[Read More] Persistent Headaches and Chest Pain: Seeking Answers for Unexplained Symptoms
Understanding Eyelid Twitching: When to See a Neurologist?
Eyelid twitching? Hello Doctor, I would like to ask about my eyelid twitching, which has been continuous for a week. Is it necessary to seek medical attention? I'm not sure if I'm experiencing vertigo or if the eyelid twitching is causing visual disturbances, making eve...
Dr. Hong Weibin reply Neurology
Hello: If you experience persistent twitching of the upper eyelid accompanied by nystagmus, it is advisable to seek assistance from a neurologist. If the symptoms do not improve, a head imaging study may be arranged.[Read More] Understanding Eyelid Twitching: When to See a Neurologist?
Do I Need a Neurologist for Muscle Pain? Health Insurance Coverage Explained
Health insurance reimbursement issues? Hello Dr. Hong, I have been a long-term vegetarian and recently I've been experiencing muscle and nerve pain, as well as neck and back discomfort. I visited an orthopedic doctor and took some pain relief and anti-inflammatory medication...
Dr. Hong Weibin reply Neurology
Shoulder and neck muscle soreness is mostly related to long-term chronic poor posture, such as being part of the "looking down" population or using an inappropriate pillow height while sleeping. However, it is important to be aware of potential cervical radiculopathy. C...[Read More] Do I Need a Neurologist for Muscle Pain? Health Insurance Coverage Explained
Do You Need Further Testing for Headaches? Insights from Neurology
Do headaches require further examination? Hello Doctor, I am 56 years old. In early March of this year, I experienced a severe headache for the first time due to stress. It resolved on its own within 1 to 2 hours without medication. In early May, while traveling abroad, I had thr...
Dr. Hong Weibin reply Neurology
If your headache triggers are tension and lack of sleep, and your headache improves after taking medication and adjusting your lifestyle, it indicates that you are experiencing a primary headache. Primary headaches include tension-type headaches and migraines, among others, and d...[Read More] Do You Need Further Testing for Headaches? Insights from Neurology
Post-ICU Challenges: Diabetes and Swallowing Difficulties Explained
After being weaned off the ventilator in the intensive care unit, the patient with diabetes is experiencing difficulty swallowing and lacks voluntary motor control? Hello Doctor, My father was hospitalized in January 2018 due to diabetic ketoacidosis (with a hemoglobin A1c of 1...
Dr. Hong Weibin reply Neurology
Your father may be suffering from Critical Illness Polyneuropathy, but it is also possible that his condition is due to poorly controlled diabetes leading to Diabetic Polyneuropathy. Additionally, one should be cautious about the possibility of neuromuscular junction disorders or...[Read More] Post-ICU Challenges: Diabetes and Swallowing Difficulties Explained
Challenges in Recovery: Swallowing and Mobility Issues Post-Diabetes ICU Stay
After being weaned off the ventilator in the intensive care unit, the patient with diabetes is experiencing difficulty swallowing and lack of voluntary movement? Hello Doctor, my father was hospitalized in January 2018 due to diabetic ketoacidosis (HbA1c 14). A few days later, he...
Dr. Hong Weibin reply Neurology
Your father may be suffering from Critical Illness Polyneuropathy, but it is also possible that he has Diabetic Polyneuropathy due to poor diabetes control. Additionally, it is important to be cautious about potential neuromuscular junction diseases or certain autoimmune diseases...[Read More] Challenges in Recovery: Swallowing and Mobility Issues Post-Diabetes ICU Stay
Understanding Unexplained Severe Head Pain: Possible Causes and Insights
Abnormal head pain Recently, my father has been experiencing severe headaches that are so intense they cause him to tear up. He has already seen doctors at Cheng Kung University and Chi Mei Hospital, but they all mentioned that neuralgia is difficult to diagnose and there are no ...
Dr. Hong Weibin reply Neurology
There are many causes of headaches, including primary headaches (such as migraines and tension-type headaches) and secondary headaches (such as brain tumors). There are also neuropathic pain conditions (such as trigeminal neuralgia) and vascular pain (such as cerebral aneurysms)....[Read More] Understanding Unexplained Severe Head Pain: Possible Causes and Insights
Challenges in Recovery: Swallowing and Mobility Issues Post-Diabetes ICU Care
After being admitted to the intensive care unit for diabetes and extubated from the ventilator, the patient is unable to swallow and lacks voluntary movement? Hello Doctor, My father was hospitalized in January 2018 due to diabetic ketoacidosis (HbA1c 14). A few days later, he ...
Dr. Hong Weibin reply Neurology
Your father may be suffering from Critical Illness Polyneuropathy, but it is also possible that he has Diabetic Polyneuropathy due to poorly controlled diabetes. Additionally, it is important to be cautious about potential neuromuscular junction disorders or certain autoimmune di...[Read More] Challenges in Recovery: Swallowing and Mobility Issues Post-Diabetes ICU Care