Understanding Nerve Issues: What to Do When Your Finger Feels Numb
Finger issues Hello Doctor, due to my work, I have developed a sensation in my left index finger where the distal phalanx feels like it is covered by a glove. I have difficulty feeling what I touch, while the other half feels normal. I visited a neurologist yesterday, and the doc...
Dr. Hong Weibin reply Neurology
Hello: This phenomenon is referred to as hypesthesia or sensory loss, which is often caused by damage to sensory nerves. Common causes may include: trauma (such as burns, exposure to corrosive substances, insect bites...), carpal tunnel syndrome or cubital tunnel syndrome, diabet...[Read More] Understanding Nerve Issues: What to Do When Your Finger Feels Numb
Understanding Right Lower Occipital Pain: Causes and Insights
Pain in the lower right occipital region? Hello doctor, last Thursday while riding my bike to class, I suddenly experienced sharp pain in the lower right side of my occipital region, just below the occipital protuberance. I'm not sure if this is considered part of the occipi...
Dr. Hong Weibin reply Neurology
Hello: This could possibly be caused by neuralgia. The scalp, particularly in the occipital region, has many nerves, and a common condition is occipital neuralgia. Environmental and emotional factors can often trigger neuralgia. If symptoms improve after a few days of rest or wit...[Read More] Understanding Right Lower Occipital Pain: Causes and Insights
Understanding Upper Right Abdominal Discomfort: When to See a Neurologist
Sensation of stabbing heat in the right upper abdomen? Recently, I have been experiencing a tight sensation in the upper right abdomen (approximately from just above the navel to just below the lower edge of the ribs). Sometimes, it feels warm, and this has persisted for about a ...
Dr. Hong Weibin reply Neurology
Hello: If there are no structural abnormalities and the ultrasound shows no issues, and there is no significant impact on daily activities, it is generally recommended to observe temporarily to see if the symptoms change, which could provide more clues regarding potential causes.[Read More] Understanding Upper Right Abdominal Discomfort: When to See a Neurologist
Can I Take Anxiety and Depression Medications with Brain Relaxants at Night?
Can sedative medications be taken with antidepressants before bedtime? Due to my autonomic nervous system disorder, the neurologist prescribed me anxiety medication, antidepressants, and a brain relaxant to be taken together before bedtime. What effects might this cause? Today is...
Dr. Hong Weibin reply Neurology
Hello: Taking them together should not cause any drug interactions, so it is safe to use. However, if the effects are too strong and you experience general weakness, you may reduce the dosage.[Read More] Can I Take Anxiety and Depression Medications with Brain Relaxants at Night?
Understanding Ear Noise: Discomfort from Loud Sounds in One Ear
Exposure to loud sounds can cause significant tinnitus in the ears? I am a third-year junior high school student, and recently I've been experiencing discomfort in my right ear when I hear loud sounds during class (like the teacher's voice). My right ear produces a nois...
Dr. Hong Weibin reply Neurology
Hello: Based on your description, it may be hyperacusis, which can be caused by various factors such as migraines, anxiety and depression disorders, trauma, fibromyalgia, and inner ear imbalance, among others. It is advisable to seek assistance from an otolaryngologist.[Read More] Understanding Ear Noise: Discomfort from Loud Sounds in One Ear
Understanding Eyelid Twitching: Causes and Concerns for Neurological Health
Eyelid twitching for three to four days, with the eyelid appearing double-layered; the left eye feels different from the right eye? In the past few days, I have experienced an unexplained twitching in my left upper eyelid, which occurs even when I close my eyes before sleeping or...
Dr. Hong Weibin reply Neurology
Hello: There are many potential causes for eyelid muscle twitching. The most common causes include stress, electrolyte imbalances, lack of sleep, dehydration, excessive caffeine or stimulant intake, certain medications, fatigue, kidney disease, and diabetic neuropathy, among othe...[Read More] Understanding Eyelid Twitching: Causes and Concerns for Neurological Health
Managing Insomnia After Discontinuing Lorazepam: What to Expect
I was prescribed Lexotan for my gastrointestinal pain caused by autonomic nervous system dysfunction. However, after stopping the medication, I still have insomnia and haven't improved. What should I do? I previously took Lorazepam for over three months at a dosage of 0.5 mg...
Dr. Hong Weibin reply Neurology
Hello: If you have been taking "Lunesta" for a period of time and experience rebound insomnia after discontinuation, it is recommended to try a gradual tapering method. For example: take one pill today, half a pill tomorrow, one pill the day after, and half a pill the d...[Read More] Managing Insomnia After Discontinuing Lorazepam: What to Expect
Can My Mother Restart Madopar for Parkinson's Symptoms?
Parkinson's disease Hello Dr. Hong, my mother is 78 years old and has been diagnosed with Parkinson's disease and dementia for 5 years. Initially, she was prescribed Madopar 250, taking one tablet three times a day, but she only took it for about a month. After that, sh...
Dr. Hong Weibin reply Neurology
Hello: It is advisable to continue the medication, starting with a low dose, such as 0.25 to 0.5 pills three times a day, and then observe if there is any improvement in gait. Additionally, it may be necessary to clarify the reasons why your mother was previously reluctant to tak...[Read More] Can My Mother Restart Madopar for Parkinson's Symptoms?
Evening Dizziness: Causes and Solutions for Nighttime Symptoms
Experiencing dizziness in the evening? Hello: I often feel dizzy in the evening, especially around 6 or 7 PM when I start to feel lightheaded. When I lie down to sleep (without changing my position), I experience a sensation of impending dizziness, and I can easily be awakened by...
Dr. Hong Weibin reply Neurology
Hello: It is suggested that if it only occurs in the evening and not at other times, it may be a sign of excessive fatigue. Your body might be signaling the need for adequate rest. Additionally, it could be a case of vestibular migraine, and you may want to seek assistance from a...[Read More] Evening Dizziness: Causes and Solutions for Nighttime Symptoms
Understanding Dizziness After Jarring Movements: Possible Causes
Experiencing dizziness after a head injury? Hello doctor, recently whenever I ride a bike or take a vehicle over bumps that cause vibrations, I feel dizzy for about a second. Sometimes I also experience this dizziness when walking if I encounter vibrations. What could be the issu...
Dr. Hong Weibin reply Neurology
Hello: The balance system in humans is primarily managed by the vestibular system and semicircular canals located in both inner ears. Dizziness during vibrations often originates from the vestibular system. Generally speaking, staying well-hydrated and getting a good night's...[Read More] Understanding Dizziness After Jarring Movements: Possible Causes
Understanding Eyelid Twitching: Causes, Management, and Recovery Tips
Eyelid twitching? Hello, my eyelid has been twitching for nearly two months, with fluctuations in severity. Recently, I started getting enough sleep and taking calcium and magnesium supplements, and for several consecutive days, it didn't twitch at all. However, after gettin...
Dr. Hong Weibin reply Neurology
Hello: There are many potential causes for eyelid muscle twitching, with the most common being stress, electrolyte imbalances, insufficient sleep, dehydration, excessive intake of caffeine or stimulants, certain medications, fatigue, kidney disease, and diabetic neuropathy, among...[Read More] Understanding Eyelid Twitching: Causes, Management, and Recovery Tips
Understanding Parkinson's Disease and Cerebellar Atrophy Symptoms
Parkinson's disease and cerebellar atrophy? Hello doctor, recently I have been experiencing some unsteadiness while walking, but I'm not sure if it's psychological. Additionally, I have a bit of difficulty controlling my left little finger and ring finger. I have t...
Dr. Hong Weibin reply Neurology
Hello: Typically, Parkinson's disease or cerebellar atrophy tends to occur in middle age. Generally speaking, it is quite rare for these conditions to manifest at the age of 16. If you are still concerned, I recommend seeking assistance from a neurologist, who can conduct a ...[Read More] Understanding Parkinson's Disease and Cerebellar Atrophy Symptoms
Understanding Pulsatile Tinnitus: Causes and Consultations for Ear Sounds
Regular sounds in the left ear? Hello Dr. Hong, I need to work on the computer for long periods. Occasionally, I hear a chirping sound in my left ear that syncs with my pulse. I have undergone carotid and intracranial ultrasounds twice (at different hospitals two years apart), ...
Dr. Hong Weibin reply Neurology
Hello: Generally speaking, if you hear a sound that is synchronized with your pulse and vascular abnormalities have been ruled out, it may indeed be the vascular pulse being transmitted to your ears. The conduction of sound waves relies on a medium, and bones, muscles, and skin a...[Read More] Understanding Pulsatile Tinnitus: Causes and Consultations for Ear Sounds
Managing Autonomic Nervous System Disorders: Medication and Anxiety Solutions
Autonomic nervous system dysfunction Hello, I have been suffering from autonomic nervous system dysregulation for many years. I have been taking 3 mg of Lishuding, increasing from half a pill to one pill every night before bed (I have been taking it for about three years). Howeve...
Dr. Hong Weibin reply Neurology
Hello: If you have been taking this medication for a long time and it improves your symptoms during the day without causing drowsiness, then it is acceptable to take it in the morning and at noon. When discontinuing this medication after long-term use, it is usually recommended t...[Read More] Managing Autonomic Nervous System Disorders: Medication and Anxiety Solutions
Understanding Muscle Twitching: Causes and Concerns in Neurology
Muscle tremors Hello Doctor, I would like to ask you some questions. In September, I experienced some health issues that led to anxiety. After seeing the appropriate doctors, they assured me that everything was fine and my symptoms gradually improved. However, recently, I have be...
Dr. Hong Weibin reply Neurology
Hello: The body's muscles are controlled by nerves, which function like electrical wires, transmitting signals to control muscle movements. However, just like wires can become faulty over time and can be affected by external factors such as temperature and humidity, leading ...[Read More] Understanding Muscle Twitching: Causes and Concerns in Neurology
Understanding Syncope: When to Seek Neurological Evaluation
Occasional syncope Hello, I have had normal health checks during my military service and school admissions. Recently, I have been increasingly troubled by an intermittent issue, which is fainting. I experience a sensation of almost fainting, accompanied by dry mouth and gradually...
Dr. Hong Weibin reply Neurology
Hello: Based on your description, it is possible that you are experiencing vasovagal syncope. You may seek assistance from a specialist in autonomic nervous system function to arrange for examinations. Such specialists are typically found in neurology, psychiatry, or cardiology. ...[Read More] Understanding Syncope: When to Seek Neurological Evaluation
Understanding Intermittent Hand Tremors: Causes and Types Explained
The hands tremble intermittently? Hello doctor, I have a question. When I press buttons with my hand, it seems to shake (but it doesn't shake when I touch my nose), especially my left hand, which is more noticeable. However, my hand trembles sometimes and not at other times ...
Dr. Hong Weibin reply Neurology
Hello: Tremors can indeed occur intermittently and may be triggered by certain factors such as fatigue, hunger, or caffeine, among others. The most common type of tremor caused by cerebellar dysfunction is "essential tremor," which often has a genetic component. Intenti...[Read More] Understanding Intermittent Hand Tremors: Causes and Types Explained
Understanding Swallowing Difficulties: A Neurological Perspective
Swallowing difficulties Hello, five months ago I suddenly experienced chest pain and neck pain while sleeping. I went to the hospital, and the doctor prescribed muscle relaxants. After taking them for two to three days, I began to have difficulty swallowing, but this improved on ...
Dr. Hong Weibin reply Neurology
Hello: Swallowing difficulties are related not only to neurological issues but also to muscle coordination. If a swallowing study shows that food remains on the tongue and in the throat during swallowing, there may be a muscular problem. It is recommended to seek assistance from ...[Read More] Understanding Swallowing Difficulties: A Neurological Perspective
Understanding Dementia and Hydrocephalus: Key Questions and Insights
Consultation regarding dementia (suspected to be caused by hydrocephalus)? Hello, Doctor. I would like to ask about my father, who is 63 years old and has been diagnosed with early-onset dementia for over a year. His main symptoms include significant short-term memory decline and...
Dr. Hong Weibin reply Neurology
Hello: Diagnosing dementia requires not only imaging studies but also a thorough assessment of the patient's clinical symptoms and disease progression to make an accurate diagnosis. Generally, if dementia is caused by normal pressure hydrocephalus, the patient often presents...[Read More] Understanding Dementia and Hydrocephalus: Key Questions and Insights
Managing Parkinson's Disease: Medication Challenges and Control Strategies
Medication Issues in Parkinson's Disease Hello Doctor: I was diagnosed with Parkinson's disease this August. Currently, I am experiencing frequent and significant tremors in my left foot, and during severe episodes, my big toe tends to curl inward. Additionally, I have ...
Dr. Hong Weibin reply Neurology
Hello: The tremors associated with Parkinson's disease are mostly resting tremors, which can typically be temporarily controlled by willpower or by maintaining a tense posture (such as raising the legs). However, once the individual relaxes, the tremors reappear, which is re...[Read More] Managing Parkinson's Disease: Medication Challenges and Control Strategies