Understanding Muscle Twitches: When to Seek Neurological or Psychological Help
Involuntary muscle twitching? Hello Doctor, I recently asked you about my muscle twitching, which has been occurring for nearly five months. Although it only lasts for two to three seconds at a time and the affected areas vary, primarily in my shoulders, buttocks, and thighs, it ...
Dr. Hong Weibin reply Neurology
Hello: There are many types of muscle twitching, including muscle fasciculation, muscle myokymia, muscle spasm, and muscle myoclonus, among others (which are difficult to translate into Chinese). The causes are numerous, with the most common being stress, electrolyte imbalances, ...[Read More] Understanding Muscle Twitches: When to Seek Neurological or Psychological Help
Understanding Muscle Twitches: Could They Indicate ALS Symptoms?
Muscle twitching I have recently been experiencing muscle twitching in various parts of my body, particularly in my arms. The twitching occurs intermittently, and it seems to stop when I change positions. After some research, I found that muscle twitching can also be a symptom of...
Dr. Hong Weibin reply Neurology
Hello: There are many types of muscle twitching, including muscle fasciculation, muscle myokymia, muscle spasm, and muscle myoclonus, among others (which are difficult to translate into Chinese). The causes are numerous, with the most common being stress, electrolyte imbalances, ...[Read More] Understanding Muscle Twitches: Could They Indicate ALS Symptoms?
Understanding Muscle Weakness and Pain: A Neurology Perspective
Hand pain with a sensation of weakness? Hello Doctor, I have been experiencing muscle twitching since the end of April, and it continues to this day. Initially, it was a persistent twitch in a fixed location, but after a while, it became random, with occasional twitches that vary...
Dr. Hong Weibin reply Neurology
Hello: If you have undergone multiple neurophysiological examinations that have all returned normal results, you generally do not need to worry excessively about the possibility of motor neuron disease and may want to consider other potential causes. I recommend discussing this f...[Read More] Understanding Muscle Weakness and Pain: A Neurology Perspective
Understanding EMG Results in Early Stages of ALS: What to Expect
Electromyography issues in amyotrophic lateral sclerosis (ALS)? In the very early stages of amyotrophic lateral sclerosis (ALS), also known as Lou Gehrig's disease, electromyography (EMG) results can sometimes appear normal. However, it is also possible to detect subtle abno...
Dr. Hong Weibin reply Neurology
Hello: If it is indeed amyotrophic lateral sclerosis (ALS), the electromyogram (EMG) would show symptoms in the early stages and would not be completely normal. If the EMG is completely normal, other diseases may need to be considered.[Read More] Understanding EMG Results in Early Stages of ALS: What to Expect
Understanding Body Tremors and Heart Palpitations: Is Mitral Valve Prolapse the Cause?
The body experiences slight tremors when at rest? Hello, I have recently been experiencing slight body tremors while sitting still, a strong heartbeat, dizziness, and headaches. Additionally, I have always felt weakness in my hands (which has become more noticeable due to bruisin...
Dr. Hong Weibin reply Neurology
Hello: These symptoms may be related to dysfunction of the sympathetic and parasympathetic nervous systems (commonly referred to as the autonomic nervous system). You may want to consult with a neurologist or a psychiatrist nearby.[Read More] Understanding Body Tremors and Heart Palpitations: Is Mitral Valve Prolapse the Cause?
Early Detection of ALS: EMG Tests and Self-Assessment Methods
Amyotrophic Lateral Sclerosis (ALS) Diagnosis Hello, doctor. Can electromyography (EMG) detect amyotrophic lateral sclerosis (ALS) in its "super early" stages? Additionally, is arm fatigue one of the early symptoms of ALS? Are there any self-assessment methods for ALS, ...
Dr. Hong Weibin reply Neurology
Hello: Sometimes, the early electromyography (EMG) findings in amyotrophic lateral sclerosis (ALS) can be atypical and difficult to interpret, which necessitates follow-up EMG testing after a period, such as six months. ALS is a motor neuron disease, primarily affecting motor fun...[Read More] Early Detection of ALS: EMG Tests and Self-Assessment Methods
Understanding Sleep Jerks: Causes and Solutions for Better Sleep Quality
Sleep problems and body twitching? Hello, doctor. When I go out with friends or fall asleep next to my partner, they say my body twitches while I'm asleep. However, I don't experience any significant jolts like falling or dropping into a hole that would wake me up; I am...
Dr. Hong Weibin reply Neurology
Hello: I'm not sure which part of the body is experiencing the twitching. Is it the lower limbs? Typically, twitching during sleep mostly occurs in the lower limbs and is referred to as Periodic Limb Movement Disorder (PLMD), which can lead to sleep disruption and result in ...[Read More] Understanding Sleep Jerks: Causes and Solutions for Better Sleep Quality
Post-Stair Fall: When to Seek Neurology Help for Head Injury Symptoms
Fell down a three-step staircase, bleeding below the right temple? Hello Doctor, I am currently working in Vietnam. Two days ago, after having dinner and drinking with colleagues, I lost my footing while going down the stairs and fell. I have a 4 cm laceration above my right temp...
Dr. Hong Weibin reply Neurology
Hello: In the days and months following a recent impact, you may experience dizziness and nausea, which could be caused by a mild concussion. It is advisable to follow up at a neurology clinic for further evaluation. Additionally, please make sure to rest adequately and limit the...[Read More] Post-Stair Fall: When to Seek Neurology Help for Head Injury Symptoms
Post-Meal Neck and Ear Discomfort: Possible Causes and Next Steps
Numbness in the neck or behind the ear after eating? Six months ago, I had tonsillitis and experienced a severe cough for two weeks. After recovery, I continued to feel a sensation of something stuck in my throat. I went to an ENT specialist for an endoscopy, but no abnormalities...
Dr. Hong Weibin reply Neurology
Hello: It may be due to consuming a larger portion. I suggest trying to eat half the amount of rice first to see if the stiffness in your neck and behind your ears, as well as the bloating sensation in your stomach, improve. Wishing you a speedy recovery.[Read More] Post-Meal Neck and Ear Discomfort: Possible Causes and Next Steps
Understanding Persistent Vomiting and Neurological Symptoms: When to Seek Help
Continuous vomiting, dizziness, headache, double vision, and impaired memory? Hello Doctor, I have been experiencing continuous vomiting for over four months now. After undergoing various examinations, including abdominal ultrasound, gastroscopy, upper gastrointestinal series, an...
Dr. Hong Weibin reply Neurology
Hello: You can visit a neurologist for an evaluation to determine if a brain scan is necessary. Wishing you a speedy recovery.[Read More] Understanding Persistent Vomiting and Neurological Symptoms: When to Seek Help
Understanding Persistent Postural-Perceptual Dizziness in Older Adults
Doctor, I apologize, but I am here today to ask questions on behalf of my mother? My mother is in her 50s, and this morning she woke up feeling like everything around her is shaking, similar to an earthquake. For the past few months, she has been experiencing dizziness, and any m...
Dr. Hong Weibin reply Neurology
Hello: If the symptoms have not improved, you can go directly to the emergency department for initial treatment and evaluation. Wishing your family member a speedy recovery.[Read More] Understanding Persistent Postural-Perceptual Dizziness in Older Adults
Understanding Food Sensitivities and Neurological Symptoms: A Patient's Journey
Discomfort after consuming certain foods? Hello, doctor. I am 29 years old, and I started experiencing abnormal symptoms around February of last year (2019). Initially, I had difficulty breathing when lying down, feeling as if I couldn't catch my breath. I went to a clinic, ...
Dr. Hong Weibin reply Neurology
Hello: If all test results show no abnormalities, it is possible that there are no specific physiological issues. It is important to consider psychological, environmental, and stress-related factors. You may want to seek further evaluation and assistance from a psychiatrist. Wish...[Read More] Understanding Food Sensitivities and Neurological Symptoms: A Patient's Journey
Persistent High-Pitched Tinnitus at Night: Seeking Further Medical Advice
When lying down to sleep at night, there is a high-frequency tinnitus in the right ear? Hello, Doctor: When I lie down on my right side at night, I experience a high-pitched ringing in my right ear that lasts until morning, but it disappears shortly after I get up. Therefore, I u...
Dr. Hong Weibin reply Neurology
Hello: You can visit the neurology outpatient clinic nearby, where a physician will examine you. Wishing you a speedy recovery.[Read More] Persistent High-Pitched Tinnitus at Night: Seeking Further Medical Advice
Understanding Localized Atrophy in the Left Frontal Lobe: What It Means for Your Health
Localized atrophy of the left frontal lobe? Hello Doctor, I have a health-related question. Last week, I sustained a head injury when I hit my head on the floor, and I went to the hospital for a CT scan of my brain. The doctor indicated that there was swelling in my head but no...
Dr. Hong Weibin reply Neurology
Hello: The results of a head CT scan often need to be correlated with clinical symptoms to be meaningful. Each individual has different heights and body types, and therefore the cortical structures of the brain vary from person to person. The frontal lobe is responsible for judgm...[Read More] Understanding Localized Atrophy in the Left Frontal Lobe: What It Means for Your Health
Understanding Nerve Issues: Leg Pain and Abdominal Tightness Explained
Foot arch problems? The patient reports experiencing numbness on the side of the thigh extending down to the foot, which is mild in nature. A nuclear magnetic resonance imaging (MRI) scan was performed at a large hospital, examining the cervical spine and pelvis, but no cause was...
Dr. Hong Weibin reply Neurology
Hello: Your symptoms may warrant an evaluation by a neurologist. If there is no evidence of sciatic nerve compression, it may be necessary to consider the possibility of a demyelinating nerve disease. It might be necessary to arrange for upper and lower limb nerve conduction stud...[Read More] Understanding Nerve Issues: Leg Pain and Abdominal Tightness Explained
Understanding Sleep Paralysis and Dizziness: Symptoms and Solutions
Sleep paralysis and vertigo? Hello Doctor, sometimes when I wake up in the middle of the night, I find myself unable to move or even breathe. When I finally manage to get up, I experience intense dizziness and tinnitus. Recently, during my afternoon naps, I've started to fee...
Dr. Hong Weibin reply Neurology
Hello: If you are unable to move while sleeping at night, it may be a condition known as sleep paralysis. If you experience excessive daytime sleepiness, be cautious as it could be narcolepsy. It is advisable to seek assistance from a neurologist or a sleep specialist.[Read More] Understanding Sleep Paralysis and Dizziness: Symptoms and Solutions
Understanding Muscle Twitching: Causes and Concerns in Young Adults
Involuntary muscle twitching at irregular locations? Hello Doctor, about a month ago, I started experiencing twitching in my right eye bag and my left calf. After an EEG, the doctor said it was normal, so my family suggested I get blood tests for thyroid function. I might be over...
Dr. Hong Weibin reply Neurology
Hello: If you experience visible persistent muscle twitching and pain, you can seek assistance from a neurologist to determine if an electromyography (EMG) is necessary. Muscle twitching can have many causes that require differential diagnosis, and not all causes are as alarming ...[Read More] Understanding Muscle Twitching: Causes and Concerns in Young Adults
Understanding Memory Loss: Possible Causes and When to Seek Help
Memory loss Hello, Doctor! I would like to inquire about memory impairment. I have the following situation: my memories mostly only last for about the past two years, and memories from more than two years ago are mostly vague, and sometimes I can't even recall events or expe...
Dr. Hong Weibin reply Neurology
Hello: The human brain has a limited capacity, especially regarding "working memory." Working memory refers to the level of focus a person has at a given moment. For example, when a waiter is taking an order from a customer, they must concentrate and remember what the c...[Read More] Understanding Memory Loss: Possible Causes and When to Seek Help
Understanding Prolonged Muscle Tremors: Causes and Concerns
Muscle twitching has been persistent for a long time? Hello Doctor, last week I experienced some hand numbness, hand tremors, and unusual hyperactivity. Since my family has a history of thyroid issues, I underwent an ultrasound and blood tests. The results came back normal, but I...
Dr. Hong Weibin reply Neurology
Hello: Muscle twitching involves many factors to consider in neurology, including electrolyte imbalances, metabolic disorders, muscle diseases, neuropathies, or excessive tension, among others. It is recommended that you consult a neurologist specializing in muscle disorders for ...[Read More] Understanding Prolonged Muscle Tremors: Causes and Concerns
Managing Dizziness and Nausea After a Stroke: A Caregiver's Concern
The mother had a minor stroke a year ago and has recently been experiencing frequent dizziness and vomiting? Hello Doctor, my mother had a mild stroke a year ago, and her stroke-related symptoms have improved. Her blood pressure and blood sugar levels are being managed with medic...
Dr. Hong Weibin reply Neurology
Hello: Indeed, dizziness caused by peripheral systems is more challenging to treat, and medication can only be used to manage the condition. It is recommended that you discuss with your physician to choose medications with fewer side effects and take them regularly to reduce the ...[Read More] Managing Dizziness and Nausea After a Stroke: A Caregiver's Concern