Managing Perineal Nerve Pain: Treatment Options and Recovery Insights
Pudendal neuralgia Hello, doctor. I have atypical trigeminal neuralgia, and my physician prescribed Lyrica, Topamax, and Depakote, but they haven't been very effective. After taking Depakote for a while, I developed perineal nerve pain due to my chronic prostatitis, which ha...
Dr. Huang Hongling reply Neurology
Hello: Pudendal neuralgia is not induced by a hernia. Additionally, the diagnosis of pudendal neuralgia must exclude other factors (such as prostatitis). Since you have a history of chronic prostatitis, it is recommended that you consult a urologist to rule out whether the pain i...[Read More] Managing Perineal Nerve Pain: Treatment Options and Recovery Insights
Understanding Facial Muscle Twitches: When to See a Neurologist or Ophthalmologist
Facial spasms Hello Doctor, I have been experiencing muscle twitching around the tear trough area on my right face (near the apple cheek) for about a month now, and there has been no improvement. Sometimes it occurs first thing in the morning, even when I am not fatigued. I have ...
Dr. Huang Hongling reply Neurology
If eyelid twitching persists for more than 2-3 weeks, is severe enough to cause the eyes to close, or if there are other symptoms such as twitching of facial or body muscles, redness of the eyes, discharge, or drooping eyelids, it is advisable to visit a neurology clinic for eval...[Read More] Understanding Facial Muscle Twitches: When to See a Neurologist or Ophthalmologist
Understanding Unexplained Body Pain: A Neurological Perspective
Physical changes in the past three months? Hello, Doctor. I have been experiencing various health issues over the past three months. Initially, I had pain throughout my body (I'm unsure if it's muscle pain or bone pain). The pain is difficult to describe; sometimes it f...
Dr. Huang Hongling reply Neurology
Fibromyalgia is diagnosed based on clinical symptoms, and some medications used for it also serve as treatments for anxiety or depression. As for amyotrophic lateral sclerosis (ALS), pain is rarely a symptom. It is recommended that you return to your original neurologist for a co...[Read More] Understanding Unexplained Body Pain: A Neurological Perspective
Understanding Neuromyelitis Optica: Treatment Options and Risks
Neuromyelitis optica Hello, Dr. Huang! Thank you very much for your previous guidance! After following your advice, I immediately went to the emergency room for treatment. Due to the rapid deterioration of my condition and the resident physician's concern that the situation ...
Dr. Huang Hongling reply Neurology
Hello: Neuromyelitis optica is a condition in which the body produces antibodies that attack its own nervous system, thus requiring immunosuppressants for treatment. Both corticosteroids and mycophenolate mofetil are immunosuppressants that can lead to decreased immunity. Long-te...[Read More] Understanding Neuromyelitis Optica: Treatment Options and Risks
Swollen Foot and Tingling Sensation: What Could Be the Cause?
Swelling on the dorsum of the foot, with a tingling sensation upon pressure? Hello, doctor. Recently, I experienced pain in the dorsum of my left foot when bending it forward while walking, possibly due to walking for too long or poor posture. The pain subsided after a few days, ...
Dr. Huang Hongling reply Neurology
Hello, you can start by changing to shoes that do not put pressure on the top of your foot, such as certain sandals or high heels that tend to cause pressure in that area. Avoid wearing them to prevent compression of the nerves in the foot. If the numbness persists, it is recomme...[Read More] Swollen Foot and Tingling Sensation: What Could Be the Cause?
Understanding Cervical Disc Herniation and Spinal Cord Edema: A Patient's Journey
Cervical intervertebral disc herniation, cervical spinal cord edema? Hello Dr. Huang, thank you very much! I had an MRI on March 7 that confirmed cervical disc herniation. Additionally, I had a contrast-enhanced MRI on March 22, but the spinal cord edema could not be visualized. ...
Dr. Huang Hongling reply Neurology
Hello, if the neurosurgeon believes that the right hand numbness is not related to cervical disc herniation, they would still recommend that you consult a neurologist to thoroughly investigate the cause, in order to avoid unnecessary surgical risks. If your symptoms significantly...[Read More] Understanding Cervical Disc Herniation and Spinal Cord Edema: A Patient's Journey
Understanding Nerve Pain: When to Seek Medical Attention for Numbness
Numbness and tingling extending to the back, face, and tongue? Hello, doctor. I have been experiencing numbness in my limbs and neck pain. Initially, I thought it was due to excessive computer use over several days, and I believed that rest and exercise would help. After a day, I...
Dr. Huang Hongling reply Neurology
Hello, it is important to observe what conditions are more likely to cause numbness, as well as the duration of the numbness. It is recommended to visit a neurology clinic for further clarification of symptoms or to assess whether any tests are necessary.[Read More] Understanding Nerve Pain: When to Seek Medical Attention for Numbness
Understanding Abnormal Brain Discharges: Causes and Treatment Options
Abnormal electrical discharge in the brain? Recently, it feels like there is abnormal electrical activity in my brain. I have been consistently taking my epilepsy medication (morning and evening), but my face feels numb. Why is that?
Dr. Huang Hongling reply Neurology
Hello, there are many causes of facial numbness, and it is not necessarily due to abnormal electrical activity in the brain. It is recommended to visit a neurology clinic for further evaluation![Read More] Understanding Abnormal Brain Discharges: Causes and Treatment Options
Managing Left Shoulder Pain After Dislocation: Treatment Options
Left shoulder bone pain? Two years ago, I fell from a ladder and dislocated my shoulder. Recently, I've been experiencing pain that worsens with changes in the weather, and my arm and shoulder often feel sore. I also have numbness in my hand and difficulty lifting it, and it...
Dr. Huang Hongling reply Neurology
It is recommended to first visit an orthopedic outpatient clinic for evaluation![Read More] Managing Left Shoulder Pain After Dislocation: Treatment Options
Could Choking Cause Brain Hypoxia? Understanding the Risks and Symptoms
Is there a lack of oxygen in the brain? A few days ago, I choked on sweet and sour spare ribs. However, I was still able to talk. At that moment, I asked a friend if the water was new or old. If it was new, I would give him money. Looking back now, I realize I was really foolish ...
Dr. Huang Hongling reply Neurology
If you did not lose consciousness and felt that your cognitive function or physical condition did not change before and after choking, there is no need to worry too much! A brief inability to breathe is similar to holding your breath underwater and typically does not have signifi...[Read More] Could Choking Cause Brain Hypoxia? Understanding the Risks and Symptoms
Understanding Migraines: From Headaches to Dizziness and Beyond
Headache that leads to dizziness? Hello, doctor. I would like to ask about my condition. I have been experiencing headaches since I was young, although I don't remember exactly when; I believe it started around the second or third grade in elementary school. In the past, whe...
Dr. Huang Hongling reply Neurology
Hello, there are many related symptoms to inquire about regarding your headache, including the nature of the pain (such as throbbing, pressure, stabbing, or dull pain), the location of the pain, the duration of the headache, accompanying symptoms (such as nausea, vomiting, photop...[Read More] Understanding Migraines: From Headaches to Dizziness and Beyond
Can Steroid Supplementation Fully Restore Cognitive Function in Adrenal Insufficiency?
Adrenal cortical insufficiency Hello, I would like to inquire whether cognitive dysfunctions caused by adrenal insufficiency, such as memory decline, slowed reaction times, lack of concentration, and decreased comprehension, can fully recover with appropriate steroid supplementat...
Dr. Huang Hongling reply Internal Medicine
Cognitive decline caused by adrenal insufficiency can be improved with steroid supplementation, but it may not fully restore the patient's cognitive function. Additionally, since cognitive deterioration often has multiple causes, it is important to consider factors such as d...[Read More] Can Steroid Supplementation Fully Restore Cognitive Function in Adrenal Insufficiency?