Understanding Persistent Dizziness: Causes and Next Steps for Relief
Feeling dizzy all day? Hello Doctor, I have been experiencing dizziness since early May (not a spinning sensation, just feeling lightheaded all day). Initially, I had symptoms of heat and dizziness, thinking it was heatstroke; I also had two episodes of gout at that time, but it ...
Dr. Jiang Junyi reply Neurology
Hello, Sir: You mentioned, "1. Is it okay if the C-reactive protein is normal? 2. Is it possible that the feeling of pressure and dizziness in the head is actually a headache rather than vertigo? 3. I'm unsure what else I should get checked." How has the medication...[Read More] Understanding Persistent Dizziness: Causes and Next Steps for Relief
Understanding Numbness and Blood Flow Issues in Neck and Limbs
Numbness in the hands, feet, back, and neck, as well as concerns related to blood flow during turning? Hello Doctor: From November 27 to 29, I often felt tingling in my fingers, palms, and soles, mostly very mild and barely noticeable, without affecting my activities. Additionall...
Dr. Jiang Junyi reply Neurology
Good morning, Miss. You mentioned experiencing "numbness and tingling, particularly in the shoulders and back, which is quite pronounced and frequent... and feeling a significant rush of blood to the head when turning over." This may warrant consideration of dynamic cha...[Read More] Understanding Numbness and Blood Flow Issues in Neck and Limbs
Is Your Facial Pain Trigeminal Neuralgia? Understanding the Symptoms
It feels like trigeminal neuralgia? The painful area is located on the left cheek, approximately around the focal point between the eyes and nose, and the region opposite the ear near the zygomatic bone. The pain feels dull and achy. I have braces and frequently undergo X-rays, s...
Dr. Jiang Junyi reply Neurology
Dear Ms. Liu, You mentioned that you feel a dull pain near the focal point between your eyes and nose, as well as in the area of the cheekbone opposite your ears. This distribution of pain is associated with abnormalities of the second branch of the trigeminal nerve (maxillary b...[Read More] Is Your Facial Pain Trigeminal Neuralgia? Understanding the Symptoms
Head Injury from Rolling Door: Symptoms and Next Steps
Hit the top of the head against a rolling metal door? Hello, doctor. Yesterday, I accidentally bumped into a rolling shutter door that was just about to rise while I was bending down. At the moment of impact, I felt nauseous once and experienced a temporary loss of vision twice. ...
Dr. Jiang Junyi reply Neurology
Hello, Miss: You mentioned that "I can't really turn my head, and washing my hair while bending over causes severe pain. The right side also hurts a lot while sleeping, but it feels a bit better after waking up." Your symptoms may suggest inflammation of the cervic...[Read More] Head Injury from Rolling Door: Symptoms and Next Steps
Understanding Pituitary Tumors: Risks, Symptoms, and Treatment Options
Pituitary gland Dear Dr. Jiang, I am Xin from case 202879. First of all, I would like to thank you for your prompt response despite your busy schedule. I would like to ask you again: what do you mean by saying that there are many uncertainties regarding the surgery? Are these un...
Dr. Jiang Junyi reply Neurology
Dear Mr. Xin, If your finances allow, would you consider undergoing another MRI of the brain on a self-pay basis in a month? Thank you for your inquiry, and if you have any related questions, feel free to discuss further! Wishing you and your wife good health, safety, and happi...[Read More] Understanding Pituitary Tumors: Risks, Symptoms, and Treatment Options
Understanding Muscle Pain and Weakness After Pregnancy: A Neurological Perspective
Muscle fasciculations, soreness, weakness..? Hello, Doctor. I apologize for bothering you, but I would like to ask a question. I gave birth around mid-May this year. Due to a short cervical length, I had to undergo bed rest for about three months. After giving birth, I experience...
Dr. Jiang Junyi reply Neurology
Hello Miss Hsuan-er: You mentioned that "my whole body feels like it's getting thinner and I don't feel like I have any muscle left; is it all atrophying?" Muscle atrophy may first require consideration of insufficient protein intake. Your concerns might also ...[Read More] Understanding Muscle Pain and Weakness After Pregnancy: A Neurological Perspective
Muscle Twitches and Weakness: Are They Early Signs of ALS?
Muscle twitching has persisted for four days, and there is a sensation of soreness in the limbs. There is concern that it may be amyotrophic lateral sclerosis (ALS)? Hello Dr. Jiang, I am 43 years old. In the early morning of November 25th, I noticed that all my muscles were twit...
Dr. Jiang Junyi reply Neurology
Hello Mr. Chen: You mentioned experiencing "high-frequency twitching in all your muscles," which may require consideration of more common issues, as amyotrophic lateral sclerosis (ALS) is a rare disease. Typically, muscle atrophy is observed in such cases. Your symptoms...[Read More] Muscle Twitches and Weakness: Are They Early Signs of ALS?
Understanding Head Pain and Body Tremors: When to Seek Neurological Help
Body shaking and headache? Hello, doctor! Sometimes I suddenly feel a pressure in my head (on both sides of my temples) accompanied by a headache, and my body also shakes! Sometimes even when I am still, my body shakes. Additionally, I have some difficulty breathing! What kind of...
Dr. Jiang Junyi reply Neurology
Hello Mr. Dzz: You mentioned that you are experiencing "pressure on both temples" accompanied by headaches and body shaking. Your symptoms may suggest tension-type headaches, which are caused by muscle tightness in the head. Common manifestations include tight, constric...[Read More] Understanding Head Pain and Body Tremors: When to Seek Neurological Help
Managing Pituitary Prolactinoma: When to Consider Surgery?
Pituitary prolactinoma stroke Hello Doctor: My wife has a 0.3 cm prolactinoma that has been managed with medication for a long time. In August of this year, her blood test showed a PRL level of 68, and a follow-up MRI revealed a hemorrhagic stroke with a fluid level measuring 1.5...
Dr. Jiang Junyi reply Neurology
Dear Mr. Xin, You mentioned, "Is it possible that the tumor bleeding will slow down and be absorbed on its own if we continue to observe without surgery? (Three years ago, there was a bleeding episode when it was 0.9 cm, and it later resolved)." Essentially, pituitary ...[Read More] Managing Pituitary Prolactinoma: When to Consider Surgery?
Post-Hospitalization: Managing Blurry Vision and Dizziness After a Car Accident
One month after hospitalization? When I wake up in the hospital, I often experience blurred vision and dizziness. I was discharged because I was involved in a car accident.
Dr. Jiang Junyi reply Neurology
Dear Mr. Df, You mentioned that you often experience blurred vision and dizziness upon waking up, particularly after the car accident. I would like to know how long you experienced loss of consciousness, as this could indicate potential post-concussion syndrome. Additionally, we...[Read More] Post-Hospitalization: Managing Blurry Vision and Dizziness After a Car Accident
Chronic Anemia-Like Symptoms Without Anemia: What Could It Be?
Feeling chronically anemic without actually being anemic? To summarize the usual symptoms: I experience dizziness after prolonged sitting, after eating, and when standing up from a squatting position. I also feel dizzy and have headaches when I fall asleep while sitting. It feels...
Dr. Jiang Junyi reply Neurology
Hello, Miss: You mentioned experiencing dizziness when squatting and standing up, which may indicate insufficient cerebral blood flow due to changes in posture. If the symptoms are more severe, fainting may occur. "Fainting" is defined as a sudden, temporary loss of co...[Read More] Chronic Anemia-Like Symptoms Without Anemia: What Could It Be?
Assessing Potential Concussion Symptoms After a Head Injury
The right occipital region was hit by a ball? Hello, Doctor. On November 9th, during gym class at 10 AM, a pickleball (about the size of a baseball, hollow plastic, and quite light) suddenly hit me on the back of my right head. It came from about 4 or 5 meters away. At the mome...
Dr. Jiang Junyi reply Neurology
Hello, Miss: You mentioned, "At the moment, I don't feel it will be very painful and I think it will get better soon, so I didn't go to the health room... The pain seems to radiate to my forehead." This symptom is more indicative of cervical myofascial inflamm...[Read More] Assessing Potential Concussion Symptoms After a Head Injury
Breathing Difficulties and Numbness: Understanding Neurological Symptoms
Feeling short of breath, with numbness and dizziness? Hello, Dr. Jiang. Recently, when I go to work, I feel like I can't get enough air, my breathing speeds up (over 20 breaths per minute), and I experience numbness in my hands, feet, and face, as well as chest numbness. Dee...
Dr. Jiang Junyi reply Neurology
Hello Mr. You: You mentioned experiencing numbness in your hands, feet, and face, as well as chest numbness, and that deep breathing does not help... Your symptoms may need to be considered in the context of autonomic nervous system dysfunction. Hyperventilation can lead to decre...[Read More] Breathing Difficulties and Numbness: Understanding Neurological Symptoms
Understanding Migraine, Breathing Issues, and Digestive Problems
Migraine, respiratory issues, abdominal problems, constipation? Hello, doctor. I would like to inquire about my friend's long-term migraine issues (experiencing pain almost every day). Sometimes, they also suddenly have difficulty breathing, needing to take deep breaths to f...
Dr. Jiang Junyi reply Neurology
Dear Mr. Yan, You mentioned the issue of "chronic migraines (almost experiencing pain every day... stomach pain and nausea after eating)." Your friend's symptoms may need to consider the side effects of medications, especially pain relievers. Regarding chronic mig...[Read More] Understanding Migraine, Breathing Issues, and Digestive Problems
Understanding Facial Nerve Issues: Symptoms, Causes, and Treatment Options
Facial nerve Hello, doctors! I am 28 years old, and in March of this year, I noticed weakness on the right side of my face, with difficulty closing my right eye. I have noticeable asymmetry in my eyes, and when I drink, water leaks from the right side of my mouth. When I try to m...
Dr. Jiang Junyi reply Neurology
Hello Dr. De: You mentioned that "some doctors said I have both facial nerve paralysis and spasms... (I am completely confused)." Generally speaking, facial nerve paralysis occurs due to inflammation, which prevents the muscle tissue it innervates from contracting adequ...[Read More] Understanding Facial Nerve Issues: Symptoms, Causes, and Treatment Options
Can Numbness in Your Pinky Finger Be Self-Treated?
Numbness in the little finger? About a month ago, I started experiencing numbness in my left pinky finger. I work a sedentary job and suspect that it may be due to prolonged smartphone use and other factors. Doctor, can this condition improve on its own, or should I seek medical ...
Dr. Jiang Junyi reply Neurology
Dear Ms. YoYo, You mentioned that "the little finger on your left hand has started to feel numb," which may indicate ulnar nerve compression. The ulnar nerve innervates part of the little finger and half of the ring finger, as well as the palm beneath these fingers, le...[Read More] Can Numbness in Your Pinky Finger Be Self-Treated?
Understanding Ear Pulsations: Insights on Tinnitus and Autonomic Dysfunction
Some adjustment issues? Doctor: When I was first diagnosed, I experienced very loud tinnitus in my left ear and could hear my heartbeat. Now the tinnitus has improved, but sometimes I feel a pulsating sensation in my ear, as if the blood vessels are beating twice (from the caroti...
Dr. Jiang Junyi reply Neurology
Dear Mr. Shouxin, You mentioned, "Can an average person occasionally hear their heartbeat?" When arrhythmias occur, some individuals may feel changes in their cardiac output and can perceive the sensation of their heart beating. They may also hear the sound of their he...[Read More] Understanding Ear Pulsations: Insights on Tinnitus and Autonomic Dysfunction
Why Yoga Practice Can Cause Numbness in Fingers: Expert Insights
Numbness in the fingers after practicing yoga? Dr. Jiang: Hello! One day while practicing the cat stretch in yoga, when I stretched my legs back to the maximum, I suddenly felt a tingling, electric sensation in my fingers. Later, during a movement where I squatted with my hands o...
Dr. Jiang Junyi reply Neurology
Hello Ms. Yang, You mentioned, "When I place both hands on the ground and then jump my legs back while inhaling, I suddenly feel a shock sensation in my eight fingers (excluding my thumbs)." This symptom may suggest compression of the ulnar nerve and possibly some invo...[Read More] Why Yoga Practice Can Cause Numbness in Fingers: Expert Insights
Understanding Hand and Foot Numbness: Neurological Insights and Concerns
Numbness in both hands and weakness in the legs? After experiencing numbness in the first phalanx of both hands, the second phalanx also became completely numb. Continuous examinations have ruled out carpal tunnel syndrome, and both cervical and peripheral nerves are intact. Ther...
Dr. Jiang Junyi reply Neurology
Dear Ms. Tsai, You mentioned that "recently my right leg has been weak while walking, and I need to use both hands to pull myself up the stairs. I also cannot lift my right leg high and have not yet found the cause. I am currently continuing to see a neurosurgeon and do not...[Read More] Understanding Hand and Foot Numbness: Neurological Insights and Concerns
Managing Facial Nerve Pain and Reconstruction After Trauma
Facial nerve Hello Doctor, I was in a car accident in May of this year. 1. I sustained a head contusion with a small amount of subdural hematoma. 2. I have facial contusions that have resulted in soft tissue depression on the left side of my face, accompanied by persistent sorene...
Dr. Jiang Junyi reply Neurology
Hello Ms. Lisa, You mentioned experiencing "sour, numb, and painful sensations that persist," which may indicate neuropathic pain. The current treatment approaches for neuropathic pain primarily focus on addressing the underlying causes. There are medications that have...[Read More] Managing Facial Nerve Pain and Reconstruction After Trauma