Dizziness After Exercise or Work: Understanding Your Symptoms
Dizziness or lightheadedness after exercise or work? Hello, recently I have been experiencing dizziness after intense exercise or during activities that involve holding my breath. I often feel dizzy when there is significant movement or shaking of my head and neck, especially aft...
Dr. Jiang Junyi reply Neurology
Hello Ms. Alex, You mentioned that you often feel dizzy after intense exercise or breath-holding activities, and after exertion (or standing up too quickly after bending down for a long time). This may indicate symptoms similar to syncope. When cerebral blood flow drops below 30...[Read More] Dizziness After Exercise or Work: Understanding Your Symptoms
Could My Symptoms Indicate ALS? Understanding the Risks and Next Steps
Is it amyotrophic lateral sclerosis (ALS)? Hello Doctor, last month a family elder was diagnosed with ALS, and blood tests are currently being analyzed to determine if there is a genetic mutation or hereditary cause. Since then, I have started to feel weakness in my right hand an...
Dr. Jiang Junyi reply Neurology
Dear Mr. Yu, You are concerned about ALS, which is a chronic muscle-wasting disease that can lead to muscle atrophy. If upper motor neurons die, abnormal signal transmission may cause muscle twitching. In the early stages, it is actually difficult to diagnose. Approximately only...[Read More] Could My Symptoms Indicate ALS? Understanding the Risks and Next Steps
Understanding Sudden Heat in the Right Ankle: Possible Causes and Concerns
Heat in the right ankle? Hello, doctor. Recently, I've been experiencing sudden warmth in my right ankle that goes away quickly, but then returns after a while. I would like to know what could be causing this. Is it possible that it could be due to a brain tumor pressing on ...
Dr. Jiang Junyi reply Neurology
Hello Mr. Long: You mentioned that the area around your right ankle suddenly feels warm. I wonder if you are experiencing any abnormal sensations such as tingling or numbness? Are there any other neurological symptoms? We may need to consider peripheral tissue issues, particularl...[Read More] Understanding Sudden Heat in the Right Ankle: Possible Causes and Concerns
Understanding Involuntary Muscle Twitches: Causes and Concerns
Involuntary muscle twitching? I am a 35-year-old male, non-smoker, non-drinker, and I do not consume betel nut or coffee. I am 180 cm tall and weigh 55 kg. I have a regular exercise routine that includes both strength training and aerobic exercises. Over two years ago, I suddenly...
Dr. Jiang Junyi reply Neurology
Hello Mr. Hsuan, You mentioned experiencing "twitching in your toes, similar to after finishing a hike, a jog, walking a long distance, or sitting on a specific sofa..." The muscle twitching you are experiencing may be related to several factors: exercise, acute viral ...[Read More] Understanding Involuntary Muscle Twitches: Causes and Concerns
Understanding Persistent Pulsations in the Lower Abdomen: When to Worry
Lower abdominal issues? Hello doctor, I would like to ask about a pulsating sensation in the lower abdomen near the uterus that has been ongoing for over a week without any pain. Is this a serious concern? Thank you.
Dr. Jiang Junyi reply Neurology
Hello Ms. Yun: You mentioned that there is a continuous pulsation in the middle of your uterus but no pain. It may be necessary to first consider the pulsation of the abdominal aorta. Diagnosis and differentiation can be performed using abdominal ultrasound combined with vascular...[Read More] Understanding Persistent Pulsations in the Lower Abdomen: When to Worry
Understanding the Reality of Neurological Sensations and Hallucinations
The sensation of a burning feeling in the brain? Recently, I have been considered to have a dissociative disorder and I wonder if it is caused by hallucinations, but they feel very real. I experience sensations of spinning, a line, and an inability to think; it feels like there a...
Dr. Jiang Junyi reply Neurology
Dear Mr. Hsueh, You mentioned "dissociative disorder, wondering if it is caused by hallucinations." Your symptoms may need to first rule out structural issues in the brain, as abnormal electrical discharges can sometimes present similar symptoms. I recommend that you v...[Read More] Understanding the Reality of Neurological Sensations and Hallucinations
Understanding Neurofibromatosis: When to Seek Further Testing for Your Child
The necessity of examination for neurofibromas? Hello Dr. Jiang, my child was not diagnosed with café-au-lait spots at birth, but we discovered more than six café-au-lait spots of various sizes when he turned one month old. There appear to be about a dozen spots visually. I have ...
Dr. Jiang Junyi reply Neurology
Hello, Ms. Jun: You mentioned, "Are the symptoms related to neurofibromatosis hereditary?" This can be assessed through genetic testing. Below is information from the Pediatric Neurology Department of Kaohsiung Veterans General Hospital. For infants and young children...[Read More] Understanding Neurofibromatosis: When to Seek Further Testing for Your Child
Understanding Muscle Twitches: Causes and Concerns in Strength Training
I would like to inquire about muscle twitching issues? A few days ago, I experienced muscle twitching in my shoulder that occurs intermittently. I have been weight training, and although my performance has not declined or changed, the twitching in my left shoulder gives me a slig...
Dr. Jiang Junyi reply Neurology
Hello Mr. CC: You mentioned that you have a slight feeling of weakness in your left hand, describing it as "soft and sore." This symptom may suggest cervical radiculopathy. This is a type of peripheral nerve abnormality that often presents with: 1. Pain characterized by...[Read More] Understanding Muscle Twitches: Causes and Concerns in Strength Training
Understanding Dizziness and Confusion: Possible Neurological Causes
Dizziness and altered consciousness? Hello, doctor. Since February of last year, I've been experiencing a heavy, dizzy sensation in my forehead and around my eyes. This feeling has significantly impacted my daily life. When I look at things, everything used to be clear, but ...
Dr. Jiang Junyi reply Neurology
Dear Mr. Yu, You mentioned that "the area between the eyebrows feels very heavy, and my vision is gradually becoming blurry, but it gets a bit better after resting." These symptoms may suggest autonomic nervous system dysfunction leading to decreased cerebral circulati...[Read More] Understanding Dizziness and Confusion: Possible Neurological Causes
Understanding CT Scan Results for Brain Issues: Key Questions Answered
CT Report for Brain Issues After getting my new glasses, I felt an immediate increase in my prescription. I noticed a faint shadow in areas with light, and I have been experiencing some headaches. Concerned that it might be caused by a brain tumor, I underwent a brain CT scan. Th...
Dr. Jiang Junyi reply Neurology
Hello Mr. Li: First of all, the symptoms of "brain tumors" can vary depending on the location in the brain. You mentioned that "after getting new glasses... it feels like the prescription suddenly increased," which may require ruling out refractive issues. Cou...[Read More] Understanding CT Scan Results for Brain Issues: Key Questions Answered
Managing Visual Aura Migraines: Tips for Relief and Prevention
Dry heaving, dizziness, and migraine? Hello Doctor, this is Kevin, who asked a question previously. After your response, I have tried to avoid caffeine, alcohol, and chocolate, and I have also maintained a regular schedule (going to bed at midnight and waking up at 7 AM). I am dr...
Dr. Jiang Junyi reply Neurology
Dear Mr. Kevin, You mentioned the clinical recommendations for using migraine prophylactic medications for "visual aura migraines." Here are the key points: 1. Recurrent migraine attacks that significantly affect the patient's quality of life or daily activities,...[Read More] Managing Visual Aura Migraines: Tips for Relief and Prevention
Understanding Lip Numbness: Causes and Relief Strategies
Numbness in the lower lip? This month, the patient has experienced lip numbness twice, with episodes lasting approximately one to two hours, occurring just before sleep. What should be noted and how can it be alleviated?
Dr. Jiang Junyi reply Neurology
Dear Ms. Chiu, You mentioned that "your husband is experiencing lip numbness." Are there any other symptoms, such as numbness in the limbs or unilateral weakness? First, we should consider "hyperventilation syndrome," which can lead to decreased carbon dioxid...[Read More] Understanding Lip Numbness: Causes and Relief Strategies
Understanding Seizures: When to Worry and What to Monitor
Time interval between seizures? Hello, doctor. My husband is 30 years old. He had a seizure in October 2019 when I was not present. The doctor examined him and said everything was fine. A few days later, he saw another doctor who diagnosed him with influenza type A. I'm not ...
Dr. Jiang Junyi reply Neurology
Dear Ms. Lisa, You mentioned that your husband "suddenly stared in one direction, then let out a low growl, with his eyes rolling back and his arms extending and twitching." These are typical symptoms of epilepsy, as the eye deviation may indicate abnormal electrical d...[Read More] Understanding Seizures: When to Worry and What to Monitor
Understanding Sleep Breathing Issues: Causes and Solutions
Sleep breathing disorders Hello Doctor, yesterday while I was sleeping, I woke up gasping for air due to a lack of oxygen. This situation occurs about once every six months; although the frequency is low, it is always very uncomfortable, and I worry about the possibility of suffo...
Dr. Jiang Junyi reply Neurology
Hello Mr. Hsu: You mentioned that "the sleep study showed an RDI of 1.9 and a minimum blood oxygen level of 84." These values do not meet the criteria for obstructive sleep apnea (OSA), which is greater than 5. Symptoms of sleep apnea include insomnia, nightmares, irrit...[Read More] Understanding Sleep Breathing Issues: Causes and Solutions
Understanding Persistent Dizziness: Possible Causes and Next Steps
Dizziness and an unsteady sense of balance? Hello Doctor, I have been experiencing dizziness for over a month. I have consulted with a neurologist, an otolaryngologist, and a cardiologist, and all tests have come back normal. However, my symptoms have not improved with medication...
Dr. Jiang Junyi reply Neurology
Hello Mr. Wang, You mentioned that "the symptoms improve slightly after getting up in the morning... and the body feels like it's swaying." This may indicate proprioceptive abnormalities caused by cervical spine issues. Often, this is related to muscle fascia tigh...[Read More] Understanding Persistent Dizziness: Possible Causes and Next Steps
Understanding Persistent Dizziness: Possible Causes and Next Steps
Dizziness and an unsteady sense of balance? Hello, Doctor. I have been experiencing dizziness for over a month. I have seen specialists in neurology, otolaryngology, and cardiology, and all tests have come back normal. However, my symptoms have not improved with medication. I wou...
Dr. Jiang Junyi reply Neurology
Hello Mr. Wang, You mentioned that "the symptoms improve slightly after getting up in the morning... and the body feels like it's swaying." This may indicate proprioceptive abnormalities caused by cervical spine issues. Often, this is related to muscle fascia tigh...[Read More] Understanding Persistent Dizziness: Possible Causes and Next Steps
Understanding Outer Thigh Numbness: Causes and Solutions for Active Individuals
Numbness in the outer thigh caused by exercise (I have already researched and found no similar conditions)? Hello Doctor, I have been troubled by this issue for some time, and it may be a bit lengthy. I hope you can provide me with advice and assistance. (I have not experienced a...
Dr. Jiang Junyi reply Neurology
Hello Mr. Tommy, You mentioned experiencing a tingling sensation on the outer side of your right thigh near the knee. In addition to possible compression of the lumbar nerve roots (L2 and L3), it may be necessary to consider inflammation of the lateral femoral cutaneous nerve. T...[Read More] Understanding Outer Thigh Numbness: Causes and Solutions for Active Individuals
Understanding Head and Tooth Pain: When to Seek Neurological Help
Head and tooth pain? Hello Doctor, I am a 23-year-old female. I have been experiencing pain in my head and teeth for a week. The headache is located on the left side, above the ear, extending to the top of the head. Accompanying symptoms include sharp pain in the lower left teeth...
Dr. Jiang Junyi reply Neurology
Hello Ms. Zhyn, You mentioned that "the location of the trigeminal nerve sometimes feels like being scratched by something, with a sharp pain similar to an electric shock lasting for a second; sometimes it occurs continuously, and other times with longer intervals. However,...[Read More] Understanding Head and Tooth Pain: When to Seek Neurological Help
Persistent Right Calf Pain: When to See a Specialist?
Right calf? If you have been experiencing pain in your right calf for over a month, and the pain persists even with Tramadol (37.5 mg) and Acetaminophen (325 mg), along with tenderness upon touch, it is advisable to consult a specialist. Given that you have a small varicose vein ...
Dr. Jiang Junyi reply Neurology
Hello Mr. Li: You mentioned that "touching causes pain, and there is a small varicose vein that has been checked with ultrasound and found to be normal. Should I see a neurologist, a rehabilitation specialist, or a pain management specialist?" It is recommended that you...[Read More] Persistent Right Calf Pain: When to See a Specialist?
Low Ceruloplasmin Levels: Impacts on Neurological Health and Symptoms
Test values are low? Hello Doctor, I would like to ask about my previous blood test for ceruloplasmin, which showed a low value of 185 mg/L (normal range 200-600). Sometimes my hands shake involuntarily. Is there a direct relationship between this symptom and low ceruloplasmin le...
Dr. Jiang Junyi reply Neurology
Hello Mr. Andy, You mentioned that "ceruloplasmin is low," which is commonly used in clinical practice to diagnose tremor-related disorders, particularly Wilson's disease. This is a genetic disorder characterized by impaired copper transport and accumulation of co...[Read More] Low Ceruloplasmin Levels: Impacts on Neurological Health and Symptoms