Understanding Daytime Sleepiness: Causes and Solutions for Your Symptoms
Feeling sleepy several times throughout the day? Hello, doctor. In recent weeks, I've been feeling sleepy after breakfast and also around noon. Could this be due to insufficient sleep? During these episodes, my eyes are somewhat sensitive to light, and I experience eye strai...
Dr. Jiang Junyi reply Neurology
Hello Ms. Rose, You mentioned, "This happens only after the second confirmation. Previously, when I was diagnosed with post-COVID sequelae, the traditional Chinese medicine practitioner felt my pulse and told me I have mild anemia, so I am currently undergoing treatment.&qu...[Read More] Understanding Daytime Sleepiness: Causes and Solutions for Your Symptoms
Understanding Benign Muscle Twitches: When to Worry and When to Relax
Nervous tics Hello, Doctor! I would like to inquire about my muscles twitching or spasming almost every day. However, there is no pain; the twitching stops after a moment and then resumes later, which is noticeable. I have also been to the hospital for tests like electromyography...
Dr. Jiang Junyi reply Neurology
Hello, Miss: You mentioned that "the hospital conducted tests such as electromyography, and the doctor said everything is normal with no concerning abnormalities, indicating that this is benign muscle twitching..." The causes of muscle twitching can include not only mus...[Read More] Understanding Benign Muscle Twitches: When to Worry and When to Relax
Understanding Ear Pulsations: Possible Causes and Remedies
I'm not sure what happened? Hello Doctor, I occasionally feel a pulsating sensation in the blood vessels of my ears that lasts about ten seconds. This happens occasionally in both ears, mostly before and during my menstrual period, as well as when I am sleep-deprived. Someti...
Dr. Jiang Junyi reply Neurology
Hello Ms. Yan: You mentioned that "the blood vessels are pulsating... mostly occurring before menstruation, during menstruation, and when sleep-deprived... headaches during menstruation have become more severe... I take one Panadol daily for about three to four days." T...[Read More] Understanding Ear Pulsations: Possible Causes and Remedies
Understanding Abnormal EEG Results in a 3-Year-Old: What Parents Should Know
Abnormal EEG findings in a 3-year-old child? A 3-year-old boy in our family was hospitalized around November 2023 due to fever and experienced two episodes of febrile seizures within three hours. A few weeks after discharge, an EEG was performed, and the doctor noted a small abno...
Dr. Jiang Junyi reply Neurology
Hello Mr. Hsieh: Pediatric neurologists typically aim to minimize the use of antiepileptic medications unless epilepsy has significantly impacted the child's daily life. After all, antiepileptic drugs can lead to cognitive decline in children's learning abilities. It is...[Read More] Understanding Abnormal EEG Results in a 3-Year-Old: What Parents Should Know
Patient in Coma After Brainstem Hemorrhage: Ongoing Care Challenges
The patient has suffered a brainstem hemorrhage and remains in a coma post-surgery (for over 70 days)? The aunt has been in a coma (Glasgow Coma Scale score of 8) following a recent brainstem hemorrhage and subsequent brain surgery. At one point, her heart stopped but was revived...
Dr. Jiang Junyi reply Neurology
Hello Sir: I suggest that you invite the family members of your aunt and her attending physician to hold a "family meeting." Discuss the desire for aggressive treatment with the medical team to reach a consensus between your needs and the available medical options. If f...[Read More] Patient in Coma After Brainstem Hemorrhage: Ongoing Care Challenges
Understanding Persistent Dizziness After Influenza: Causes and Solutions
Consultation for dizziness and lightheadedness issues? Hello Doctor, I was diagnosed with influenza type A two months ago. The flu itself resolved quickly, but I started experiencing dizziness afterward, which has persisted until now. My dizziness is intermittent; it doesn't...
Dr. Jiang Junyi reply Neurology
Hello Mr. Tim, You mentioned that during episodes, you experience slight dizziness, a feeling of heaviness in your head, increased eye fatigue, a sense of visual distortion, and difficulty focusing. You also find it harder to concentrate when talking to others. Although your con...[Read More] Understanding Persistent Dizziness After Influenza: Causes and Solutions
Understanding Persistent Tinnitus: Causes, Treatments, and When to Seek Imaging
Tinnitus for two months? Hello Doctor: Two months ago, I started experiencing tinnitus without any apparent cause. There is no feeling of ear blockage, and the sound seems to be emanating from the nasopharynx. It is a high-pitched, non-directional ringing sound that does not affe...
Dr. Jiang Junyi reply Neurology
Hello Mr. Q: You mentioned that "tympanometry, hearing tests, brainstem auditory evoked potentials, and EEG are all normal..." Is it necessary to perform a CT scan for tinnitus that has persisted for six months? Should we just observe for now? I would also like to ask w...[Read More] Understanding Persistent Tinnitus: Causes, Treatments, and When to Seek Imaging
Facial and Limb Numbness When Standing: Possible Causes and Solutions
Numbness in one side of the face and leg while standing? Hello, Doctor Jiang. I have been experiencing numbness on the right side of my face (with slight tinnitus) since last week when standing. My right hand and right foot also feel numb, and there is a sensation of congestion i...
Dr. Jiang Junyi reply Neurology
Hello Mr. AC: You mentioned experiencing "numbness on the right side of your face (mild tinnitus), numbness in your right hand and right foot, and a feeling of congestion in your right foot." It is important to first rule out any issues related to brain structure or cer...[Read More] Facial and Limb Numbness When Standing: Possible Causes and Solutions
Understanding Facial Nerve Paralysis: Common Aftereffects and Treatment Options
Facial nerve paralysis sequelae? Hello, Dr. Jiang. Current symptoms: 1. When closing my left eye, the muscles below the left corner of my mouth are also pulled. 2. There is no facial twitching at the corners of my mouth during normal activities; it only occurs when I close my eye...
Dr. Jiang Junyi reply Neurology
Hello Mr. Lin: You mentioned the issue of "facial nerve paralysis." Is the inability to close the left eye and the pulling of the mouth corner a common sequela? This usually occurs in patients with more severe inflammation, such as when the eye cannot close during the e...[Read More] Understanding Facial Nerve Paralysis: Common Aftereffects and Treatment Options
Understanding Parkinson's and ALS: Addressing Anxiety and Symptoms
Hello, doctor. I would like to inquire about concerns regarding Parkinson's disease and amyotrophic lateral sclerosis (ALS)? Hello Doctor: I have been experiencing depression, anxiety, panic, and health anxiety for a year now. Prior to this, I was doing well. I have been mak...
Dr. Jiang Junyi reply Neurology
Hello, Sir: You mentioned, "Am I really overthinking and living in fear every day... Could my depression and anxiety cause dopamine scans to show abnormalities, and is there a chance that a doctor might diagnose me with Parkinson's?" In clinical practice, neurologi...[Read More] Understanding Parkinson's and ALS: Addressing Anxiety and Symptoms
Understanding the Habit of Tensing Your Throat: Causes and Solutions
Constant strain on the throat? Hello Doctor, I’m not sure when I started the habit of straining my throat, but it has been at least two months (not related to swallowing, but near the chin area). It feels a bit like a frog (and I also tense and relax repeatedly). I have been tryi...
Dr. Jiang Junyi reply Neurology
Hello, Ms. Chocolate Bobbie: You mentioned feeling a bit of tightness in that area, and that you unconsciously exhibit certain behaviors that have been troubling you, even leading you to feel that your double chin has worsened. This may be indicative of a tic disorder, which is ...[Read More] Understanding the Habit of Tensing Your Throat: Causes and Solutions
Navigating Multiple Sclerosis Treatment: Options Without Medication
Treatment for Multiple Sclerosis Hello, Doctor. I was diagnosed with multiple sclerosis this year. I found information online stating that if I do not start medication early to control it, I may develop disabilities within five years. However, my application for the major illness...
Dr. Jiang Junyi reply Neurology
Dear Ms. Lily, You mentioned, "I was diagnosed with multiple sclerosis this year..." Clinically, doctors will conduct an MRI examination within six months to determine the progression of the disease. You also mentioned, "Patients can rely on diet, exercise, stress...[Read More] Navigating Multiple Sclerosis Treatment: Options Without Medication
Understanding Leg Swelling and Numbness: When to Seek Neurology Help
Unilateral calf to foot soreness, numbness, and swelling? Hello! I stand for long periods at work every day, and recently I've noticed that my left foot swells easily, with a noticeable difference between both feet. Additionally, I often feel soreness and numbness from my le...
Dr. Jiang Junyi reply Neurology
Dear Miss Yang, You mentioned that "your left foot easily swells," which may warrant consideration of deep vein thrombosis (DVT) or lymphatic circulation issues. Poor venous return in the deep veins can lead to symptoms such as limb swelling. There are many potential c...[Read More] Understanding Leg Swelling and Numbness: When to Seek Neurology Help
Understanding Ear Pain: Causes and Solutions for Nocturnal Discomfort
Ear pain issues? Hello, doctor: I would like to ask, when I sleep on my left side, I wake up to find pain in the area of the auricle and the depression in front of the ear. Pressing with my finger causes discomfort. Previously, moving my jaw would alleviate the pain, but recently...
Dr. Jiang Junyi reply Neurology
Dear Mr. Bin, You mentioned that "pressing on the area around the ear and the depression in front of the auricle causes pain." Your symptoms may suggest temporomandibular joint (TMJ) disorder. Common symptoms include occasional jaw deviation when opening the mouth, pai...[Read More] Understanding Ear Pain: Causes and Solutions for Nocturnal Discomfort
Understanding Groin and Leg Pain: Possible Nerve Issues After Injury
Right inguinal region, spermatic cord, pain from thigh to calf, pain on the side of the pelvis? Hello Doctor, about 3-4 years ago, I fell while exercising because a rope caught my right foot. At that moment, I experienced a more severe strain in my right groin and thigh. When I g...
Dr. Jiang Junyi reply Neurology
Hello Mr. Chen: You mentioned that "about 5-10 minutes after ejaculation, pain and numbness occur in the groin, spermatic cord, thigh, and calf." This may suggest nerve damage or compression in the lumbar region, rather than being a "sequela of urethritis." Ne...[Read More] Understanding Groin and Leg Pain: Possible Nerve Issues After Injury
Potential Risks of Neck Compression: Understanding the Consequences
The term "勒住勃子" does not have a direct translation in medical Hello, doctor. During class today, a friend came up and playfully choked me from behind, wrapping their arm around my neck. I couldn't breathe at that moment and felt like I was going to vomit. I couldn&...
Dr. Jiang Junyi reply Neurology
Hello Mr. Xiao Peng, You mentioned that your neck is a bit painful and expressed concerns about "cerebral lesions or hypoxic brain cell death." These conditions are unlikely to occur because if blood flow stops for 6-8 seconds, a person would immediately lose conscious...[Read More] Potential Risks of Neck Compression: Understanding the Consequences
Understanding Autonomic Nervous System Disorders and Heart Issues
Autonomic nervous system dysfunction? Hello doctor, a few days ago I experienced heart pain and chest tightness, which felt very constricting. I went to the clinic and it seems to be due to arrhythmia. I had arrhythmia when I was younger, and at first, I thought medication would ...
Dr. Jiang Junyi reply Neurology
Hello, Miss: You mentioned, "I don't know if it's because of the heart medication I took, or if it's due to autonomic nervous system dysfunction, or if there are other reasons." Could you please provide the ingredients and dosage of the medication you are...[Read More] Understanding Autonomic Nervous System Disorders and Heart Issues
Understanding Weakness in the Left Middle Finger: Possible Neurological Causes
Possible neurological disorders associated with weakness in the left middle finger? Hello Doctor: My mother has myasthenia gravis and hyperthyroidism (which has been surgically removed, and she is currently taking medication to supplement potassium). Recently, she woke up one mor...
Dr. Jiang Junyi reply Neurology
Dear Ms. Kuo, Regarding your mother's condition, we may first need to consider the common issue of trigger finger. Q1: If there is no improvement in symptoms after two weeks, is it true that there are no tests that can identify or rule out the cause? I have read that when...[Read More] Understanding Weakness in the Left Middle Finger: Possible Neurological Causes
Facial Swelling, Headaches, and Nausea: Understanding Neurological Symptoms
Facial issues, headaches, dizziness, and nausea? Hello, doctor. This week, I've started experiencing some strange symptoms. Initially, my left cheek felt heavy and reddened, but I didn't think much of it. This week, my left cheek has begun to swell, although the redness...
Dr. Jiang Junyi reply Neurology
Dear Miss Wang, You mentioned that "the area of heat extends from the left temple down to the lower part of the face near the ear, feeling warm and stuffy." The area of heat you described primarily corresponds to the distribution of the mandibular branch of the trigemi...[Read More] Facial Swelling, Headaches, and Nausea: Understanding Neurological Symptoms
Uncontrollable Limb Movements: When to See a Neurologist?
Involuntary limb movements? Hello Dr. Jiang, on the morning of May 23rd, I experienced uncontrollable, forceful movements of my limbs while in a semi-conscious state. I struggled to stay awake but could not control the movements of my limbs, and my fingers felt weak. After much e...
Dr. Jiang Junyi reply Neurology
Dear Ms. Enid, You mentioned experiencing "uncontrollable vigorous movements of the limbs while in a semi-conscious state." Your symptoms may warrant consideration of extrapyramidal syndrome or focal epilepsy. Extrapyramidal syndrome is typically caused by medication a...[Read More] Uncontrollable Limb Movements: When to See a Neurologist?