Understanding Occipital Pain: Headaches and Neck Issues Explained
Occipital pain, headache, cervical spine issues? Hello Doctor: I would like to ask about my condition. I have been experiencing headaches for over four days (I usually do not have headaches). I have taken pain relievers, but the pain persists. The pain is mostly located at the ba...
Dr. Jiang Junyi reply Neurology
Dear Ms. Jun, You mentioned that "the pain feels dull and tight, and the area where I lie down also hurts" due to localized pain points. This may indicate cervical myofascial pain syndrome. Prolonged periods of looking down can lead to overuse of the trapezius muscle i...[Read More] Understanding Occipital Pain: Headaches and Neck Issues Explained
Understanding Nerve Pain and Weakness in Hands and Feet: A Patient's Journey
Numbness and tingling in both hands, weakness in both legs? Since March of last year, I started feeling a foreign sensation behind my occiput upon waking up one day. I consulted a doctor and took medication, but it did not improve. Later, the foreign sensation suddenly disappeare...
Dr. Jiang Junyi reply Neurology
Dear Miss Vicky, You mentioned "Multiple sclerosis? Neuritis? Autoimmune diseases? Diabetes? Herniated disc? Amyotrophic lateral sclerosis? CIDP?... Which specialty should I consult to thoroughly identify and resolve the issue?" You also noted that "the discomfort...[Read More] Understanding Nerve Pain and Weakness in Hands and Feet: A Patient's Journey
Understanding Dizziness and Nausea: Possible Neurological Causes
Dizziness and nausea? Hello Doctor: I have been experiencing dizziness for about a week now, and sometimes I even feel a bit nauseous (though I haven't actually vomited). I also have some diarrhea, but I'm not sure if it's related to the dizziness. The dizziness us...
Dr. Jiang Junyi reply Neurology
Hello: You mentioned that "you feel dizzy when sitting or lying down, and there seems to be a slight swaying sensation." This symptom may suggest Benign Paroxysmal Positional Vertigo (BPPV), where dizziness occurs when turning the head, tilting the head back, or rising ...[Read More] Understanding Dizziness and Nausea: Possible Neurological Causes
Understanding Lip Numbness: COVID-19 Symptoms or Stroke Warning?
Numbness of the lips? Hello, doctor. During my COVID-19 diagnosis at the end of August, I experienced lip numbness, which has since become more frequent, often lasting over a day. The numbness is located on the outer part of my lips. Is this a symptom of COVID-19, or could it be ...
Dr. Jiang Junyi reply Neurology
Dear Ms. Liang, You mentioned that "the numbness in your lips is located on the outer edge." I would like to know if you are experiencing any other symptoms of numbness or tingling in your limbs. Similar symptoms are commonly seen in cases of hyperventilation. This occ...[Read More] Understanding Lip Numbness: COVID-19 Symptoms or Stroke Warning?
Understanding Facial Numbness After a Head Injury: What to Expect
Numbness following facial impact? Hello, doctor. I had an accident where I hit the corner of a table near my eyebrow and eye. There is a wound below my right eyebrow, and it is swollen. After the impact, I experienced numbness in the right eyebrow, right eyelid, right side of my ...
Dr. Jiang Junyi reply Neurology
Hello, Xin Xin: You mentioned, "I can understand the temporary numbness from the impact, but it has been three days now. Could this cause any issues?" As of 10/12, have your symptoms improved? Typically, after tissue is injured by external force, symptoms such as swelli...[Read More] Understanding Facial Numbness After a Head Injury: What to Expect
Left Shoulder Pain and Numbness: Which Specialist to See?
Left shoulder pain and numbness in the left hand? I have been experiencing pain in my left shoulder for some time, which is usually alleviated by using a medicated patch. However, recently the pain has intensified to the point where my left arm feels numb and weak. Which departme...
Dr. Jiang Junyi reply Neurology
Hello Ms. Lin, You mentioned experiencing symptoms of "pain radiating to the left arm with numbness," which may suggest compression of the nerve roots from the sixth cervical vertebra to the thoracic spine. This could be due to a herniated disc or structural issues in ...[Read More] Left Shoulder Pain and Numbness: Which Specialist to See?
Understanding Post-Earthquake Dizziness: Neurological Insights
Regarding shaking? Hello, Dr. Jiang. Since the earthquake on September 19, I have been experiencing a sensation similar to swaying. I notice it more when sitting on a chair without a backrest, and it occurs less when standing. Riding a motorcycle does not trigger this sensation a...
Dr. Jiang Junyi reply Neurology
Hello: You mentioned that "only sitting on a chair without a backrest tends to make you feel unsteady." This symptom may suggest Benign Paroxysmal Positional Vertigo (BPPV), which occurs when turning the head, tilting the head back, or rising from a lying position. Dizz...[Read More] Understanding Post-Earthquake Dizziness: Neurological Insights
Left Shoulder Pain and Numbness: Which Specialist to See?
Left shoulder pain and numbness in the left hand? I have been experiencing pain in my left shoulder for a while, which is usually relieved by applying a medicated patch. However, recently the pain has intensified to the point where my left arm feels numb and weak. Which departmen...
Dr. Jiang Junyi reply Neurology
Hello Ms. Lin, You mentioned experiencing symptoms of "pain radiating to the left arm with numbness," which may indicate compression of the nerve roots from the sixth cervical vertebra to the thoracic spine. This could be due to a herniated disc or structural issues wi...[Read More] Left Shoulder Pain and Numbness: Which Specialist to See?
Understanding Long-Term Dizziness: Possible Signs of Cerebellar Dysfunction
Persistent sensation of shaking? Hello, Dr. Jiang. Last July, I went to the ENT department to check for ear stones, but no results were found. At that time, the ENT specialist asked me to perform the following tests related to cerebellar function and body movement. The public can...
Dr. Jiang Junyi reply Neurology
Dear Mr. Awei, You mentioned your concern about "signs of cerebellar atrophy." In fact, cerebellar atrophy is not primarily characterized by dizziness. The main symptoms of patients with spinocerebellar ataxia typically include: 1. Tremors, slowed movements, and decrea...[Read More] Understanding Long-Term Dizziness: Possible Signs of Cerebellar Dysfunction
Do Brain Health Medications Affect Blood Thinning During Checkups?
Chronic dizziness Dear Doctor, I have been experiencing long-term dizziness, and a doctor prescribed me a medication called Naoqing. Recently, I am considering undergoing a comprehensive health check-up, and I was advised not to take any anticoagulant medications. Could you pleas...
Dr. Jiang Junyi reply Neurology
Hello Ms. Lychee, You mentioned experiencing "long-term dizziness, and a doctor prescribed me medication for brain clarity. Recently, I want to undergo a full health check-up, and I was advised not to take any anticoagulant medications. Could you please tell me if Flunarizi...[Read More] Do Brain Health Medications Affect Blood Thinning During Checkups?
Could Eye Issues and Muscle Twitches Indicate a Brain Tumor?
Brain issues I often experience twitching in my body or limbs lately. I am a heavy user of computers and smartphones, and sometimes my eyes feel blank while looking at the screen. Recently, I also feel that my vision has slightly declined. Could these two issues be symptoms of a ...
Dr. Jiang Junyi reply Neurology
Hello Mr. Li: You mentioned that "the body or limbs often twitch," which may initially suggest symptoms of neuroinflammation. Some metabolic disorders, such as hyperthyroidism and electrolyte imbalances, can also present with similar symptoms. As for brain tumors, the s...[Read More] Could Eye Issues and Muscle Twitches Indicate a Brain Tumor?
Understanding Right Arm Pain and Numbness: When to Seek Medical Help
Right arm swelling and pain extending to finger numbness? Hello, I have been working in the food industry for a long time, and recently my right wrist appears more swollen compared to my left wrist and is less flexible. It hurts whenever I exert force, and I even struggle to push...
Dr. Jiang Junyi reply Neurology
Hello, Ms. Ruby: The symptoms you mentioned seem to indicate two issues combined. You noted that "the palms and fingers also feel numb, and at their worst, even the vibrations while riding a bike can cause the entire palm to go numb and unable to grip." This symptom re...[Read More] Understanding Right Arm Pain and Numbness: When to Seek Medical Help
Neck Issues and Migraines: Understanding the Connection for Relief
It seems that the neck is causing the migraine? My symptoms have persisted for 4-5 years. I experience migraines when I wake up at night, and the frequency has increased in recent years. I don't take medication, and the pain usually subsides after noon. Taking pain relievers...
Dr. Jiang Junyi reply Neurology
Hello Mr. Bob, It seems you may have misunderstood the diagnosis of "migraine." The symptoms of a migraine typically last from 4 to 72 hours. The characteristics of the headache include unilateral pain, which can be throbbing or pulsating, often accompanied by nausea a...[Read More] Neck Issues and Migraines: Understanding the Connection for Relief
Can Medication Cure Essential Tremor? Understanding Hand Tremors
The issue of hand tremors? It seems that my dad also has tremors. I had hand tremors when I was a child. I would like to know if medication can help treat hand tremors. Can primary hand tremors be treated with medication?
Dr. Jiang Junyi reply Neurology
Hello, Mr. Ke: You mentioned, "Can medication cure hand tremors?" Primary tremors are those where the exact cause of the tremors cannot be identified; they may be due to a specific constitution or hereditary factors, and they typically become more pronounced when holdi...[Read More] Can Medication Cure Essential Tremor? Understanding Hand Tremors
Can Medication Cure Essential Tremor? Understanding Hand Tremors
The issue of hand tremors? It seems that my dad also has tremors. I had hand tremors when I was a child. I would like to ask if medication can help treat hand tremors. Can primary tremors be treated with medication?
Dr. Jiang Junyi reply Neurology
Hello, Mr. Ke: You asked, "Can medication cure hand tremors?" Primary tremors are those for which a specific cause cannot be identified; they may be due to a unique constitution or hereditary factors. Typically, tremors are more pronounced when holding objects. Physiol...[Read More] Can Medication Cure Essential Tremor? Understanding Hand Tremors
Concerns About Neurology Medications: Risks, Dependency, and Diagnosis Clarity
Medications..? Due to discomfort in my head and poor sleep quality, my previous doctors prescribed medications such as Lyrica, Mirtazapine, and Zolpidem, claiming they could help with sleep. I have a few questions for the physician: 1. Will these medications alter my brain or p...
Dr. Jiang Junyi reply Neurology
Hello Mr. Hsiao-Chih, You mentioned, "Do these medications change the brain and personality, causing any irreversible conditions?" The medications you referred to, including Fuquan, Muxing, and Lianduomian, are all classified as benzodiazepines, which are Schedule IV c...[Read More] Concerns About Neurology Medications: Risks, Dependency, and Diagnosis Clarity
Can Medication Cure Essential Tremor? Understanding Hand Tremors
The issue of hand tremors? It seems that my dad also has tremors. I had shaky hands when I was a child. I would like to know if medication can help treat hand tremors. Can primary tremors be treated with medication?
Dr. Jiang Junyi reply Neurology
Hello, Mr. Ke: You asked, "Can medication cure hand tremors?" Primary tremors are those where the exact cause of the tremors cannot be identified; they may be due to a specific constitution or hereditary factors. Typically, tremors are more pronounced when holding obje...[Read More] Can Medication Cure Essential Tremor? Understanding Hand Tremors
Understanding Facial Pain When Closing Eyes: Possible Causes and Solutions
Pain in the cheek while closing the eyes? Hello doctor, whenever I close my eyes, I experience pain on the left side of my cheek near my nose. It hurts more when I squeeze my eyes shut, and rubbing my eyes also causes pain. I have been wearing contact lenses for a long time, and ...
Dr. Jiang Junyi reply Neurology
Hello Ms. Ke: You mentioned that "when you close your eyes, the area near your left cheek close to the nose hurts a lot." Your symptoms may suggest inflammation of the tissues around the eye, and dysfunction of the nasolacrimal duct should also be considered. I recommen...[Read More] Understanding Facial Pain When Closing Eyes: Possible Causes and Solutions
Understanding Right Mouth Corner Spasms After Eating Spicy Foods
Twitching and numbness in the right corner of the mouth? Doctor, after I eat spicy food, the right corner of my mouth experiences muscle spasms and numbness for about a few seconds. This happens especially around noon, approximately every two weeks, or three times a month. Howeve...
Dr. Jiang Junyi reply Neurology
Hello Mr. Hsiao-Chih: You mentioned that "after eating spicy food, the right corner of my mouth experiences spasms and numbness for about a few seconds," which may indicate instability of the trigeminal nerve. Typical trigeminal neuralgia usually occurs unilaterally and...[Read More] Understanding Right Mouth Corner Spasms After Eating Spicy Foods
Understanding Chronic Dizziness: Seeking Answers Beyond Blood Pressure
Chronic dizziness with no identifiable cause? Hello Doctor, I am the person who previously asked about <a href="https://adoctor.tw/article/186643">#186643</a>. You mentioned orthostatic hypotension, but I don’t feel particularly dizzy when I first get up or ...
Dr. Jiang Junyi reply Neurology
You mentioned, "I have had my autonomic nervous system tested and found to have dysregulation. The medication prescribed by my doctor hasn't been effective, and I thought about exercising, but it made me feel even more dizzy, so I can't really exercise properly now...[Read More] Understanding Chronic Dizziness: Seeking Answers Beyond Blood Pressure