Can Tooth Extraction Affect Mental Health and Cognitive Function?
Dementia? Hello doctor, after having two teeth extracted last year, my mental state has been very poor, and I have experienced difficulties with memory, cognition, and awareness. I later found some information suggesting a connection between teeth and the brain. Can you tell me i...
Dr. Jiang Junyi reply Neurology
Hello Mr. Ashu, You asked, "Can tooth extraction really change a person's mental state?" Many case reports suggest that poor dental hygiene may increase the risk of dementia. However, systematic reviews indicate that the evidence is insufficient to draw such concl...[Read More] Can Tooth Extraction Affect Mental Health and Cognitive Function?
Understanding Intermittent Pulsations: When to Seek Medical Advice
Irregular heartbeat phenomenon Hello doctor, I occasionally feel 1 to 2 pulsating sensations on the inner side of my left thigh while sitting, which feel like a heartbeat. When I touch it, I can sense it, and sometimes it also occurs under my left neck. Is this due to fatigue, or...
Dr. Jiang Junyi reply Neurology
Hello Mr. Ben: You mentioned that you experience "1 to 2 pulsating sensations on the inner left thigh near the knee while sitting." This symptom may be related to muscle twitching. Muscle twitching when awake could be associated with certain metabolic disorders, such as...[Read More] Understanding Intermittent Pulsations: When to Seek Medical Advice
Understanding Coccydynia: Causes, Symptoms, and Treatment Options
Coccydynia (tailbone pain) issues? I had an X-ray of my coccyx, and the bones are fine. However, I experience significant pain when I stand up while riding my motorcycle, and some chairs cause pain when I sit down and then stand up. This has been bothering me for a long time. I a...
Dr. Jiang Junyi reply Neurology
Hello, Miss: You mentioned that "it hurts a lot when I stand up after riding a motorcycle, and some chairs also cause pain when I sit and then stand up." Your symptoms may indicate a potential issue with the sciatic nerve. Herniated discs are often caused by spinal dege...[Read More] Understanding Coccydynia: Causes, Symptoms, and Treatment Options
Understanding Facial Changes After Tension Headaches: A Neurology Perspective
The cheeks look strange? Hello Dr. Jiang: In February, I experienced headaches and dizziness, and I consulted a neurologist who diagnosed me with tension-type headaches. I was prescribed pain relievers and muscle relaxants. Later, I noticed that one day my left cheek felt suddenl...
Dr. Jiang Junyi reply Neurology
Dear Mr. K, You mentioned that "compared to the right cheek, the left appears flatter, and when I smile, it doesn't feel as full as before; I can also feel a difference when I touch both sides... there are no issues with closing my eyes or loss of forehead wrinkles.&qu...[Read More] Understanding Facial Changes After Tension Headaches: A Neurology Perspective
Understanding Carpal Tunnel Syndrome: Symptoms, Diagnosis, and Treatment Options
Carpal Tunnel Syndrome Hello, Doctor. Recently, I've been experiencing numbness in my left hand for over a month, specifically in my palm and fingers, which feel swollen and tingly. My mobility is generally fine, but I notice the symptoms more when I'm at rest. Occasion...
Dr. Jiang Junyi reply Neurology
Hello, Miss: You mentioned that "the electromyography (EMG) examination requires inserting a needle into the muscles of the hand." May I ask if your needle sensation is in the index, middle, and part of the ring finger? This would correspond to the area of the median ne...[Read More] Understanding Carpal Tunnel Syndrome: Symptoms, Diagnosis, and Treatment Options
Understanding Nerve Disorders: Is Your Condition Related to ALS?
Neuropathy About ten years ago, my father underwent surgery on his right arm due to nerve compression, which caused atrophy and weakness in the entire arm. After the surgery, he did not experience further atrophy or weakness. Recently, however, he suddenly started to feel weaknes...
Dr. Jiang Junyi reply Neurology
Dear Ms. Hong, The condition you are concerned about, commonly referred to as "Lou Gehrig's disease," is known as amyotrophic lateral sclerosis (ALS), which is a type of motor neuron disease. Generally, the motor neurons in the brain are referred to as upper motor...[Read More] Understanding Nerve Disorders: Is Your Condition Related to ALS?
Does Eye Pain Indicate a Neurological Issue? Expert Insights
Will it affect the eyes? Hello Doctor: Thank you for your thorough and detailed explanation regarding the pain in the upper inner corner of my right eye during my last visit. However, I would like to ask if it is necessary to go to a larger hospital's ophthalmology departmen...
Dr. Jiang Junyi reply Neurology
Dear Ms. Hsieh, You mentioned the issue of pain in the upper inner corner of your right eye and are considering whether you should consult a doctor, as your last visit was only to an ophthalmology clinic for basic tests like intraocular pressure. You are wondering if a more deta...[Read More] Does Eye Pain Indicate a Neurological Issue? Expert Insights
Why Does My Left Cheek and Lip Twitch During Dumbbell Shoulder Workouts?
During dumbbell training, when exerting force with the right shoulder, the left upper lip and left cheek move along with it? Hello Doctor, due to the pandemic, I started working out at home and recently began using dumbbells. I've noticed that during some shoulder exercises,...
Dr. Jiang Junyi reply Neurology
Dear Ms. Tina, You mentioned that "when lifting a dumbbell with my right shoulder, my left cheek and left upper lip twitch slightly, and with each lift, the left cheek and left upper lip twitch again." This symptom seems to indicate a chain reaction of activation in th...[Read More] Why Does My Left Cheek and Lip Twitch During Dumbbell Shoulder Workouts?
Could It Be Trigeminal Neuralgia? Understanding Facial Pain Symptoms
Is it trigeminal neuralgia? Hello Doctor: For the past month, I have suddenly started to feel pain when pressing on the upper inner corner of my right eye socket, as if I am experiencing menstrual cramps. Raising my eyebrows also causes some pain, and pressing on the right side o...
Dr. Jiang Junyi reply Neurology
Hello: You mentioned that "as the weather gets colder, I start to feel pain when pressing on the upper inner corner of my right eye, similar to menstrual cramps... there is also some pain when pressing on the right eyebrow." Generally speaking, pain that can be pressed ...[Read More] Could It Be Trigeminal Neuralgia? Understanding Facial Pain Symptoms
Understanding Neuropathic Pain: Which Specialist Should You See?
Suspected neuropathic pain - unsure which specialty to consult? Hello, Dr. Jiang. I apologize for bothering you. My mother and grandmother have both reported experiencing "neuropathic pain" after reaching a certain age. They have occasional episodes, a few times a year,...
Dr. Jiang Junyi reply Neurology
Dear Miss Peng, You mentioned that "the pain usually starts at night when falling asleep and continues into the next day, occurring in episodes, and typically resolves within two days." Your symptoms may suggest Restless Legs Syndrome (RLS). The etiology of RLS is rela...[Read More] Understanding Neuropathic Pain: Which Specialist Should You See?
Can Neck Tension Cause Tinnitus? Exploring Neurological Connections
Can neck tension cause tinnitus? Hello doctor, since mid-December last year (2021/12), I have been experiencing persistent tinnitus in my right ear, along with occasional difficulty opening my mouth. After visiting both a clinic and a major hospital, I underwent a hearing test, w...
Dr. Jiang Junyi reply Neurology
Hello Mr. Wang: You mentioned that "your right ear is constantly ringing, and occasionally you have difficulty opening your mouth," which may indicate temporomandibular joint disorder (TMJ). The symptoms that may occur include: 1. Difficulty and pain when opening the mo...[Read More] Can Neck Tension Cause Tinnitus? Exploring Neurological Connections
Is It Dangerous If You Hit Your Head and Bleed Without Pain?
Is there a risk if I hit my head and there is bleeding but no pain? A family member (around 50 years old with no history of cardiovascular disease) accidentally fell this morning and hit their head against a sharp object. At the time, there was approximately enough blood to soak ...
Dr. Jiang Junyi reply Neurology
Dear Ms. Ida, You mentioned that a family member (around 50 years old, with no history of cardiovascular disease) accidentally fell this morning and hit their head against a sharp object, resulting in approximately the amount of blood that would fill two tissues, but it stopped ...[Read More] Is It Dangerous If You Hit Your Head and Bleed Without Pain?
Severe Headache After Bathing: When to Seek Medical Attention?
Headache-related issues? Hello, Dr. Jiang: My father has a habit of drying the bathroom walls and floor after showering to prevent slipping. This evening, while he was wiping the water off the walls, he suddenly experienced a severe headache and felt a heat sensation in his head...
Dr. Jiang Junyi reply Neurology
Hello: You mentioned that your father experienced "a sudden severe headache starting the moment he stood up from a squatting position... He reported feeling an unprecedented intense headache that radiated from both temples to the entire head, accompanied by the sound of his ...[Read More] Severe Headache After Bathing: When to Seek Medical Attention?
Should I Seek Further Medical Attention for Neck Pain and Dizziness?
Please consult about neck pain and seeking medical attention? Hello, I would like to ask whether I should continue seeking medical attention regarding my situation. Two weeks ago, I experienced dizziness in the evening, and when I got home from work, my steps felt slightly unstea...
Dr. Jiang Junyi reply Neurology
Dear Mr. Mason, You mentioned that "the physician suggested going to a large hospital to check for other diseases related to the tonsils and thyroid." These examinations can be arranged by relevant physicians at regional hospitals, and you do not necessarily have to wa...[Read More] Should I Seek Further Medical Attention for Neck Pain and Dizziness?
Understanding Sleep Disturbances: When to Consult a Neurologist
Sleep-related issues Hello doctor, I recently noticed a problem when I sleep at night. Just as I fall asleep, I experience a sensation of "not being able to breathe," which causes me to wake up abruptly. I'm wondering if this condition requires a visit to a neurolo...
Dr. Jiang Junyi reply Neurology
Dear Ms. Jan, You mentioned experiencing a moment of "feeling unable to breathe" just as you fall asleep, which may indicate sleep paralysis. This condition typically occurs when a person is transitioning into sleep or waking up. Patients often feel as though they have...[Read More] Understanding Sleep Disturbances: When to Consult a Neurologist
Understanding Pulsatile Tinnitus: Causes and When to Seek Help
Tinnitus? Hello, Doctor. I would like to inquire about a recent issue where I hear a whooshing sound in my left ear that matches the rhythm of my heartbeat. This occurs only in my left ear and is almost always heard before or after showering, lasting for about an hour or more. Co...
Dr. Jiang Junyi reply Neurology
Hello, Ms. Tsai: You mentioned that "only the left ear, and it synchronizes exactly with the heartbeat, almost always heard before or after showering," which suggests paroxysmal pulsatile tinnitus. This may be primarily due to Eustachian tube dysfunction. The Eustachia...[Read More] Understanding Pulsatile Tinnitus: Causes and When to Seek Help
Understanding Post-Concussion Syndrome: Symptoms and Dietary Tips
Post-concussion syndrome Fifteen years ago, I suffered a head injury and cervical spine damage in a car accident. Although I consulted a neurologist at the time, the doctor did not order detailed examinations since I was able to walk and communicate normally. As a result, my head...
Dr. Jiang Junyi reply Neurology
Dear Mr. E, You mentioned that "memory has significantly declined... and you are unsure if there are dietary suggestions for improvement." For dietary aspects, you can adopt the Mediterranean diet, the Dietary Approaches to Stop Hypertension (DASH) diet, and the Medite...[Read More] Understanding Post-Concussion Syndrome: Symptoms and Dietary Tips
Understanding the Causes of Front-to-Back Swaying Sensation
Sensation of swaying back and forth? Hello, doctor. I have a concern. Suddenly, one day, I started to feel a swaying sensation back and forth while standing, especially when walking normally; the feeling of swaying back and forth is very pronounced (not side to side!). This has b...
Dr. Jiang Junyi reply Neurology
Dear Mr. Dong-Chen, You mentioned that "the most noticeable sensation during walking is a forward and backward swaying... my mind feels tight. Is this due to autonomic nervous system dysfunction or hyperthyroidism?" Hyperthyroidism should be considered. Typically, auto...[Read More] Understanding the Causes of Front-to-Back Swaying Sensation
Assessing Infection Risks After Tooth Extraction and Water Source Concerns
Infection probability Hello, doctor. I had two upper molars extracted two years ago, and since then, I have been experiencing persistent discomfort in my head, dizziness, occasional nausea, and a lack of mental clarity. My family has always used well water for oral hygiene, and a...
Dr. Jiang Junyi reply Neurology
Hello, Sir: You mentioned that "two upper molars were extracted two years ago..." Our oral cavity is not in a sterile state. The incubation period for Acanthamoeba infection, which you referred to, is approximately 1-7 days. The time frame you mentioned is too long, as ...[Read More] Assessing Infection Risks After Tooth Extraction and Water Source Concerns
Understanding Unexplained Pain and Forehead Headaches in Patients
Unexplained muscle pain and frontal headache? Hello, doctor. I have Marfan syndrome and have previously undergone spinal surgery. After the surgery, I began experiencing weakness and stiffness in my legs and spine, making it difficult to move, along with some pain. These symptoms...
Dr. Jiang Junyi reply Neurology
Dear Mr. Lei, You mentioned that "lying down causes headaches, and now I also experience pain while standing, along with frequent headaches... which may be due to compression of the spinal vessels, leading to headaches." Typically, when blood vessels are compressed, it...[Read More] Understanding Unexplained Pain and Forehead Headaches in Patients