Understanding Eyelid Twitching: Causes and Remedies Explained
Eyelid muscle twitching Hello Doctor: My eyelid has been twitching for nearly a month, specifically in the upper left eyelid. It twitches intermittently several times a day, although it is not very noticeable externally, I can clearly feel it. The twitching seems to occur more fr...
Dr. Jiang Junyi reply Neurology
Hello, sir: You mentioned that your eyelid twitches "when you hit your head and when you are more tired; what could be the problem?" Eyelid movement is controlled by the facial nerve. If the eyelid is twitching continuously, the physician will first carefully observe th...[Read More] Understanding Eyelid Twitching: Causes and Remedies Explained
Unexplained Tremors and Weakness in Children: A Neurological Concern
Continuous shaking of the limbs (weakness in the extremities), headache, and difficulty breathing? The child was hospitalized due to severe abdominal pain and a cough caused by a mycoplasma infection. Starting the next day, they experienced continuous tremors in their hands and f...
Dr. Jiang Junyi reply Neurology
Hello: You mentioned "Mycoplasma infection, which led to hospitalization, and starting the next day, there has been continuous trembling of the hands and feet, general weakness, and difficulty breathing." Some species of mycoplasma can potentially affect the nervous sys...[Read More] Unexplained Tremors and Weakness in Children: A Neurological Concern
Misdiagnosed: When Neurological Issues Mimic Mental Health Disorders
Could it be a misdiagnosis by a psychiatrist? I have been suffering from severe insomnia since I was around 16 years old, accompanied by cognitive dysfunction. At that time, I suddenly found it difficult to understand what I was reading in vocational school and could not comprehe...
Dr. Jiang Junyi reply Neurology
Hello, sir: You mentioned, "I would like to ask if the lack of effectiveness of medication for seemingly psychiatric symptoms could be a neurological issue, and whether I need to undergo a CT scan or MRI..." When diagnosing neuropsychiatric disorders, it is common to ar...[Read More] Misdiagnosed: When Neurological Issues Mimic Mental Health Disorders
Understanding Body Tingling: Causes and When to Seek Help
Tingling sensation in the body? Hello, doctor. I have been experiencing tinnitus, general weakness, and tightness along my neck, shoulders, and legs, along with numbness and pain. I consulted a neurosurgeon and had a cervical MRI, which showed degeneration and bone spurs, but the...
Dr. Jiang Junyi reply Neurology
Dear Mr. Ahao, You mentioned symptoms such as "tinnitus, generalized weakness, tightness and numbness in the neck, shoulders, and legs... pain in one elbow, swelling and tingling after prolonged bending." Your symptoms are more indicative of peripheral nerve injury. Th...[Read More] Understanding Body Tingling: Causes and When to Seek Help
Persistent Leg Cramps After Surgery: Seeking Solutions for Nerve Issues
The right foot is experiencing continuous cramps, indicating a possible neurological issue? I am inquiring on behalf of my mother. She has been experiencing lumbar pain and was advised to undergo surgery in December 2020. About three months post-surgery, she frequently feels cram...
Dr. Jiang Junyi reply Neurology
Dear Mr. Xiao Wu, You mentioned that "since April 2021, the situation has been the same every day without improvement, and the cramping in the sole of my right foot has not changed, but has instead intensified." If you are experiencing abnormal sensations, it may be ne...[Read More] Persistent Leg Cramps After Surgery: Seeking Solutions for Nerve Issues
Numbness in the Outer Side of Both Pinky Toes: Causes and Solutions
Numbness on the outer side of the little toe on both feet? Hello doctor, for the past few weeks, I have been experiencing numbness on the outer side of both little toes simultaneously. The numbness doesn't seem to be related to any specific position; sometimes it occurs whil...
Dr. Jiang Junyi reply Neurology
Dear Miss Joan, You mentioned that "the outer side of both little toes feels numb... and the numbness becomes more pronounced after walking for a long time." It is important to first consider abnormalities in the first sacral nerve root, which may be caused by a hernia...[Read More] Numbness in the Outer Side of Both Pinky Toes: Causes and Solutions
Is Your Nerve Healing Properly After Surgery? Understanding Recovery Challenges
The nerves did not grow in the correct position? Hello Doctor, I underwent ulnar nerve decompression injection on my right arm in mid-August last year. The next day, I noticed pain in the skin on the ulnar side of my forearm near the elbow when performing movements such as raisin...
Dr. Jiang Junyi reply Neurology
Hello, Sir: You mentioned that "the discovery of diminished touch sensation in the surrounding skin seems to induce a feeling of recovery, as if the nerves are not growing in the correct position. Currently, that area of skin still has abnormal sensations and numbness... but...[Read More] Is Your Nerve Healing Properly After Surgery? Understanding Recovery Challenges
Understanding the Link Between Sexual Dysfunction and Multiple Sclerosis
Multiple Sclerosis Hello, doctor. I previously experienced sexual dysfunction due to an incident of masturbation. I have difficulties with erection, sensation, and ejaculation, and my penis feels numb with little sensation. This has caused me a lot of stress. Later, I came across...
Dr. Jiang Junyi reply Neurology
Hello, sir: You mentioned whether "sexual dysfunction could indirectly lead to central nervous system diseases such as multiple sclerosis." The answer is "no," as multiple sclerosis is considered a rare disease in Taiwan. Erectile dysfunction can be classified...[Read More] Understanding the Link Between Sexual Dysfunction and Multiple Sclerosis
Understanding Finger Numbness After Archery: Causes and Recovery
Numbness in the fingers after archery? Hello Doctor, I recently experienced soreness and numbness in the tip of my right middle finger after shooting arrows without using a finger tab. It has been two days, and I'm unsure what might be causing this. Will resting help this co...
Dr. Jiang Junyi reply Neurology
Hello, sir: You mentioned that "recently while practicing archery, I did not use a finger tab, which resulted in numbness and soreness in the tip of my right middle finger. It has been 2 days, and I'm not sure what is happening." Your symptoms are likely due to an ...[Read More] Understanding Finger Numbness After Archery: Causes and Recovery
Understanding Nerve Pain: Left Hand and Foot Tingling and Weakness
Numbness and tingling in the left hand and left foot, accompanied by weakness? Hello Doctor, The first symptoms appeared on February 27. After attending a wedding banquet that afternoon, I stepped out of the venue and experienced a sudden, electric shock-like tingling in my lef...
Dr. Jiang Junyi reply Neurology
Hello Ms. Yang, You mentioned that "my left hand and left foot feel like they are being electrocuted, experiencing intermittent tingling and numbness." This condition may suggest symptoms of neuropathic pain. If it occurs only on one side, it may be necessary to consid...[Read More] Understanding Nerve Pain: Left Hand and Foot Tingling and Weakness
Understanding Nerve Pain: Left Hand and Foot Tingling and Weakness
Numbness and tingling in the left hand and left foot, accompanied by weakness? Hello Doctor, The first symptoms appeared on February 27th. After attending a wedding banquet that afternoon, I stepped out of the venue and suddenly felt a tingling sensation in my left hand and lef...
Dr. Jiang Junyi reply Neurology
Hello Ms. Yang, You mentioned that "my left hand and left foot feel like they are being electrocuted, with intermittent tingling and numbness." This condition may suggest symptoms of neuropathic pain. If it is only present on one side, it may be necessary to consider l...[Read More] Understanding Nerve Pain: Left Hand and Foot Tingling and Weakness
Understanding Unusual Brain Sensations: When to Seek Neurological Help
Cerebrovascular events feel like an electric shock? Doctor, I have been experiencing sensations in my head that feel like pressure on my blood vessels or like an electric shock. It's similar to the feeling of stepping on a water pipe or compressing it, and it happens frequen...
Dr. Jiang Junyi reply Neurology
Hello Ms. Hsiao-Yu, You mentioned that your head feels like it's being compressed, similar to pressure on a blood vessel or an electric shock, akin to stepping on a water pipe and squeezing it. This may warrant consideration of cervical headache. The small muscles connected...[Read More] Understanding Unusual Brain Sensations: When to Seek Neurological Help
Understanding Dizziness and Balance Issues: When to Seek Medical Help
Sudden dizziness with a sensation of losing balance? Hello Doctor: About a month ago, I felt dizzy just before my menstrual period, but it went away afterward. This month, the day before my period, I suddenly felt dizzy again! It also passed after a while, but I have been feeling...
Dr. Jiang Junyi reply Neurology
Dear Ms. Chen, You mentioned, "The day before my menstrual period, I suddenly felt dizzy! It got better after a while, but I still felt lightheaded and unsteady. Later, when I lay down to rest, I gradually improved! On the fourth day of my period, when I looked down at my p...[Read More] Understanding Dizziness and Balance Issues: When to Seek Medical Help
Understanding ALS Symptoms: What to Expect and When to Seek Help
Symptoms of Amyotrophic Lateral Sclerosis (ALS) Hello Doctor, I started feeling weakness in my right hand and right foot when I got up on February 21. It feels unusual, but I can still exert strength if I try hard; otherwise, it feels soft as if I had engaged in intense exercise....
Dr. Jiang Junyi reply Neurology
Hello, Student Luo: You mentioned "EEG and upper and lower limb evoked potentials, and next month there will be an MRI." Essentially, EEG is not a diagnostic tool for motor neuron diseases. Your concern about amyotrophic lateral sclerosis (ALS) primarily refers to issu...[Read More] Understanding ALS Symptoms: What to Expect and When to Seek Help
Managing Severe Headaches During Pregnancy: Tips and Solutions
Headaches in Pregnant Women I have often experienced migraines even before pregnancy, especially when I go out and don't sleep well; they usually occur about twice a month. A single pain reliever or Eve (a brand of pain medication) typically resolves the issue quickly. Howev...
Dr. Jiang Junyi reply Neurology
Hello Miss QQ: You mentioned that you often experience migraines, especially when traveling or not sleeping well, and that usually one painkiller or Eve resolves it quickly. Eve contains the active ingredient ibuprofen, along with Anhydrous Caffeine - 80 mg and Allylisopropylacet...[Read More] Managing Severe Headaches During Pregnancy: Tips and Solutions
Understanding Lip Numbness: Possible Causes and Treatments
Numbness of the lips? Hello, doctor. I would like to ask some questions. My father started taking heart medication about six months ago, and since then, his lips have been almost constantly numb, sometimes feeling like they are going to crack. The cardiologist prescribed a topica...
Dr. Jiang Junyi reply Neurology
Dear Miss Hsiao-Chuan, You mentioned that your lips feel numb almost all day and sometimes have a sensation of cracking. However, you find that applying Nincort oral gel alleviates the numbness for several hours. The active ingredients in Nincort oral gel are steroids and some m...[Read More] Understanding Lip Numbness: Possible Causes and Treatments
Understanding Facial Nerve Paralysis: Symptoms, Steroid Side Effects, and Concerns
Facial nerve paralysis Hello Doctor, my daughter (15 years old) noticed on the afternoon of February 13 that she could not fully close her lips when drinking water, and her right face felt stiff when she opened her mouth wide. She visited the doctor on February 14 and was prescri...
Dr. Jiang Junyi reply Neurology
Hello, You Ma: You mentioned that "when drinking water, your lips cannot fully close, and your right face feels stiff when your mouth is wide open." You have been taking steroids and gastric medication for a week. Clinically, this may suggest facial nerve paralysis. In...[Read More] Understanding Facial Nerve Paralysis: Symptoms, Steroid Side Effects, and Concerns
Understanding Post-Accident Nausea: Is It Normal After a Car Crash?
Nausea after a car accident? Hello, a couple of days ago I was in a car accident where I did not hit my head and was wearing a helmet. At the time, I did not experience any nausea or dizziness. However, when I got home that evening, I started to have a loss of appetite and felt n...
Dr. Jiang Junyi reply Neurology
Hello Miss W522: Generally speaking, if there is no loss of consciousness, the use of anticoagulants, or obvious local hematomas, head injuries are usually mild. However, the following conditions should be considered for delayed bleeding, and you should seek emergency care: (1) D...[Read More] Understanding Post-Accident Nausea: Is It Normal After a Car Crash?
Understanding Facial Twitches: When to Seek Medical Advice
Facial twitching? The right upper eyelid has been twitching at the outer edge, and occasionally the left corner of the mouth twitches as well. The frequency is irregular and not frequent (about once or twice a week), but it has persisted for approximately two months. I became awa...
Dr. Jiang Junyi reply Neurology
Dear Miss Ai, You mentioned "twitching at the end of the right upper eyelid, and occasionally at the left corner of the mouth, with an irregular and infrequent frequency." Eyelid movements are controlled by the facial nerve. If the eyelid is twitching continuously, the...[Read More] Understanding Facial Twitches: When to Seek Medical Advice
Can Autonomic Nervous System Disorders Be Diagnosed with Tests?
Can the autonomic nervous system be tested? Hello Doctor, I have been suffering from various ailments recently and have seen multiple doctors without finding a clear cause, which has left me questioning everything. I noticed your patience in responding to some neurology patients,...
Dr. Jiang Junyi reply Neurology
Hello Mr. Ben, You asked, "Can autonomic nervous system disorders be detected through instruments, or can they only be assessed through clinical experience? If it can be detected, is it similar to an electrocardiogram that measures the current state?" The most common m...[Read More] Can Autonomic Nervous System Disorders Be Diagnosed with Tests?