Sudden Electric Shock Sensation in Buttocks: What Could It Be?
The flesh on the buttocks feels like it has been punctured? About a month ago, I started experiencing a sensation in my left buttock while sitting, like an electric shock that lasts for about two seconds. This occurs occasionally, sometimes once a day or every two to three days, ...
Dr. Jiang Junyi reply Neurology
Hello, Ms. Gui: You mentioned experiencing a sensation in your buttock that feels like an electric shock lasting about two seconds, specifically on the left side. This symptom is more indicative of peripheral nerve compression. It may be worth considering "piriformis syndro...[Read More] Sudden Electric Shock Sensation in Buttocks: What Could It Be?
Understanding Coma: Causes, Treatments, and Recovery in Elderly Patients
Coma scale score of 4? My mother is 86 years old. After a nap on January 8, she could not be awakened. That evening, her blood sugar was measured at 183, her blood oxygen level was 89, and her blood pressure was normal. On January 19, she still could not be awakened in the mornin...
Dr. Jiang Junyi reply Neurology
Dear Ms. Vicky, You mentioned, "Doctors only treat infections with antibiotics. I really want to ask, for a comatose patient like this, do we just have to wait aside from antibiotic treatment? Are there no more aggressive treatment options?" In clinical practice, the m...[Read More] Understanding Coma: Causes, Treatments, and Recovery in Elderly Patients
Understanding Serotonin Syndrome: Symptoms and Specialist Guidance
Serotonin syndrome inquiry? Hello Dr. Jiang, I have stopped taking the medication prescribed by the psychiatric clinic (Leeyo) because I need to undergo other related tests at the hospital. Initially, I was on a low dose (2.5 mg daily for about two weeks). It has been about a m...
Dr. Jiang Junyi reply Neurology
Hello Ben: You mentioned "serotonin storm syndrome," which refers to serotonin syndrome that typically occurs when two or more medications that increase serotonin activity in the brain are combined, potentially leading to the onset of serotonin syndrome. Recovery usuall...[Read More] Understanding Serotonin Syndrome: Symptoms and Specialist Guidance
Understanding Your Neurological Concerns: A Guide to ALS Anxiety
Regarding one's own condition? I used to come to you with questions often, and back then (8 months ago), I was very worried about amyotrophic lateral sclerosis (ALS), and I still am. My muscles have been twitching lately, and my left leg feels strange, almost like a reflex s...
Dr. Jiang Junyi reply Neurology
Hello: You mentioned that you feel strain in your bite when chewing on tough foods. If the masticatory muscles are not frequently used, it is indeed possible to experience this strain. I recommend maintaining appropriate exercise to preserve your muscle mass (you can purchase a b...[Read More] Understanding Your Neurological Concerns: A Guide to ALS Anxiety
Understanding Inner Elbow Nerve Pain After Surgery: Causes and Recovery
Numbness and pain on the inner side of the hand? Doctor, I underwent surgery for axillary hyperhidrosis last October, using a spiral curette technique. After the surgery, my right arm is normal, but the entire inner side of my left elbow has been experiencing numbness and pain. D...
Dr. Jiang Junyi reply Neurology
Hello Mr. Alan, You mentioned that after the surgery with a spiral curette, my right hand is normal, but the entire inner side of my left elbow experiences numbness and pain. This may indicate ulnar nerve compression injury, particularly cubital tunnel syndrome. Frequent bending...[Read More] Understanding Inner Elbow Nerve Pain After Surgery: Causes and Recovery
Understanding Unusual Cold Sensations and Fatigue: A Neurological Perspective
Coolness in the back of the head. Fatigue? I woke up feeling fatigued this morning, but I am currently on my menstrual period, so I'm not sure if that is related. Then tonight, while lying in bed, I suddenly felt a cool sensation at the back of my head, which went away withi...
Dr. Jiang Junyi reply Neurology
Hello, Miss Xiaozhu: You mentioned feeling a sudden coolness at the back of your head and that your feet have been consistently cool. These may be two separate issues. The cool sensation at the back of your head could indicate an abnormality in the peripheral nerves, such as ner...[Read More] Understanding Unusual Cold Sensations and Fatigue: A Neurological Perspective
Understanding Headaches and Dizziness: Causes and Concerns
Headache and feelings of dizziness or brain fog? Hello Dr. Jiang, Last Monday, while I was taking a shower, the water might have been too hot, and I suddenly felt a rush to my head. After showering, I felt a bit dizzy. A few days later (around last Wednesday), I started experien...
Dr. Jiang Junyi reply Neurology
Hello Mr. K: I would like to know if you have a smoking habit? This may increase the risk of cerebrovascular diseases. You mentioned that "I feel like my right eye's vision has declined; I have to strain to see things that were once clear." This may warrant conside...[Read More] Understanding Headaches and Dizziness: Causes and Concerns
Feeling Exhausted and Anxious: Understanding Autonomic Nervous System Disorders
I feel exhausted every day and I feel like I'm about to die! Last night, I suddenly felt unwell in the latter half of my sleep. I got up to check my blood pressure, which was 91/56. I felt like crying; I wanted to sleep but couldn't. At first, I experienced hand tremors...
Dr. Jiang Junyi reply Neurology
Hello: You mentioned symptoms such as "feeling sleepy but unable to sleep well, initially experiencing hand tremors and numbness in the legs... switching positions while sleeping, rapid internal shaking, left-sided numbness, and a fast heartbeat." These symptoms may sug...[Read More] Feeling Exhausted and Anxious: Understanding Autonomic Nervous System Disorders
Facial Pain After Drinking: Is It Related to Trigeminal Nerve Issues?
Sore cheeks after drinking alcohol? Hello: Recently, I've noticed that my cheeks feel sore when I drink alcohol, but it doesn't happen every time, even with the same type of alcohol. Could this be related to the trigeminal nerve? Should I avoid alcohol completely or see...
Dr. Jiang Junyi reply Neurology
Dear Ms. WH, You mentioned that you experience a tingling sensation in your cheeks when drinking alcohol. I would like to know if you also experience headaches during this time. Is it more pronounced when you drink red wine? The combination of red wine and cheese may trigger mig...[Read More] Facial Pain After Drinking: Is It Related to Trigeminal Nerve Issues?
Understanding Head Pain: Causes and Concerns in Neurology
Head issues Hello, doctor. I experience headaches when I lie back on a specific spot on the back of my head while sitting in a chair. The pain is not located at the area in contact with the chair, but rather closer to the top of my head. I haven't hit my head or experienced ...
Dr. Jiang Junyi reply Neurology
Hello Mr. Ren, You mentioned that "lying back on a certain spot on the back of your head causes headaches, and the pain is not at the point of contact but rather closer to the top of your head..." This symptom may suggest cervical myofascial pain. Prolonged periods of ...[Read More] Understanding Head Pain: Causes and Concerns in Neurology
Understanding Muscle Tremors: Possible Causes and Next Steps
Muscle twitching for three weeks? Hello, doctor. At the end of 2021, I discovered that my prolactin levels were elevated (29.6), so my obstetrician prescribed cabergoline 0.5 mg, 1 tablet orally once a week, and Yasmin, 1 tablet orally daily. I started taking the medication on De...
Dr. Jiang Junyi reply Neurology
Hello Ms. Li: You mentioned that "the tremor sensation in the left chest almost never stops, and even when I wake up and open my eyes, I start shaking. If I shake my body and legs vigorously, there is a temporary improvement, and it feels like the tremor disappears, but it q...[Read More] Understanding Muscle Tremors: Possible Causes and Next Steps
Understanding the Increased Dementia Risk After Concussions
The probability of developing dementia after a concussion? A study from Sweden indicates that individuals who have experienced a concussion have an 80% increased risk of developing dementia. Although the likelihood of developing dementia after a head injury decreases over time, e...
Dr. Jiang Junyi reply Neurology
Hello, sir: You mentioned that "nine years ago, you had a motorcycle accident and lost consciousness for more than ten minutes; the doctor said it was a concussion, and that was the only time you have experienced this." Severe head trauma can cause varying degrees of da...[Read More] Understanding the Increased Dementia Risk After Concussions
Understanding Right-Side Numbness: Causes and Concerns in Neurology
Numbness in the right side of the face, hands, and feet? Hello, I initially experienced numbness in my right hand's ring and little fingers, as well as numbness on the right side of my face. Sometimes, I feel saliva pooling in my mouth. I consulted a neurologist who performe...
Dr. Jiang Junyi reply Neurology
Hello Ms. Ping, You mentioned that "the ring finger and little finger are numb," which is more indicative of ulnar nerve pathology. You also mentioned that "the MRI of the spine shows mild disc herniation." Often, because the MRI is performed while lying down...[Read More] Understanding Right-Side Numbness: Causes and Concerns in Neurology
Understanding Nerve Pain: When to See a Neurologist or Specialist
Pain and numbness in the hands and feet? Hello doctor, I have pain from my lower back to my buttocks and down to my calves, with pain in my heels and soles. My fourth toe has an angle that causes discomfort, possibly due to tight shoes compressing it, which feels like it might be...
Dr. Jiang Junyi reply Neurology
Dear Mr. Ming-Ting, You mentioned that the pain from the lower back to the buttocks, down to the calves, and from the heels to the soles of the feet resembles a condition related to the sciatic nerve. Additionally, the tingling and numbness in your ring and little fingers are mo...[Read More] Understanding Nerve Pain: When to See a Neurologist or Specialist
Understanding Persistent Numbness: Causes and Treatments for Limb and Abdominal Symptoms
Numbness in the limbs, numbness in the abdomen and back? Hello Doctor: Starting from January 1st of this year, I experienced a progressive numbness in both legs, beginning from the soles and extending up to the waist over a span of five days. The numbness persisted 24 hours a day...
Dr. Jiang Junyi reply Neurology
Dear Mr. Lai, You mentioned that "the numbness gradually spread from the soles of both feet to the waist over five days." I wonder if you have been exposed to nitrous oxide? If the numbness is rapidly ascending, we may consider acute demyelinating polyneuropathy. Las...[Read More] Understanding Persistent Numbness: Causes and Treatments for Limb and Abdominal Symptoms
Understanding Nerve Compression: Left Upper Back and Limb Numbness Issues
Frequent numbness in the upper left back and numbness in the limbs while sleeping? Hello, doctor. I have the following main symptoms and I'm unsure if they are related: 1. I frequently experience numbness in the upper left back (around the scapula) that started about three...
Dr. Jiang Junyi reply Neurology
Hello Mr. Wu: You mentioned, "Could the physician determine if it is due to thoracic nerve compression or a brain issue?" The symptoms include "involuntary muscle twitching in small, localized areas throughout the body, visible to the naked eye, which has persisted...[Read More] Understanding Nerve Compression: Left Upper Back and Limb Numbness Issues
Managing Muscle Cramps in Myasthenia Gravis Patients: Solutions and Medications
Medication issues Hello, doctor. I have been diagnosed with myasthenia gravis, and after starting medication, I have been experiencing cramps in the soles of my feet. The frequency of these cramps is higher than with the previous medication I was taking, and they are quite painfu...
Dr. Jiang Junyi reply Neurology
Hello, sir: You mentioned that "after being diagnosed with myasthenia gravis and starting medication, I experienced cramps in the soles of my feet, and the frequency is higher than with the previous medication." In cases of myasthenia gravis, the use of muscle relaxants...[Read More] Managing Muscle Cramps in Myasthenia Gravis Patients: Solutions and Medications
How Long After Starting Epilepsy Medication Will Seizure Frequency Decrease?
How long after starting medication for epilepsy does it typically take to reduce the frequency of seizures? Hello Doctor: My family member is currently 54 years old and began experiencing absence seizures about four to five years ago. In the past one to two years, they have had a...
Dr. Jiang Junyi reply Neurology
Dear Ms. Ling, You mentioned that "my family member started treatment last year and currently takes one dose of Levetiracetam in the morning and evening. They have been taking Zolpidem at night due to sleep issues for about six months, but still experience one to two comple...[Read More] How Long After Starting Epilepsy Medication Will Seizure Frequency Decrease?
Understanding Nerve Issues: Frequent Left Upper Back and Limb Numbness
Frequent numbness in the upper left back and numbness in the limbs while sleeping? Hello, doctor. I have the following main symptoms and I'm not sure if they are related: 1. I have frequent numbness in the upper left back area, which started about three years ago. X-rays a...
Dr. Jiang Junyi reply Neurology
Hello Mr. Wu, You mentioned, "Could the physician determine if the issue is due to thoracic nerve compression or a brain problem?" The symptoms include "involuntary muscle twitching in small, non-fixed areas of the body, visible to the naked eye, which has persist...[Read More] Understanding Nerve Issues: Frequent Left Upper Back and Limb Numbness
Understanding Right Brain Pain and Oral Numbness: A Neurology Perspective
Head and face Hello doctor, recently I've been experiencing occasional sharp pains in my right brain, and there's a tingling sensation in the right side of my mouth, similar to the feeling of having a candy in my mouth for too long. I also have increased saliva producti...
Dr. Jiang Junyi reply Neurology
Dear Ms. Hsuan, You mentioned that you have a tingling sensation in the right side of your mouth, similar to the feeling of having candy in your mouth for too long. This may warrant consideration of trigeminal nerve symptoms. There are many potential causes for trigeminal nerve ...[Read More] Understanding Right Brain Pain and Oral Numbness: A Neurology Perspective