Understanding Neck Stiffness: When to See a Neurologist or ENT
Neck stiffness Recently, I have been experiencing stiffness in my cervical spine, making it difficult to turn my head. It feels tight and rigid, and I sometimes feel dizzy, but the dizziness passes quickly. I'm not sure what the issue could be. Should I see a neurologist or ...
Dr. Jiang Junyi reply Neurology
Hello Ms. Chen, You mentioned experiencing "stiffness in the cervical spine, difficulty turning your head, tightness, and dizziness that comes and goes." I would like to know if your dizziness is accompanied by any other neurological symptoms, such as hearing abnormali...[Read More] Understanding Neck Stiffness: When to See a Neurologist or ENT
Understanding Muscle Atrophy, Weakness, and Fasciculations: A Neurology Perspective
Muscle atrophy, twitching, weakness? Hello, doctor. I would like to ask you about something. About two months ago, I suddenly noticed a depression on the right side of my thigh near the groin area. Later, I found a similar depression on the left side, measuring approximately 5x5 ...
Dr. Jiang Junyi reply Neurology
Hello Ms. Chychy, You mentioned that "...but because I feel that the area of indentation has increased, I am now worried every day that I might be in the early stages of ALS..." The symptoms you describe are more indicative of localized muscle or peripheral nerve issue...[Read More] Understanding Muscle Atrophy, Weakness, and Fasciculations: A Neurology Perspective
Persistent Head Pressure and Nausea: Possible Neurological Concerns
Persistent head heaviness and dry heaving? Hello Doctor, for the past couple of days, I have been feeling a persistent pressure in my head, almost as if a specific small area in my brain (approximately the middle right side) is covered. I have been unable to muster any energy thr...
Dr. Jiang Junyi reply Neurology
Hello, Sir: You mentioned feeling lethargic all day and experiencing constant dry heaving (almost feeling like vomiting every 10 minutes), and that you suddenly woke up after less than three hours of sleep tonight... It may be necessary to consider intracranial structural abnorma...[Read More] Persistent Head Pressure and Nausea: Possible Neurological Concerns
Understanding Unexplained Cool Sensation at the Corner of the Mouth
Occasionally, there is a "cool sensation at the corners of the mouth" (without saliva)? Dear Dr. Jiang, Thank you very much for taking the time to respond to my concerns. Recently, I have been experiencing a "cool sensation at the corners of my mouth" (withou...
Dr. Jiang Junyi reply Neurology
Dear Mr. Chen, You mentioned that you have recently experienced a "cool sensation at the corners of your mouth" (without saliva), particularly noticeable after meals. You are currently on the 14th day of treatment for prostatitis with levofloxacin. First, we should con...[Read More] Understanding Unexplained Cool Sensation at the Corner of the Mouth
Understanding Arm and Shoulder Numbness: Beyond Cervical Compression
Numbness in the shoulder and upper arm? Hello Doctor, recently I have experienced sudden numbness in my right shoulder and upper arm. I had an X-ray of my neck a while ago, and the doctor said there were no issues. Besides cervical spine compression, what other possibilities coul...
Dr. Jiang Junyi reply Neurology
Dear Mr. JAM, You mentioned that you suddenly experienced numbness in your right shoulder and upper arm, and that a recent cervical X-ray showed no issues. Your symptoms are more indicative of nerve root compression, which is commonly caused by cervical disc herniation or an imp...[Read More] Understanding Arm and Shoulder Numbness: Beyond Cervical Compression
Dizziness When Turning: Understanding Neurological Symptoms
Dizziness when turning? Hello Doctor, for the past month, I have been feeling a bit dizzy and unsteady whenever I walk, especially when turning or looking back (it's not a spinning sensation). I have tried walking in a straight line, standing on one foot, and performing the ...
Dr. Jiang Junyi reply Neurology
Hello Mr. Huang, You mentioned that "you have tried walking in a straight line or standing on one foot... and also tried the finger-to-nose test, and personally feel quite stable." This observation suggests that it is less likely to be a cerebellar or brainstem lesion....[Read More] Dizziness When Turning: Understanding Neurological Symptoms
Understanding Symptoms: Multiple Sclerosis vs. Autonomic Nervous System Disorders
Multiple Sclerosis or Autonomic Nervous System Dysfunction Hello Dr. Jiang, I have been experiencing a tingling and numbness in my hands and feet since early September. I visited a neurology clinic, and they suggested it could be either cervical spine inflammation or autonomic ne...
Dr. Jiang Junyi reply Neurology
Dear Miss Li, You mentioned that "the symptoms really seem very similar to those of multiple sclerosis, and considering that I am 21 years old, which is the age when this condition is more likely to occur..." I believe the chances are low, as multiple sclerosis is clas...[Read More] Understanding Symptoms: Multiple Sclerosis vs. Autonomic Nervous System Disorders
Understanding Muscle Twitches Below the Pinky: Causes and Insights
Twitching of the muscles below the little finger? Hello doctor, I would like to ask about a situation I've been experiencing since last week. There is a twitching sensation in the area just below my palm (specifically the area below my little finger). It doesn't last lo...
Dr. Jiang Junyi reply Neurology
Hello, Sir: You mentioned that there is a pulsating sensation in the area below the palm (approximately under the little finger). The nerves in that area are primarily innervated by the ulnar nerve. Regarding muscle twitching, current research mainly relates to several factors: e...[Read More] Understanding Muscle Twitches Below the Pinky: Causes and Insights
Understanding Sudden Thigh Pain: Causes and Solutions for Nerve Issues
Leg issue - intermittent sharp pain in the inner thigh (similar to an electric shock sensation)? Last year, between September and October, I frequently experienced sudden sharp pains in the inner thigh of my right leg, close to that side. The pain felt like an electric shock and ...
Dr. Jiang Junyi reply Neurology
Dear Ms. Hsieh, You mentioned experiencing intermittent sharp pain on the inner side of your right thigh (similar to an electric shock), with each episode being a momentary severe pain. This may warrant consideration of nerve root compression at the lumbar vertebrae L2 and L3. N...[Read More] Understanding Sudden Thigh Pain: Causes and Solutions for Nerve Issues
Understanding Upper Back Pain: Causes and Connections to MRI Findings
Shoulder and back pain? Hello, Doctor. Recently, I've been experiencing frequent upper back pain (on the right side, around the scapula) for the past two months. Sometimes, I also have shoulder pain (on both sides). When I turn my head to the left, I feel a slight pain... It...
Dr. Jiang Junyi reply Neurology
Dear Miss Sophia, You mentioned, "Is the pain related to previous symptoms? What could be the possible causes?" Your MRI report indicates: 2. Posterior bulging disc of C6/7 with mild anterior indentation on the thecal sac and mild narrowing of bilateral neural foramina...[Read More] Understanding Upper Back Pain: Causes and Connections to MRI Findings
Can I Take Mosapin and Probiotics Together After Meals?
Medication Consultation (MOSAPIN with Probiotics) Hello, doctor. I would like to ask about my recent use of MOSAPIN F.C. TABLET 5MG STANDARD for my irritable bowel syndrome. I am also considering taking a commercially available probiotic (like X tablets). Can I take both after me...
Dr. Jiang Junyi reply Neurology
Hello, Sir: You mentioned that you are taking MOSAPIN F.C. TABLET 5MG STANDARD for irritable bowel syndrome, but you also want to take over-the-counter probiotics (such as X tablets)... Generally speaking, probiotics are dietary supplements and do not have significant interaction...[Read More] Can I Take Mosapin and Probiotics Together After Meals?
Early Signs of ALS: Understanding Symptoms and Prevention Strategies
Early stage of amyotrophic lateral sclerosis (ALS) Hello, doctor. Recently, when I stand on my left foot, I feel a constant urge to engage my calf muscles (similar to the feeling of trying to maintain balance). I am aware of this urge before it happens. Additionally, when lying i...
Dr. Jiang Junyi reply Neurology
Hello Mr. Ju, You mentioned "the early reactions of amyotrophic lateral sclerosis (ALS)?" ALS primarily refers to issues with motor neurons, which control muscle movement. Generally, the motor neurons in the brain are referred to as upper motor neurons, while those in ...[Read More] Early Signs of ALS: Understanding Symptoms and Prevention Strategies
Repeated Concussions: Concerns About Future Cognitive Decline
Multiple concussions: Fear of future dementia? Hello doctor, I have experienced five mild concussions within the past two years, the most recent one occurring in mid-November. However, since my third concussion in March, I have been experiencing ongoing issues with attention, jud...
Dr. Jiang Junyi reply Neurology
Dear Mr. Liu, You mentioned that "the third concussion started at the end of March, with ongoing issues related to attention, judgment, and memory, and the CT scan showed no problems, so the physician believes it is a psychological issue..." Dementia is usually caused ...[Read More] Repeated Concussions: Concerns About Future Cognitive Decline
Persistent Nausea and Facial Tremors: Should You Worry About Brain Issues?
Persistent headache, nausea, and facial muscle twitching throughout the day? Hello doctor, in recent days I have been experiencing frequent nausea and dry heaving. The left side of my face involuntarily twitches, and I constantly feel a sense of heaviness in my head, which has si...
Dr. Jiang Junyi reply Neurology
Hello, sir: You mentioned that "your mental state is poor and you lack motivation at work, which severely affects your daily life." Since this impacts your life, I recommend seeking medical advice for discussion and examination. The brain tumor you are concerned about i...[Read More] Persistent Nausea and Facial Tremors: Should You Worry About Brain Issues?
Understanding Facial Twitching: Causes and Solutions for Smile Control
Facial twitching? Hello, doctor. When I take pictures, the left corner of my mouth suddenly starts to twitch, but this doesn't happen normally. To prevent this from occurring, I practice smiling frequently, and during those times, I can control the corner of my mouth well. H...
Dr. Jiang Junyi reply Neurology
Hello Miss An An: You mentioned, "I practice smiling from time to time, and I can control the corners of my mouth well, but when taking a photo, my left mouth corner still twitches uncontrollably..." This may be indicative of common muscle fasciculation. Prolonged physi...[Read More] Understanding Facial Twitching: Causes and Solutions for Smile Control
Understanding Facial Twitching: Causes and Solutions for Your Smile
Facial twitching? Hello, Doctor. When I take pictures, the left corner of my mouth suddenly starts to twitch, but this doesn’t happen normally. To prevent this from occurring, I practice smiling frequently, and during those times, I can control the corner of my mouth well. Howeve...
Dr. Jiang Junyi reply Neurology
Hello Miss An: You mentioned, "I practice smiling often, and I can control the corners of my mouth well, but when taking a photo, my left mouth corner still twitches uncontrollably..." This may be indicative of common muscle fasciculations. Prolonged physical activity i...[Read More] Understanding Facial Twitching: Causes and Solutions for Your Smile
Understanding Facial Twitching: Causes and Solutions for Photogenic Moments
Facial twitching Hello, Doctor. When I take photos, the left corner of my mouth suddenly starts to twitch, but this doesn't happen normally. To prevent this from occurring, I practice smiling frequently, and during those times, I can control the corner of my mouth well. Howe...
Dr. Jiang Junyi reply Neurology
Hello Miss Anan: Muscle twitching while awake may indicate some metabolic disorders, such as hyperthyroidism or electrolyte imbalances. Certain stimulating foods, like caffeine, may also exacerbate muscle twitching during wakefulness. It is recommended that you supplement with B ...[Read More] Understanding Facial Twitching: Causes and Solutions for Photogenic Moments
Understanding Facial Twitching: Causes and Solutions for Your Smile
Facial twitching? Hello, Doctor. When I'm taking pictures, the left corner of my mouth suddenly starts to twitch, but this doesn't happen normally. To prevent this from occurring, I practice smiling frequently, and during those times, I can control the corner of my mout...
Dr. Jiang Junyi reply Neurology
Hello Miss An: Muscle twitching while awake may be indicative of certain metabolic disorders, such as hyperthyroidism or electrolyte imbalances. Additionally, some nerve-stimulating substances like caffeine may exacerbate muscle twitching during wakefulness. It is recommended tha...[Read More] Understanding Facial Twitching: Causes and Solutions for Your Smile
Understanding Facial Twitching: Causes and Solutions for Your Smile
Facial twitching? Hello, doctor. When I take photos, the left corner of my mouth suddenly starts to twitch, but this doesn't happen normally. To avoid this situation, I practice smiling frequently, and during those times, I can control the corner of my mouth well. However, w...
Dr. Jiang Junyi reply Neurology
Hello Ms. An: I would like to know if you have any other symptoms besides the uncontrollable twitching at the left corner of your mouth? Muscle twitching while awake may warrant consideration of certain metabolic disorders, such as hyperthyroidism or electrolyte imbalances. Addit...[Read More] Understanding Facial Twitching: Causes and Solutions for Your Smile
Understanding Facial Twitching: Causes and Solutions for Your Concerns
Facial twitching? Hello, Doctor. When I take photos, the left corner of my mouth suddenly starts to twitch, but this doesn't happen normally. To prevent this from occurring, I practice smiling frequently, and during those times, I can control the corner of my mouth well. How...
Dr. Jiang Junyi reply Neurology
Hello Miss An: Muscle twitching while awake may indicate some metabolic disorders, such as hyperthyroidism or electrolyte imbalances. Certain stimulating foods, like caffeine, may also exacerbate muscle twitching during wakefulness. I recommend supplementing with B vitamins and s...[Read More] Understanding Facial Twitching: Causes and Solutions for Your Concerns