Understanding Persistent Throat Pain: Is It a Neurological Issue?
Is there a problem with the nervous system? Hello Doctor, I have been experiencing a sensation of a foreign body and sharp pain in my oral and pharyngeal walls, which becomes particularly pronounced when swallowing saliva. There is also sharp pain and a foreign body sensation nea...
Dr. Jiang Junyi reply Neurology
Dear Miss Lin, Regarding the "medication for post-nasal drip" you mentioned, it may cause discomfort such as dry mouth. Additionally, it is important to consider female hormones and autoimmune issues. Since your symptoms are atypical and you have sought multiple medica...[Read More] Understanding Persistent Throat Pain: Is It a Neurological Issue?
Understanding Long-Term Effects of Childhood Head Injuries on Adult Health
My brother had a backward fall and hit his head when he was one year old, and he is currently 40 years old? Hello, Doctor Jiang. I would like to ask you about my brother. He had a head injury at the age of one when he fell backward, which resulted in immediate loss of consciousne...
Dr. Jiang Junyi reply Neurology
Dear Ms. Tsai, You mentioned that your brother exhibits "slow learning, delayed responses, insufficient memory, noticeable social difficulties, repetitive confirmation actions, easy nervousness, repetitive speech, and an inability to listen to others. He sometimes becomes e...[Read More] Understanding Long-Term Effects of Childhood Head Injuries on Adult Health
Understanding Facial Nerve Palsy: Diagnosis and Further Brain Examination Options
Facial nerve paralysis examination Hello Dr. Jiang, about a month ago, I woke up one day and found that I could not move the left side of my face. During my visit, the neurologist diagnosed it as possibly viral-induced facial nerve paralysis. I have been taking steroids for a wee...
Dr. Jiang Junyi reply Neurology
Hello Mr. Kobayashi: You mentioned "facial nerve paralysis," which is a condition affecting the peripheral cranial nerves and typically resolves on its own. 1. If you wish to pursue further brain examinations, what options are available? Are they covered by health insur...[Read More] Understanding Facial Nerve Palsy: Diagnosis and Further Brain Examination Options
Understanding Persistent Dizziness and Heaviness After Vaccination
Feeling of heaviness in the head accompanied by a sensation of dizziness and swaying of the body? Hello, doctor. I am 41 years old. In February 2021, I slipped and fell in the bathroom, hitting the back of my head, which swelled up. At the time, I didn't have any issues and ...
Dr. Jiang Junyi reply Neurology
Hello Ms. Chen: You mentioned that "about three days after receiving the BNT vaccine, I felt a heaviness in my head, and occasionally I feel dizzy, as if I'm swaying." The issue of dizziness may also be related to factors such as poor inner ear circulation, inadequ...[Read More] Understanding Persistent Dizziness and Heaviness After Vaccination
Understanding Post-Massage Head Pain: Is It a Sign of Vertebral Artery Dissection?
Headache and dizziness after massage? I went for a massage yesterday and asked the therapist to work on the muscles around the occipital area. However, he applied too much pressure, and now the massage point is painful. Is there a possibility of vertebral artery dissection? Curre...
Dr. Jiang Junyi reply Neurology
Hello Mr. Yi, You mentioned, "Could the pain at the massage point possibly indicate vertebral artery dissection?" Generally, issues with the vertebral artery occur after severe rotation, and localized pressure is less likely to cause such problems. More than half of p...[Read More] Understanding Post-Massage Head Pain: Is It a Sign of Vertebral Artery Dissection?
Understanding Left-Side Numbness: Causes and When to Seek Help
Numbness in the left hand and left foot? Hello Dr. Jiang, I would like to ask about a condition I've been experiencing recently. For the past few days, when I wake up in the morning, I feel numbness from my left elbow to my fingers, and also from my left ankle to my toes. To...
Dr. Jiang Junyi reply Neurology
Hello Ms. Liu, You mentioned that "the left elbow to the fingers often feels numb," which may suggest a common condition of ulnar nerve compression. However, you also noted that "even the left side of the face feels numb, and there are involuntary twitching episod...[Read More] Understanding Left-Side Numbness: Causes and When to Seek Help
Understanding ALS: Symptoms and Concerns About Muscle Weakness
Fear of developing amyotrophic lateral sclerosis (ALS)? Hello, doctor. Recently, I have been experiencing muscle twitching all over my body, and after some research, I found that it could possibly be amyotrophic lateral sclerosis (ALS). I am becoming increasingly worried and woul...
Dr. Jiang Junyi reply Neurology
Hello Mr. Wei, You mentioned that "the soles of my feet occasionally feel a twitching sensation, and my feet easily become numb." These symptoms are more indicative of peripheral nerve compression, as motor neuron diseases typically do not present with significant sens...[Read More] Understanding ALS: Symptoms and Concerns About Muscle Weakness
Understanding Facial Twitching: Is It Facial Muscle Spasm?
Heartbeat issues Hello Dr. Jiang, I had some facial twitching for a few weeks recently, and when I saw a doctor, they said it was inflammation. It has mostly stopped now, but today my lip twitched suddenly. I would like to ask if occasional twitching could be facial muscle spasms...
Dr. Jiang Junyi reply Neurology
Hello Mr. Lin: You mentioned that "occasional twitching may be facial muscle spasms," but we should also consider localized nerve inflammation. If the symptoms persist, I recommend that you consult a neurologist to discuss examination and treatment options. Thank you fo...[Read More] Understanding Facial Twitching: Is It Facial Muscle Spasm?
Understanding Facial Twitching: Is It Facial Muscle Spasm?
Palpitations Hello Dr. Jiang, I experienced facial twitching for a few weeks recently, and when I consulted a doctor, they said it was inflammation. It has mostly subsided now, but today I suddenly felt a twitch in my lip. I would like to ask if occasional twitching could be faci...
Dr. Jiang Junyi reply Neurology
Dear Mr. Lin, You mentioned that "occasional twitching could be facial muscle spasms," but we should also consider localized nerve inflammation. The facial muscle spasms you referred to typically involve multiple muscle groups and are primarily a response to abnormal e...[Read More] Understanding Facial Twitching: Is It Facial Muscle Spasm?
Sudden Headache and Limb Numbness: Understanding Neurological Symptoms
Sudden headache with numbness, curling, and weakness in the limbs? I experienced a sharp pain at the top of my head that made me vomit, followed by numbness in my limbs (including my abdomen) that progressively worsened. My hands felt cold and curled up, and I had a sensation of ...
Dr. Jiang Junyi reply Neurology
Dear Miss Long, The symptoms you mentioned may need to be considered in two parts. The first symptom, "sharp pain at the top of the head leading to vomiting," should raise concerns about headache related to cerebrovascular diseases, such as thunderclap headache. This t...[Read More] Sudden Headache and Limb Numbness: Understanding Neurological Symptoms
Understanding Thigh and Buttock Discomfort: Possible Nerve Issues
The fascia in the thigh and buttocks feels painful? Do you feel immediate pressure when sitting down? It's not too painful, but there is a sensation of compression and pulling?
Dr. Jiang Junyi reply Neurology
Hello, Mr. Bread: You mentioned that you feel pain in the fascia around your thigh and buttocks. Based on the distribution of nerves, it may be necessary to consider issues related to the sciatic nerve. When external forces cause inflammation, such as from a herniated disc, it ca...[Read More] Understanding Thigh and Buttock Discomfort: Possible Nerve Issues
Can Multivitamins Cause Dizziness? Understanding Neurological Effects
Feeling dizzy after taking a multivitamin? After taking two multivitamins in the morning after breakfast, I felt dizzy and lightheaded throughout the day. I would like to ask the doctor if taking multivitamins can cause dizziness?
Dr. Jiang Junyi reply Neurology
Hello Ms. Momo: You mentioned that "taking multivitamins may cause dizziness." I'm curious about the ingredients in your multivitamin and which brand you are using. Clinically, most people find that taking vitamins reduces dizziness. There are many causes of dizzin...[Read More] Can Multivitamins Cause Dizziness? Understanding Neurological Effects
Understanding Ankle Pain: Causes and Solutions for Flat Feet
Pain above the ankle? There is a slight pain above the inner side of the left ankle when walking, and pressing on the area causes discomfort, although the range is not extensive. I have flat feet and have been hiking frequently lately.
Dr. Jiang Junyi reply Neurology
Dear Mr. A-Kuo, You mentioned that there is a slight pain above the inner side of your left ankle when walking, which may indicate localized tendonitis. It is important to promote recovery from the inflammation of the injured tendon and to prevent adhesions of the tendon sheath....[Read More] Understanding Ankle Pain: Causes and Solutions for Flat Feet
Understanding Eye and Ear Symptoms: Seeking Guidance from a Neurologist
Inquiry Consultation Dear Dr. Jiang, I am unsure which medical specialty my issue falls under. If it is not within your area of expertise, I would appreciate your guidance on which specialty I should consult. Here is my concern: when I turn my eyes to the right (and occasionally...
Dr. Jiang Junyi reply Neurology
Hello Mr. Ah-Hsiang: You mentioned that "when turning right (and occasionally left), there is a flash accompanied by a 'pop' sound (similar to an electrical short circuit) echoing in the ear." This may suggest issues related to the temporomandibular joint or t...[Read More] Understanding Eye and Ear Symptoms: Seeking Guidance from a Neurologist
Understanding Right-Side Pain and Numbness: Causes and Solutions
Pain and numbness on the right side of the body? Hello Doctor: I have been experiencing these symptoms for over a year. The main issues are soreness and tightness in the right side of my neck and shoulder, along with numbness and tingling that radiates from my right arm to my fin...
Dr. Jiang Junyi reply Neurology
Dear Mr. Tsao, You mentioned that "the soreness and tightness in the right shoulder and neck, along with numbness and tingling extending from the right arm to the fingers," may indicate a potential issue with cervical nerve root compression. It is important to consider...[Read More] Understanding Right-Side Pain and Numbness: Causes and Solutions
Understanding Pudendal Nerve Issues: Symptoms, Diagnosis, and Treatment Options
Pudendal nerve The patient is experiencing neurological discomfort in the female genital area, characterized by a persistent sensation of being touched that is not related to sexual arousal. This has led to abnormal erections and discomfort that radiates to the right leg, persist...
Dr. Jiang Junyi reply Neurology
Hello, You mentioned that "there may even be discomfort extending to the right leg..." which may warrant consideration of lumbar nerve root compression. Typical symptoms associated with lumbar nerve root pathology include pain radiating from the buttocks down the leg,...[Read More] Understanding Pudendal Nerve Issues: Symptoms, Diagnosis, and Treatment Options
Understanding Pudendal Nerve Issues: Symptoms, Diagnosis, and Treatment
Pudendal nerve The patient is experiencing neurological discomfort in the female genital area, characterized by a persistent sensation of being touched that is not driven by sexual desire. This condition has led to abnormal erections and discomfort radiating down the right leg, p...
Dr. Jiang Junyi reply Neurology
Hello, You mentioned that "there may even be discomfort radiating down the right leg..." which may indicate compression of the lumbar nerve roots. Typical symptoms associated with lumbar nerve root pathology include pain radiating from the buttocks down the leg, as we...[Read More] Understanding Pudendal Nerve Issues: Symptoms, Diagnosis, and Treatment
Understanding Pudendal Nerve Issues: Symptoms, Diagnosis, and Treatment Options
Pudendal nerve The patient is experiencing neurological discomfort in the female genital area, characterized by a persistent sensation of being touched that is not related to sexual arousal. This has led to abnormal erections and discomfort extending to the right leg, lasting for...
Dr. Jiang Junyi reply Neurology
Hello, You mentioned that "there may even be discomfort extending to the right leg..." which may indicate compression of the lumbar nerve roots. Typical symptoms associated with lumbar nerve root pathology include pain radiating from the buttocks down the leg, as well...[Read More] Understanding Pudendal Nerve Issues: Symptoms, Diagnosis, and Treatment Options
Understanding Persistent Dizziness Without Vertigo: Key Insights
Dizziness without vertigo? I would like to ask the doctor, since last week I have been feeling lightheaded every day, but I do not experience vertigo. When I close my eyes with my feet together, my body sways slightly. I have never experienced anything like this before. Although ...
Dr. Jiang Junyi reply Neurology
Dear Mr. Zhang, You mentioned that when you stand with your feet together and close your eyes, your body sways slightly. This may indicate that your proprioception is affected. Conditions such as anemia, autonomic dysfunction, and inner ear imbalance could contribute to your sym...[Read More] Understanding Persistent Dizziness Without Vertigo: Key Insights
Understanding Intermittent Headaches and Dizziness: When to Seek Help
Intermittent headaches and dizziness? Hello Dr. Jiang, In the past week, I have been experiencing recurrent headaches that are different from my usual migraines caused by staying up late until 2 or 3 AM. Sometimes the pain is unilateral, while other times it affects my entire h...
Dr. Jiang Junyi reply Neurology
Dear Mr. You, You mentioned that "the night before last, I suddenly experienced blurred vision, dizziness, and a feeling of impending fainting, with my vision becoming increasingly dark. This lasted for about 5 minutes before gradually returning to normal, primarily occurri...[Read More] Understanding Intermittent Headaches and Dizziness: When to Seek Help