Understanding Facial Inflammation: Causes and Concerns in Neurology
Facial issues Hello, Dr. Jiang. Yesterday, after my diagnosis, the doctor said I have inflammation and prescribed me medication for neuritis. I would like to ask: 1. What causes inflammation? 2. At that time, my face was twitching; will it affect my appearance? 3. Is there a poss...
Dr. Jiang Junyi reply Neurology
Hello Mr. Lin, there are many causes of inflammation, including overuse, dehydration, viral infections, and more. These symptoms typically stabilize within 2-3 weeks. I recommend that you supplement with B vitamins and stay hydrated, get plenty of rest, and enhance your body'...[Read More] Understanding Facial Inflammation: Causes and Concerns in Neurology
Facial Nerve Issues: Concerns About Appearance and Recovery
Facial nerve issues Hello Dr. Jiang, my condition has improved quite a bit today, but I am concerned that the jumping I started last week might affect my appearance. Thank you, doctor.
Dr. Jiang Junyi reply Neurology
Dear Mr. Lin, Please do not worry too much about appearance issues. You can compare your previous photos to see if there have been any changes. Generally speaking, significant muscle inflammation or nerve compression is more likely to cause muscle atrophy. Thank you for your in...[Read More] Facial Nerve Issues: Concerns About Appearance and Recovery
Persistent Headaches: Seeking Effective Treatment Solutions
The treatment for headaches has not been effective in achieving a cure? Hello, I rarely experience headaches, and when I do, they usually resolve after a good night's sleep. However, this time, I woke up with persistent headaches that did not improve. Therefore, I consulted ...
Dr. Jiang Junyi reply Neurology
Hello, Miss: You mentioned that "I only have a headache, and the doctor measured my ear temperature at 37.4°C, determining that the headache is caused by inflammation in the body. I was treated with injections and medication. During the treatment, I experienced improvement ...[Read More] Persistent Headaches: Seeking Effective Treatment Solutions
Left Arm and Leg Weakness: Seeking Answers for Neurological Issues
Weakness in the left arm and difficulty lifting the left leg, leading to trouble walking? Hello Doctor, As per the title, my mother has been experiencing weakness in her left hand and left leg for over a year. Both her left hand and leg have muscle atrophy, and her condition is...
Dr. Jiang Junyi reply Neurology
Dear Mr. Tsai, You mentioned that your mother was previously able to walk to the bathroom with the aid of a walker, but now she is unable to walk and can only sit in a wheelchair. I am not sure if the doctor has any recommendations for further examinations. I wonder if your moth...[Read More] Left Arm and Leg Weakness: Seeking Answers for Neurological Issues
Understanding Numb Fingers and Dizziness: When to Seek Medical Advice
Numbness in the fingers accompanied by dizziness? In the past, I occasionally experienced numbness in my fingers and dizziness. Recently, due to the need to work while preparing for exams, my sleep time has been relatively insufficient, leading to an increased frequency of these ...
Dr. Jiang Junyi reply Neurology
Hello, Miss Minzhu: You mentioned experiencing "numbness in the fingers and dizziness." I would like to know the specific area of your finger numbness. If the numbness occurs around the lips and fingers, it may be indicative of symptoms caused by hyperventilation syndr...[Read More] Understanding Numb Fingers and Dizziness: When to Seek Medical Advice
Understanding Post-Impact Brain Symptoms: Numbness, Pressure, and Nausea
Numbness, heat, and swelling in a localized area after a head injury, along with nausea while driving? Hello, the day before yesterday, I experienced some emotional instability and hit the table hard, resulting in a strong impact felt in the left posterior part of my head, follow...
Dr. Jiang Junyi reply Neurology
Dear Mr. Micky, Your symptoms may suggest cervical nerve root compression. This condition is often associated with tightness in the cervical muscles and fascia, as well as cervical degeneration. It typically presents as pain, discomfort, muscle stiffness, or neurological symptom...[Read More] Understanding Post-Impact Brain Symptoms: Numbness, Pressure, and Nausea
Understanding Eyelid Twitching: When to Seek Neurological Evaluation
Eyelid twitching? Hello doctor, my left lower eyelid has been twitching for over a month. I consulted an ophthalmologist who confirmed that my eyes are normal and there are no issues. The twitching frequency varies, and it doesn't cause my entire eye to close, nor do other a...
Dr. Jiang Junyi reply Neurology
Dear Miss Jill, You mentioned "twitching of the lower left eyelid." Generally, eyelid movements are controlled by the facial nerve. If the eyelid is twitching continuously, the physician will first carefully observe the patient's face. If, aside from the eyelid, n...[Read More] Understanding Eyelid Twitching: When to Seek Neurological Evaluation
Understanding Chest Tightness and Fainting: Could It Be Autonomic Dysfunction?
Chest tightness followed by numbness in the hands, suddenly fainting, and waking up a few minutes later? Hello doctor, my mother has recently been experiencing sudden chest tightness and shortness of breath, followed by numbness in her right hand, and then she fainted. After a fe...
Dr. Jiang Junyi reply Neurology
Dear Miss JX, You mentioned experiencing sudden chest tightness and shortness of breath, followed by numbness in your right hand and then fainting. First, we need to consider the symptoms of syncope. The most common causes are reflex syncope, which can occur due to excessive sti...[Read More] Understanding Chest Tightness and Fainting: Could It Be Autonomic Dysfunction?
Understanding Symptoms: Dizziness, Headaches, and Optic Nerve Swelling
Dizziness, headache, and optic nerve edema? Hello Doctor, since May 20th of this year, I have experienced symptoms such as blurred vision, dizziness, headaches, a sensation of something stuck in my throat, and difficulty breathing. After visiting an ENT clinic, the doctor suggest...
Dr. Jiang Junyi reply Neurology
Dear Ms. Wu, There are many causes of headaches. If your headaches are related to your menstrual cycle, the likelihood of migraines is higher. However, conditions such as anemia, autonomic dysfunction, and inner ear imbalance may also contribute to your symptoms. First, it is im...[Read More] Understanding Symptoms: Dizziness, Headaches, and Optic Nerve Swelling
Muscle Twitches, Cramps, and Weakness: Understanding Neurological Issues
Involuntary muscle twitching, cramping, weakness in the left leg, and difficulties in walking? Hello Dr. Jiang! For the past three to four months, I have been experiencing involuntary muscle twitching, particularly noticeable on the left side of my body compared to the right. My ...
Dr. Jiang Junyi reply Neurology
Hello Mr. CooK: You mentioned that "when the palm is open and the thumb is pushed towards the palm, it can also cramp. The same situation applies to the index finger (both hands can experience this), and sneezing can cause cramps in the upper abdomen near the ribs." Thi...[Read More] Muscle Twitches, Cramps, and Weakness: Understanding Neurological Issues
Understanding MRI White Matter Lesions: MS and Neurological Symptoms
Brain MRI white matter lesions / Multiple sclerosis Hello Dr. Jiang, due to long-term headaches and sudden changes in my symptoms, I paid out of pocket for a brain MRI. (1) The attending physician said that my images showed no issues, and I even asked her to review them again, bu...
Dr. Jiang Junyi reply Neurology
Dear Ms. Amy, You mentioned that the MRI showed numerous white matter lesions. It may be necessary to consider some central nervous system inflammation and myelin injury. Myelin is an insulating substance that surrounds nerves, and if it is damaged, the inflammatory process (pat...[Read More] Understanding MRI White Matter Lesions: MS and Neurological Symptoms
Understanding Dizziness and Muscle Tremors: When to Seek Neurological Help
Dizziness, muscle twitching? Hello Doctor: I have been experiencing dizziness (I have taken Diphenidol but it hasn't been very effective). Since the onset of dizziness, I occasionally feel soreness in my cheeks, my limbs' muscles tend to twitch, and my eyelids also twit...
Dr. Jiang Junyi reply Neurology
Hello, Miss: You mentioned that "the muscles in your hands and feet easily tremble, your eyelids also twitch frequently, and recently your lips and chin have started to tremble." This may warrant consideration of structural issues in the brain or metabolic diseases. Wou...[Read More] Understanding Dizziness and Muscle Tremors: When to Seek Neurological Help
Post-Vaccine Numbness: Understanding Neurological Reactions
Numbness after vaccine injection? Hello, Dr. Jiang. This morning (9/27), after receiving the BNT vaccine, I experienced a tingling sensation in my head and face in the afternoon (including the back of my head, above my mouth, and my cheeks). I looked up the vaccine information an...
Dr. Jiang Junyi reply Neurology
Hello Mr. JAM: You mentioned the sensation of "numbness in the head and face (including the back of the head, above the mouth, and the cheeks)" which is different from facial nerve paralysis. Facial nerve paralysis primarily affects the seventh cranial nerve, mainly cha...[Read More] Post-Vaccine Numbness: Understanding Neurological Reactions
Sudden Paralysis, Tinnitus, and Eye Twitching: Neurological Concerns
Inability to move the entire body, eyelid twitching, and tinnitus? I'm sorry to hear that you're feeling this way. Earlier today, I felt a bit tired and decided to lie down for a rest. Just as I was getting up, I suddenly experienced tinnitus, followed by an inability t...
Dr. Jiang Junyi reply Neurology
Hello Mr. Tony, You mentioned experiencing "tinnitus, inability to move, eyelid twitching, and being unable to make sounds," which may suggest the possibility of "syncope." The primary cause could be vasodilation of the skin microvasculature in a hot outdoor ...[Read More] Sudden Paralysis, Tinnitus, and Eye Twitching: Neurological Concerns
Persistent Throat Discomfort and Vision Issues: A Neurological Perspective
Feeling of a lump in the throat, sensation of foreign body, difficulty breathing, blurred vision, eyelids often feel sticky as if sweating, fatigue, hair loss, and poor skin condition? Hello, doctor. My family member is experiencing significant discomfort, so I would like to inqu...
Dr. Jiang Junyi reply Neurology
Hello: I see that your family has undergone numerous examinations. I would like to suggest a principle to follow, which is the concept of "local healthcare." As we age and experience various symptoms, the recommended approach is to find a nearby hospital with an emergen...[Read More] Persistent Throat Discomfort and Vision Issues: A Neurological Perspective
Head Injury and Thrombocytopenia: When to Seek Medical Attention?
Head trauma with purpura (thrombocytopenia) I have thrombocytopenia (usually below 10,000 platelets) and accidentally bumped my head against the corner of a table while standing up (it hurt quite a bit at the moment), specifically on the left side towards the middle of my scalp. ...
Dr. Jiang Junyi reply Neurology
Dear Ms. Hsien, Generally speaking, if there is no loss of consciousness, no anticoagulant use, or obvious localized hematoma, head trauma is mostly mild. However, due to your condition of thrombocytopenia, it is important to pay special attention to clinical symptoms. If you ex...[Read More] Head Injury and Thrombocytopenia: When to Seek Medical Attention?
Understanding Post-Surgery Pain: Is It Related to Cyst Removal?
I feel pain in a specific area of my head, and it also hurts when I touch it? Hello, at the end of April this year, I had a subcutaneous cyst (sebaceous cyst) excised from the left side of my scalp. By the end of May, after washing my hair, I started to feel significant pain and ...
Dr. Jiang Junyi reply Neurology
Dear Ms. Kelly, You mentioned that "the area above the left side where the resection was performed is very painful, with a stabbing sensation, and it hurts even when touched." This may indicate localized nerve hyperactivity. It is generally recommended to ensure adequa...[Read More] Understanding Post-Surgery Pain: Is It Related to Cyst Removal?
Understanding Sudden Weakness in the Right Arm: Causes and Solutions
Weakness in the hands? Waking up in the morning with sudden body aches and dizziness, which later progressed to weakness in the right arm.
Dr. Jiang Junyi reply Neurology
Dear Miss Yu-Fang, I would like to know if you have any other neurological deficits besides the weakness in your right hand. If you are experiencing sudden weakness in your right side, it is advisable to first rule out cerebrovascular diseases. I am also curious if you have meta...[Read More] Understanding Sudden Weakness in the Right Arm: Causes and Solutions
Understanding Your Concerns: Neurology Insights on Muscle Symptoms
Regarding the previous question? Hello, Doctor. After reading your response, I've been thinking about this matter all day at work and paying special attention to it. After testing, I feel it's about the same (sometimes I even climb the stairs to my fifth floor). I don&#...
Dr. Jiang Junyi reply Neurology
Hello: The results you mentioned do not indicate any significant weakness in the limbs. Many disease diagnoses require a period of observation and follow-up. Developing good lifestyle habits is the best way to prevent diseases. Please practice self-protection, maintain cleanlines...[Read More] Understanding Your Concerns: Neurology Insights on Muscle Symptoms
Understanding Persistent Dizziness: Causes and Connections to Heart Symptoms
Persistent dizziness throughout the day? Hello Doctor, I have been experiencing dizziness for almost a week now, which varies in intensity throughout the day. It feels more like a heavy sensation in my head, sometimes accompanied by tingling, resembling a shaking sensation like a...
Dr. Jiang Junyi reply Neurology
Dear Mr. JAM, You mentioned experiencing a sensation of heaviness in your head along with tingling symptoms, which may indicate a potential issue with nerve root compression. Conditions such as cervical disc degeneration, facet joint degeneration, and cervical disc herniation ca...[Read More] Understanding Persistent Dizziness: Causes and Connections to Heart Symptoms