Understanding Dizziness and Dry Mouth: Possible Causes and Solutions
Dizziness and dry mouth? Recently, I visited a clinic due to symptoms such as loss of appetite, bloating, and nausea, and was diagnosed with gastritis. I also mentioned to the physician that I have been experiencing dizziness, which the doctor believes may be caused by allergic r...
Dr. Jiang Junyi reply Neurology
Dear Ms. Liang, You mentioned experiencing dizziness along with symptoms such as a cold, dermatitis, urethritis, gastritis, and menstrual irregularities, which may indicate a deficiency in qi and blood. You asked whether this could be related to anemia or if a neurology consulta...[Read More] Understanding Dizziness and Dry Mouth: Possible Causes and Solutions
Understanding Syncope: What to Do When Someone Faints While Sitting
Syncope while sitting? Hello Doctor: A few days ago, my father fainted, which has caused me a lot of worry. I was originally going to the hospital to pick up a relative who was being discharged, but the discharge process took longer than expected. My father had been walking in th...
Dr. Jiang Junyi reply Neurology
Dear Mr. Hsiao, You mentioned that your father exhibited "chest rise and fall with noticeable and somewhat rapid breathing, and then hurriedly called the nursing staff, who first called out and then moved him to the adjacent bed, with the entire process taking less than 30 ...[Read More] Understanding Syncope: What to Do When Someone Faints While Sitting
Finding Treatment for Syringomyelia: Hospitals and Specialists in Northern Taiwan
Syringomyelia I have symptoms of syringomyelia, including pain in my right neck, right shoulder, the area below the right shoulder, and pain in the right hand's thenar eminence, along with numbness in my left foot. Are there hospitals or doctors in the northern region that c...
Dr. Jiang Junyi reply Neurology
Dear Mr. A-Shan, You mentioned "the pain associated with syringomyelia..." The cause of syringomyelia is the accumulation of fluid within the spinal cord, which compresses the nerves and leads to symptoms such as sensory abnormalities, urinary and fecal incontinence, h...[Read More] Finding Treatment for Syringomyelia: Hospitals and Specialists in Northern Taiwan
Understanding Muscle Twitches: Causes, Concerns, and When to Seek Help
Muscle twitching Hello Doctor, I asked you the same question about three years ago. I am very concerned about frequent muscle twitching, and I fear a serious illness may be affecting me. The situation is as follows: my muscles occasionally twitch (some areas are particularly freq...
Dr. Jiang Junyi reply Neurology
Hello, Sir: You mentioned "frequent muscle twitching... electromyography... frequent twitching in the left hand's thenar eminence." If you are concerned about a muscle disease, it typically presents with significant atrophy, and the electromyography would show abno...[Read More] Understanding Muscle Twitches: Causes, Concerns, and When to Seek Help
Understanding Mild Cognitive Impairment: Treatment Options and Insights
Dementia Issues - Mild Cognitive Impairment Hello, doctor. I would like to ask about my mother, who is currently 82 years old. Her memory has significantly declined over the past few years. Recently, she underwent a series of tests at the neurology department, where blood test re...
Dr. Jiang Junyi reply Neurology
Dear Ms. Ivy, You mentioned that "there are significant cavities in the gray matter... with an MMSE score of 22... indicating mild cognitive impairment." Regarding health insurance coverage, it is suggested that patients with an MMSE score between 10 and 26 or those cl...[Read More] Understanding Mild Cognitive Impairment: Treatment Options and Insights
Persistent Pain and Numbness in the Outer Calf: A Neurological Concern
Tingling and prickling sensation on the outer side of the calf? Hello Doctor, my father is 75 years old and has been experiencing numbness and tingling on the outer side of his calf for the past five days. Pain relievers and injections have not alleviated the pain, which has prev...
Dr. Jiang Junyi reply Neurology
Dear Mr. Jiang, You mentioned that your father is experiencing "numbness and tingling on the outer side of the calf... and the orthopedic images show no abnormalities..." It may be necessary to consider peripheral nerve compression. Symptoms of peripheral nerve compres...[Read More] Persistent Pain and Numbness in the Outer Calf: A Neurological Concern
Understanding Recurrent Toe Pain: Causes and Solutions
The toes on the left foot are experiencing recurrent cramping pain? Hello Dr. Jiang, since the end of last year, I have been experiencing intermittent sharp pain between the 3rd and 4th toes on my left foot. Sometimes it occurs 5-6 times within an hour, and other times it happens...
Dr. Jiang Junyi reply Neurology
Dear Ms. Ying, You mentioned that "the area between the 3rd and 4th toes on my left foot experiences recurrent cramping pain, sometimes occurring 5-6 times within an hour, and other times only once every 2-3 days. Although the pain is not very intense..." Poor blood ci...[Read More] Understanding Recurrent Toe Pain: Causes and Solutions
Understanding Head and Chest Discomfort: Possible Neurological Concerns
Occasionally experiencing tingling on both sides of the head? A few weeks ago, I started experiencing chest tightness, difficulty breathing, and a tingling sensation in the area of my left shoulder blade. After a chest X-ray and listening to my heartbeat, the doctor said there we...
Dr. Jiang Junyi reply Neurology
Hello Mr. Leon, You mentioned that you feel numbness in the area of your left shoulder and occasionally experience a heavy, numb sensation on both sides of your head (around the temples and the top of your head). These symptoms are less indicative of a stroke, which typically pr...[Read More] Understanding Head and Chest Discomfort: Possible Neurological Concerns
Understanding Left Eye Twitching and Finger Tremors: Causes and Solutions
Twitching of the left fingers and twitching of the left eye? The patient is currently 28 years old and has a chronic condition of allergic rhinitis, with no family history of hereditary diseases and no history of major surgeries. The left eyelid has been twitching, and the left t...
Dr. Jiang Junyi reply Neurology
Dear Ms. Jan, You mentioned that your husband has recently experienced "his left thumb being completely relaxed, with small involuntary movements." Generally, muscle twitching while awake may warrant consideration of certain metabolic disorders, such as hyperthyroidism...[Read More] Understanding Left Eye Twitching and Finger Tremors: Causes and Solutions
Understanding Trigeminal Neuralgia: Insights from TMJ Disorders
Temporomandibular joint disorder causing trigeminal neuralgia? Hello, my symptoms began four years ago when I bit down on a hard object, resulting in a sudden electric shock-like pain in the left side of my face. Over the past few years, I have consulted with neurosurgeons, denti...
Dr. Jiang Junyi reply Neurology
Dear Mr. Kenny, You mentioned "trigeminal neuralgia." The cause of trigeminal neuralgia is primarily due to abnormal transmission of sensory signals by the trigeminal nerve. Approximately 80% of cases are caused by vascular compression of the trigeminal nerve at its en...[Read More] Understanding Trigeminal Neuralgia: Insights from TMJ Disorders
Understanding Wandering Involuntary Muscle Spasms and Pain
Wandering involuntary muscle spasms pain Hello, two years ago I experienced wandering involuntary movements that were not painful. Later, these movements became painful. Sometimes they occur in my calves, sometimes on both sides of my neck, sometimes near my temples or the Fengch...
Dr. Jiang Junyi reply Neurology
Dear Miss Lingling, You mentioned that "I had a cold with fever, body aches, and twitching, but now the fever has subsided and the body aches are gone. However, the migratory twitching pain has increased in frequency." This may warrant consideration of polymyositis. Th...[Read More] Understanding Wandering Involuntary Muscle Spasms and Pain
Managing Tinnitus Linked to Migraine and Jaw Tension: What You Need to Know
Tinnitus issues? Hello Dr. Jiang: I have been troubled by migraines for three years, so I understand the tinnitus that can accompany them. However, in the past year, I have experienced unilateral (right ear) tinnitus when visiting the dentist, particularly when my cheeks or jaw a...
Dr. Jiang Junyi reply Neurology
Hello Ms. Bang, You mentioned that "exerting force on the jaw causes unilateral (right ear) tinnitus," which may be due to local blood vessels being affected. It is recommended that you undergo a carotid ultrasound examination. I suggest consulting with a neurologist t...[Read More] Managing Tinnitus Linked to Migraine and Jaw Tension: What You Need to Know
Understanding Possible Symptoms of Tourette Syndrome in Adults
Symptoms of suspected Tourette syndrome? Hello, doctor. I have a friend who is 26 years old, and after spending a long time together, I've noticed several symptoms that seem to suggest Tourette syndrome. 1. He often makes a light coughing sound or clears his throat when he i...
Dr. Jiang Junyi reply Neurology
Hello Mr. Tim, You mentioned that one shoulder tends to shrug habitually, which may suggest Tourette syndrome. However, if it does not affect your daily life, you can coexist with this condition peacefully. It is generally recommended to maintain a regular lifestyle, with early ...[Read More] Understanding Possible Symptoms of Tourette Syndrome in Adults
Understanding Dizziness and Disorientation in High School Students
Frequent episodes of distraction and dizziness? I am a high school sophomore, and recently I have been experiencing frequent dizziness. It's not the kind that makes me unsteady on my feet, but rather I often find myself zoning out in the middle of tasks, feeling as if everyt...
Dr. Jiang Junyi reply Neurology
Dear Miss Jing, You mentioned that you often experience dizziness, but it's not the kind that makes you unsteady on your feet. You sometimes find yourself zoning out while doing tasks, feeling as if everything is not quite real. Today, you maintained a normal routine, going...[Read More] Understanding Dizziness and Disorientation in High School Students
Memory Issues at 23: Seeking Help for Cognitive Decline
23 years old, experiencing memory impairment? Due to gastrointestinal issues, I have been taking traditional Chinese medicine for nearly five years. In 2022, I was diagnosed with COVID-19, and since then, I have noticed a decline in my memory. As a result, I have developed a habi...
Dr. Jiang Junyi reply Neurology
Hello Mr. Confuse: You mentioned, "Yesterday I went to 7-Eleven to buy dinner, but when I looked at the receipt today, I couldn't remember what I bought... This afternoon, I boiled water and let it cool, but in the evening, I forgot whether that pot of water had been bo...[Read More] Memory Issues at 23: Seeking Help for Cognitive Decline
Understanding Persistent Head Discomfort: Tinnitus and Sleep Issues
I've been feeling discomfort in my head for a long time? More than three years ago, I started experiencing tinnitus, and about two years ago, I also began to feel a pulling sensation in my head before falling asleep. When I touch my forehead, I can feel a heartbeat that alig...
Dr. Jiang Junyi reply Neurology
Hello Mr. Chen: You mentioned feeling a "pulling sensation in your head... is this feeling before falling asleep related to possible vascular blockage? I also have mild carotid artery stenosis..." Your symptoms are less likely to be caused by vascular narrowing, as vasc...[Read More] Understanding Persistent Head Discomfort: Tinnitus and Sleep Issues
Can Stress and Anxiety Cause Scalp Tingling? What to Watch For
Scalp tingling? Doctors want to know if stress and anxiety can cause scalp tingling. I just experienced a sudden tingling sensation on my scalp for a few seconds, and then it went away. Should I be concerned about anything? Thank you.
Dr. Jiang Junyi reply Neurology
Hello Mr. Ryan, You mentioned experiencing "sudden tingling in the scalp for a few seconds, which then resolved." This symptom should first consider the possibility of local nerve compression, such as the greater occipital nerve. It may be caused by the rich musculatur...[Read More] Can Stress and Anxiety Cause Scalp Tingling? What to Watch For
Understanding Neck Traction Effects: Nerve Sensations and Anxiety Impact
Head and neck issues? Hello Doctor, I am the patient who had neck traction recently. Over the past few days, I've felt less tense, and there has been some relief in the area at the back of my head, but I still have a few symptoms. Before the neck traction, I didn't have...
Dr. Jiang Junyi reply Neurology
Hello, Miss: You mentioned that you hear a "whooshing" sound in your ear. Is this sound in sync with your heartbeat? Is it in one ear only? This is commonly caused by cervical spine degeneration, which can compress the vertebral artery and alter blood flow. I recommend ...[Read More] Understanding Neck Traction Effects: Nerve Sensations and Anxiety Impact
Understanding Pulsating Pain in the Back of the Head After Bathroom Visits
Sometimes after using the restroom, I experience a noticeable pulsating pain in the left back of my head for a few seconds? Hello, Doctor. About 4-5 years ago, I started experiencing a pulsating pain in the left posterior part of my head for a few seconds after using the restroom...
Dr. Jiang Junyi reply Neurology
Dear Mr. Tsai, You mentioned experiencing "pulsating pain in the left posterior part of the head for a few seconds, and occasionally feeling a slight pressure pain in the head." This may be related to muscle and fascia tightness in the cervical spine, as well as cervic...[Read More] Understanding Pulsating Pain in the Back of the Head After Bathroom Visits
Sharp Pain in Left Shoulder When Coughing: What You Need to Know
Sharp pain in the left shoulder when coughing? Hello, doctor. I've been feeling a bit under the weather these past few days. On the first day, I had tonsillitis, and by the second day, I developed nasal congestion and a mild cough. On the third day of my illness, while I was...
Dr. Jiang Junyi reply Neurology
Hello Mr. Yoyo: You mentioned that "after a cough, I suddenly felt a sharp pain in my left shoulder, as if I was being electrocuted, and when I coughed again after a while, I experienced another sudden sharp pain." Your symptoms may suggest that the cervical nerve roots...[Read More] Sharp Pain in Left Shoulder When Coughing: What You Need to Know