Understanding Anxiety in Elderly Patients with Constipation: Causes and Solutions
Elderly individuals experience high anxiety regarding "not having a regular daily bowel movement." My father is 82 years old and has been experiencing significant anxiety about bowel movements for the past year. If he does not have a bowel movement early in the morning,...
Dr. Jiang Junyi reply Neurology
Dear Ms. Zoe, You mentioned, "What could be the possible causes of anxiety related to 'constipation' (pseudoconstipation)? Is it related to dementia? How can family members assist? Which specialty should we consult?" Anxiety can activate the sympathetic nervo...[Read More] Understanding Anxiety in Elderly Patients with Constipation: Causes and Solutions
Understanding Neck and Head Pain: Is It Related to Your Recent Cold?
Bending the head forward can cause significant pain? Hello, doctor: I've been experiencing persistent headaches lately. Bending down causes significant pain, which also radiates to my neck. During these episodes, I am unable to move at all. I had a cold a while ago, but my s...
Dr. Jiang Junyi reply Neurology
Hello Mr. Wu: You mentioned that "bending my head down is very painful, and it also hurts my neck... I feel a sensation of blood flowing through the top of my head when I bend down." Your symptoms may suggest cervical headache. This is related to tightness in the cervic...[Read More] Understanding Neck and Head Pain: Is It Related to Your Recent Cold?
Understanding Mild Numbness in the Feet: Causes and Concerns
Slight tingling in the soles of the feet? Hello, doctor. Recently (about two weeks ago), I suddenly noticed a slight tingling sensation in the soles of my feet while sitting at work. However, I had not experienced this phenomenon before while sitting in the same chair and positio...
Dr. Jiang Junyi reply Neurology
Hello Mr. Hou, You mentioned experiencing slight numbness in your feet, which may be a symptom of plantar fasciitis and indicates peripheral nerve compression. Prolonged fixed positions, repetitive motions, and overtraining can lead to peripheral nerve compression. Activities su...[Read More] Understanding Mild Numbness in the Feet: Causes and Concerns
Understanding Sports Injuries: When to See a Neurologist or Orthopedist?
Doctor, please help me? Hello, doctor. Back in August, I strained my lower back and hips while exercising. I felt a warm, painful sensation in my lower back and hips, and my legs would tingle and feel numb when walking. I had an X-ray done, and the doctor said there was damage to...
Dr. Jiang Junyi reply Neurology
Hello Mr. Ah-Ming, You mentioned that "your back, waist, and hips feel hot and painful, and your legs feel tingling and numb while walking." Your symptoms may suggest possible sciatic nerve compression. A common cause is a herniated disc leading to localized inflammato...[Read More] Understanding Sports Injuries: When to See a Neurologist or Orthopedist?
Understanding Sports Injuries: When to See a Neurologist or Orthopedist
Doctor, please help me? Hello doctor, back in August, I strained my lower back and hips while exercising. I have been feeling a warm, painful sensation in my lower back and hips, and my legs have been experiencing tingling and numbness when I walk. I had an X-ray done, and the do...
Dr. Jiang Junyi reply Neurology
Hello Mr. Amin, You mentioned experiencing "heat and pain in your back, waist, and hips, along with tingling and numbness in your legs while walking." Your symptoms may suggest possible sciatic nerve compression. A common cause is a herniated disc, which can lead to lo...[Read More] Understanding Sports Injuries: When to See a Neurologist or Orthopedist
Understanding Back and Hip Pain: When to See a Neurologist or Orthopedist
Doctor, please help me? Hello, doctor. Back in August, I strained my lower back and hips while exercising. I felt a warm, painful sensation in my lower back and hips, and my legs would tingle and feel numb when walking. I had an X-ray done, and the doctor said there was damage to...
Dr. Jiang Junyi reply Neurology
Hello Mr. Ah Ming, You mentioned experiencing "heat and pain in your back, waist, and hips, along with tingling and numbness in your legs while walking." Your symptoms may suggest possible sciatic nerve compression. A common cause of this is a herniated disc, which can...[Read More] Understanding Back and Hip Pain: When to See a Neurologist or Orthopedist
Understanding Knee Pain: When to Seek Neurological Evaluation
Knee pain Hello, Dr. Jiang... My mother has been experiencing knee pain for the past three months, with symptoms fluctuating. However, in the last two weeks, not only has the knee pain worsened, but she is also experiencing pain throughout her entire leg, making it difficult for ...
Dr. Jiang Junyi reply Neurology
Hello, Miss: You mentioned that "knee pain" may need to consider knee joint inflammation. Pain or swelling in the joint, especially during excessive activity or when going up and down stairs, or when standing up after prolonged sitting, can be more pronounced. In the m...[Read More] Understanding Knee Pain: When to Seek Neurological Evaluation
Persistent Pain After Facelift Surgery: Is It a Long-Term Side Effect?
It has been a year since the facelift surgery, but the head still feels tight and numb, causing unbearable pain? In November 2022, I underwent a facelift surgery. Starting in February 2023, I experienced tightness and electric shock-like sensations in my head, along with recurren...
Dr. Jiang Junyi reply Neurology
Dear Ms. Cheng, You mentioned that the "tightness and electric sensation in your head" may indicate peripheral sensory nerve compression. These symptoms could be exacerbated by tightness in the cervical myofascia. It would be beneficial for you to supplement with B vit...[Read More] Persistent Pain After Facelift Surgery: Is It a Long-Term Side Effect?
Post-Stroke Numbness and Tingling: Causes and Treatment Options
After recovering from a stroke, there may be a tingling or numb sensation on one side of the body? Hello, Dr. Jiang! My father is 72 years old and had a stroke six months ago. After lying in the hospital for two weeks, he was able to walk slowly with support, and two months later...
Dr. Jiang Junyi reply Neurology
Dear Mr. Uber, You mentioned that your father has been experiencing a persistent tingling sensation on one side of his body (including his hand and foot), accompanied by a warm feeling and dulled temperature perception, which has intensified in recent days. These symptoms may su...[Read More] Post-Stroke Numbness and Tingling: Causes and Treatment Options
Understanding Foot Numbness: Causes and Solutions for Walking Discomfort
The tingling sensation in the soles of the feet becomes more pronounced the longer I walk? Occasionally, there is numbness in the soles of my feet, especially after walking for more than 20 minutes, where the numbness becomes more pronounced and can extend to halfway up my calves...
Dr. Jiang Junyi reply Neurology
Dear Miss Lin, You mentioned that "the numbness in the soles of your feet becomes more pronounced, and it extends to half of your calves, improving only after resting for a while, but there is still a slight numbness in your feet." Your symptoms may suggest possible sc...[Read More] Understanding Foot Numbness: Causes and Solutions for Walking Discomfort
Understanding Dizziness: Causes, Triggers, and Relief Strategies
Dizziness caused by high blood pressure or multiple factors? Process Review: Last Monday: I sought medical attention for a hand strain caused by exercise, which severely disrupted my sleep at night. The physician prescribed pain relief medication sulindac (200 mg) and muscle rela...
Dr. Jiang Junyi reply Neurology
Dear Ms. Li, You mentioned, "prescribing the pain reliever sulindac (200 mg) and the muscle relaxant phenprobamate (400 mg)... the episodes often occur during times of stress and fatigue." The dizziness you are experiencing may be related to your menstrual cycle, which...[Read More] Understanding Dizziness: Causes, Triggers, and Relief Strategies
Understanding Autonomic Nervous System Disorders: A Case Study
Inquiry Consultation Dear Dr. Jiang, I would like to inquire about my mother's medical condition. Here is a detailed description: In February and March of last year (2022), my mother suddenly experienced rapid heartbeat, shortness of breath, cold hands, and shaking. She we...
Dr. Jiang Junyi reply Neurology
Dear Mr. Kris, The treatment for hypertension is usually multifaceted. If there is a tendency for sympathetic nervous system overactivity, a beta-blocker may be added. If a single antihypertensive medication is insufficient to control blood pressure, a combination therapy (such ...[Read More] Understanding Autonomic Nervous System Disorders: A Case Study
Unexplained Right Leg Pain and Numbness: Possible Nerve Compression?
Unexplained tremors, pain, and numbness in the right foot? Hello Doctor, during my middle school years, I was diagnosed with a herniated disc after a classmate pulled my chair, causing me to fall. I tried physical therapy and corticosteroid injections, but they were not very effe...
Dr. Jiang Junyi reply Neurology
Dear Ms. W, You mentioned experiencing sudden severe pain in your right heel and persistent numbness and tingling. How should this be addressed? Thank you, doctor. Your symptoms indeed warrant consideration of lumbar nerve root compression. Typical discomfort associated with l...[Read More] Unexplained Right Leg Pain and Numbness: Possible Nerve Compression?
Will Numbness in My Foot Heal on Its Own After an Injury?
Will numbness in the feet resolve on its own? I recently sprained my right ankle and have been taking muscle relaxants and anti-inflammatory injections, which are helping me recover. However, I am experiencing a tingling sensation on the right side of my right big toe and the lef...
Dr. Jiang Junyi reply Neurology
Hello, Ah-Jie: You mentioned experiencing a tingling sensation on the right side of your right big toe and the left side of your right index toe, which may suggest a possible injury to the deep peroneal nerve. The pathway of the deep peroneal nerve begins at the lateral aspect o...[Read More] Will Numbness in My Foot Heal on Its Own After an Injury?
Understanding Neurological Changes After Influenza: Anxiety and Brain Health
Brain issues Hello, I would like to ask a question. Five years ago during the winter break, I contracted influenza A and had a high fever. After seeing a doctor, I felt somewhat better, but since that illness, I have felt strange. Sometimes I wake up very excited and chatty in th...
Dr. Jiang Junyi reply Neurology
Hello Mr. Jason: You mentioned, "I laugh when I laugh and get angry when I get angry," and you also asked if head injuries always lead to dizziness and vomiting. You previously had an MRI, and the doctor said everything was fine. You are concerned whether you might have...[Read More] Understanding Neurological Changes After Influenza: Anxiety and Brain Health
Understanding Weakness in Legs: When Standing Becomes Impossible
Leg weakness ~ inability to stand? Hello, my mother was born in 1938 (in her seventies)! She is approximately 162 cm tall and weighs 80 kg. Today, when I returned to my hometown, I discovered that my mother is unable to stand or walk. Since she lives with a family member, we init...
Dr. Jiang Junyi reply Neurology
Dear Yu-Jie, You mentioned that "she is unable to go out for medical treatment on the second floor and currently cannot walk even with family support." The symptoms you described may suggest a lumbar compression fracture. I recommend requesting assistance from a rehabi...[Read More] Understanding Weakness in Legs: When Standing Becomes Impossible
Understanding Dizziness After Head Injury: When to Seek Further Evaluation
Slipping in the bathroom, head injury? Hello Doctor, I accidentally slipped and hit my head (upper right side of the occipital region) in the bathroom on November 28, 2023. I went to the emergency room and received six stitches. However, starting on December 6, 2023, I began to...
Dr. Jiang Junyi reply Neurology
Hello Mr. A-Lung, You mentioned, "On 2023/12/12, I have been feeling slightly dizzy all day. I wonder if it could be a concussion or a brain hemorrhage?" Generally speaking, if there is no loss of consciousness, no anticoagulant use, or significant local hematoma, head...[Read More] Understanding Dizziness After Head Injury: When to Seek Further Evaluation
Understanding Toe Sensations: Possible Nerve Issues and Disc Problems
Toe problems For several months, there has been abnormal sensation on the inner side of the second toe of the left foot, with a dull feeling. Occasionally, there is a slight tingling sensation in the ball of the foot and the base of the big toe. Initially, the orthopedic speciali...
Dr. Jiang Junyi reply Neurology
Dear Ms. Wang, You mentioned, "If I undergo an MRI, can it be arranged to scan from the lower back to the entire leg to find the point where the nerve is compressed?" Generally speaking, peripheral nerve compression can often be diagnosed using electrophysiological stu...[Read More] Understanding Toe Sensations: Possible Nerve Issues and Disc Problems
Head Injury Concerns: Understanding Symptoms and Risks After a Fall
Hit the back of the head on the right side? Hello Doctor, I am the lady who bumped into the rolling iron door last time. Yesterday, I discovered that I might have hit the back of my head, but at that moment, my head retracted a bit, causing my neck to be somewhat immobile, and I ...
Dr. Jiang Junyi reply Neurology
Hello: You mentioned "cerebral hemorrhage, intracranial hemorrhage" if the symptoms persist or worsen. It is recommended to undergo imaging studies, such as a CT scan of the brain. It is advisable to visit a neurology outpatient clinic for further evaluation and follow-...[Read More] Head Injury Concerns: Understanding Symptoms and Risks After a Fall
Understanding Persistent Headaches: Causes and Concerns After One Month
Headache persisting for over a month? Hello, doctor. I have been experiencing headaches for over a month now. My head feels uncomfortable every day, sometimes I feel dizzy and at other times I experience pain. There is a tight sensation on both sides of my temples, which radiates...
Dr. Jiang Junyi reply Neurology
Hello Mr. Eric, You mentioned that you feel a tight sensation on both sides of your temples and that your mind is not clear. Your symptoms are more indicative of tension-type headache. Tension-type headaches are caused by muscle tightness in the head. Common manifestations inclu...[Read More] Understanding Persistent Headaches: Causes and Concerns After One Month