Understanding Unusual Walking Sensations: Neurological Insights
Hello doctor, I sometimes feel a jolt up and down while walking? I previously experienced a sensation while walking where it felt like my feet were bouncing up and down, as if they were sinking into the ground and then rebounding back to their original position. This sensation so...
Dr. Lin Zijing reply Neurology
This is part of vertigo, which occurs due to instability in the function of one of the semicircular canals responsible for balance. As long as it does not affect daily life or gait, it is not a concern.[Read More] Understanding Unusual Walking Sensations: Neurological Insights
Understanding Severe Headaches and High Blood Pressure: When to Seek Imaging
excuse me? Hello Dr. Lin: Five years ago, I was diagnosed with hypertension and have been regularly taking Cozaar, maintaining a blood pressure of about 130/85. However, recently I have been experiencing severe headaches, with throbbing pain in both temples that wakes me up at ni...
Dr. Lin Zijing reply Neurology
Hypertension and headaches are related in certain ways; sometimes hypertension causes headaches, while at other times the reverse is true. In addition to medication, blood pressure control requires a low-sodium diet and regular exercise. If there is overweight, weight loss can he...[Read More] Understanding Severe Headaches and High Blood Pressure: When to Seek Imaging
Understanding Redness and Swelling in Calves and Ankles: Causes and Guidance
There is redness, swelling, and pain in the calf and ankle? Hello, I would like to ask you about an issue I have been experiencing. I occasionally notice red spots and bruises on both of my calves, which disappear after a while, only to reappear in different areas of my calves. I...
Dr. Lin Zijing reply Neurology
The symptoms of redness, swelling, and pain are mostly indicative of inflammation, but it is also important to consider the possibility of blood disorders or autoimmune diseases. It is advisable to consult a rheumatology and immunology specialist for blood tests and differential ...[Read More] Understanding Redness and Swelling in Calves and Ankles: Causes and Guidance
Post-Stroke Language Issues: Understanding and Managing Cognitive Changes
excuse me? One month after a mild brain hemorrhage, my 70-year-old mother, who lives in southern Taiwan, has been experiencing difficulty in articulating her thoughts and has been repeating questions. In mid-January, during a cold spell, she suffered a mild brain hemorrhage. Curr...
Dr. Lin Zijing reply Neurology
It is recommended that you take your mother back to the neurology outpatient clinic for a neurological examination, as her inability to provide complete responses and the repetition of the same questions may indicate an issue with the language area in the left hemisphere of the b...[Read More] Post-Stroke Language Issues: Understanding and Managing Cognitive Changes
Understanding Saliva Production and Swallowing: A Neurological Perspective
Salivary flow issues Hello Doctor: My situation is as follows: I experienced insomnia yesterday and began to notice my swallowing of saliva. My question is whether saliva secretion in the mouth accumulates to a certain volume before being swallowed at once, or if it maintains a c...
Dr. Lin Zijing reply Neurology
It is advisable to first check for any gastrointestinal issues, as conditions like peptic ulcers or gastroesophageal reflux disease (GERD) can also lead to excessive saliva production. If there are no gastrointestinal problems and the salivary glands are not painful, then there i...[Read More] Understanding Saliva Production and Swallowing: A Neurological Perspective
Understanding Gastrointestinal Sensation Loss and Sleep Issues
Gastrointestinal insensitivity and shallow sleep? Three weeks ago, I took painkillers, muscle relaxants, and gout medication for foot pain due to gout. After taking these medications continuously for three days, I stopped and noticed that I have lost gastrointestinal sensation, l...
Dr. Lin Zijing reply Neurology
In general, pain relievers and muscle relaxants do not cause the symptoms you mentioned. It is advisable to consult the prescribing physician or a gastroenterologist for more clarity.[Read More] Understanding Gastrointestinal Sensation Loss and Sleep Issues
Understanding Ulnar Nerve Palsy: Treatment Options and Recovery
Regarding the treatment of ulnar nerve palsy? Consulting a physician: The fourth finger and little finger of my left hand, as well as the outer side of my palm, have been numb for over half a month. The movement is still flexible, but the numbness is uncomfortable. I have seen a ...
Dr. Lin Zijing reply Neurology
The symptoms of numbness in the fourth finger, little finger, and the outer side of the palm are indicative of ulnar nerve damage. Prolonged severe injury may lead to atrophy of the intrinsic muscles of the hand. The etiology may be due to elbow compression or cervical radiculopa...[Read More] Understanding Ulnar Nerve Palsy: Treatment Options and Recovery
Understanding Visual Disturbances: Causes and Concerns in Neurology
The eyes are dazzled? Hello, Doctor. Recently, I have been experiencing strange visual disturbances. It's not like the dizziness associated with anemia; my mind is clear and normal, and I don't feel faint or see things moving. However, I do feel a slight heaviness behin...
Dr. Lin Zijing reply Neurology
Visual symptoms may have the following causes: 1. Ocular issues: retinal detachment, elevated intraocular pressure, corneal disease, etc. 2. Optic nerve problems: inflammation, multiple sclerosis, etc. 3. Cerebrovascular issues: transient ischemic attacks, migraines, etc. 4. Brai...[Read More] Understanding Visual Disturbances: Causes and Concerns in Neurology
Understanding Headaches: Causes, Symptoms, and When to Seek Help
Headache issues? Hello doctor, I have been experiencing headaches for a long time, which occur at specific times, but not every time. For example, they can happen after climbing stairs, suddenly standing up, or even sometimes while urinating. The pain is mainly located near the t...
Dr. Lin Zijing reply Neurology
There is no clear correlation between high blood pressure and headaches; most people experience headaches only when there is a rupture of blood vessels or a sudden spike in blood pressure. Anemia is mostly associated with dizziness or an inability to tolerate moderate to intense ...[Read More] Understanding Headaches: Causes, Symptoms, and When to Seek Help
How to Navigate Pediatric Neurology Consultations for Your Child?
How can an 11-year-old child be referred to a neurology department? Dear Dr. Lin, My child has been experiencing issues with blurry vision and dizziness, so we visited an ophthalmologist. The ophthalmologist indicated that there may be swelling, lesions, or pressure in my child&...
Dr. Lin Zijing reply Neurology
The division of specialties at Chang Gung Memorial Hospital is quite complex, and patients can be referred to the Pediatric Neurology Department, also known as Child Neurology.[Read More] How to Navigate Pediatric Neurology Consultations for Your Child?
Managing Neck Pain and Tinnitus: A Guide for Long-Distance Drivers
Neck pain accompanied by chronic tinnitus? Hello Dr. Lin: I used to be a small truck driver and often had to carry heavy loads up and down stairs. Three years ago, I became a professional large truck driver, and I can get in and out of the truck dozens of times a day—I'm 171...
Dr. Lin Zijing reply Neurology
1,2. Occupational activities that involve frequently lifting heavy objects and prolonged driving can lead to poor posture or degeneration and deformity of the cervical and lumbar spine, which may compress nerves. The most common symptoms include soreness, numbness, and pain in th...[Read More] Managing Neck Pain and Tinnitus: A Guide for Long-Distance Drivers
Understanding Severe Headaches After Masturbation: Causes and Solutions
Masturbation Once I finished masturbating, I suddenly experienced a severe headache. The next day, it was gone. However, I haven't been able to masturbate lately because just when I'm about to finish, I suddenly get a headache like the last time. Moreover, I'm only...
Dr. Lin Zijing reply Neurology
This condition may be referred to as orgasmic headache, which is classified as a benign headache of unknown origin. Although the patient experiences headache, the pain is unrelated to migraines or intracranial hemorrhage. There are two basic patterns of this type of headache: one...[Read More] Understanding Severe Headaches After Masturbation: Causes and Solutions
Understanding Thigh Pain When Standing: Possible Causes and Solutions
Pain in the thigh when standing up? I experience pain in both of my thighs, which is not sharp or accompanied by numbness. When I am inactive, standing, or climbing stairs, I do not feel any discomfort. However, during front kicks or side kicks, I do not feel anything either. The...
Dr. Lin Zijing reply Neurology
In addition to strains, thigh muscle pain may also be due to rhabdomyolysis or polymyositis. It is recommended to consult a neurologist or a rehabilitation specialist for a detailed evaluation and examination by a physician.[Read More] Understanding Thigh Pain When Standing: Possible Causes and Solutions
Understanding Chronic Headaches: Causes, Symptoms, and Treatments
Chronic headache Hello Dr. Lin, I have some issues I would like to consult you about. I have been experiencing headaches for about 10 years. Initially, the pain was localized in the back of my head, but now it has extended to the top of my head. Generally, the pain is on the left...
Dr. Lin Zijing reply Neurology
It sounds like a vascular headache, which is caused by the excessive dilation of extracranial arteries (such as the cranial arteries, occipital artery, and frontal artery). The main symptom is severe pulsating headache on one side of the head. Some individuals may have triggers s...[Read More] Understanding Chronic Headaches: Causes, Symptoms, and Treatments
Understanding Nerve Pain in the Back and Chest: Causes and Solutions
Nerve pain in the back and chest? I experience severe nerve pain in the upper back area under my right armpit. During the pain episodes, there are times when I am unable to move or breathe. When the pain is less intense, I still feel pain when I inhale. The frequency of these epi...
Dr. Lin Zijing reply Neurology
These pains need to be differentiated from pleural diseases, intercostal muscle diseases, intercostal nerve diseases, and spinal nerve diseases. Generally speaking, neuropathic pain is more likely to present with sensations such as stabbing, tingling, cutting, burning, or electri...[Read More] Understanding Nerve Pain in the Back and Chest: Causes and Solutions
Understanding Temporary Unconsciousness After Alcohol Consumption
Transient unconsciousness after alcohol consumption? My husband is 40 years old. He usually doesn't drink alcohol and has a low tolerance, getting easily intoxicated. However, due to work obligations, he drinks about twice a month. In the past year, he has experienced two ep...
Dr. Lin Zijing reply Neurology
Transient loss of consciousness or fainting that resolves spontaneously is referred to as syncope. This condition is caused by insufficient cerebral blood flow and may be associated with cardiac issues, such as cardiac syncope, or neurological problems, such as neurally mediated ...[Read More] Understanding Temporary Unconsciousness After Alcohol Consumption
Understanding Muscle Tension: Causes and Solutions for Facial and Neck Discomfort
Neuromuscular tension Hello, doctor. Recently, I've been experiencing tightness in the facial muscles and nerves, particularly around the mandible and the angle of the mandible. When it gets severe, the tightness extends to the muscles in my neck, specifically the sternoclei...
Dr. Lin Zijing reply Neurology
This condition may be focal dystonia, which is an involuntary movement disorder characterized by sustained contractions of both agonist and antagonist muscles, leading to movement disturbances and causing the affected area to be fixed in a specific position or posture. This abnor...[Read More] Understanding Muscle Tension: Causes and Solutions for Facial and Neck Discomfort
Understanding Brain Disorders: When to Seek Neurology Consultation
Regarding brain lesions? Hello, I would like to inquire about brain-related issues as I am a family member of a patient. The patient has been prescribed medication by Dr. Tang Huasheng from the psychiatric department at Songde Hospital in Taipei City. The patient has been diagnos...
Dr. Lin Zijing reply Neurology
Certain brain lesions can indeed manifest symptoms that resemble mental illnesses; however, the information you provided is insufficient for a definitive assessment. Therefore, it is advisable to consult the physician treating the patient to determine whether further examinations...[Read More] Understanding Brain Disorders: When to Seek Neurology Consultation
Understanding Morning Fainting in Toddlers: Causes and Concerns
A two-year-old child fainting upon waking up in the morning? Hello Dr. Lin: I have a three-year-old boy at home who experiences fainting spells or appears to have a blank stare with his eyes rolled back for about 20 to 30 minutes every morning after waking up. He also exhibits le...
Dr. Lin Zijing reply Neurology
Fainting accompanied by transient loss of consciousness, blank stare, eye rolling, and leg twitching should raise suspicion for either epilepsy or transient cerebral hypoperfusion. Generally, brain and cardiac evaluations are necessary. Brain assessments include electroencephalog...[Read More] Understanding Morning Fainting in Toddlers: Causes and Concerns
Could My Leg Proportions Indicate Polio or Other Neurological Issues?
I would like to inquire whether I have polio or something else? I am a 36-year-old male and I have a concern. When I was in middle school, I was quite overweight, but it was strange because my upper body was very heavy. My thighs are thick, but my calves are thin, which creates a...
Dr. Lin Zijing reply Neurology
Polio is caused by a filtrable virus attacking nerve cells, leading to the destruction of lower motor neurons, resulting in muscle weakness, paralysis, and atrophy. Your symptoms do not match this description, so it is unlikely to be polio. Based on your description, it is more p...[Read More] Could My Leg Proportions Indicate Polio or Other Neurological Issues?