Understanding Numbness in Fingers and Toes: When to See a Doctor
Numbness in the fingers and toes while lying flat, resembling the sensation of ants crawling? Recently, I have been experiencing numbness in my fingers and toes before sleeping and upon waking up. I'm uncertain about the possible causes. If I need to see a doctor, which spec...
Dr. Peng Shiwei reply Neurology
Hello, regarding your issue, it is recommended to consult a neurologist. Thank you for your inquiry.[Read More] Understanding Numbness in Fingers and Toes: When to See a Doctor
Feeling Off Balance When Standing: Could It Be a Neurological Issue?
When standing up, the center of gravity tilts to the right, making it impossible to stand straight without leaning against the wall? As mentioned, I have experienced a similar situation before. When I wake up, I feel like my body is tilting to one side, as if gravity has changed ...
Dr. Peng Shiwei reply Neurology
Hello, based on your symptoms, it is recommended that you consult a neurologist at a major hospital. Additionally, stroke symptoms are typically persistent, so your symptoms do not seem to align with those of a stroke. Thank you for your inquiry.[Read More] Feeling Off Balance When Standing: Could It Be a Neurological Issue?
Head Injury and Dizziness: When to Seek Medical Attention
Dizziness after hitting the head? Hello doctor, I accidentally bumped into a scaffold at the construction site yesterday while wearing a hard hat. I felt that the impact wasn't significant, but I felt a bit dizzy and had some nausea (though I didn't vomit) that day. I s...
Dr. Peng Shiwei reply Neurology
Hello, based on your inquiry, it is recommended that if your symptoms have persisted for more than 24 hours, you should visit a hospital to check for a concussion or any potential brain injury. Thank you for your question.[Read More] Head Injury and Dizziness: When to Seek Medical Attention
Understanding Neurological Issues: Walking Imbalance and Cognitive Concerns
Head issues Hello doctor, I have recently been experiencing a tendency to lean to one side while walking, and I often find myself rereading text. I frequently feel dry mouth and have issues with rumination. These symptoms have persisted for over six months. Additionally, I am con...
Dr. Peng Shiwei reply Neurology
Hello, based on your inquiry, it is recommended that you make an appointment for a consultation with a physician. Thank you for your question.[Read More] Understanding Neurological Issues: Walking Imbalance and Cognitive Concerns
Understanding Dizziness: Insights from Neurology for Better Health
Dizziness issues? The link above refers to a question asked in February of this year. People tend to be carefree until something happens, and then they start to feel anxious. So, after a gap of nine months, I really made an appointment for your clinic on November 8th in the morni...
Dr. Peng Shiwei reply Neurology
Hello Mr. Chang, we will discuss this further in the clinic on November 8th. Thank you for your questions.[Read More] Understanding Dizziness: Insights from Neurology for Better Health
Understanding Dizziness and Neck Tension: Possible Causes and Concerns
Dizziness and a feeling of heaviness in the head? In the past week or two, I've been experiencing occasional dizziness and a feeling of pressure in my head, along with tightness in my shoulders, neck, and back of my head. There have been a few instances where I felt unsteady...
Dr. Peng Shiwei reply Neurology
Hello, your symptoms are not closely related to multiple sclerosis; however, there are many causes of dizziness. If there is no improvement in the near future, it is recommended that you consult a neurologist. Thank you for your inquiry.[Read More] Understanding Dizziness and Neck Tension: Possible Causes and Concerns
Managing Post-COVID Symptoms: When to Seek Medical Help
Areas for improvement Hello, doctor. I previously asked about experiencing tinnitus and hearing my heartbeat when turning my head after my initial COVID-19 infection. Fortunately, after about two months, the symptoms improved significantly. At that time, you advised me to focus o...
Dr. Peng Shiwei reply Neurology
Hello, I believe that given your current condition, you have recovered quite well. B vitamins, regular exercise, maintaining a normal routine, and consuming plenty of fruits and vegetables can be beneficial. If you continue to feel depressed, experience insomnia, or have unrelent...[Read More] Managing Post-COVID Symptoms: When to Seek Medical Help
Understanding Forehead Numbness: Possible Causes and Concerns
Numbness in the forehead? Hello Doctor, I have been experiencing headaches at the back of my head since high school, especially during times of increased stress. However, in the past week, I have noticed a tingling sensation in my forehead and right ear (mainly occurring at night...
Dr. Peng Shiwei reply Neurology
Hello, headaches can be caused by various factors. It is advisable for you to visit the neurology department at a hospital for a proper consultation and diagnosis from a physician. Thank you for your inquiry.[Read More] Understanding Forehead Numbness: Possible Causes and Concerns
Understanding Involuntary Muscle Twitches: Medication Consultation Insights
Muscle spasms or involuntary muscle twitching - Medication consultation? Hello, doctor. My neck shakes involuntarily, and I was informed about it by others; it has been happening for over ten years. I haven't actively sought treatment because I couldn't find the cause. ...
Dr. Peng Shiwei reply Neurology
Hello, Lyrica (pregabalin) is classified as a general sedative medication, which is somewhat different from typical addictive substances. However, it can still potentially lead to dependence. Your current dosage is considered mild. If you have concerns about addiction, dependence...[Read More] Understanding Involuntary Muscle Twitches: Medication Consultation Insights
Understanding Thumb Tremors: Is It Neck Pressure or a Neurological Issue?
Tremor of the left thumb? Hello, doctor. I have had a cervical disc herniation at the C3-C4 and C5 levels for over ten years. My symptoms fluctuate; sometimes they improve, and other times they worsen. Occasionally, I experience neck and shoulder pain, as well as arm pain. This a...
Dr. Peng Shiwei reply Neurology
Hello, your symptoms are usually not related to brain lesions, but if they persist and worsen, it is recommended to visit an outpatient clinic for evaluation by a physician. Thank you for your inquiry.[Read More] Understanding Thumb Tremors: Is It Neck Pressure or a Neurological Issue?
Understanding Muscle Fasciculations: What Your EMG Results Mean
Fasciculation Hello Doctor, I have symptoms of muscle fasciculation. I previously underwent an electromyography (EMG) test on my left leg on June 20, 2023, and the report is as follows: Data: Report of EMG study: 1. The left vastus lateralis, tibialis anterior, and gastrocnemius...
Dr. Peng Shiwei reply Neurology
Hello, the report indicates that the electromyography (EMG) of your left foot is normal. If you have any further concerns, please discuss them with your attending physician. Thank you.[Read More] Understanding Muscle Fasciculations: What Your EMG Results Mean
Understanding Side Effects of Rydan Tablets in Elderly Patients
Medication Issue - Rydapt (Midostaurin) My grandmother originally lived in Changhua, but she temporarily moved to Taoyuan to stay with us in July because she needed to get dentures. Since she has a long-standing issue with hand tremors, we took her to the hospital for an examinat...
Dr. Peng Shiwei reply Neurology
Hello, there are many medications available for treating tremors and Parkinson's disease. Since there is a possibility of duplicate prescriptions or drug interactions, it is recommended that your grandmother see the same physician for diagnosis and medication management. Tha...[Read More] Understanding Side Effects of Rydan Tablets in Elderly Patients
Persistent Dizziness for Two Weeks: Possible Causes and Next Steps
Persistent dizziness throughout the day for half a month without improvement? On August 25, I suddenly started experiencing dizziness, headaches, pain around my right eye, vomiting, and difficulty focusing on the computer screen, especially with text, which made me feel nauseous....
Dr. Peng Shiwei reply Neurology
Hello, whether you need to undergo a CT scan should be discussed with your attending physician. Thank you for your question.[Read More] Persistent Dizziness for Two Weeks: Possible Causes and Next Steps
Understanding Muscle Twitches and Weakness After Illness: A Neurological Perspective
Muscle twitching accompanied by mild weakness? Hello Doctor, I am 21 years old. About a week ago, I had a cold, and in the past few days, I have started to experience mild weakness in my right leg, especially noticeable when sitting. This is accompanied by occasional muscle twitc...
Dr. Peng Shiwei reply Neurology
Hello, it is rare for individuals with amyotrophic lateral sclerosis (ALS) to occur at your age. Additionally, the exercises you have been practicing recently require frequent use of the knees. I recommend consulting with a sports medicine specialist or an orthopedic physician to...[Read More] Understanding Muscle Twitches and Weakness After Illness: A Neurological Perspective
Could Morning Back and Abdominal Pain Indicate Stiff Person Syndrome?
Is this similar to Stiff Person Syndrome? For the past six months, I have only experienced mid-back and upper abdominal pain while sleeping until the morning. However, all symptoms disappear upon getting out of bed. Is this similar to Stiff Person Syndrome, or could it be related...
Dr. Peng Shiwei reply Neurology
Hello, it is usually related to posture and the mattress. If your symptoms persist and worsen, it is advisable to consult a neurologist. Thank you for your inquiry.[Read More] Could Morning Back and Abdominal Pain Indicate Stiff Person Syndrome?
Understanding Thumb Tremors: Is It Neck Pressure or a Neurological Issue?
Tremor of the left thumb? Hello doctor, I have a long-standing issue with cervical disc herniation at C3-C4 and C5, which has persisted for over a decade. My symptoms fluctuate; sometimes they improve, and other times I experience shoulder and neck pain, as well as arm discomfort...
Dr. Peng Shiwei reply Neurology
Hello, your symptoms are usually caused by muscle stiffness. Stroke symptoms typically include unilateral weakness or sensory abnormalities, and they tend to persist. If you experience such conditions, please seek medical attention as soon as possible. Thank you for your inquiry.[Read More] Understanding Thumb Tremors: Is It Neck Pressure or a Neurological Issue?
Should I See a Dentist or Neurologist for Jaw and Ear Pain?
Which department should I see? Hello Doctor, I have noticed swelling and pain in the gums around my right lower wisdom tooth for the past two days. Additionally, I am experiencing irregular sharp pain in the area of the right ear where the trigeminal nerve is located (each episod...
Dr. Peng Shiwei reply Neurology
Hello, based on your symptoms, I recommend first visiting a dentist to assess your dental condition. If the dentist finds no issues, then you can see a neurologist. Thank you.[Read More] Should I See a Dentist or Neurologist for Jaw and Ear Pain?
Understanding Muscle Twitches: Causes and Concerns for Teens
Muscle twitching Hello doctor, I have been experiencing muscle twitching all over my body for the past two months. Recently, I have also felt something unusual on my right side, a soft sensation that makes me fear it might be muscle atrophy. I am left-handed and do exercise, but ...
Dr. Peng Shiwei reply Neurology
Hello, if your issue has persisted for some time, it is recommended that you consult a neurologist. Thank you for your inquiry.[Read More] Understanding Muscle Twitches: Causes and Concerns for Teens
Understanding Dementia: The Impact of Chronic Pain and Head Injuries
Dementia issues Hello Doctor, I am inquiring on behalf of my 73-year-old grandfather who was diagnosed with "mild dementia" by a neurologist within the past five months. On February 6, 2023, he fell and hit his head, experiencing a moment of altered consciousness. Subse...
Dr. Peng Shiwei reply Neurology
Hello, thank you for your concern about grandpa. However, since I am unable to diagnose patients online, I cannot provide you with an appropriate answer regarding whether grandpa's cognitive decline is due to long-term pain or a combination of various factors. It would be mo...[Read More] Understanding Dementia: The Impact of Chronic Pain and Head Injuries
Managing Parkinson's Disease: Can Medication Adjustments Reverse Decline?
Questions about Parkinson's disease? Hello Doctor: My mother, who is 72 years old, has been diagnosed with Parkinson's disease for about 10 years. Three months ago, her medication was adjusted, and she experienced severe dizziness. A month ago, her medication was adjust...
Dr. Peng Shiwei reply Neurology
Hello, regarding your question, I believe it would be more appropriate to discuss it with your mother's neurologist. Thank you.[Read More] Managing Parkinson's Disease: Can Medication Adjustments Reverse Decline?