Understanding Naegleria fowleri: Risks and Precautions for Rural Residents
Naegleria fowleri meningoencephalitis Hello doctor, today on August 18th, I saw online that Naegleria fowleri might be present in soil. I live in a rural area, and today, while riding my bike past a field, I saw a truck carrying a farming machine with soil on its wheels. At that ...
Dr. Peng Shiwei reply Neurology
Hello, if you are experiencing headaches, dizziness, difficulty in consciousness, persistent fever, vomiting, or any other symptoms, please seek medical attention at a hospital. Thank you.[Read More] Understanding Naegleria fowleri: Risks and Precautions for Rural Residents
Understanding Chronic Denervation and Its Impact on Calf Discomfort
Discomfort in the calf, abnormal electromyography (EMG) findings? Hello Doctor, since mid-June, I have been feeling tightness in the back of my right calf. It feels fine when I first get up, but the tightness increases the longer I stand, although it is not painful. As my anxiety...
Dr. Peng Shiwei reply Neurology
Hello, it is more appropriate for the physician who is treating you to answer your questions. Thank you.[Read More] Understanding Chronic Denervation and Its Impact on Calf Discomfort
Understanding Suspected Autoimmune Encephalitis: Symptoms, Diagnosis, and Treatment
Is there a diagnosis of autoimmune encephalitis? Hello Doctor, my sister was diagnosed with schizophrenia last September. She has been taking medication at Hospital A for nearly a year, during which she gradually developed mild involuntary hand tremors and head tilting backward. ...
Dr. Peng Shiwei reply Neurology
Hello, the question you asked is very complex. I am unable to answer it online. I recommend that you take your sister to see a doctor for a consultation in person. Thank you.[Read More] Understanding Suspected Autoimmune Encephalitis: Symptoms, Diagnosis, and Treatment
Understanding Left Eyebrow Pain: When to See a Neurologist
Left brow bone. Pain and swelling at the eyebrow? Hello Dr. Peng, three days ago I suddenly felt a throbbing pain in my left brow bone, my eyelid is swollen, and I also have a headache. When I press on the left brow bone near the temple, I feel localized pain. Which specialty sho...
Dr. Peng Shiwei reply Neurology
Hello, it seems you have already come for a consultation. Please take the medication as instructed. Thank you.[Read More] Understanding Left Eyebrow Pain: When to See a Neurologist
Understanding Nerve Conduction Studies: Insights on Ulnar Nerve Issues and ALS Concerns
Nerve conduction study Hello Doctor, recently I've been experiencing occasional pain in my right hand, so I went for an examination regarding ulnar nerve compression. The doctor arranged for four nerve conduction studies and a cervical spine examination. The results indicate...
Dr. Peng Shiwei reply Neurology
Hello, the symptoms of amyotrophic lateral sclerosis (ALS) do not involve damage to only one nerve, and it primarily begins with the degeneration of motor neurons. Sensory nerves are not affected in the early stages. Thank you for your question.[Read More] Understanding Nerve Conduction Studies: Insights on Ulnar Nerve Issues and ALS Concerns
Understanding ALS Concerns: Do I Need an EMG Test?
Concerns about Amyotrophic Lateral Sclerosis (ALS) Hello Doctor, I recently experienced muscle soreness in my left thigh, so I went to the hospital for a nerve conduction study (F-wave) and a cervical spine examination, but I was not scheduled for an electromyography (EMG) test. ...
Dr. Peng Shiwei reply Neurology
Hello, the symptoms of amyotrophic lateral sclerosis (ALS) do not involve damage to just one nerve; it primarily affects motor neurons first, while sensory neurons are not impacted in the early stages. Thank you for your question.[Read More] Understanding ALS Concerns: Do I Need an EMG Test?
Managing Trigeminal and Facial Nerve Repair: Expert Insights and Treatment Options
Trigeminal and Facial Nerve Repair Hello, Doctor. I initially experienced hearing loss and headaches, so I consulted an otolaryngologist for a month, which caused me to miss the critical treatment window. Later, I discovered left facial paralysis and was referred to a neurologist...
Dr. Peng Shiwei reply Neurology
Hello, based on your description, I believe the treatment your physician has provided is appropriate. The residual effects of facial numbness may not always fully resolve. I recommend that you continue with your current treatment and observe for 1-3 months. As for the dizziness, ...[Read More] Managing Trigeminal and Facial Nerve Repair: Expert Insights and Treatment Options
Understanding CIDP: Treatment Options and Managing Symptoms
Polyneuropathy Hello, I have been diagnosed with CIDP. Initially, my doctor thought it was acute, so I underwent plasma exchange. Three weeks after being discharged, I started feeling unwell again, and during my follow-up appointment, the doctor mentioned that it should be CIDP a...
Dr. Peng Shiwei reply Neurology
Hello, I believe it would be better for you to discuss your concerns with your attending physician. However, according to medical standards, plasma exchange, steroid treatment, and immunoglobulin therapy are all standard treatments for Chronic Inflammatory Demyelinating Polyneuro...[Read More] Understanding CIDP: Treatment Options and Managing Symptoms
Understanding Occasional Numbness and Dizziness: When to Seek Help
Occasional sensation of tingling in the head? Hello, doctor. Last year, I experienced a severe episode of dizziness where everything felt like it was spinning, along with loss of muscle control in my limbs, vomiting, and incontinence. After vomiting, I rested for about 1 to 2 hou...
Dr. Peng Shiwei reply Neurology
Hello, based on your symptoms, it seems more like an issue related to inner ear imbalance. If you experience this condition again, it is recommended that you consult an otolaryngologist.[Read More] Understanding Occasional Numbness and Dizziness: When to Seek Help
Understanding Nerve Pain and Tingling After COVID-19: A Neurology Perspective
Occasional tingling and pain in the hands and feet? Hello, doctor. Since I tested positive for COVID-19 in June, I have been experiencing occasional soreness in my left eye for about one to two weeks. I have seen a doctor who said my eyes are fatigued and performed examinations, ...
Dr. Peng Shiwei reply Neurology
Hello, based on your symptoms, I believe there is a possibility of cervical spine compression, which can indeed cause symptoms on both sides. I recommend that you consult a neurologist for further evaluation. Thank you for your inquiry.[Read More] Understanding Nerve Pain and Tingling After COVID-19: A Neurology Perspective
Dizziness When Turning Head: Possible Causes and Solutions
Dizziness when turning the head? This morning, when I got up and turned my head, I felt very dizzy and had a sense of delay. When I stood up, I felt unsteady, and when I lay down, I experienced nausea. I would like to know what condition this might be. (I have a vertebral arch fr...
Dr. Peng Shiwei reply Neurology
Hello, your symptoms may be caused by inner ear imbalance leading to dizziness. If the symptoms persist, it is recommended to consult an otolaryngologist. Thank you.[Read More] Dizziness When Turning Head: Possible Causes and Solutions
Choosing the Right Slippers After Nerve Injury: Flip-Flops vs. Regular Slippers
Choosing Slippers After Nerve Injury Hello, doctor: I previously experienced an ankle sprain while hiking, and after a series of repeated injuries to the same area, I consulted a neurologist who diagnosed me with nerve damage (but no rupture). After taking vitamin B for a week an...
Dr. Peng Shiwei reply Neurology
Hello, based on your condition, I would recommend wearing shoes with a heel support to reduce the risk of tripping. Thank you for your question.[Read More] Choosing the Right Slippers After Nerve Injury: Flip-Flops vs. Regular Slippers
Understanding Tightness and Dizziness While Sitting: Possible Causes and Solutions
When sitting, my head feels tight and swollen, and sometimes I feel dizzy? Recently, I often feel a tight and swollen sensation in my head while sitting in front of the computer, almost like a feeling of inadequate or excessive blood flow to the head. It’s not as severe when I’m ...
Dr. Peng Shiwei reply Neurology
Hello, if the headache is caused by posture, you may consider consulting a neurologist. However, I believe that if the headache only occurs while sitting, especially when using the computer, it may be related to chronic poor posture. I recommend that you go for a consultation so ...[Read More] Understanding Tightness and Dizziness While Sitting: Possible Causes and Solutions
Understanding Systemic Joint and Bone Itching: Causes and Next Steps
Systemic joint and bone itching can occur in the hands, feet, back, and pelvis? In 2020, I visited a neurologist due to widespread itching in my bones, along with joint pain in my limbs. Sometimes, I experience a burning, itchy, painful, and aching sensation, both day and night, ...
Dr. Peng Shiwei reply Neurology
Hello, I recommend that you consistently see one physician. If they believe that assistance from another specialist is necessary, they will inform you accordingly. If you have any concerns about the medication prescribed by your doctor, please discuss them with your primary physi...[Read More] Understanding Systemic Joint and Bone Itching: Causes and Next Steps
Understanding Unexplained Skin Pain: When to See a Neurologist
Unexplained skin prickling? Hello, doctor. This symptom has been persistent for many years, with occasional localized skin tingling. It hurts when the wind blows or when touched lightly, and there is no specific location. Usually, it resolves by the next day. Although it does not...
Dr. Peng Shiwei reply Neurology
Hello, if there are no lesions on the skin and the symptoms are of short duration, you can either continue to observe or visit a dermatologist. If the dermatologist feels it is necessary, they may refer you to a neurologist. Thank you for your inquiry.[Read More] Understanding Unexplained Skin Pain: When to See a Neurologist
Understanding Left Back and Thigh Discomfort: A Neurological Perspective
When sitting and lying flat, there is something unusual in the left back area and the left thigh? Hello, doctor! This issue has been troubling me for two years, but it has become particularly severe in the past few months. When I sit upright (with my back relatively straight) and...
Dr. Peng Shiwei reply Neurology
Hello, based on your symptoms, it cannot be ruled out that they are related to deep muscle issues. If you are feeling very troubled, you may consider going to a major hospital to check your muscle enzymes, or consult with your physician about whether an MRI is necessary. Thank yo...[Read More] Understanding Left Back and Thigh Discomfort: A Neurological Perspective
Understanding Limb Weakness: When to Seek Neurological Care
Weakness in the limbs? Last Thursday, after watching a movie about amyotrophic lateral sclerosis (ALS), I gained a preliminary understanding of this disease but also found myself becoming anxious about the possibility of developing it. Coincidentally, since that day, I have been ...
Dr. Peng Shiwei reply Neurology
Hello, based on your symptoms and age, it is more likely that you are experiencing chronic muscle fatigue. Amyotrophic lateral sclerosis (ALS) typically occurs in middle age and is characterized by noticeable weakness, muscle atrophy, and muscle twitching. Therefore, you may want...[Read More] Understanding Limb Weakness: When to Seek Neurological Care
Which Specialist to Consult for Hand Coordination and Numbness Issues?
For issues related to fine motor skills in the hands and symptoms of numbness in the hands and feet, you should consult a neurologist for diagnosis and treatment? Hello Doctor, I would like to ask, I have had poor fine motor skills in my hands since childhood, and I also experien...
Dr. Peng Shiwei reply Neurology
Hello, I recommend that you visit a neurology outpatient clinic for consultation. Thank you for your inquiry.[Read More] Which Specialist to Consult for Hand Coordination and Numbness Issues?
Feeling Dizzy and Disconnected: Understanding Neurological Symptoms
Feeling lightheaded and disoriented? Hello, doctor. Recently, while traveling in Japan, I have been experiencing difficulty concentrating, feeling spaced out, and a sense of lightheadedness. I also have persistent muscle twitches, both localized and generalized, and I feel comple...
Dr. Peng Shiwei reply Neurology
Hello, online consultations are limited in scope and cannot replace an in-person examination, making it difficult to fully understand your issue. If your symptoms are causing you significant distress, please schedule an appointment for a proper evaluation by a physician. Thank yo...[Read More] Feeling Dizzy and Disconnected: Understanding Neurological Symptoms
Understanding Language Expression Difficulties: When Thoughts and Words Diverge
Language expression difficulties? Dear Dr. Peng, Thank you for taking the time to read and respond to my questions. Recently, I have noticed that while I have no difficulty in expressing sentences or maintaining fluency while speaking, there are instances where the words I say d...
Dr. Peng Shiwei reply Neurology
Hello, your symptoms are consistent with a speech disorder. It is recommended that you seek a consultation with a neurologist as soon as possible to rule out any brain lesions. Thank you for your inquiry.[Read More] Understanding Language Expression Difficulties: When Thoughts and Words Diverge