Understanding Right Hand Pain: Is It Shingles or Something Else?
Numbness and tingling in the right palm? Hello doctor, three weeks ago I was diagnosed with shingles on the left side of my ear. After the skin symptoms healed, I have been taking B vitamins to alleviate the nerve pain. Aside from occasional sharp nerve pain in my left cheek, las...
Dr. Peng Shiwei reply Neurology
Hello, based on your symptoms, it is unlikely that the area is affected by shingles. The most probable neuropathy in that region is carpal tunnel syndrome. You may try to reduce wrist movements and wear a wrist brace to alleviate the symptoms. You can continue taking B vitamins. ...[Read More] Understanding Right Hand Pain: Is It Shingles or Something Else?
Understanding Dizziness and Neck Issues: MRI Insights Without Contrast
Dizziness, cervical spine issues? Hello, Doctor. I would like to ask about the cervical spine MRI. If no contrast agent was injected, to what extent can vascular issues be identified? I have been experiencing neck tightness and stiffness for the past three months (which is why th...
Dr. Peng Shiwei reply Neurology
Hello, your issue is related to the settings of the MRI machine used during the examination and its resolution, so I cannot provide you with a definitive answer. However, considering your age, neck stiffness is mostly not directly related to the cervical blood vessels, unless you...[Read More] Understanding Dizziness and Neck Issues: MRI Insights Without Contrast
Can Daytime Sleepiness and Nighttime Delirium Improve in Parkinson's Patients?
Can daytime sleepiness and nighttime delirium in a patient with stage II Parkinson's disease be improved? Three months ago, my mother was diagnosed with stage II Parkinson's disease (due to multiple small strokes). Currently, she requires a walker for mobility and moves...
Dr. Peng Shiwei reply Neurology
Hello, I believe your mother's delirium symptoms are not related to the chronic course of Parkinson's disease, but are more likely associated with her previous infection and hospitalization. Generally, this type of acute delirium tends to improve gradually over time, an...[Read More] Can Daytime Sleepiness and Nighttime Delirium Improve in Parkinson's Patients?
Understanding Multiple Sclerosis: Bilateral Symptoms and MRI Considerations
Multiple Sclerosis The doctor would like to inquire further: if there is numbness on both sides, is the likelihood of multiple sclerosis lower (as my research indicates it is usually one-sided)? If the doctor has not suggested an MRI, should we bring it up?
Dr. Peng Shiwei reply Neurology
Yes, the probability on both sides is relatively low. If the physician did not bring it up, it may be because he believes you are more aligned with a different diagnosis. Please follow his advice. Thank you for your question.[Read More] Understanding Multiple Sclerosis: Bilateral Symptoms and MRI Considerations
Understanding Multiple Sclerosis: Symptoms, Diagnosis, and Concerns
Multiple Sclerosis I would like to ask about some recent health issues I've been experiencing (numbness in my hands and feet, slight weakness, and discomfort in my eyes). The eye discomfort has persisted for nearly a month, accompanied by mild photophobia and some bloodshot ...
Dr. Peng Shiwei reply Neurology
Hello, the EEG test cannot rule out multiple sclerosis. If your eye symptoms are caused by optic neuritis, I strongly recommend that you complete an MRI examination. Thank you for your inquiry.[Read More] Understanding Multiple Sclerosis: Symptoms, Diagnosis, and Concerns
Experiencing Dizziness and Memory Issues Upon Waking: What Could It Be?
I have been experiencing dizziness upon waking up for the past ten days? Hello, doctor! For the past ten days, I've been experiencing dizziness upon waking up (sometimes it's immediate, and other times it occurs about an hour after having breakfast). I usually sleep aro...
Dr. Peng Shiwei reply Neurology
Hello, based on your symptoms, it seems more like dizziness combined with a headache. If the symptoms persist, it is recommended that you visit a neurology outpatient clinic. Thank you.[Read More] Experiencing Dizziness and Memory Issues Upon Waking: What Could It Be?
Understanding Body Tingling and Vibrations: When to See a Neurologist
Feeling slight numbness and mild vibrations in the body? Hello, doctor. A few days ago, I experienced some palpitations, and occasionally felt a slight vibration and mild numbness in my lower back (especially around the coccyx), legs, and chest while sitting, standing, or lying d...
Dr. Peng Shiwei reply Neurology
Hello, based on your symptoms, I believe it would be advisable to monitor the situation for a while longer. However, if you find it very concerning, you may also consider consulting a neurologist. Thank you.[Read More] Understanding Body Tingling and Vibrations: When to See a Neurologist
Understanding Dizziness: Causes, Symptoms, and Treatment Options
Dizziness and a feeling of pressure in the head? Hello Dr. Peng, I would like to ask about the sensation of dizziness that feels like my head is very tight and my neck is also tense. Sometimes it gets worse, and I suddenly feel faint. It feels like my brain cannot relax. Is this ...
Dr. Peng Shiwei reply Neurology
Based on your current symptoms, I believe there is no immediate danger. However, if you are still concerned, you may return to your original physician for further evaluation. Thank you for your inquiry.[Read More] Understanding Dizziness: Causes, Symptoms, and Treatment Options
Chronic Lower Back Pain After Gynecological Surgery: Possible Nerve Issues?
Long-term lower back pain after gynecological surgery? Hello Doctor, I have undergone about five surgeries due to gynecological issues including chocolate cysts, fibroids, endometriosis, and uterine fibrosis. The last surgery was approximately 5-6 years ago when I had a laparosco...
Dr. Peng Shiwei reply Neurology
Hello, while it may be related to the surgery, it is difficult to provide a definitive assessment based solely on the information provided. I recommend that you consult with the physician who performed your examination for a detailed inquiry. If you wish to seek assistance from a...[Read More] Chronic Lower Back Pain After Gynecological Surgery: Possible Nerve Issues?
Understanding Hip and Leg Pain: When to Seek Medical Advice
Medication Consultation Hello Dr. Peng: I often experience discomfort and aching in my right thigh near the hip joint, which extends to the thigh muscles. Pressing on that area causes significant soreness. When I sleep with my knees straightened or bent, I often hear cracking sou...
Dr. Peng Shiwei reply Neurology
Hello, it is recommended that you take B12 after meals, which may help improve your symptoms. As for the discomfort related to the hip, it seems to be more related to muscle or fascia issues. It is advisable to consult a neurologist or a rehabilitation specialist. Thank you for y...[Read More] Understanding Hip and Leg Pain: When to Seek Medical Advice
Understanding PPPD: Managing Dizziness After Ear Stone Displacement
I have been experiencing dizziness for over four months? Hello, after the displacement of my otoliths, I have been experiencing persistent dizziness. The doctor diagnosed me with PPPD (Persistent Postural-Perceptual Dizziness) and advised me to undergo some rehabilitation and tak...
Dr. Peng Shiwei reply Neurology
Hello, I recommend that you continue with your rehabilitation. However, you can hold each position for a bit longer and transition between positions more slowly. This will allow your body to gradually adapt to the sensations of dizziness, and I believe you will see improvement ov...[Read More] Understanding PPPD: Managing Dizziness After Ear Stone Displacement
Understanding Scalp Numbness: Causes and When to Seek Help
Scalp tingling? Recently, I have been experiencing a tingling sensation throughout my head and feeling a bit lightheaded. In the past, I would occasionally have episodes where I couldn't think clearly, but these would typically last about an hour to a day. However, these sym...
Dr. Peng Shiwei reply Neurology
Hello, your symptoms require an in-person consultation and physical examination for an accurate assessment. I recommend that you visit a neurology outpatient clinic. Thank you for your inquiry.[Read More] Understanding Scalp Numbness: Causes and When to Seek Help
Understanding Sleep Paralysis and Severe Shaking Sensations
Feeling severe shaking while sleeping and experiencing tinnitus? This issue has persisted for over 10 years, with the first episode occurring during middle school. I have documented common symptoms. 1. On the night of an episode, I initially experience insomnia, tossing and turni...
Dr. Peng Shiwei reply Neurology
Hello, based on your description, it seems that the symptoms occur during sleep. I recommend that you visit a hospital with a "sleep center" for consultation and examination. Before your appointment, you can keep a sleep diary. During the sleep study, you will be asked ...[Read More] Understanding Sleep Paralysis and Severe Shaking Sensations
Understanding Unexplained Pain in the Cheekbone Area
Pain on the left side? Hello, doctor: May I ask why the pain is so severe when the zygomatic bone and masseter muscle are not swollen, there are no bruises, and anti-inflammatory medication has not been effective?
Dr. Peng Shiwei reply Neurology
Hello, based on your symptoms, it is quite difficult to determine the issue. I recommend that you visit a medical facility for further evaluation. Thank you for your inquiry.[Read More] Understanding Unexplained Pain in the Cheekbone Area
Neck Issues Impacting Brain and Vision: A Neurology Consultation Guide
Consultation for Brain and Eye Issues Related to Cervical Spine Problems The elderly patient has been taking dementia medication since last year and has recently experienced discomfort in the head and blurred vision. A cervical spine X-ray was performed, and the report indicates ...
Dr. Peng Shiwei reply Neurology
Hello, based on your cervical X-ray, I would also recommend focusing on rehabilitation therapy. Cervical degeneration typically does not cause dizziness. If you are concerned about inadequate blood flow from the carotid or vertebral arteries, you may consult a neurologist to eval...[Read More] Neck Issues Impacting Brain and Vision: A Neurology Consultation Guide
Long-Term Effects of Ice Water on Migraine and Cognitive Function
Several years ago, I drank ice-cold water during a migraine, and as a result, I immediately felt dizzy and have had difficulty concentrating ever since? I have experienced migraines since childhood, typically located at the back of my head. One day during my senior year of high s...
Dr. Peng Shiwei reply Neurology
Hello, based on your symptoms, it is best to visit a hospital and consult a neurologist for a detailed assessment. Thank you for your inquiry.[Read More] Long-Term Effects of Ice Water on Migraine and Cognitive Function
Understanding Muscle Tone Disorders After Cervical Spine Surgery
Dystonia Hello Doctor, I underwent a C4 to C7 discectomy and implantation of three artificial discs one and a half years ago. Three months post-surgery, I began experiencing stiffness on one side of my sternocleidomastoid muscle and stiffness in my shoulder and neck. I feel as th...
Dr. Peng Shiwei reply Neurology
Hello, based on your symptoms, I believe it is important to rule out any cervical spine issues. You may want to consult a neurologist. Thank you for your inquiry.[Read More] Understanding Muscle Tone Disorders After Cervical Spine Surgery
Managing Dizziness from Vestibular Neuritis: Tips for Recovery
Dizziness for three months? Hello Doctor, I have been experiencing dizziness for three months. After ruling out cervical spine and brain issues, I was diagnosed with "vestibular neuritis." I would like to ask if I should avoid positions or movements that still cause diz...
Dr. Peng Shiwei reply Neurology
Hello, if you have already passed the acute phase, you can gradually train yourself to adapt to various positions. You may refer to this article: https://tcmc.tzuchi.com.tw/images/pdf/62/68-70.pdf Thank you for your question.[Read More] Managing Dizziness from Vestibular Neuritis: Tips for Recovery
Managing Low White Blood Cell Count in Myasthenia Gravis Patients
Myasthenia gravis with leukopenia? Hello: My mother is a patient with myasthenia gravis, specifically type I, which only affects the ocular muscles, resulting in muscle weakness around the eyes, leading to ptosis and diplopia. Since recovering from herpes zoster three months ago,...
Dr. Peng Shiwei reply Neurology
Hello, in response to your questions: 1. Currently, there are no specific foods that can increase white blood cell counts. Typically, blood cell counts will gradually return to normal after the acute phase of an illness has passed. However, it is still recommended to consume nu...[Read More] Managing Low White Blood Cell Count in Myasthenia Gravis Patients
Can You Take Birth Control After AVM Surgery? Expert Insights
Hello, doctor. May I ask about post-operative care for arteriovenous malformation? Hello Dr. Peng, may I ask if it is safe to take contraceptive pills after undergoing surgery for arteriovenous malformation? I took them about 25 years ago when I first started dating my husband, b...
Dr. Peng Shiwei reply Neurology
Currently, contraceptive pills carry a certain risk of thrombosis in the brain; however, research indicates that the risk of venous thromboembolism is greater. Your condition is classified as arteriovenous malformation, and the literature presents mixed findings. Some studies sug...[Read More] Can You Take Birth Control After AVM Surgery? Expert Insights