Understanding Lower Back Pain After Surgery: Causes and Solutions
Lower back pain issues? Hello doctor, I have been experiencing lower back pain since my surgery in July (I had surgery on my left toe under spinal anesthesia; I also had surgery on my right foot earlier this year, also under spinal anesthesia). Today, I felt a recurrence of achin...
Dr. Peng Shiwei reply Neurology
Hello, issues with the lower back or intervertebral discs can still occur in young individuals. If you are concerned, you can visit a neurology clinic for consultation. Thank you for your question.[Read More] Understanding Lower Back Pain After Surgery: Causes and Solutions
Understanding Abnormal VEP Results: What They Mean for Your Health
Abnormal VEP (Visual Evoked Potential) test results? Hello Doctor: I recently visited an ophthalmologist due to issues with the changing dimensions of text. After seeing two doctors with no findings, I was advised to consult a neurologist. Preliminary tests including a CT scan an...
Dr. Peng Shiwei reply Neurology
Hello, the V100 extension indicates that there may be an issue with the optic nerve conduction, such as optic neuritis. The doctor will arrange further tests for differential diagnosis. Please complete the tests and return for a follow-up appointment to have the doctor explain th...[Read More] Understanding Abnormal VEP Results: What They Mean for Your Health
Which Specialist Should I See for My Neurological Symptoms?
Could you please tell me which symptoms you are experiencing so I can recommend the appropriate specialty and tests for a detailed examination? Three months ago, while at work, I felt a tightness in my chest, so I stretched my arms out. However, the condition did not improve, and...
Dr. Peng Shiwei reply Neurology
Hello, based on your symptoms, it may be advisable to first consult a cardiologist for a basic evaluation related to syncope.[Read More] Which Specialist Should I See for My Neurological Symptoms?
Understanding Dizziness: Causes and When to Seek Neurological Help
Dizziness, lightheadedness, or mild vertigo? For the past one and a half months, I have been experiencing dizziness (lightheadedness, heaviness) upon waking up in the morning while lying in bed. When I sit up, it feels okay, but when I stand and walk, I feel dizzy (lightheaded) a...
Dr. Peng Shiwei reply Neurology
Hello, based on your symptoms, postural changes in blood pressure and heart rate, as well as postural dizziness and inner ear imbalance, could all be potential causes. It is recommended that you visit a major hospital's neurology or otolaryngology outpatient clinic (you can ...[Read More] Understanding Dizziness: Causes and When to Seek Neurological Help
Could My Symptoms Indicate Parkinson's Disease? A Patient's Journey
Parkinson's disease Hello Doctor, in July 2014, I experienced severe headaches from hot water while taking a shower, to the point where I felt like I wanted to hit my head against the wall. After that, my body started to change. In July 2015, my right index finger suddenly b...
Dr. Peng Shiwei reply Neurology
Based on your current age and symptoms, the likelihood of Parkinson's disease is indeed low. However, if you notice any changes or worsening of your symptoms, you should consider visiting a neurologist for further evaluation.[Read More] Could My Symptoms Indicate Parkinson's Disease? A Patient's Journey
Understanding Underarm Muscle Cramps: Causes and When to Seek Help
Axillary cramping Hello Doctor: In the past six months, I have experienced cramps in my armpits, occurring about 1-2 times a month, lasting around 10-15 seconds each time. However, there are days when it happens 2-3 times. There is no pain, just the cramps. I would like to know w...
Dr. Peng Shiwei reply Neurology
Hello, based on your description, there is no specific condition that fits your symptoms. However, if you find these symptoms troubling, you can visit a neurology clinic for a detailed consultation to see if there are any solutions available.[Read More] Understanding Underarm Muscle Cramps: Causes and When to Seek Help
Managing Blood Pressure Concerns in Elderly Stroke Survivors
Concerns about Blood Pressure Grandma had a stroke in the past, so she takes one capsule of Lipitor (5 mg/10 mg) daily. Her blood pressure has been stable; however, during a follow-up visit at the end of August, her systolic blood pressure was only in the 90s when measured at the...
Dr. Peng Shiwei reply Neurology
Hello, 1. When should Caboten be taken? For example, at what systolic blood pressure should it be taken? --> Generally, it can be taken when the systolic blood pressure exceeds 180 or if there are symptoms related to high blood pressure. For instance, if the systolic blood p...[Read More] Managing Blood Pressure Concerns in Elderly Stroke Survivors
Which Specialist to Consult for Blood Pressure and Stroke Concerns?
Which department should I see? Patient: Female, Age 40-49, Date: 2022/12/05 Inquiry: My grandmother had a stroke in the past and takes one capsule of Lipitor (5mg/10mg) daily. Her blood pressure has been stable; however, during a follow-up visit at the end of August, her systol...
Dr. Peng Shiwei reply Neurology
Hello, if there is a difference of more than 20 mmHg in systolic blood pressure between the left and right arms, further examination should be considered. A significant difference between systolic and diastolic blood pressure is generally associated with vascular stiffness and re...[Read More] Which Specialist to Consult for Blood Pressure and Stroke Concerns?
Medication Concerns in Neurology: Managing Blood Pressure After Stroke
Medication issues Grandma had a stroke in the past, so she takes one tablet of Lipitor (5 mg/10 mg) daily. Her blood pressure has been stable; however, during her follow-up appointment at the end of August, her systolic blood pressure was only in the 90s when measured at the hosp...
Dr. Peng Shiwei reply Neurology
Hello, based on my assessment, it is possible to restore one of the fat veins. However, I still recommend that you take your mother to her usual follow-up clinic for an earlier appointment, as it would be better for the original physician to make the evaluation.[Read More] Medication Concerns in Neurology: Managing Blood Pressure After Stroke
Understanding Palm Pain: Causes and When to Seek Help
Tingling in the palm? Hello doctor, this week I started experiencing a tingling pain in my right palm, specifically in the area extending from my thumb downward. Could you please tell me if there is something wrong with my body, or is this just temporary?
Dr. Peng Shiwei reply Neurology
Based on your symptoms, both neurological and tendon issues could be monitored further, or you may consider consulting a neurologist or a rehabilitation specialist.[Read More] Understanding Palm Pain: Causes and When to Seek Help
Understanding Lower Limb Numbness: When to See a Specialist
Lower limb paralysis with loss of sensation? Hello Doctor: Regarding the issue of numbness in both calves, what tests should be conducted to confirm if there is peripheral nerve damage? Should I see a neurologist, a neurosurgeon, or an orthopedic surgeon? Thank you.
Dr. Peng Shiwei reply Neurology
Hello, it is usually necessary to perform a peripheral nerve conduction study. It is recommended to consult a neurologist in the outpatient clinic. Thank you.[Read More] Understanding Lower Limb Numbness: When to See a Specialist
Understanding Pulsatile Tinnitus: When Your Eyes Beat with Your Heart
The eye perceives pulsations that are in sync with the heartbeat? Hello doctor, I have been experiencing a pulsating sensation in my eyes that seems to coincide with my heartbeat since high school. It becomes more pronounced when I lie down or close my eyes. Sometimes my heartbea...
Dr. Peng Shiwei reply Neurology
Hello, based on your symptoms, it is advisable to consult a neurologist. There is a possibility that you may have a carotid-cavernous fistula, so please ask your doctor to conduct an examination.[Read More] Understanding Pulsatile Tinnitus: When Your Eyes Beat with Your Heart
Managing Neuropathy: Concerns About B12 and Vitamin Overdose
Myasthenia Gravis, medication issues? Hello Doctor: I previously experienced lumbar disc protrusion with lower back pain and ankle numbness. The doctor prescribed Methylcobalamin (B12) for nerve maintenance, but it doesn't seem to be effective. Is this considered a high-dose...
Dr. Peng Shiwei reply Neurology
Hello, in response to your inquiry, I can address it in two parts: 1. Can vitamin B complex be taken in excess? It is true that doctors often prescribe high doses of B12, but vitamins B and C are water-soluble vitamins. If the body takes in excess amounts, they are usually excr...[Read More] Managing Neuropathy: Concerns About B12 and Vitamin Overdose
Understanding Occipital Pain When Lying on a Pillow
Headache when lying on the pillow while sleeping? Hello, doctor. I experience pain about 3 centimeters above the back of my head when lying on a pillow. Pressing firmly with my hand also causes pain. There are no skin conditions on my scalp, and the pain feels like it originates ...
Dr. Peng Shiwei reply Neurology
Hello, if there is significant tenderness and the pain point is very specific, it may be an issue related to the subcutaneous tissue or bone. It is recommended to consult with an internal medicine physician.[Read More] Understanding Occipital Pain When Lying on a Pillow
Understanding Heart Palpitations and Chest Pain After Vaccination
Chest pain and palpitations? In the past, I had a habit of exercising. After receiving my second dose of the Moderna vaccine in May of this year, I experienced palpitations (heart rate of 130-140) and had to visit the emergency room several times. However, all cardiac tests came ...
Dr. Peng Shiwei reply Neurology
Hello, it is indeed possible to experience palpitations after receiving the Moderna vaccine, but they typically do not last for an extended period. If your symptoms persist and other symptoms begin to appear, it is advisable to consult a cardiologist to rule out any heart-related...[Read More] Understanding Heart Palpitations and Chest Pain After Vaccination
Is Numbness on One Side of the Face and Body a Stroke Warning?
Numbness in one side of the face, hand, and foot? On the sixth day after being diagnosed with Covid-19, I experienced mild numbness on the right arm, below the knee, and from the chin to the neck when my symptoms were almost resolved. My movements and speech are normal, and there...
Dr. Peng Shiwei reply Neurology
Hello, numbness on one side of the body can indeed be a symptom of a stroke; however, it usually affects a larger area, such as the entire right side of the limbs, or even including the torso and half of the face. Based on the extent of your numbness, the likelihood of a stroke i...[Read More] Is Numbness on One Side of the Face and Body a Stroke Warning?
Understanding Evening Headaches: Causes and When to Seek Help
Normal during the day, headache at night? Hello Doctor, I apologize for bothering you. Currently, I work in the morning and attend classes in the evening, with my sleep schedule being approximately from 12:00 AM to 6:50 AM. I have experienced similar situations before, but they d...
Dr. Peng Shiwei reply Neurology
Based on your condition, it is recommended that you visit a neurology outpatient clinic for further evaluation, as additional tests may be necessary.[Read More] Understanding Evening Headaches: Causes and When to Seek Help
Persistent Numbness in Foot and Leg: Seeking Medical Guidance
Numbness in the dorsum of the foot for over four months, and now there is also some numbness in the calf? Hello Doctor, I really don't know what to do now and would like to ask for your opinion. I am currently a senior in college and have recently been exercising, walking br...
Dr. Peng Shiwei reply Neurology
Hello, based on your symptoms, if they are gradually worsening, I recommend visiting a neurology outpatient clinic at a major hospital. To rule out nerve compression, more advanced imaging studies are necessary, so I suggest you start with regular follow-up for a while.[Read More] Persistent Numbness in Foot and Leg: Seeking Medical Guidance
Left Ear Ringing, Dizziness, and Facial Numbness: When to Seek Brain Imaging?
Tinnitus in the left ear, dizziness, and left-sided facial numbness? I usually have symptoms of chronic rhinitis, such as sneezing and post-nasal drip. Recently, I have experienced prolonged tinnitus in my left ear that hasn't improved, and I have also started to feel numbne...
Dr. Peng Shiwei reply Neurology
Based on your symptoms, it is recommended that you consult a neurologist.[Read More] Left Ear Ringing, Dizziness, and Facial Numbness: When to Seek Brain Imaging?
Understanding Tremors: Head and Body Shaking Symptoms Explained
Tremors in the head and torso? I have had a problem with hand tremors in the past, occurring both at rest and during movement. However, in the past few months, I have noticed that my head and torso tremble before sleep, and sometimes this occurs right after waking up (I do not ha...
Dr. Peng Shiwei reply Neurology
Hello, based on your symptoms, it is recommended to seek consultation with a neurologist specializing in movement disorders as soon as possible.[Read More] Understanding Tremors: Head and Body Shaking Symptoms Explained