Understanding the Causes and Concerns of ALS: A Patient's Journey
The causes of amyotrophic lateral sclerosis (ALS)? Hello, doctor. I apologize for the interruption. On November 21, I visited a clinic due to static tremors in my hands and feet, where I underwent four X-rays—two of my cervical spine and two of my lumbar spine. It was found that ...
Dr. Cai Zongzhang Reply:
Hello, Xiao Bo: There are various possible causes for involuntary muscle twitching, and it cannot be directly attributed to amyotrophic lateral sclerosis (ALS). If the symptoms do not improve after adequate rest, it is recommended to visit a neurology clinic for evaluation.[Read More] Understanding the Causes and Concerns of ALS: A Patient's Journey
Understanding Muscle Pain and Weakness After Pregnancy: A Neurological Perspective
Muscle fasciculations, soreness, weakness..? Hello, Doctor. I apologize for bothering you, but I would like to ask a question. I gave birth around mid-May this year. Due to a short cervical length, I had to undergo bed rest for about three months. After giving birth, I experience...
Dr. Jiang Junyi Reply:
Hello Miss Hsuan-er: You mentioned that "my whole body feels like it's getting thinner and I don't feel like I have any muscle left; is it all atrophying?" Muscle atrophy may first require consideration of insufficient protein intake. Your concerns might also ...[Read More] Understanding Muscle Pain and Weakness After Pregnancy: A Neurological Perspective
Muscle Twitches and Weakness: Are They Early Signs of ALS?
Muscle twitching has persisted for four days, and there is a sensation of soreness in the limbs. There is concern that it may be amyotrophic lateral sclerosis (ALS)? Hello Dr. Jiang, I am 43 years old. In the early morning of November 25th, I noticed that all my muscles were twit...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: You mentioned experiencing "high-frequency twitching in all your muscles," which may require consideration of more common issues, as amyotrophic lateral sclerosis (ALS) is a rare disease. Typically, muscle atrophy is observed in such cases. Your symptoms...[Read More] Muscle Twitches and Weakness: Are They Early Signs of ALS?
Understanding Head Pain and Body Tremors: When to Seek Neurological Help
Body shaking and headache? Hello, doctor! Sometimes I suddenly feel a pressure in my head (on both sides of my temples) accompanied by a headache, and my body also shakes! Sometimes even when I am still, my body shakes. Additionally, I have some difficulty breathing! What kind of...
Dr. Jiang Junyi Reply:
Hello Mr. Dzz: You mentioned that you are experiencing "pressure on both temples" accompanied by headaches and body shaking. Your symptoms may suggest tension-type headaches, which are caused by muscle tightness in the head. Common manifestations include tight, constric...[Read More] Understanding Head Pain and Body Tremors: When to Seek Neurological Help
Understanding Head and Neck Discomfort: Possible Neurological Issues
Head issues Hello doctor, I am 26 years old. Recently, for the past 5-6 days, I have been feeling a heaviness in my head and neck, and occasionally I feel a bit lightheaded (not severe dizziness). I also feel easily fatigued and tired, and there is occasionally a slight tightness...
Dr. Peng Shiwei Reply:
If there is no improvement after rest, please seek evaluation from a neurologist. Thank you.[Read More] Understanding Head and Neck Discomfort: Possible Neurological Issues
Chronic Anemia-Like Symptoms Without Anemia: What Could It Be?
Feeling chronically anemic without actually being anemic? To summarize the usual symptoms: I experience dizziness after prolonged sitting, after eating, and when standing up from a squatting position. I also feel dizzy and have headaches when I fall asleep while sitting. It feels...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned experiencing dizziness when squatting and standing up, which may indicate insufficient cerebral blood flow due to changes in posture. If the symptoms are more severe, fainting may occur. "Fainting" is defined as a sudden, temporary loss of co...[Read More] Chronic Anemia-Like Symptoms Without Anemia: What Could It Be?
Assessing Potential Concussion Symptoms After a Head Injury
The right occipital region was hit by a ball? Hello, Doctor. On November 9th, during gym class at 10 AM, a pickleball (about the size of a baseball, hollow plastic, and quite light) suddenly hit me on the back of my right head. It came from about 4 or 5 meters away. At the mome...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned, "At the moment, I don't feel it will be very painful and I think it will get better soon, so I didn't go to the health room... The pain seems to radiate to my forehead." This symptom is more indicative of cervical myofascial inflamm...[Read More] Assessing Potential Concussion Symptoms After a Head Injury
Breathing Difficulties and Numbness: Understanding Neurological Symptoms
Feeling short of breath, with numbness and dizziness? Hello, Dr. Jiang. Recently, when I go to work, I feel like I can't get enough air, my breathing speeds up (over 20 breaths per minute), and I experience numbness in my hands, feet, and face, as well as chest numbness. Dee...
Dr. Jiang Junyi Reply:
Hello Mr. You: You mentioned experiencing numbness in your hands, feet, and face, as well as chest numbness, and that deep breathing does not help... Your symptoms may need to be considered in the context of autonomic nervous system dysfunction. Hyperventilation can lead to decre...[Read More] Breathing Difficulties and Numbness: Understanding Neurological Symptoms
Understanding Migraine, Breathing Issues, and Digestive Problems
Migraine, respiratory issues, abdominal problems, constipation? Hello, doctor. I would like to inquire about my friend's long-term migraine issues (experiencing pain almost every day). Sometimes, they also suddenly have difficulty breathing, needing to take deep breaths to f...
Dr. Jiang Junyi Reply:
Dear Mr. Yan, You mentioned the issue of "chronic migraines (almost experiencing pain every day... stomach pain and nausea after eating)." Your friend's symptoms may need to consider the side effects of medications, especially pain relievers. Regarding chronic mig...[Read More] Understanding Migraine, Breathing Issues, and Digestive Problems
Understanding Facial Nerve Issues: Symptoms, Causes, and Treatment Options
Facial nerve Hello, doctors! I am 28 years old, and in March of this year, I noticed weakness on the right side of my face, with difficulty closing my right eye. I have noticeable asymmetry in my eyes, and when I drink, water leaks from the right side of my mouth. When I try to m...
Dr. Jiang Junyi Reply:
Hello Dr. De: You mentioned that "some doctors said I have both facial nerve paralysis and spasms... (I am completely confused)." Generally speaking, facial nerve paralysis occurs due to inflammation, which prevents the muscle tissue it innervates from contracting adequ...[Read More] Understanding Facial Nerve Issues: Symptoms, Causes, and Treatment Options
Understanding Guillain-Barré Syndrome: Symptoms, Diagnosis, and Treatment Options
Guillain-Barré Syndrome Hello Dr. Tsai, my mother is currently 74 years old and was previously an active person. Last year's blood test results were normal except for high cholesterol. On October 20, she had a mild cold with a runny nose and slight cough. Starting October 23...
Dr. Cai Zongzhang Reply:
Hello, Ms. Wu: Based on the symptoms mentioned, your mother is suspected to have a severe infection causing a significant increase in the inflammatory marker CRP. Many superficial infections may not provide immediate diagnostic reports and require various tests for confirmation. ...[Read More] Understanding Guillain-Barré Syndrome: Symptoms, Diagnosis, and Treatment Options
Can Numbness in Your Pinky Finger Be Self-Treated?
Numbness in the little finger? About a month ago, I started experiencing numbness in my left pinky finger. I work a sedentary job and suspect that it may be due to prolonged smartphone use and other factors. Doctor, can this condition improve on its own, or should I seek medical ...
Dr. Jiang Junyi Reply:
Dear Ms. YoYo, You mentioned that "the little finger on your left hand has started to feel numb," which may indicate ulnar nerve compression. The ulnar nerve innervates part of the little finger and half of the ring finger, as well as the palm beneath these fingers, le...[Read More] Can Numbness in Your Pinky Finger Be Self-Treated?
Sudden Dizziness and Flushed Face: Understanding Neurological Symptoms
Suddenly feeling faint after dispersing, with a flushed face? Hello, doctor. Today, while I was walking home with my father (60 years old), he suddenly leaned on my shoulder in the elevator, saying he felt faint. I noticed that his ears and face turned red, but after a moment, he...
Dr. Peng Shiwei Reply:
Hello, if your father experienced chest discomfort before nearly fainting, it is advisable to see a cardiologist for an evaluation, especially considering his history of diabetes. This could potentially be related to cardiovascular issues. Thank you for your inquiry.[Read More] Sudden Dizziness and Flushed Face: Understanding Neurological Symptoms
Understanding Involuntary Muscle Twitches: Causes and Solutions
Hello doctor, I would like to inquire about the issue of involuntary muscle twitching? Hello Doctor: About two years ago, I started experiencing involuntary leg jerks before going to bed and upon waking up. Sometimes it's severe, and other times it's mild. I also notice...
Dr. Peng Shiwei Reply:
It is recommended to schedule a follow-up appointment and discuss with your attending physician whether any additional tests are necessary. Thank you.[Read More] Understanding Involuntary Muscle Twitches: Causes and Solutions
Understanding Facial Numbness: Possible Causes and Concerns
Numbness in the face? Hello Doctor, during dinner (eating out) last night, I suddenly felt a tingling and tightness below my cheekbones, but I was still able to eat without any pain. A minute later, I also felt a tingling sensation throughout my body. The tingling sensation in my...
Dr. Wu Mukhan Reply:
Hello, the sensation of numbness is usually related to the nervous system and may be caused by neurological disorders, nerve inflammation, or other issues that can lead to abnormal nerve sensations. If the symptoms persist or recur, it is advisable to consult a neurologist at a h...[Read More] Understanding Facial Numbness: Possible Causes and Concerns
Understanding Involuntary Muscle Twitches: When to See a Neurologist
Involuntary muscle twitching? Hello doctor, I have had this issue since middle school. Usually, whenever I relax or lie down for a while, I start to feel discomfort around my right elbow. I have to move it to alleviate that uncomfortable sensation, but after a while, it returns. ...
Dr. Wu Mukhan Reply:
Hello: Your symptoms may be caused by nerve compression. It is recommended that you visit a hospital's neurology department to arrange for nerve conduction studies or electromyography for further evaluation.[Read More] Understanding Involuntary Muscle Twitches: When to See a Neurologist
Exploring Causes of Slow Brain Waves with Normal MRI and Blood Tests
Slow wave in EEG (electroencephalogram) examination? The EEG shows slow waves, but blood tests and MRI are normal. However, there is a slight decline in attention, comprehension, and memory, not experienced throughout the entire day, with periods of clarity. After evaluations at ...
Dr. Wu Mukhan Reply:
Hello, the presence of slow waves in brain activity can have many causes, including drowsiness during the examination, cortical dysfunction, and neurological diseases (such as tumors or strokes). If you have already undergone an MRI and no significant lesions were found, that can...[Read More] Exploring Causes of Slow Brain Waves with Normal MRI and Blood Tests
Understanding Long-Term Effects of Head Trauma: A Neurological Perspective
Injured due to assault? Hello, doctor. Around the years 2003-2004, during my school years, I had a conflict with some classmates, which led to one of them hitting me on the back right side of my head with a metal chair. At that time, I lost consciousness, and I am unsure if there...
Dr. Peng Shiwei Reply:
Hello, due to current regulations, I am unable to provide treatment to patients without an in-person consultation. If you have concerns regarding your brain injury, I recommend scheduling an appointment for a physician to evaluate and treat you personally. If any tests or further...[Read More] Understanding Long-Term Effects of Head Trauma: A Neurological Perspective
Post-Exercise Head Pressure: Understanding Symptoms and When to Seek Help
Head pressure after exercise? Hello Doctor, I had a minor head impact during a martial arts class the day before yesterday, but I felt completely fine that day. However, yesterday I woke up with an extremely mild pressure sensation in my head (almost unnoticeable) and an overall ...
Dr. Peng Shiwei Reply:
Hello, I believe your symptoms can be monitored. However, if you experience new symptoms such as headaches, dizziness, vomiting, or changes in consciousness, you should seek medical attention immediately. Thank you for your inquiry.[Read More] Post-Exercise Head Pressure: Understanding Symptoms and When to Seek Help
Understanding Ear Pulsations: Insights on Tinnitus and Autonomic Dysfunction
Some adjustment issues? Doctor: When I was first diagnosed, I experienced very loud tinnitus in my left ear and could hear my heartbeat. Now the tinnitus has improved, but sometimes I feel a pulsating sensation in my ear, as if the blood vessels are beating twice (from the caroti...
Dr. Jiang Junyi Reply:
Dear Mr. Shouxin, You mentioned, "Can an average person occasionally hear their heartbeat?" When arrhythmias occur, some individuals may feel changes in their cardiac output and can perceive the sensation of their heart beating. They may also hear the sound of their he...[Read More] Understanding Ear Pulsations: Insights on Tinnitus and Autonomic Dysfunction