Understanding Chest Discomfort: Causes and Concerns for Nighttime Symptoms
Chest tightness and a feeling of pressure, with sudden episodes of anxiety, rapid heartbeat, and shortness of breath occurring before sleep in the early morning or at midnight, leading to awakening? Two years ago, I visited a cardiologist and underwent X-rays and an electrocardio...
Dr. Cai Zongzhang Reply:
Hello Mr. Wei: The symptoms mentioned may be indicative of a autonomic nervous system disorder. It is recommended that you visit a neurology outpatient clinic for an examination.[Read More] Understanding Chest Discomfort: Causes and Concerns for Nighttime Symptoms
Understanding Body Tremors: When to Seek Medical Attention
Body tremors Hello doctor, yesterday while I was sleeping, I suddenly noticed that the left side of my body and my left hand were trembling. I was abruptly awakened by the shaking, and the symptoms lasted for several seconds. After waking up, I found that the entire left upper ha...
Dr. Cai Zongzhang Reply:
Hello, Song: The symptoms mentioned above may indicate a neurological disorder. It is recommended to visit a neurology outpatient clinic for examination.[Read More] Understanding Body Tremors: When to Seek Medical Attention
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:
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
Understanding Sensory Loss: Possible Causes and Solutions
Numbness sensation Hello Doctor: About three days ago, I noticed a reduction of approximately 80% in the sensation of cold and heat in my left hand's ring and little fingers, along with a slight decrease in strength, but there is no significant numbness or pain. In addition ...
Dr. Jiang Junyi Reply:
Dear Ms. K: You mentioned that you have decreased sensitivity to temperature in your left ring and little fingers. Your symptoms may suggest an abnormality in ulnar nerve function. The ulnar nerve innervates part of the little finger, half of the ring finger, and the correspondi...[Read More] Understanding Sensory Loss: Possible Causes and Solutions
Understanding Tiny Acute Ischemic Infarcts: Causes and Management
Physical examination revealed signs of a previous minor stroke? Hello Doctor: Last month, the MRI results for my brain were interpreted as follows: Z719 Counseling, unspecified, V6540 Counseling, not otherwise specified, ||cre:0, eGFRr:0 Imaging findings: Brain MRI study without ...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned "A tiny acute ischemic infarct, left occipital subcortical white." An elder relayed that it was a concussion; could this have related effects? MRI primarily detects cerebral infarctions within a month. It cannot explain events that occurred muc...[Read More] Understanding Tiny Acute Ischemic Infarcts: Causes and Management
Understanding Facial Pain: When to See a Neurologist
My cheeks feel a bit strange? Hello, doctor: I am experiencing intermittent pain in the muscles of both my upper and lower cheeks, along with pain in my cheekbones. There is also a tingling, prickling sensation, and itching. The pain persists even with pressure, and my cheeks fee...
Dr. Wu Mukhan Reply:
Hello! Based on your description, your symptoms, including facial numbness, tingling, and abnormal sensations, may be related to a trigeminal nerve issue. It is recommended that you visit a hospital's neurology department for evaluation and to determine if further testing is...[Read More] Understanding Facial Pain: When to See a Neurologist
Understanding Dizziness and Blurred Vision: Causes and Solutions
Dizziness/Blurred vision Hello Doctor: I have been feeling normal before going out these past few days, but after being outside for a while, I started to feel unwell (cold sweats, rapid breathing, dizziness, blurred vision, gastrointestinal discomfort, dry mouth, tinnitus, etc.)....
Dr. Jiang Junyi Reply:
Hello Ms. Wu, You mentioned that "standing for a long time makes you feel dizzy." Given the recent high temperatures, we should first consider mild heat syncope as a possible cause. The primary reason is that in high-temperature outdoor environments, the microvasculatu...[Read More] Understanding Dizziness and Blurred Vision: Causes and Solutions
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:
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?
High Frequency Muscle Twitches and Fatigue in a 14-Year-Old: Possible Causes
Frequent muscle twitching throughout the body and a feeling of weakness? Muscle twitching occurs frequently, with some localized spasms. It intensifies when I feel restless. I experience a tingling sensation similar to being electrocuted when sitting or lying down. I feel fatigue...
Dr. Jiang Junyi Reply:
Hello Mr. Pao, You mentioned experiencing a sensation similar to being electrocuted when sitting or lying down, which is a symptom of peripheral nerve compression. This is not indicative of amyotrophic lateral sclerosis (ALS), which is a type of motor neuron disease. ALS present...[Read More] High Frequency Muscle Twitches and Fatigue in a 14-Year-Old: Possible Causes
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:
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 Muscle Twitching: Causes, Symptoms, and When to Seek Help
Involuntary muscle twitching? Hello doctor, over the past month, my muscles (not limited to any specific area, but mostly in my thighs and right shoulder) have been twitching involuntarily. The symptoms worsen during times of anxiety, tension, or panic. In the past few days, I...
Dr. Jiang Junyi Reply:
Hello, Guo: You mentioned feeling "weakness in breathing, shallow breaths, and a sense of bodily weakness." Your concern about amyotrophic lateral sclerosis (ALS) primarily relates to issues with motor neurons. Motor neurons control muscle movement; generally, the moto...[Read More] Understanding Muscle Twitching: Causes, Symptoms, and When to Seek Help
Could My Symptoms Indicate ALS? Understanding the Risks and Next Steps
Is it amyotrophic lateral sclerosis (ALS)? Hello Doctor, last month a family elder was diagnosed with ALS, and blood tests are currently being analyzed to determine if there is a genetic mutation or hereditary cause. Since then, I have started to feel weakness in my right hand an...
Dr. Jiang Junyi Reply:
Dear Mr. Yu, You are concerned about ALS, which is a chronic muscle-wasting disease that can lead to muscle atrophy. If upper motor neurons die, abnormal signal transmission may cause muscle twitching. In the early stages, it is actually difficult to diagnose. Approximately only...[Read More] Could My Symptoms Indicate ALS? Understanding the Risks and Next Steps
Understanding Sudden Heat in the Right Ankle: Possible Causes and Concerns
Heat in the right ankle? Hello, doctor. Recently, I've been experiencing sudden warmth in my right ankle that goes away quickly, but then returns after a while. I would like to know what could be causing this. Is it possible that it could be due to a brain tumor pressing on ...
Dr. Jiang Junyi Reply:
Hello Mr. Long: You mentioned that the area around your right ankle suddenly feels warm. I wonder if you are experiencing any abnormal sensations such as tingling or numbness? Are there any other neurological symptoms? We may need to consider peripheral tissue issues, particularl...[Read More] Understanding Sudden Heat in the Right Ankle: Possible Causes and Concerns
Understanding Involuntary Muscle Twitches: Causes and Concerns
Involuntary muscle twitching? I am a 35-year-old male, non-smoker, non-drinker, and I do not consume betel nut or coffee. I am 180 cm tall and weigh 55 kg. I have a regular exercise routine that includes both strength training and aerobic exercises. Over two years ago, I suddenly...
Dr. Jiang Junyi Reply:
Hello Mr. Hsuan, You mentioned experiencing "twitching in your toes, similar to after finishing a hike, a jog, walking a long distance, or sitting on a specific sofa..." The muscle twitching you are experiencing may be related to several factors: exercise, acute viral ...[Read More] Understanding Involuntary Muscle Twitches: Causes and Concerns
Post-Operative Challenges of Occipital Lobe Hemorrhage: Recovery Insights
Postoperative issues related to intracranial hemorrhage in the occipital lobe? Hello, my mother is currently 60 years old and recently underwent a right occipital lobectomy due to a cerebral hemorrhage. She has experienced narrowing of the visual field in her left eye (which was ...
Dr. Peng Shiwei Reply:
Hello, regarding your questions: 1. Visual field loss due to damage to the occipital lobe is relatively difficult to recover in the short term, but the brain still has plasticity, so it is advisable to observe for a period of time. During this time, please remind the caregiver to...[Read More] Post-Operative Challenges of Occipital Lobe Hemorrhage: Recovery Insights
Understanding Unexplained Tremors and Fatigue: When to Seek Help
Feeling extremely fatigued and on the verge of fainting, with involuntary body tremors? I would like to consult a doctor. Recently, I have been experiencing involuntary body tremors at night before sleep. I am unsure if this is due to excessive tension. My eyelids also twitch int...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, there are currently no specific findings and no neurological localization. Additionally, since the symptoms occur at specific times, the likelihood of a stroke is low. Furthermore, smoking is detrimental to your health, so please quit smoking immedi...[Read More] Understanding Unexplained Tremors and Fatigue: When to Seek Help
Understanding Muscle Twitches: Causes and Concerns in Strength Training
I would like to inquire about muscle twitching issues? A few days ago, I experienced muscle twitching in my shoulder that occurs intermittently. I have been weight training, and although my performance has not declined or changed, the twitching in my left shoulder gives me a slig...
Dr. Jiang Junyi Reply:
Hello Mr. CC: You mentioned that you have a slight feeling of weakness in your left hand, describing it as "soft and sore." This symptom may suggest cervical radiculopathy. This is a type of peripheral nerve abnormality that often presents with: 1. Pain characterized by...[Read More] Understanding Muscle Twitches: Causes and Concerns in Strength Training
Muscle Twitches and Crawling Sensation in Legs: Possible ALS Concerns
Muscle twitching and a sensation of ants crawling in the legs? In the past month, I have experienced muscle twitching, and while sitting or lying down, my legs feel tingly as if ants are crawling on them. After researching online, I found that it could possibly be amyotrophic lat...
Dr. Peng Shiwei Reply:
Based on the symptoms you described, the likelihood of amyotrophic lateral sclerosis (ALS) is extremely low. If you are still concerned, it is advisable to seek consultation at an outpatient clinic. Thank you for your inquiry.[Read More] Muscle Twitches and Crawling Sensation in Legs: Possible ALS Concerns
Understanding Sudden Vision Changes: Possible Causes and Concerns
Vision problems I would like to ask the doctor under what circumstances symptoms of optic nerve compression could cause a sudden increase in my eye prescription. I primarily have issues with my eyes, but the ophthalmologist has not found any abnormalities. Here are my symptoms: ...
Dr. Peng Shiwei Reply:
Hello, regarding your question: 1. Generally, there are two types of brain lesions associated with the optic nerve. The first type involves brain lesions that cause compression of the optic nerve, with symptoms primarily manifesting as visual field defects, such as loss of peri...[Read More] Understanding Sudden Vision Changes: Possible Causes and Concerns
Understanding Groin Pain: Causes and Treatment Options for Nerve Issues
Inguinal pain accompanied by burning and weakness in the inner thigh and spermatic cord? Hello, Doctor. About 2-3 years ago, I started experiencing dull pain in the right inguinal region, which radiates to the right side of the scrotum and causes a burning sensation on the inner ...
Dr. Cai Zongzhang Reply:
Hello Mr. Chen: The symptoms mentioned may be indicative of neuropathic pain. It is recommended that you visit a neurology outpatient clinic for further evaluation to determine the cause.[Read More] Understanding Groin Pain: Causes and Treatment Options for Nerve Issues