Understanding Recurrent Dizziness: Insights from Neurology and ENT
Dizziness issues? Hello, doctor. Thank you very much for your previous response. I am the person who asked question #195465. My dizziness issue has been recurring since the second half of last year. In February of this year, I consulted a neurologist who diagnosed me with vestibu...
Dr. Jiang Junyi Reply:
Hello, Miss: Vestibular migraine may be related to the pathophysiological mechanisms of migraine, such as vasoconstriction and vasodilation, neural hyperexcitability, or central nervous system dysfunction. It is recommended that you use a medication like Naoqing for prevention du...[Read More] Understanding Recurrent Dizziness: Insights from Neurology and ENT
Understanding Knee Sensory Loss: Causes and When to Seek Neurology Help
Diminished sensation in the anterior knee? Hello, doctor. I have been doing aerial yoga once a week and occasionally engaging in light aerobic exercises without any impact or falls that could injure my knees. One day, I started to feel a tingling sensation in my knee, similar to ...
Dr. Jiang Junyi Reply:
Dear Ms. Tsao, You mentioned that "there is a sensation of numbness and a desire for anesthesia." This is a typical symptom of peripheral nerve injury. The statement "there is pain when pressing on the inner side of the knee" indicates localized tissue inflam...[Read More] Understanding Knee Sensory Loss: Causes and When to Seek Neurology Help
Understanding Knee Sensory Loss: Causes and Treatment Options
Diminished sensation in the anterior aspect of the knee? Hello, doctor. I have been doing aerial yoga once a week and occasionally engaging in light aerobic exercises without any impact or falls that could injure my knees. One day, I started to feel a tingling sensation in my kne...
Dr. Jiang Junyi Reply:
Dear Ms. Tsao, Your symptoms of "electric shock sensation have disappeared, and your knee can move freely, but the feeling of numbness and the desire for anesthesia still persist." It seems that the nerves are gradually healing. I recommend increasing your intake of B ...[Read More] Understanding Knee Sensory Loss: Causes and Treatment Options
Persistent Lip and Chin Numbness After Jaw Surgery: When to Seek Help?
Numbness of the lower lip and chin after orthognathic surgery? It has been one year and three months since my orthognathic surgery, and I am experiencing numbness in the left side of my lower jaw, including my chin, lip, and gums. The teeth in that area also feel numb when biting...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, I believe that the chances of maintaining the current condition are relatively high. However, since you are still young, it may be worth waiting to see if the nerves can repair themselves. I recommend continuing with B12 supplementation, and you may...[Read More] Persistent Lip and Chin Numbness After Jaw Surgery: When to Seek Help?
Can Piracetam Help Improve Brain Development in Adults?
Piracetam medication consultation? I am 27 years old and have attention deficit disorder. I have been taking Strattera and Piracetam. I have experienced slower cerebellar development compared to my peers, which has led to poor learning and comprehension abilities, affecting my wo...
Dr. Peng Shiwei Reply:
Hello, based on your question, I searched the medical literature. Although I may not be able to fully answer your question, here are some references for your consideration: 1. It is generally believed that "Nootropics" are cognitive enhancers. While they may not direct...[Read More] Can Piracetam Help Improve Brain Development in Adults?
Understanding Abnormal Sensations in Feet: Causes and Solutions
Abnormal sensation Hello Doctor, I have recently been experiencing a strange sensation in my feet, where they often feel cold (or hot? It's a peculiar feeling that starts from my toes and extends upwards). Although my feet feel cold, their actual temperature seems normal. I&...
Dr. Jiang Junyi Reply:
Hello Student H: You mentioned that "the neurologist said an MRI was not necessary, and only advised me to exercise more, maintain a regular sleep schedule, and eat more B vitamins, without prescribing any medication. At that time, I did not have the unusual symptom of coldn...[Read More] Understanding Abnormal Sensations in Feet: Causes and Solutions
Understanding Thumb Tremors: Causes and Concerns After Napping
The right thumb is bent and trembling? This afternoon, I slept on my desk for about 40 minutes, and later in the evening, my right thumb started to tremble when I bent it (but I don't feel weak, and I can use it normally). The trembling is quite noticeable. Additionally, whe...
Dr. Wu Mukhan Reply:
Your symptoms may be due to compression of the peripheral motor nerves while sleeping on your stomach, leading to weakness and abnormal movements. It is advisable to avoid this sleeping position. Typically, rest, heat therapy, and massage can help alleviate the symptoms. If there...[Read More] Understanding Thumb Tremors: Causes and Concerns After Napping
Understanding Spinal Issues: Neurological Pain and Diagnosis
Spinal issues Due to pain in the lumbar spine, nerve conduction studies and electromyography were performed during military service medical examination. Attached are the relevant reports and X-rays. I would like to inquire whether there is a nerve issue, as the pain is severe eno...
Dr. Jiang Junyi Reply:
Dear Mr. W: (As the attached file is no longer readable.) You mentioned experiencing pain so severe that you cannot stand or sleep, and that it extends to your toes. This may indicate symptoms of nerve compression due to a herniated disc or peripheral nerve compression. 1. The...[Read More] Understanding Spinal Issues: Neurological Pain and Diagnosis
Addressing Soft Palate Dysfunction After Stroke: Seeking Solutions
My dad's soft palate is not moving? Hello, Doctor. My father suffered a stroke affecting the left and right corona radiata, which has resulted in very unclear speech, significant nasal voice, excessive drooling, inability to elevate his tongue, and weakness in elevating the ...
Dr. Peng Shiwei Reply:
Hello, from a neurology perspective, both limb weakness and soft palate weakness can be caused by a stroke. Therefore, it is recommended to focus on rehabilitation. I am not sure if your father is undergoing speech therapy. Generally, the first 3 to 6 months after a stroke is con...[Read More] Addressing Soft Palate Dysfunction After Stroke: Seeking Solutions
Understanding Neck Stiffness and Muscle Tension: Causes and Solutions
Stiffness when turning the neck and tightness in the muscles at the back of the head? Hello doctor, for the past six months, I have been experiencing stiffness in my neck muscles when turning my head, often unable to turn it fully, especially when using my phone or computer. I fi...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, it is likely that chronic tension in the upper neck is caused by prolonged poor posture. I recommend starting with improving your posture and incorporating relaxation exercises for your neck. If these methods provide limited improvement, it would be...[Read More] Understanding Neck Stiffness and Muscle Tension: Causes and Solutions
Understanding Leg Neuropathic Pain: Causes and Management Strategies
Leg neuropathy, polyneuropathy? Hello Doctor, I have consulted multiple physicians (in rehabilitation, orthopedics, neurosurgery, and neurology), but I still cannot identify the problem... I am 32 years old and work as a software engineer. My symptoms seem quite variable, and I h...
Dr. Jiang Junyi Reply:
Hello Mr. Zac, You mentioned that "when walking, the outer side of my left ankle feels like it's being electrified, and after this pain sensation appeared, my outer calf and the sole of my foot began to feel numb and tingly (which may indicate nerve damage)." This...[Read More] Understanding Leg Neuropathic Pain: Causes and Management Strategies
Understanding Your Neck Ultrasound Results: A Guide to Carotid Atherosclerosis
Neck ultrasound examination Hello, doctor. In 2020, I had a neck ultrasound examination, and the doctor said everything was normal, did not prescribe any medication, and did not mention the need for follow-up tests. However, I found on Google Translate that there might be issues ...
Dr. Jiang Junyi Reply:
Dear Ms. Heifetz, You mentioned, "Neck ultrasound report: Conclusion Mild carotid atherosclerosis without significant hemodynamic change." Essentially, this examination report indicates that the level of atherosclerosis is within the normal range. Common risk factors f...[Read More] Understanding Your Neck Ultrasound Results: A Guide to Carotid Atherosclerosis
Understanding Dizziness and Neck Tension After Weightlifting: A Neurology Perspective
Brain issues (hypoxia, dizziness) Two weeks ago, while working out (performing incline bench press with a barbell), I struggled to lift the barbell on the last rep due to near exhaustion. Immediately after, I felt tightness around my forehead extending to the back of my head, fol...
Dr. Jiang Junyi Reply:
Hello Mr. L: You mentioned that "there is a tightness around the forehead extending to the back of the head... and I have been experiencing tightness in the back of the neck and dizziness due to exertion and hypoxia." It may be necessary to first consider issues related...[Read More] Understanding Dizziness and Neck Tension After Weightlifting: A Neurology Perspective
Electromyography and Nerve Conduction Study: Contraindications and Alternatives
Contraindications for Electromyography (EMG) and Nerve Conduction Studies (NCS) Hello Dr. Jiang, my family member is scheduled to undergo electromyography (EMG) and nerve conduction studies (NCS). They have a pacemaker and have previously undergone mechanical valve replacement. W...
Dr. Jiang Junyi Reply:
Hello Mr. Wang, I am not sure what disease your family suspects that requires electromyography (EMG) and nerve conduction studies (NCS) for diagnosis. Generally, "patients with a history of artificial valve replacement are not suitable for these tests" because they req...[Read More] Electromyography and Nerve Conduction Study: Contraindications and Alternatives
Understanding Unexplained Dry Heaving: Possible Neurological Causes
Frequent unexplained dry heaving? Hello Doctor, I am currently 21 years old and a university student. For the past three years, I have occasionally experienced dry heaving and nausea. Initially, I suspected that it might be due to eye strain from prolonged use of my phone or comp...
Dr. Jiang Junyi Reply:
Hello Mr. Kevin, You mentioned experiencing symptoms of bright vision and dry heaving occurring simultaneously, which typically requires a day of rest and sleep for the symptoms to resolve the next day. I wonder if you are also experiencing headaches? It may be worth considering...[Read More] Understanding Unexplained Dry Heaving: Possible Neurological Causes
Understanding Tremors and Weakness: When to Seek Neurological Help
Tremors, weakness in the hands, Parkinson's disease, and weakness in the limbs? Hello, doctor. I am a third-year junior high school student. Recently, after watching some reports about amyotrophic lateral sclerosis (ALS), I have become very anxious and fear that I might also...
Dr. Peng Shiwei Reply:
Hello, from an epidemiological perspective, individuals with ALS (amyotrophic lateral sclerosis) may differ significantly in age. You can refer to the article from the Rare Disease Foundation at https://www.tfrd.org.tw/tfrd/library_b2/content/category_id/1/id/38. If you still fee...[Read More] Understanding Tremors and Weakness: When to Seek Neurological Help
Understanding Numbness and Weakness in Hands and Feet: When to Seek Help
Numbness and weakness in the hands and feet? Hello Doctor, I am #196332. I would like to add that today I also experienced some numbness in my hands. I would like to ask, in the case of numbness in the hands and feet (and I also felt a slight numbness in my back just now), while ...
Dr. Peng Shiwei Reply:
Hello, I apologize for not being able to search previous inquiries. However, if you are experiencing numbness in both your hands and feet, it is important to rule out any neurological issues. I recommend consulting a neurologist. Thank you for your question.[Read More] Understanding Numbness and Weakness in Hands and Feet: When to Seek Help
Understanding Widespread Tingling: Possible Causes and Concerns
Generalized numbness and tingling? Hello, Doctor. I am Aisha, who asked a question three days ago. The tingling sensation in my right palm spread to my upper arm the next day, and now I also have tingling in my left palm, arms, both legs, inner thighs, as well as my back and neck...
Dr. Peng Shiwei Reply:
Hello, numbness and tingling may be related to peripheral nerve or spinal cord issues, while the likelihood of brain-related problems is lower. During the waiting period for the report, please monitor for any increasing weakness in the limbs, as well as any "head" sympt...[Read More] Understanding Widespread Tingling: Possible Causes and Concerns
Understanding Numbness in Hands and Feet: Possible Causes and Solutions
Numbness in the hands and feet? Hello doctor, I started feeling a slight numbness in the area of my little fingers on both hands and little toes on both feet a couple of days ago. 1. Could you please tell me what this might be? 2. Or could the hands and feet be different issues t...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "numbness in the little fingers and toes" is commonly caused by peripheral nerve compression. The numbness is associated with the ulnar nerve, which innervates the little finger and half of the ring finger, as well as the corresponding are...[Read More] Understanding Numbness in Hands and Feet: Possible Causes and Solutions
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:
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