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:
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?
Could Weakness and Pain in Your Legs Signal ALS Symptoms?
Weakness and pain in the legs could be a precursor to amyotrophic lateral sclerosis (ALS)? In 2021, I was diagnosed with possible sciatica (only through X-rays). After continuous rehabilitation, I improved for a while, but occasionally my lower back would still feel sore, allowin...
Dr. Jiang Junyi Reply:
Dear Miss Xiao: You mentioned that "when walking, if the feeling underfoot is not right, there will be a sudden pain, and then the legs feel weak and powerless." These are not symptoms of amyotrophic lateral sclerosis (ALS). The ALS you are concerned about primarily re...[Read More] Could Weakness and Pain in Your Legs Signal ALS Symptoms?
Understanding Unexplained Body Tremors: A Neurological Perspective
Involuntary body shaking? Hello doctor, about a week ago while I was at work, I suddenly started feeling dizzy and unsteady. It’s not a spinning sensation, nor do I see objects moving; I don’t experience double vision. Occasionally, I feel a bit nauseous and uncomfortable, and so...
Dr. Jiang Junyi Reply:
Hello Ms. Joyce, Could you please clarify whether the "tingling sensation in the fingers of your right hand and the toes of your right foot" occurs simultaneously with the dizziness, or has this symptom been present for a long time? If they occur at the same time, we m...[Read More] Understanding Unexplained Body Tremors: A Neurological Perspective
Understanding Leg Numbness: Is It Related to Pelvic Misalignment?
Easily experiences leg numbness? Due to my sitting posture, I have developed a slight pelvic tilt. However, since it is not severe, I haven't seen a doctor. Recently, for the past two weeks, I have been experiencing numbness in my legs if I maintain one position for too long...
Dr. Jiang Junyi Reply:
Dear Ms. Kirao, You mentioned that "prolonged posture can easily lead to leg numbness," which may indicate symptoms of peripheral nerve compression. Symptoms of peripheral nerve abnormalities often include: 1. Pain characterized by burning or tingling sensations; 2. Sy...[Read More] Understanding Leg Numbness: Is It Related to Pelvic Misalignment?
Understanding Muscle Twitches: Causes and Concerns in Neurology
Muscle twitching Doctor, for the past few days, I've been experiencing a peculiar twitching sensation in my chest, primarily when I'm sitting in a chair. It feels like it's happening near my heart, with some muscle twitching a little bit. Sometimes it twitches once...
Dr. Jiang Junyi Reply:
Dear Mr. Bin, You mentioned that "the position of the muscle twitching is just a little bit next to the heart," which may indicate instability in the pectoral muscle group. Muscle twitching while awake could be associated with certain metabolic disorders, such as hyper...[Read More] Understanding Muscle Twitches: Causes and Concerns in Neurology
Understanding Persistent Ear Congestion and Hearing Loss: Insights from Neurology
Ear fullness and difficulty hearing? Hello Dr. Jiang, In February 2022, I woke up one morning to find that I was experiencing ear fullness. I went to an otolaryngologist, and after a week of treatment, the ear fullness resolved. However, a week later, the ear fullness returned, ...
Dr. Jiang Junyi Reply:
Dear Mr. Hsiao Cheng, You mentioned experiencing symptoms such as "ear fullness, difficulty hearing, and dizziness... and that your brain MRI results were normal." Your symptoms may suggest Eustachian tube dysfunction. This issue can often present normal results in var...[Read More] Understanding Persistent Ear Congestion and Hearing Loss: Insights from Neurology
Understanding Throat Sensation and Nausea: When to Seek Medical Help
Sensation of a foreign body in the throat with dry heaving? Hello Doctor: About two weeks ago, I started experiencing headaches... The sensation is a tightness in the forehead between the eyebrows, with pain on both sides of the head. Sometimes I feel dizzy and nauseous. After vi...
Dr. Jiang Junyi Reply:
Dear Mr. Johnny, You mentioned that you feel tightness in your forehead and between your eyebrows, experience pain on both sides of your head, and sometimes feel dizzy and nauseous. After visiting the clinic and receiving pain medication, you noticed some improvement. You also m...[Read More] Understanding Throat Sensation and Nausea: When to Seek Medical Help
Understanding Facial Numbness and Tingling: Possible Causes and Concerns
Numbness in the face and hands? Hello, doctor. I have a slight tingling sensation around my right cheek and right ear. Two years ago, it was around my ear, and now it’s on my cheek. I can feel a soft, movable lump about one centimeter on my right cheek. Visually, the nasolabial f...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned several issues. Clinically, we should first address the acute problems. The "slight tingling sensation around the right cheek and right ear... a soft, movable lump" may indicate potential compression of the trigeminal nerve, specifically the ...[Read More] Understanding Facial Numbness and Tingling: Possible Causes and Concerns
Understanding Left Toe Numbness: Possible Causes and Solutions
Numbness in the third and fourth toes of the left foot? Hello Dr. Jiang: About four months ago, I started experiencing a tingling and numbness in my left toes when I stood on my tiptoes, similar to an electric shock sensation. Later, during the Qingming holiday, I noticed that my...
Dr. Jiang Junyi Reply:
Dear Ms. Li, You mentioned "polyneuropathy," which typically shows abnormalities in nerve conduction studies. The symptoms you described, such as soreness in the entire left leg and buttock, as well as soreness in the left buttock and posterior thigh while sitting, and...[Read More] Understanding Left Toe Numbness: Possible Causes and Solutions
Understanding Finger Tingling: Causes and When to Seek Help
Numbness in the fingertips? Hello, doctor. For the past three days, I have been experiencing a sensation in the fingertips of both hands (more so in the right hand) that feels like there is a foreign object present, intermittently. Occasionally, I also feel a tingling sensation, ...
Dr. Jiang Junyi Reply:
Dear Mr. A-Jia, You mentioned that "sometimes there is, sometimes there isn't... occasionally feeling like an electric current flowing through the back of the hand and fingers," which may suggest a peripheral nerve issue. Common causes include sensory nerve abnorm...[Read More] Understanding Finger Tingling: Causes and When to Seek Help
Understanding Multiple Sclerosis: Symptoms, Diagnosis, and Brain Wave Tests
Multiple Sclerosis I would like to ask that at the beginning of this month, I felt discomfort in my eyes and visited several doctors who all said it was eye fatigue but noted that my intraocular pressure was elevated. Following that, I experienced symptoms of heaviness in my head...
Dr. Cai Zongzhang Reply:
Hello, based on the symptoms mentioned, it cannot be definitively determined as multiple sclerosis. It is recommended to visit a neurologist for further evaluation and testing.[Read More] Understanding Multiple Sclerosis: Symptoms, Diagnosis, and Brain Wave Tests
Understanding Right Calf Numbness and Burning Sensation: Causes and Insights
Numbness in the right calf? About two months ago, I accidentally touched the outer side of my right thigh, and I felt a tingling sensation on the outer side of my right calf. Recently, I have also been experiencing a slight burning sensation.
Dr. Cai Zongzhang Reply:
Hello Mr. Tsai: Based on the above, the symptoms have persisted for 2 months. It is recommended to visit a neurologist for further evaluation to determine the underlying cause.[Read More] Understanding Right Calf Numbness and Burning Sensation: Causes and Insights
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:
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:
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:
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
Understanding Left Shoulder Blade Tension: Causes and Treatments
Tightness in the upper left back and shoulder blade? Hello, Doctor: I previously had an examination due to discomfort in my back, which revealed that there was a knot formed in the spinal ligaments. It was eventually resolved through manual therapy, but I have noticed that my lef...
Dr. Jiang Junyi Reply:
Dear Mr. Hsiao-fu, You mentioned experiencing "a sudden sharp pain that then returns to normal," which may suggest nerve root compression at the C7 vertebra or upper thoracic spine. If there is a herniated disc, it could lead to localized inflammatory responses causing...[Read More] Understanding Left Shoulder Blade Tension: Causes and Treatments
Understanding Skin Pain and Numbness in the Arm: A Neurological Perspective
Skin prickling and finger numbness? Hello, my symptoms started on April 17th with a tingling sensation and occasional sharp pain in the inner skin of my left arm when lightly touched or rubbed against clothing. On that day, I also experienced general fatigue and a mild headache. ...
Dr. Jiang Junyi Reply:
Dear Ms. Eden, You mentioned that on April 20th, the areas of pain and discomfort, in addition to your left arm, include the skin on the upper left chest near the armpit, along with weakness in your left hand and numbness in your left pinky and ring fingers. This may suggest com...[Read More] Understanding Skin Pain and Numbness in the Arm: A Neurological Perspective
Understanding Weakness and Tremors in the Elderly: A Neurology Perspective
Generalized weakness and tremors? Hello, doctor! My mother is 78 years old and started experiencing generalized weakness and trembling about a month ago. However, her condition improves significantly after she eats and replenishes her caloric intake. The key issue is that she nee...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "as long as she eats... the situation will improve significantly, the key is that she needs to eat every 2-3 hours." It may be necessary to consider autonomic nervous system abnormalities. Generally, the autonomic nervous system is regulat...[Read More] Understanding Weakness and Tremors in the Elderly: A Neurology Perspective
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:
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:
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