Understanding Persistent Numbness: When to Seek Medical Attention
Numbness in the limbs? Around mid-October last year, I experienced a tingling sensation in my right groin area, which persisted for about a week in the same location, varying in intensity. During that week, on one day close to noon, I also felt tingling on the right side of my fa...
Dr. Jiang Junyi Reply:
Hello Ms. Ivy: You mentioned that "there is a tingling sensation on the right side of the body... the right side of the face also feels tingly... and the headache persists for two to three hours." Your symptoms seem unlikely to be explained solely by a herniated disc ca...[Read More] Understanding Persistent Numbness: When to Seek Medical Attention
Understanding Dizziness and Autonomic Nervous System Disorders
Dizziness, autonomic nervous system issues? Hello Doctor, Subject: 1. I experienced several episodes of fainting in early December 2022 after performing 100 sit-ups in a short period as part of my exercise routine. A few days later, while walking on the street, I suddenly lost...
Dr. Jiang Junyi Reply:
Hello Mr. Li: You mentioned experiencing several episodes of syncope while walking, feeling as if you suddenly lost consciousness... Your symptoms are more likely caused by syncope. When cerebral blood flow drops below 30 ml per minute, it can lead to loss of consciousness, usu...[Read More] Understanding Dizziness and Autonomic Nervous System Disorders
Understanding Ear Issues Post-COVID: Tinnitus and Heartbeat Sounds Explained
Ear problems? Three months ago, I was diagnosed with COVID-19. I experienced loud tinnitus in my left ear, along with a pronounced heartbeat sound when I turned my head to the right. I consulted an otolaryngologist at a major hospital, who listened to the blood flow in my ear and...
Dr. Peng Shiwei Reply:
Hello, based on your description, your symptoms have improved by 80%. What you should do now is to maintain the current state and relax. Engaging in more physical activity is also beneficial. Wishing you a speedy recovery, and thank you for your question.[Read More] Understanding Ear Issues Post-COVID: Tinnitus and Heartbeat Sounds Explained
Understanding Dizziness While Driving: Potential Neurological Concerns
Feeling dizzy and unwell while driving? Hello, doctor. I am inquiring on behalf of my family, specifically my mother, who is 28-30 years old. She traveled from Taipei to Yilan and Lala Mountain, driving through the Snow Tunnel and navigating over four hours of mountainous roads. ...
Dr. Jiang Junyi Reply:
Hello: You mentioned experiencing dizziness and discomfort... taking medications for lowering blood sugar, and having a history of cancer with ongoing medication. If, in addition to dizziness, there are sudden neurological deficits such as limb weakness or slurred speech, the fir...[Read More] Understanding Dizziness While Driving: Potential Neurological Concerns
Can You Have Myasthenia Gravis Without Obvious Symptoms?
Can myasthenia gravis occur without obvious symptoms? Hello Doctor: Previously, I visited an ophthalmologist due to tightness around my eye muscles and dry eye syndrome. I informed the doctor that after using a medication containing "neostigmine" for about a month, my p...
Dr. Jiang Junyi Reply:
Hello, Miss: The main clinical manifestation of myasthenia gravis is muscle weakness, with weakness of the extraocular muscles that control eye movement being the most common. "Night sweats and palpitations" typically occur when the myasthenia gravis worsens and affects...[Read More] Can You Have Myasthenia Gravis Without Obvious Symptoms?
Is It Panic Attack or Seizure? Understanding Your Symptoms
Could you please clarify if this is considered a panic attack or an epileptic seizure? Hello, Dr. Jiang: For the past three days, in addition to my pre-existing muscle twitching, I have been experiencing difficulty breathing, panic, generalized weakness, and difficulty concentrat...
Dr. Jiang Junyi Reply:
Dear Mr. Jim Than, You mentioned experiencing "shortness of breath, panic, generalized weakness, and difficulty concentrating." Your symptoms may suggest a panic disorder. Generalized seizures typically result in loss of consciousness. Approximately 50% of patients wit...[Read More] Is It Panic Attack or Seizure? Understanding Your Symptoms
Understanding Neck Ultrasound Follow-Up for Dizziness and Heart Issues
Regarding cervical ultrasound follow-up examination? Dr. Peng, previously, due to dizziness, I underwent three cervical ultrasounds: in 1993 (at Shou-Ji Family Medicine), in 2014 (at Chang Gung Neurology), and in 20XX (at Shou-Ji Neurology). From 2003 to 2013, my dizziness was al...
Dr. Peng Shiwei Reply:
Hello Mr. Chang, no problem! You can register first, and then I will help you with the assessment. Thank you for your inquiry.[Read More] Understanding Neck Ultrasound Follow-Up for Dizziness and Heart Issues
Understanding Facial Twitching: When to See a Neurologist
Facial twitching? Doctor, I started experiencing muscle twitching on the left side of my nose bridge while at work yesterday. The twitching is particularly noticeable when my body is relaxed, and it has persisted until now. Should I see a neurologist, or should I observe the symp...
Dr. Jiang Junyi Reply:
Hello Mr. Tian: You mentioned that "the muscle twitching on the left side of the nasal bridge, especially noticeable when the body is relaxed, has persisted until now." Facial movements are controlled by the facial nerve, and during the consultation, the physician will ...[Read More] Understanding Facial Twitching: When to See a Neurologist
Understanding Muscle Twitches: Causes and When to Seek Help
Muscle twitching is common? For the past ten years, I have experienced frequent muscle twitching throughout my body. However, since each episode lasted only a short time, I did not pay much attention to it. Now, this twitching has not ceased over time, and I find it quite distres...
Dr. Jiang Junyi Reply:
Dear Mr. Peter Zhan, You mentioned that "the muscles throughout my body often twitch, but since each twitch does not last long, I haven't paid much attention to it. However, this twitching has not stopped over time." Muscle twitching is primarily related to severa...[Read More] Understanding Muscle Twitches: Causes and When to Seek Help
Understanding Toe Numbness: Causes and Nerve Conduction Testing Insights
What causes numbness in the toes? Hello, doctor. If bone spurs or spinal instability are compressing the nerves, will it only cause numbness in the toes (a dull sensation without sharp pain), or could it also affect the calf area? If spinal instability is compressing the nerves, ...
Dr. Jiang Junyi Reply:
Hello Mr. Lin: You mentioned, "Could spinal spondylolisthesis compressing the nerves potentially cause only toe numbness? Would a nerve conduction study show abnormalities in this case, or would it be normal since only the toes are numb?" The electrodes for the nerve co...[Read More] Understanding Toe Numbness: Causes and Nerve Conduction Testing Insights
Understanding Eyelid Twitching: Causes and Connections to Oral Movements
Eyelid twitching? Hello Doctor: On January 26, 2023, in the afternoon, my left upper eyelid started twitching, and it felt heavy. On the evening of January 27, when I began to eat, the frequency of my jaw clenching coincided with the twitching of my left upper eyelid; every time ...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "the left upper eyelid is twitching, and it jumps when I bite." Your symptoms may initially suggest simple eyelid twitching. Eyelid movements are controlled by the facial nerve, and if the eyelid is twitching continuously, the doctor will...[Read More] Understanding Eyelid Twitching: Causes and Connections to Oral Movements
Understanding Tooth and Temple Pain: Is It Related to Neck Nerve Compression?
Pain in the upper and lower right teeth, as well as pain in the temples? This afternoon, I suddenly experienced pain in my upper and lower right teeth, which later extended to my right temple. Last year, I visited a neurosurgeon due to neck pain, and an MRI revealed a herniated d...
Dr. Jiang Junyi Reply:
Dear Mr. Ze, You mentioned, "Is the toothache along with the pain in the temples possibly due to cervical nerve compression?" This symptom indeed warrants consideration of high cervical nerve root compression, specifically involving the first to third cervical vertebra...[Read More] Understanding Tooth and Temple Pain: Is It Related to Neck Nerve Compression?
Facial Numbness: Neurological Concerns or Food Allergy?
Facial issues Hello Doctor: I would like to ask about experiencing occasional numbness on the left side of my face over the past year. However, my facial expressions remain unaffected, and the numbness gradually improves within 1-2 hours. Recently, I have particularly noticed tha...
Dr. Jiang Junyi Reply:
Dear Ms. Chang, You mentioned that "the special observation is that facial numbness occurs particularly when eating sushi." Your symptoms may suggest a dysfunction of the trigeminal nerve. This condition can sometimes progress to trigeminal neuralgia. Demyelination of ...[Read More] Facial Numbness: Neurological Concerns or Food Allergy?
Understanding Foot Pain and Numbness: Causes and Next Steps
Light pressure on the sole of the foot causes sharp pain? Numbness below the ankle (including toes and soles) is often experienced, with light pressure causing sharp pain and a sensation of poor blood circulation, making walking difficult. There is also numbness in the calves and...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "below the ankle (including toes, soles, etc.) often feels numb... The MRI only indicated that the spine is slightly smaller, and it seems there is no compression on the nerves." Since lumbar MRI is performed while lying down, it cannot tr...[Read More] Understanding Foot Pain and Numbness: Causes and Next Steps
Post-Accident Symptoms: Cramps, Pain, and Dizziness Explained
After the car accident, I experienced spasms, tingling, and cramps in my limbs, along with dizziness? Hello Doctor: I was in a car accident on January 6, where I was lying face down on the ground and my lower body was pinned under a motorcycle. (Before the emergency room, I could...
Dr. Jiang Junyi Reply:
Dear Ms. Wu, You mentioned that you have a "humming" sound in your right ear (similar to a machine), followed by fluid discharge. Your symptoms may suggest ear leakage, potentially caused by a skull base fracture, particularly involving the petrous part of the temporal...[Read More] Post-Accident Symptoms: Cramps, Pain, and Dizziness Explained
Understanding Persistent Dizziness and Chest Discomfort: A Patient's Journey
Dizziness issues? Hello, Doctor. I am the person who asked question #191468. Thank you for your advice. I later underwent HRV testing, and the report was normal. However, I have recently felt that my condition has worsened, both physically and mentally. Currently, I feel dizzy wh...
Dr. Jiang Junyi Reply:
Hello Miss Enola: "The HRV test results are normal." Heart Rate Variability (HRV) is actually a dynamic data point. It is recommended to monitor it using wearable devices like the Apple Watch. You mentioned, "I have always wanted to find the cause, but it’s contrad...[Read More] Understanding Persistent Dizziness and Chest Discomfort: A Patient's Journey
Rehabilitation Strategies for Left Brain Hemorrhage Recovery
Rehabilitation after left hemisphere hemorrhage? Hello Dr. Jiang, My mother (approximately 65 years old) suddenly experienced dizziness on January 16, followed by a gradual loss of consciousness and almost no sensation in her right limbs. She was taken to the emergency room whe...
Dr. Jiang Junyi Reply:
Dear Mr. Chang, You mentioned that "the nurse said my mother's condition is not suitable for hyperbaric oxygen therapy." (1) The following diseases or symptoms are contraindications for treatment: 1. Epilepsy 2. Chronic obstructive pulmonary disease (COPD) 3....[Read More] Rehabilitation Strategies for Left Brain Hemorrhage Recovery
Managing Dizziness and Migraines: Insights on Medication and Supplements
Shunao, vertigo, migraine? Hello Dr. Jiang, On January 9th, I woke up and immediately felt like the room was spinning, making it difficult to stand. I had a video consultation with a family medicine clinic, and they diagnosed me with suspected vestibular imbalance causing dizzi...
Dr. Jiang Junyi Reply:
Hello Ms. Jiang, You mentioned, "Can I usually supplement with calcium, magnesium, and zinc as health products?" Generally speaking, when nutritional status is adequate, our bodies do not lack magnesium, calcium, or zinc. The absorption of magnesium from the diet can b...[Read More] Managing Dizziness and Migraines: Insights on Medication and Supplements
Understanding Eye Pressure and Head Pain: Causes and Relief Strategies
High intraocular pressure, pain in the temples and eye sockets, stiffness in the shoulders and neck, and nausea? Hello Doctor: I have been troubled by a persistent issue that occurs occasionally, and each time it is quite uncomfortable. The situations in which it happens are not ...
Dr. Jiang Junyi Reply:
Dear Ms. P: The symptoms you mentioned resemble typical vascular headaches, commonly known as migraines. The diagnostic criteria for migraines are as follows: 1. Headaches occur more than 5 times. 2. Without taking pain relief medication, the headache lasts for more than 4 hour...[Read More] Understanding Eye Pressure and Head Pain: Causes and Relief Strategies
Understanding Morning Seizures: Epilepsy or Other Neurological Issues?
Morning seizures Hello, I would like to ask about my wife, who is 30 years old and had two generalized seizures while sleeping half a month ago, leading to a diagnosis of epilepsy. Currently, all tests show no abnormalities. She is taking medication in the morning and evening, bu...
Dr. Jiang Junyi Reply:
Hello Mr. Huang, You mentioned that "my wife experiences abdominal tightness and cramping between 6:00 and 8:00 in the morning." This is not a symptom of ankylosing spondylitis. In addition to cerebral discharges, we should consider lumbar nerve root compression. I wou...[Read More] Understanding Morning Seizures: Epilepsy or Other Neurological Issues?