Could Your Mysterious Symptoms Be Related to Autonomic Nervous System Dysfunction?
Is it autonomic nervous system dysfunction? Hello Doctor: Since the beginning of December this year, I have been experiencing a series of inexplicable pains. I visited a cardiologist who diagnosed me with mitral valve prolapse and mild hypertension. I also went to a pulmonologist...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to consult a neurologist for an evaluation of the underlying cause.[Read More] Could Your Mysterious Symptoms Be Related to Autonomic Nervous System Dysfunction?
Understanding Lower Back Pain After Surgery: Causes and Solutions
Lower back pain issues? Hello doctor, I have been experiencing lower back pain since my surgery in July (I had surgery on my left toe under spinal anesthesia; I also had surgery on my right foot earlier this year, also under spinal anesthesia). Today, I felt a recurrence of achin...
Dr. Peng Shiwei Reply:
Hello, issues with the lower back or intervertebral discs can still occur in young individuals. If you are concerned, you can visit a neurology clinic for consultation. Thank you for your question.[Read More] Understanding Lower Back Pain After Surgery: Causes and Solutions
Can Devices Accurately Diagnose Autonomic Nervous System Disorders?
Is there a device that can detect autonomic nervous system dysfunction? Hello, doctor. I have been suffering from irritable bowel syndrome (diarrhea type) since my student days. Recently, I finally mustered the courage to undergo an endoscopy, and the results showed that my intes...
Dr. Jiang Junyi Reply:
Hello, You asked, "Is there a specialized instrument to test for autonomic nervous system disorders? Do general clinics have this, or is it only available in large hospitals?" Here are four commonly used tools for assessing autonomic nervous system disorders: ● Hea...[Read More] Can Devices Accurately Diagnose Autonomic Nervous System Disorders?
Understanding Left Jaw Pain: When to See a Neurologist or Dentist
Sharp pain in the left lower jaw and cheek? Hello Doctor: For the past two days, I've been experiencing intermittent sharp pain on the left side of my cheek, feeling like someone is poking me with a needle or giving me an electric shock, which is quite uncomfortable. The pai...
Dr. Jiang Junyi Reply:
Hello Ms. Chen, You mentioned that "the pain extends from the jaw up to the temples, around the eyes, and the scalp, and down to the chin, occurring several times a minute or suddenly once every few hours. The pain intensifies during activities such as eating, yawning, turn...[Read More] Understanding Left Jaw Pain: When to See a Neurologist or Dentist
Understanding Deep Eye Pain and Swelling: Possible Causes and Solutions
Deep pain in the orbit and a sensation of eye swelling? Hello Doctor: I have been experiencing headaches for a year, with a persistent feeling of swelling deep in the area around the right eye socket and nasal bridge. I feel pressure in my right eye (there is a noticeable differe...
Dr. Jiang Junyi Reply:
Dear Mr. Lan, You mentioned that "the pressure and pain around the eye area have increased and radiate to the upper right teeth, and there is also discomfort in the right posterior neck and occipital region. The pain is persistent..." Your symptoms may suggest the poss...[Read More] Understanding Deep Eye Pain and Swelling: Possible Causes and Solutions
Understanding Dizziness: Causes and When to Seek Neurological Help
Dizziness, lightheadedness, or mild vertigo? For the past one and a half months, I have been experiencing dizziness (lightheadedness, heaviness) upon waking up in the morning while lying in bed. When I sit up, it feels okay, but when I stand and walk, I feel dizzy (lightheaded) a...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, postural changes in blood pressure and heart rate, as well as postural dizziness and inner ear imbalance, could all be potential causes. It is recommended that you visit a major hospital's neurology or otolaryngology outpatient clinic (you can ...[Read More] Understanding Dizziness: Causes and When to Seek Neurological Help
Exploring the Connection Between Tinnitus and Neck Muscle Tension
I would like to ask a very peculiar question regarding the relationship between tinnitus and neck muscles? Hello Doctor: About a month ago, I suddenly experienced tinnitus in my left ear. I subsequently underwent hearing tests, tympanometry, and nasopharyngoscopy at two major hos...
Dr. Cai Zongzhang Reply:
Hello MK: Based on the symptoms mentioned, it is recommended to schedule a carotid ultrasound examination with a neurologist.[Read More] Exploring the Connection Between Tinnitus and Neck Muscle Tension
Investigating Post-AZ Vaccine Neurological Issues: A Case of Myasthenia Gravis
Development of myasthenia gravis after receiving the AZ vaccine? Hello Doctor: After receiving my first dose of the AZ vaccine in mid to late July 2021, I noticed that I frequently fell from late July to early August. I initially thought it was due to not exercising for a long ti...
Dr. Hong Weibin Reply:
Hello: Currently, similar case reports can be found in the PubMed search engine of the National Library of Medicine at the National Institutes of Health in the United States.[Read More] Investigating Post-AZ Vaccine Neurological Issues: A Case of Myasthenia Gravis
Understanding Neck Pain: Causes, Symptoms, and Relief Strategies
Neck pain Hello doctor, I have been experiencing frequent pain in the area connecting the back of my head to my neck, which is also causing headaches, dizziness, and occasional nausea. I have been unable to find a suitable position to alleviate the pain. Do you have any recommend...
Dr. Hong Weibin Reply:
Hello: If there is persistent pain in that area, it may be caused by fascial inflammation, often due to prolonged poor posture. It is advisable to seek assistance from a rehabilitation specialist or a physical therapist.[Read More] Understanding Neck Pain: Causes, Symptoms, and Relief Strategies
Understanding Pulsatile Tinnitus: When to Seek Further Evaluation
Please ask again? Hello Doctor: A few days ago, I asked about experiencing a pulsating sensation in my ear when turning my head after being diagnosed, but it doesn't happen every time. Sometimes I don't hear it at all. You mentioned it could be an issue with the Eustach...
Dr. Jiang Junyi Reply:
Hello: You mentioned "brain MRI? Can I find this examination at a health check-up center with self-payment?" Typically, MRI is available only at regional hospitals. "Regarding the time to improve allergies, may I ask how many months should I wait before actively se...[Read More] Understanding Pulsatile Tinnitus: When to Seek Further Evaluation
Understanding Neck Ultrasound Results: What Your Report Means
Neck ultrasound examination? Hello Doctor, since August of this year, I have been experiencing a series of physical discomforts. I have undergone many tests, and I frequently have pain in my shoulders and neck, along with numbness in my left hand. Recently, I have also experience...
Dr. Cai Zongzhang Reply:
Hello Serein: Based on the symptoms mentioned, it is suggested that there may be conditions related to cervical spine or intracranial vascular diseases. It is recommended to visit a neurologist for a detailed examination to determine the cause.[Read More] Understanding Neck Ultrasound Results: What Your Report Means
Is Coexisting with Symptoms Enough? Insights on Post-COVID Neurological Issues
Is peaceful coexistence enough? Hello Doctor, I gave birth in September and was diagnosed with COVID-19 in October after completing my postpartum confinement. Since the diagnosis, I have noticed that I feel more fatigued and easily drowsy. Additionally, I have suddenly experience...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "the left ear is more affected by allergies (the left side is more prone to nasal congestion and post-nasal drip, etc.)," which may indicate a problem with the Eustachian tube. It is recommended to identify the allergens and reduce the occurren...[Read More] Is Coexisting with Symptoms Enough? Insights on Post-COVID Neurological Issues
Am I Experiencing Epilepsy or a Brain Tumor? Understanding My Symptoms
Do I have epilepsy? Could I possibly have a brain tumor? Hello Doctor, I have two questions to ask you, regarding headaches and epilepsy. Most importantly, I am very worried that I might have a brain tumor or something similar, and I hope to receive some advice. Regarding epile...
Dr. Cai Zongzhang Reply:
Hello, Student C: The symptoms mentioned may be related to sleep apnea. It is recommended to visit a neurologist for a detailed examination to determine the underlying cause.[Read More] Am I Experiencing Epilepsy or a Brain Tumor? Understanding My Symptoms
Understanding Dizziness and Limb Weakness: A Neurological Perspective
Dizziness, intermittent weakness in the right limbs, and sensations of numbness and tingling? Good day, Dr. Hong: I have developed a habit of exercising in recent years. During one pull-up exercise, I experienced dizziness and weakness in my right limbs. After resting for a few m...
Dr. Hong Weibin Reply:
Hello: It is recommended to maintain normal breathing during exercise and avoid excessive breath-holding, as this can lead to insufficient cerebral blood flow, dizziness, and symptoms such as weakness and numbness in the limbs due to the Valsalva maneuver. Your neck ultrasound ap...[Read More] Understanding Dizziness and Limb Weakness: A Neurological Perspective
Neck Movement Causing Stiffness and Pain in the Back of the Head
Neck rotation causing stiffness and pain in the occipital region of the head? Hello, doctor. I have a question. When I turn my neck at certain fixed angles, it causes stiffness and pain in the back of my head, especially on the left side, which is more painful. The pain also radi...
Dr. Hong Weibin Reply:
Hello: For neck pain, you can consult either a neurologist or an orthopedic specialist. Poor posture over a long period is the most common cause of neck pain and stiffness in the occipital region. It is recommended to limit the use of electronic devices and to avoid looking down ...[Read More] Neck Movement Causing Stiffness and Pain in the Back of the Head
Understanding Cerebrospinal Fluid Leaks: Symptoms and Treatment Options
Suspected cerebrospinal fluid leak? Hello Doctor: I have been experiencing very severe headaches intermittently since childhood. Sometimes they occur due to excessive exertion or fatigue, while at other times the cause is unclear. The symptoms are generally very painful whether I...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "the location of the headache changes with different positions, and if I eat on one side, I feel nauseous (if not, I don't feel anything special).... I suspect it might be a cerebrospinal fluid leak." Your symptoms may need to be co...[Read More] Understanding Cerebrospinal Fluid Leaks: Symptoms and Treatment Options
Understanding Involuntary Muscle Twitches: Causes and Solutions
Involuntary muscle twitching? Hello, doctor! Recently, I have been experiencing occasional muscle twitching and facial spasms. It feels like my face is on the verge of twitching, causing discomfort, particularly around the area near my eye socket close to my nose and the masseter...
Dr. Cai Zongzhang Reply:
Hello, if the above symptoms persist despite adequate rest and sleep, it is recommended to visit a neurology outpatient clinic for evaluation.[Read More] Understanding Involuntary Muscle Twitches: Causes and Solutions
Persistent Numbness in Thumb and Index Finger After Yoga: What to Know
Numbness in the right thumb and index finger after yoga? Hello Doctor: A few days ago, I practiced yoga as usual, and this particular class focused more on wrist usage. After the class, I felt numbness in my right thumb and index finger. I thought it would go away in a few minute...
Dr. Jiang Junyi Reply:
Dear Ms. Wang, You mentioned experiencing numbness in your right thumb and index finger, which may warrant consideration of typical discomfort symptoms associated with cervical radiculopathy. These symptoms can include pain in the shoulder or arm, as well as numbness, tingling, ...[Read More] Persistent Numbness in Thumb and Index Finger After Yoga: What to Know
Managing Neuropathy: Concerns About B12 and Vitamin Overdose
Myasthenia Gravis, medication issues? Hello Doctor: I previously experienced lumbar disc protrusion with lower back pain and ankle numbness. The doctor prescribed Methylcobalamin (B12) for nerve maintenance, but it doesn't seem to be effective. Is this considered a high-dose...
Dr. Peng Shiwei Reply:
Hello, in response to your inquiry, I can address it in two parts: 1. Can vitamin B complex be taken in excess? It is true that doctors often prescribe high doses of B12, but vitamins B and C are water-soluble vitamins. If the body takes in excess amounts, they are usually excr...[Read More] Managing Neuropathy: Concerns About B12 and Vitamin Overdose
Managing Parkinson's Disease: Addressing Anxiety and Daily Challenges
Parkinson's disease Dear Dr. Jiang, My mother was diagnosed with Parkinson's disease last August at the age of 66. She has had long-standing insomnia issues and has a naturally introverted and anxious personality. It wasn't until last year that she experienced wea...
Dr. Jiang Junyi Reply:
Hello Ms. Chen, You mentioned, "Heavy metal testing, due to living in the countryside and working in hotel housekeeping for 25 years. If there has indeed been excessive exposure and treatment, would it improve symptoms, and would her mood improve?" For atypical Parkins...[Read More] Managing Parkinson's Disease: Addressing Anxiety and Daily Challenges