Understanding Unilateral Tinnitus and Ear Pain: Seeking the Right Specialist
Tinnitus in the right ear with three different types, pain in the temple, and pain in the ear slightly higher towards the left? Every night, I experience persistent unilateral tinnitus that has evolved into three types: pulsatile tinnitus synchronized with my heartbeat, a mid-fre...
Dr. Jiang Junyi Reply:
Hello Ms. Lin: You mentioned "unilateral tinnitus, ear pain, pulsatile tinnitus, pain in the temple area, and discomfort in the back of the head that radiates towards the ear, with increased pain when leaning slightly to the left." I recommend that you first stabilize t...[Read More] Understanding Unilateral Tinnitus and Ear Pain: Seeking the Right Specialist
Managing Nerve Pain and Discomfort in Hands and Feet
Numbness and pain in the hands and feet? Hello Dr. Jiang, I previously underwent rehabilitation treatment for my cervical spine issues, during which the numbness and tingling in my fingers were not as severe. However, after moving, I have had less opportunity to continue rehabil...
Dr. Jiang Junyi Reply:
Dear Ms. Peng, You mentioned that "I must lie down to feel better, and lifting heavy objects or walking exacerbates the numbness and pain in my fingers, which has recently become unbearable." Your symptoms may suggest peripheral nerve compression, and there could also ...[Read More] Managing Nerve Pain and Discomfort in Hands and Feet
Understanding Neurological Disorders: Symptoms and Concerns Explained
Neurodisorder Hello Doctor, my recent condition is as follows: On the night of November 2nd, I experienced tinnitus and dizziness. On the morning of November 3rd, I woke up with muscle cramps and palpitations, and I began to feel numbness in my tongue. On the night of November 6t...
Dr. Cai Zongzhang Reply:
The above symptoms are related to dysfunction of the right facial nerve. It is recommended to visit a neurology outpatient clinic for examination and treatment.[Read More] Understanding Neurological Disorders: Symptoms and Concerns Explained
Understanding Occipital Pain When Lying on a Pillow
Headache when lying on the pillow while sleeping? Hello, doctor. I experience pain about 3 centimeters above the back of my head when lying on a pillow. Pressing firmly with my hand also causes pain. There are no skin conditions on my scalp, and the pain feels like it originates ...
Dr. Peng Shiwei Reply:
Hello, if there is significant tenderness and the pain point is very specific, it may be an issue related to the subcutaneous tissue or bone. It is recommended to consult with an internal medicine physician.[Read More] Understanding Occipital Pain When Lying on a Pillow
Understanding Heart Palpitations and Chest Pain After Vaccination
Chest pain and palpitations? In the past, I had a habit of exercising. After receiving my second dose of the Moderna vaccine in May of this year, I experienced palpitations (heart rate of 130-140) and had to visit the emergency room several times. However, all cardiac tests came ...
Dr. Peng Shiwei Reply:
Hello, it is indeed possible to experience palpitations after receiving the Moderna vaccine, but they typically do not last for an extended period. If your symptoms persist and other symptoms begin to appear, it is advisable to consult a cardiologist to rule out any heart-related...[Read More] Understanding Heart Palpitations and Chest Pain After Vaccination
Is Numbness on One Side of the Face and Body a Stroke Warning?
Numbness in one side of the face, hand, and foot? On the sixth day after being diagnosed with Covid-19, I experienced mild numbness on the right arm, below the knee, and from the chin to the neck when my symptoms were almost resolved. My movements and speech are normal, and there...
Dr. Peng Shiwei Reply:
Hello, numbness on one side of the body can indeed be a symptom of a stroke; however, it usually affects a larger area, such as the entire right side of the limbs, or even including the torso and half of the face. Based on the extent of your numbness, the likelihood of a stroke i...[Read More] Is Numbness on One Side of the Face and Body a Stroke Warning?
Understanding Evening Headaches: Causes and When to Seek Help
Normal during the day, headache at night? Hello Doctor, I apologize for bothering you. Currently, I work in the morning and attend classes in the evening, with my sleep schedule being approximately from 12:00 AM to 6:50 AM. I have experienced similar situations before, but they d...
Dr. Peng Shiwei Reply:
Based on your condition, it is recommended that you visit a neurology outpatient clinic for further evaluation, as additional tests may be necessary.[Read More] Understanding Evening Headaches: Causes and When to Seek Help
Persistent Numbness in Foot and Leg: Seeking Medical Guidance
Numbness in the dorsum of the foot for over four months, and now there is also some numbness in the calf? Hello Doctor, I really don't know what to do now and would like to ask for your opinion. I am currently a senior in college and have recently been exercising, walking br...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, if they are gradually worsening, I recommend visiting a neurology outpatient clinic at a major hospital. To rule out nerve compression, more advanced imaging studies are necessary, so I suggest you start with regular follow-up for a while.[Read More] Persistent Numbness in Foot and Leg: Seeking Medical Guidance
Understanding Electromyography Results: Insights on Chronic Denervation and Neuropathy
Electromyography Interpretation I'm sorry, doctor. Due to symptoms of a herniated disc in the early stages, I underwent a month of treatment, including various tests such as MRI of the spine, X-rays, and electromyography (EMG). The EMG doctor mentioned that aside from some a...
Dr. Jiang Junyi Reply:
Hello Mr. Shang: You mentioned that the "Needle EMG study showed chronic denervation changes in the right tibialis anterior," which suggests chronic localized peroneal nerve pathology. This is not a typical finding for motor neuron disease. I recommend discussing this w...[Read More] Understanding Electromyography Results: Insights on Chronic Denervation and Neuropathy
Understanding Complex Head and Neck Pain: Possible Causes and Solutions
Pain in the neck, occipital region, temples, eyebrows, and cheekbones? Hello doctor, last Wednesday I carried two bottles of formula, each weighing 1.6 kg, home by bike. It was noon and the sun was very strong and glaring. After getting home, I started to have a headache. I initi...
Dr. Jiang Junyi Reply:
Hello Ms. A: You mentioned that "when lying down, I feel very uncomfortable from the back of my head to my shoulders, and my head hurts when I lie down. Additionally, my gums around the upper left wisdom tooth have been inflamed recently, and I experience throbbing pain in t...[Read More] Understanding Complex Head and Neck Pain: Possible Causes and Solutions
Understanding Right-Sided Numbness: Stroke Warning Signs Explained
Numbness starting from the right leg? Hello: Last night I noticed numbness on the outer side of my right foot, and this afternoon the outer side of my right leg and the outer side of my hand and arm also started to feel numb. Just now, I also felt slight numbness on the right sid...
Dr. Jiang Junyi Reply:
Hello Ms. Huang, You mentioned that "the right side of my face and neck feel slightly numb; could this be a sign of a stroke?" The presence of unilateral neurological symptoms may warrant consideration of lesions along the sensory pathways from the brain to the spinal ...[Read More] Understanding Right-Sided Numbness: Stroke Warning Signs Explained
Left Ear Ringing, Dizziness, and Facial Numbness: When to Seek Brain Imaging?
Tinnitus in the left ear, dizziness, and left-sided facial numbness? I usually have symptoms of chronic rhinitis, such as sneezing and post-nasal drip. Recently, I have experienced prolonged tinnitus in my left ear that hasn't improved, and I have also started to feel numbne...
Dr. Peng Shiwei Reply:
Based on your symptoms, it is recommended that you consult a neurologist.[Read More] Left Ear Ringing, Dizziness, and Facial Numbness: When to Seek Brain Imaging?
Understanding Facial and Scalp Numbness: Causes and Next Steps
Regarding facial and scalp numbness (medical examination has been conducted)? Hello, doctor. For the past two months, I have been experiencing intermittent numbness on the right side of my scalp and cheek, and occasionally around my nose. I do not have diabetes, hypertension, or ...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "the right side of the scalp and cheek area experiences intermittent numbness, and occasionally there is a tingling sensation near the nose." The MRI report did not reveal any lesions related to the trigeminal nerve. The symptoms should b...[Read More] Understanding Facial and Scalp Numbness: Causes and Next Steps
Understanding Nerve Issues: Hand Numbness, Facial Tingling, and Tinnitus
Numbness in the hands and face accompanied by tinnitus? Previously, I visited a traditional Chinese medicine practitioner for a stiff neck, and after some time, my shoulder and neck pain improved. However, I suddenly started experiencing numbness in my hands, so I went to a nearb...
Dr. Jiang Junyi Reply:
Hello Mr. Hsu: You mentioned that "sometimes when I wake up, I find my hands completely numb, and it takes about a few seconds to recover. The rehabilitation doctor said that invasive tests are needed to understand the symptoms." It may be necessary to consider compress...[Read More] Understanding Nerve Issues: Hand Numbness, Facial Tingling, and Tinnitus
Understanding Lip Numbness: COVID-19 Symptoms or Stroke Warning?
Numbness of the lips? Hello, doctor. During my COVID-19 diagnosis at the end of August, I experienced lip numbness, which has since become more frequent, often lasting over a day. The numbness is located on the outer edge of my lips. Is this a symptom of COVID-19, or could it be ...
Dr. Jiang Junyi Reply:
Dear Ms. A-Liang, You mentioned that "your lips feel numb, and the frequency of this numbness has increased, often lasting more than a day, with the numbness occurring around the outer edges of the lips." Your symptoms may suggest that hyperventilation could be causing...[Read More] Understanding Lip Numbness: COVID-19 Symptoms or Stroke Warning?
Understanding Hand Numbness and Memory Lapses in Seniors
Numbness in the hands and brief episodes of mental blankness? Hello, my father is 68 years old and has been experiencing insomnia and numbness in his hands for about six months. Recently, while playing Mahjong with friends at night, he found it difficult to arrange the tiles. He ...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "you found it difficult to arrange the Mahjong tiles... and your father is concerned whether it is dementia." This symptom is indeed indicative of cognitive dysfunction. Clinically, we would inquire about the patient's medical history and ...[Read More] Understanding Hand Numbness and Memory Lapses in Seniors
Understanding Paresthesia and Skin Bumps in the Right Leg: Causes and Concerns
Sometimes, there are goosebumps on the right foot? Why does my right foot sometimes have goosebumps and a tingling sensation? I have also experienced occasional sharp pain in my right chest; could this indicate a nerve issue or a potential stroke? Previously, I never experienced ...
Dr. Jiang Junyi Reply:
Dear Ms. Hui, You mentioned that "sometimes there are goosebumps and a tingling sensation in your right foot." Your symptoms may suggest that the lumbar nerve roots are being compressed. Peripheral nerve issues are typically evaluated using electrophysiological tests t...[Read More] Understanding Paresthesia and Skin Bumps in the Right Leg: Causes and Concerns
Understanding Foot Pain: Neurological Causes and Symptoms Explained
Foot pain issues? Hello Dr. Jiang, I would like to ask if lumbar nerve compression can cause swelling or inflammation in the soles of the feet, along with foot pain after prolonged standing, and symptoms such as tightness and stiffness in the calf muscles. Does slow nerve conduct...
Dr. Jiang Junyi Reply:
Dear Mr. Hsiao: You mentioned that "lumbar nerve compression... slow nerve conduction equals nerve compression." Symptoms of peripheral nerve compression are commonly observed as follows: 1. Pain characterized by burning sensations and tingling. 2. Symptoms have a spec...[Read More] Understanding Foot Pain: Neurological Causes and Symptoms Explained
Understanding MRI Limitations in Central Nervous System Assessment
Interpretation of Central Nervous System MRI Hello Dr. Jiang, after undergoing brain surgery last year, I developed symptoms related to the trigeminal and facial nerves. During this period, I have undergone blood tests, nerve conduction studies, and magnetic resonance imaging (MR...
Dr. Jiang Junyi Reply:
Dear Mr. Zolt, You mentioned that the tests for trigeminal and facial nerve symptoms, including blood tests, nerve conduction studies, and MRI scans, showed normal results for the first two, but the MRI results indicated that the physician could not accurately assess the conditi...[Read More] Understanding MRI Limitations in Central Nervous System Assessment
Understanding Polyneuropathy: Steroids vs. Immunoglobulin Treatment
Systemic neuropathy Dear Dr. Jiang, I visited a neurologist yesterday, and the doctor diagnosed me with "multiple neuritis." He prescribed corticosteroids for two weeks. I would like to ask whether it is more effective to receive intravenous immunoglobulin (IVIG) treatm...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "immunoglobulin" is clinically used in acute inflammatory demyelinating polyradiculoneuropathies (AIDP), also known as Guillain-Barré syndrome. The typical clinical symptoms include bilateral symmetric progressive weakness, limb pain, and tingl...[Read More] Understanding Polyneuropathy: Steroids vs. Immunoglobulin Treatment