Understanding Limb Weakness: Anxiety and Autonomic Nervous System Impact
There is a persistent issue of weakness in the limbs? Hello Doctor, I am a junior in college and I have anxiety disorder. I tend to become very anxious about physical symptoms. I take Diazepam in the morning and evening, and Clonazepam before bed. Recently, for more than two week...
Dr. Jiang Junyi Reply:
Hello, Student Chen: You mentioned that "for more than two weeks, there has been sudden weakness in the limbs and stiffness in the shoulders and neck, with shaking occurring when bending the arms and legs to a point of exertion." It may be necessary to first consider t...[Read More] Understanding Limb Weakness: Anxiety and Autonomic Nervous System Impact
Understanding Sleep Disturbances: Hallucinations and Breathing Issues
Hallucinations upon falling asleep, difficulty breathing, and a feeling of pressure? Hello Doctor: I am currently a senior high school student preparing for the university entrance exam, and I often feel a lot of pressure from studying, which leads to feelings of inexplicable sad...
Dr. Hong Weibin Reply:
Hello: Based on your description, it is recommended that you seek assistance from a sleep specialist at a hospital (such as a pediatric psychiatry or neurology department). It is important to consider whether there may be narcolepsy or depression involved. Additionally, your slee...[Read More] Understanding Sleep Disturbances: Hallucinations and Breathing Issues
Understanding CT Scans for Headaches: With or Without Contrast?
Headache CT scan? Hello, doctor. I would like to ask about my recent visit due to headaches. The doctor arranged a CT scan without the use of contrast dye, stating that the contrast would be more effective in detecting tumors. However, based on my symptoms, the doctor believes it...
Dr. Hong Weibin Reply:
Hello: Generally, contrast agents are administered when there is suspicion of tumors, brain inflammation, infections, or similar conditions. After intravenous injection of the contrast agent, patients may experience discomfort, including swelling and warmth. Some individuals may ...[Read More] Understanding CT Scans for Headaches: With or Without Contrast?
CT Scan for Headaches: To Contrast or Not? Expert Insights
Headache, contrast agent, computed tomography? Hello, Doctor. I went to see a neurologist due to headaches, and they arranged for a CT scan without contrast. I visited two different hospitals; one said I needed contrast (a smaller local hospital), while the other (Chang Gung Memo...
Dr. Peng Shiwei Reply:
Hello, it is not possible to determine if there are vascular issues without the use of contrast agents. However, whether or not to use a contrast agent to assess for vascular problems may still depend on your headache symptoms. If the doctor believes that your headaches are likel...[Read More] CT Scan for Headaches: To Contrast or Not? Expert Insights
Managing Peripheral Neuropathy: Medications and Symptoms Explained
Systemic neuropathy Hello Dr. Jiang: I would like to ask, if this is a peripheral nerve issue, what medications should be used for management? After receiving the vaccine last year, the burning sensation in my palms disappeared after about a month, while the burning in my soles l...
Dr. Jiang Junyi Reply:
Hello: You mentioned, "Is taking medications like Lyrica and Topamax, as well as Rivotril, helpful?" Based on clinical experience, the recommendation for neurological disorders is to "start low and go slow." You can begin with a low dose and try one medication...[Read More] Managing Peripheral Neuropathy: Medications and Symptoms Explained
Understanding Unilateral Tinnitus: Possible Neurological Causes and Insights
Hello, doctor. I would like to ask about some unusual phenomena related to tinnitus? Hello Dr. Jiang, I have been experiencing unilateral tinnitus with a buzzing sound in my left ear for about two weeks. I have already undergone hearing and tympanometry tests at other large hosp...
Dr. Jiang Junyi Reply:
Hello HJK: You mentioned that "when chewing food or yawning, the tinnitus becomes louder..." This could potentially be related to issues with the nerves or muscles around the ear. One possible cause is related to the Eustachian tube, as yawning and chewing help to equal...[Read More] Understanding Unilateral Tinnitus: Possible Neurological Causes and Insights
Understanding Persistent Numbness in Hands and Feet: Possible Causes and Solutions
Numbness in the hands and feet? Hello Doctor, since September 25th, I have been experiencing numbness in my fingers upon waking up. Initially, I thought it would resolve on its own, but by September 26th, the numbness extended to my toes and the soles of my feet. As of now, Octob...
Dr. Jiang Junyi Reply:
Dear Ms. Apple, You mentioned that "blood tests, nerve conduction studies, and spinal tap examinations all reported normal results, and the cerebrospinal fluid analysis was also normal, with only a noted slowing of nerve conduction." You pointed out abnormal sensory ne...[Read More] Understanding Persistent Numbness in Hands and Feet: Possible Causes and Solutions
Understanding Persistent Headaches: Symptoms and Possible Causes
About headaches? Hello Doctor: Ten days ago, at around 8 PM, I suddenly felt a strange sensation in my head, possibly similar to increased intracranial pressure, followed by a brief tingling sensation and then a persistent, severe throbbing headache. After taking pain medication ...
Dr. Jiang Junyi Reply:
Hello Mr. Zhang, You mentioned that at 8 o'clock, you suddenly felt something unusual in your head, possibly similar to increased intracranial pressure, followed by a brief tingling sensation and then a persistent, severe throbbing headache. You also noted that you experien...[Read More] Understanding Persistent Headaches: Symptoms and Possible Causes
Understanding Head Trauma: Long-Term Effects and Concerns
Head trauma Hello, doctor. Two years ago, I was struck on the head by a metal pipe while at work. At the time, I was unsure if there was any issue, so I went to an orthopedic doctor for an X-ray. The doctor said there was no fracture in the skull. After two months, I saw a neurol...
Dr. Jiang Junyi Reply:
Dear Mr. Xiao: You mentioned: 1. I have always had concerns about whether a person can still function normally if there is a fracture or a slight crack in the skull. It has been two years since then; if there was a fracture at that time, could the person still be conscious? A...[Read More] Understanding Head Trauma: Long-Term Effects and Concerns
Understanding Temporal Mandibular Joint Issues: Symptoms and Relief Tips
Temporomandibular joint issues? Hello, doctor. Recently, whenever I yawn or open my mouth wide, I feel a pulsing sensation near my left temple. It’s not painful, just a bit tight, and it takes a while to subside. Sometimes, I also hear a popping sound in my ear. I would like to k...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "whenever you yawn or open your mouth wide, you feel a pulsing sensation near the left temple." This symptom may indicate instability of the temporalis muscle. Sometimes, nerve inflammation can exacerbate these symptoms, and metabolic disorders...[Read More] Understanding Temporal Mandibular Joint Issues: Symptoms and Relief Tips
Understanding Muscle Fasciculations: Causes, Concerns, and When to Seek Help
Fasciculation Hello Doctor, since my diagnosis over a week ago, I have been experiencing visible muscle twitching throughout my body. I consulted a neurologist and underwent an electromyography (EMG), and the doctor informed me that everything was normal and no fasciculations wer...
Dr. Jiang Junyi Reply:
Hello Mr. Hong, You mentioned that "for two consecutive days, I experienced jumping in the back of my thighs for two hours before sleep, and after getting up, it continued for a while until noon. I also feel a bit of tightness in my arches, and my arms occasionally feel sor...[Read More] Understanding Muscle Fasciculations: Causes, Concerns, and When to Seek Help
Understanding Brain Vibrations and Sensations of Electric Currents
Vibrations in the brain, feeling like microcurrents? Hello, doctor. I am 20 years old and, unfortunately, due to a history of consuming a lot of rich foods, I have developed hereditary hypertension. My blood pressure at home is around 130/75, but it surprisingly rises to 150/90 a...
Dr. Hong Weibin Reply:
Hello: It is recommended that you regularly measure your blood pressure, twice a day. Does this sensation of "blood rushing to your head, creating a feeling of pressure as if something is pressing down on your head" only occur when you are using your phone? Does it happ...[Read More] Understanding Brain Vibrations and Sensations of Electric Currents
Managing Medication for Diabetic Neuropathy: Key Considerations
Regarding the issue of discontinuing medication for neuropathy? Hello Dr. Tsai, I would like to ask about my father who has diabetes. About a month ago, he experienced discomfort with symptoms such as pain and cramps in his limbs, as well as headaches, and he visited a neurologis...
Dr. Cai Zongzhang Reply:
Hello Ms. Lin: If there is no pain, the anticonvulsant medication can be discontinued, and Methycobal, which is a high-dose vitamin B12, can be continued.[Read More] Managing Medication for Diabetic Neuropathy: Key Considerations
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 sign of a potential stroke? Previously, I never exp...
Dr. Jiang Junyi Reply:
Dear Ms. Hui, You mentioned that "after the activity, there was a persistent soreness in the entire right arm until the next day," which may warrant consideration of cervical nerve or peripheral nerve compression issues. Peripheral neuropathy caused by nerve compressio...[Read More] Understanding Paresthesia and Skin Bumps in the Right Leg: Causes and Concerns
Is Breath-Holding During Exercise Risky for Cervical Artery Dissection?
Questions about vertebral artery dissection? Holding your breath for 5 to 10 seconds and then breathing again, or practicing diaphragmatic breathing to extend the inhalation and exhalation times, without engaging in other physical activities, may carry some risks. There have been...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned concerns about "vertebral artery dissection... using diaphragmatic breathing to prolong inhalation and exhalation." The clinical symptoms you are worried about regarding vertebral artery dissection may include severe pain near the back of the n...[Read More] Is Breath-Holding During Exercise Risky for Cervical Artery Dissection?
Understanding Muscle Cramps: Fibromyalgia and Dryness Symptoms Explained
Back muscle cramps Hello doctor, I have suddenly started experiencing muscle cramps that feel like someone is squeezing my fascia, and my arm and leg muscles are also twitching involuntarily. Three doctors have diagnosed me with fibromyalgia, and I have a dry mouth, raising suspi...
Dr. Cai Zongzhang Reply:
Hello Ms. Liu: It is recommended to consult with the Neurology and Rheumatology departments.[Read More] Understanding Muscle Cramps: Fibromyalgia and Dryness Symptoms Explained
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 "after the activity, my entire right hand felt sore until the next day," which may indicate a potential issue with cervical nerve compression. Peripheral neuropathy caused by nerve compression may present with the following characterist...[Read More] Understanding Paresthesia and Skin Bumps in the Right Leg: Causes and Concerns
Understanding Balance Issues: The Impact of Stress on Neurological Health
Body swaying, unstable center of gravity? Hello, doctor. Two months ago, I was under a lot of stress and only sleeping six hours a day. I often experienced nasal congestion, had canker sores on my tongue, and noticed white spots on almost every fingernail (which I hadn't exp...
Dr. Cai Zongzhang Reply:
Hello: I have been experiencing dizziness for over a month. Ear examinations showed no abnormalities, and I was advised to see a neurologist for further evaluation.[Read More] Understanding Balance Issues: The Impact of Stress on Neurological Health
Understanding Neck and Back Pain: When to Worry About Serious Conditions
Pain in the occipital region of the neck? Hello Doctor: I have been experiencing symptoms such as neck pain and upper back pain since early last year. I have consulted with rehabilitation and neurology specialists, and underwent several neurological and X-ray examinations, which ...
Dr. Hong Weibin Reply:
Hello: Based on your description, it may be related to neck muscle stiffness. It is recommended to relax the muscles.[Read More] Understanding Neck and Back Pain: When to Worry About Serious Conditions
Sudden Weakness in the Back of the Head and Limbs: Possible Causes and Next Steps
Sudden weakness in the back of the head and limbs? Hello, doctor. Over the past month, I have experienced two episodes of symptoms similar to what I described in the subject. It feels like I am about to lose my balance, but my consciousness remains clear. Additionally, I have bee...
Dr. Jiang Junyi Reply:
Hello Mr. Shawn, You mentioned that "after the episode, my heart rate rises to about 150, and my blood pressure reaches 139/93, but after resting for about 20 minutes, both return to normal... I'm not sure if there might be an issue with the cerebellum or brainstem, or...[Read More] Sudden Weakness in the Back of the Head and Limbs: Possible Causes and Next Steps