Understanding Urological and Spinal Nerve Issues: A Patient's Journey
Uro-neurology or spinal nerves Hello, about 3-4 years ago, I had an incident while exercising where I twisted my ankle and fell, resulting in a skin tear on my foreskin. The next day, I experienced pain while urinating and was diagnosed with a urinary tract infection. During urin...
Dr. Cai Zongzhang Reply:
Hello Mr. Hong: Based on the symptoms mentioned, the most common cause of groin and thigh pain is lumbar nerve compression. An MRI scan is arranged to help confirm the diagnosis.[Read More] Understanding Urological and Spinal Nerve Issues: A Patient's Journey
Facial Swelling, Headaches, and Nausea: Understanding Neurological Symptoms
Facial issues, headaches, dizziness, and nausea? Hello, doctor. This week, I've started experiencing some strange symptoms. Initially, my left cheek felt heavy and reddened, but I didn't think much of it. This week, my left cheek has begun to swell, although the redness...
Dr. Jiang Junyi Reply:
Dear Miss Wang, You mentioned that "the area of heat extends from the left temple down to the lower part of the face near the ear, feeling warm and stuffy." The area of heat you described primarily corresponds to the distribution of the mandibular branch of the trigemi...[Read More] Facial Swelling, Headaches, and Nausea: Understanding Neurological Symptoms
Understanding Muscle Twitches: Is It ALS or Something Else?
I'm very afraid it might be amyotrophic lateral sclerosis (ALS)..? Hello doctor, three months ago I started experiencing muscle twitching all over my body. Some areas are more fixed while others vary in intensity. I also have a feeling of weakness in my left hand; when I exe...
Dr. Chen Weida Reply:
Note: The same consultation <a href="https://adoctor.tw/article/208460">#208460</a> was responded to on May 17. Hello! The early symptoms of motor neuron disease primarily include mild weakness in the limbs or enhanced reflexes, and some patients may experie...[Read More] Understanding Muscle Twitches: Is It ALS or Something Else?
Understanding Nasal Nerve Sensations: Causes and Recommended Tests
Nasal nerve questions? Hello, Doctor! I would like to ask about a situation where I feel a sensation of swelling and nerve discomfort in my nose whenever I lie down, making it very uncomfortable and preventing me from sleeping. I have seen many ENT specialists who have said that ...
Dr. Cai Zongzhang Reply:
Hello, Sha: The symptoms mentioned may be indicative of a dysfunction of the nasal nerves. These nerves are very fine and cannot be detected through imaging studies. It is recommended to visit a neurology outpatient clinic.[Read More] Understanding Nasal Nerve Sensations: Causes and Recommended Tests
Understanding One-Sided Headaches: Causes and Solutions for Neurological Symptoms
Unilateral ear fullness, unilateral eye pressure and swelling, unilateral neck tightness, and headache? Hello, I have been experiencing headaches for a long time, which are usually relieved by painkillers. Two years ago, I started having episodes of persistent headaches that are ...
Dr. Jiang Junyi Reply:
Dear Ms. Y: You mentioned experiencing "unilateral tightness and discomfort, always on the same side... with a sensation of 'unilateral ear fullness and unilateral eye pressure' (notably tightness when moving the eyeball)." This may warrant consideration of c...[Read More] Understanding One-Sided Headaches: Causes and Solutions for Neurological Symptoms
Understanding Muscle Twitches: Symptoms and Concerns in Neurology
Muscle twitching combined with multiple symptoms? Hello, doctor. I have been experiencing muscle twitching for three months now. I have seen doctors during this time, but no tests have been conducted. I finally found a place where I can undergo a nerve conduction study (which has...
Dr. Chen Weida Reply:
Hello! Motor neuron diseases mostly occur in middle-aged and older individuals. The early symptoms primarily involve progressive muscle weakness, while sensory abnormalities are not prominent. Please continue to monitor your symptoms, and if you have any concerns or questions, it...[Read More] Understanding Muscle Twitches: Symptoms and Concerns in Neurology
Understanding Lingual Numbness and Jaw Pain: A Neurological Perspective
Numbness at the base of the tongue and pain in the lower jaw? Hello Doctor, about three days ago I woke up with pain in the right lower jaw (around the area of the second/first molar). When I press on my cheek, it hurts slightly. I have also been experiencing persistent numbness ...
Dr. Jiang Junyi Reply:
Dear Ms. Si, You mentioned that "the right side of my tongue root has been numb continuously, and sometimes the right corner of my mouth also feels numb." Your symptoms may suggest the possibility of trigeminal neuralgia affecting the mandibular branch of the trigemina...[Read More] Understanding Lingual Numbness and Jaw Pain: A Neurological Perspective
Understanding Post-Rest Symptoms: Causes and Solutions for Neurological Issues
Neurological issues related to the head? I’m not sure when it started, but sometimes when I feel more tired, I lie down on the table or bed to rest for about 15 to 30 minutes. After waking up, I experience a slight tremor at the back of my head, my heartbeat feels stronger, and s...
Dr. Jiang Junyi Reply:
Hello, sir: Your symptoms may indicate peripheral nerve compression. 1. The nature of the pain is characterized by burning and tingling sensations. 2. The symptoms have a specific dermatomal distribution, and can be triggered by touch or pressure. 3. There is also accompanying mu...[Read More] Understanding Post-Rest Symptoms: Causes and Solutions for Neurological Issues
Understanding Right Big Toe Tremors: Possible Neurological Insights
Trembling of the right big toe? Hello Doctor, I previously worked in the tech industry and left my job due to excessive stress, which led to symptoms resembling panic attacks, such as chest tightness, difficulty breathing, and palpitations (without medical diagnosis). I initially...
Dr. Cai Zongzhang Reply:
Hello Mr. Chen: Based on the symptoms mentioned, it is recommended to visit a neurologist for further evaluation to confirm the underlying cause.[Read More] Understanding Right Big Toe Tremors: Possible Neurological Insights
Understanding Unexplained Body Pain: A Neurological Perspective
Physical changes in the past three months? Hello, Doctor. I have been experiencing various health issues over the past three months. Initially, I had pain throughout my body (I'm unsure if it's muscle pain or bone pain). The pain is difficult to describe; sometimes it f...
Dr. Huang Hongling Reply:
Fibromyalgia is diagnosed based on clinical symptoms, and some medications used for it also serve as treatments for anxiety or depression. As for amyotrophic lateral sclerosis (ALS), pain is rarely a symptom. It is recommended that you return to your original neurologist for a co...[Read More] Understanding Unexplained Body Pain: A Neurological Perspective
Sneezing and Numbness: Understanding Neurological Symptoms
Experiencing a tingling sensation on the scalp when sneezing? Recently, whenever I sneeze, I experience a tingling sensation in the back of my head that extends down to my neck and upper back. What could be causing this?
Dr. Jiang Junyi Reply:
Dear Ms. Ling, You mentioned that "after sneezing, I start to feel numbness in the back of my head extending to my neck and upper back." This temporary numbness may be caused by compression of the cervical nerves at the C4-C5 levels due to abnormal cervical posture. I ...[Read More] Sneezing and Numbness: Understanding Neurological Symptoms
Feeling Dizzy and Heart Palpitations: Understanding Neurological Symptoms
Lying down, I feel my body swaying, and my heartbeat is noticeably strong? When sitting in a chair, I feel a noticeable swaying sensation, even though there is no earthquake, and both the chair and the floor are stable. When lying down to rest, I distinctly feel as if I am spinni...
Dr. Jiang Junyi Reply:
Dear Mr. Jiang, You mentioned that "when lying down to rest, I have a distinct sensation of my entire body spinning, almost like going in circles. I can also feel my heartbeat very clearly, thumping strongly." Your symptoms may suggest benign paroxysmal positional vert...[Read More] Feeling Dizzy and Heart Palpitations: Understanding Neurological Symptoms
Uncontrollable Tongue Movement While Speaking: Possible Causes Explained
The tongue may uncontrollably protrude while speaking? A few days ago, I suddenly experienced an inability to control my tongue while speaking, resulting in a lisping effect. I have undergone a CT scan, and there are no issues with my brain. The oral and maxillofacial surgeon als...
Dr. Jiang Junyi Reply:
Hello Mr. Xiao Hei, You mentioned that "your tongue tends to uncontrollably stick out while speaking, leading to a lisping phenomenon." Your symptoms may indicate an abnormality in tongue muscle tone, resulting in a specific posture. This is primarily due to the impact...[Read More] Uncontrollable Tongue Movement While Speaking: Possible Causes Explained
Understanding Tinnitus: When to Consult a Neurologist?
Tinnitus for three weeks? Hello Doctor: Three weeks ago, I experienced tinnitus without any apparent reason, which is bilateral. I have undergone tympanometry and hearing tests, both of which were normal. The tinnitus sounds more like a non-directional high-pitched ringing, but i...
Dr. Jiang Junyi Reply:
Hello Mr. QQQ: You mentioned "bilateral tinnitus, with normal tympanometry and hearing tests, and the tinnitus sounds more like a non-directional high-pitched ringing." This is more indicative of common causes of tinnitus such as viral infections, trauma, or injury, whi...[Read More] Understanding Tinnitus: When to Consult a Neurologist?
Managing Baby's Head Hematoma After a Fall: What Parents Should Know
Baby fell off the bed? The baby is seven months old and fell from the bed onto a tiled floor, with the bed height being approximately 70 cm. The baby was taken to the hospital within 20 minutes and underwent an X-ray, which initially indicated that there were no bone issues. The ...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned, "I would like to ask the doctor how long it takes for a hematoma to resolve and if there are any quick methods to reduce swelling? If it doesn't go away, do I need to return for a follow-up, and could there be any more serious conditions?&quo...[Read More] Managing Baby's Head Hematoma After a Fall: What Parents Should Know
Knee Pain When Touched: Causes, Recovery, and Treatment Options
Knee pain occurs upon impact? Hello, Doctor. I started experiencing mild pain in my knee about a week ago. I've noticed that it doesn't affect my daily activities, but it hurts when I lightly touch the outer side of my kneecap, while pressing firmly doesn't cause a...
Dr. Jiang Junyi Reply:
Hello Miss Hsiao-Hsiang, You mentioned that "light touch causes pain (on the outer side of the kneecap)," which may indicate "patellofemoral pain syndrome." The role of the patella is to increase the mechanical angle of the tendons and enhance muscle contract...[Read More] Knee Pain When Touched: Causes, Recovery, and Treatment Options
Understanding Neuromyelitis Optica: Treatment Options and Risks
Neuromyelitis optica Hello, Dr. Huang! Thank you very much for your previous guidance! After following your advice, I immediately went to the emergency room for treatment. Due to the rapid deterioration of my condition and the resident physician's concern that the situation ...
Dr. Huang Hongling Reply:
Hello: Neuromyelitis optica is a condition in which the body produces antibodies that attack its own nervous system, thus requiring immunosuppressants for treatment. Both corticosteroids and mycophenolate mofetil are immunosuppressants that can lead to decreased immunity. Long-te...[Read More] Understanding Neuromyelitis Optica: Treatment Options and Risks
Understanding Chronic Fatigue and Pain: Neurological Symptoms Explained
Severe fatigue, body aches, brain fog, eye pain, dizziness, and a feeling of head pressure? I have already undergone blood tests in the neurology department and the rheumatology and immunology department, and there were no significant issues. During the visits, I only emphasized ...
Dr. Chen Weida Reply:
Hello, Wu! In response to your inquiry regarding symptoms such as severe fatigue, widespread pain, brain fog, eye pain, dizziness, and head pressure, a preliminary assessment suggests that it may be fibromyalgia. It is recommended that you consult a neurologist or a rheumatologis...[Read More] Understanding Chronic Fatigue and Pain: Neurological Symptoms Explained
Post-Car Accident: Managing Persistent Leg Pain and Nerve Issues
Numbness and pain in the calf following a car accident? Hello Dr. Chen: It has been 3 months since my car accident. I underwent surgery on the outer side of my ankle to have a plate inserted, and the accident also impacted my right tibia. The orthopedic surgeon only addressed the...
Dr. Chen Weida Reply:
Hello Fei Fei! Regarding your inquiry about the numbness and pain on the right side of your lower leg tibia, I recommend that you return for a follow-up appointment with an orthopedic physician for evaluation and recommendations for further treatment. If it is determined that you...[Read More] Post-Car Accident: Managing Persistent Leg Pain and Nerve Issues
Understanding Involuntary Muscle Jerks During Sleep: Causes and Concerns
Involuntary twitching Hello doctor, recently I have been experiencing sudden body jerks while sleeping at night, especially when I am about to enter deep sleep. The jerks happen multiple times and in different areas, sometimes in my fingers, sometimes in my toes, and sometimes in...
Dr. Jiang Junyi Reply:
Dear Ms. Elsa, You mentioned that "when entering deep sleep, I experience multiple jerks in different areas, sometimes in my fingers, sometimes in my toes, and sometimes in my hands, accompanied by a sensation of rapid heartbeat and palpitations, which causes me to wake up....[Read More] Understanding Involuntary Muscle Jerks During Sleep: Causes and Concerns