Understanding Throat Issues: When to Worry About Swallowing Difficulties
Throat issues Hello Doctor, I am the person who previously inquired about concerns regarding ALS. Over the past three days, I have noticed that when I eat, if I am not careful, I tend to aspirate a small amount of liquid into my trachea, which almost leads to choking but I manage...
Dr. Hong Weibin Reply:
Hello: If you have difficulty swallowing, it is recommended to consult an otolaryngologist or a gastroenterologist, who may arrange for a swallowing study based on your condition.[Read More] Understanding Throat Issues: When to Worry About Swallowing Difficulties
Understanding Right-Sided Headaches: Causes and Management Tips
Right-sided migraine? Hello, doctor. I am a first-year junior high school student. I have had a problem for a while where I feel that when my heart beats too fast (especially when I am more excited), it seems like the pressure in my head increases (this is purely my speculation),...
Dr. Jiang Junyi Reply:
Dear Ms. Shiau, You mentioned experiencing "transient headaches, which require me to gradually adjust my breathing for improvement... and I tend to overthink... I really want to improve this aspect and how to fall asleep quickly." If the headache symptoms are causing y...[Read More] Understanding Right-Sided Headaches: Causes and Management Tips
Post-COVID Neurological Symptoms: Understanding Balance and Coordination Issues
The center of gravity feels concentrated in the back of the body? Around the middle of the month, I tested positive for COVID-19. On the fourth day, I suddenly experienced stiffness in my neck in the morning. After sleeping until noon, it improved, but I felt like my entire cente...
Dr. Jiang Junyi Reply:
Hello Ms. E: You mentioned feeling soreness in your neck and back... and you're unsure if it's due to lingering effects of COVID-19. Typically, the recovery time from COVID-19 is longer than that of the flu. Some colleagues around you have experienced symptoms such as f...[Read More] Post-COVID Neurological Symptoms: Understanding Balance and Coordination Issues
Understanding Upper Abdominal Pain: Neurological Insights and Treatment
Stomach right upper abdomen In the past few days, I have been experiencing pain that feels similar to shortness of breath, with an itchy and constricted throat. It is also difficult to swallow when eating. During the painful episodes, I have severe headaches that feel like they a...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to visit the neurology outpatient clinic.[Read More] Understanding Upper Abdominal Pain: Neurological Insights and Treatment
Understanding Muscle Concerns: Insights on Neurological Symptoms
Regarding one's own condition? Hello doctor, I recently noticed a depression on my left thigh that isn't present on the right side. I remember this depression has been there since my middle school years (about 10 years ago). For the past year, I've been worried tha...
Dr. Hong Weibin Reply:
Hello: If you have already undergone relevant examinations and have been diagnosed by a neurologist as normal, there is no need to worry too much.[Read More] Understanding Muscle Concerns: Insights on Neurological Symptoms
Understanding Dizziness and Nerve Issues: When to Seek Medical Attention
Dizziness and issues related to the lumbar and cervical spine? Recently, I experienced dizziness followed by numbness in my left limbs. I visited a clinic, and they suggested that the numbness in my legs was due to issues with cervical and lumbar disc herniation. However, the num...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned, "Can X-rays alone reveal any issues with the spine and cervical spine?" This seems insufficient to explain the symptoms of dizziness. There are many factors that need clarification. The causes of dizziness are numerous; if your dizziness is r...[Read More] Understanding Dizziness and Nerve Issues: When to Seek Medical Attention
Headaches After a Childhood Injury: What You Need to Know
I hit my temple when I was a child, and since then, I've been experiencing headaches? At the beginning of seventh grade, I tripped over my shoelaces and fell, hitting my temple. Since then, I've noticed that I occasionally have headaches, specifically in the area where ...
Dr. Jiang Junyi Reply:
Dear Ms. Xing, You mentioned that "the temples sometimes hurt..." If the issue is related to trauma, the body typically heals within 2 to 4 weeks. Your symptoms may suggest a vascular headache, specifically a migraine. This type of headache can last from 4 to 72 hours....[Read More] Headaches After a Childhood Injury: What You Need to Know
Breathing and Thinking: Understanding Cognitive Disruption in Neurology
Breathing and thinking cannot occur simultaneously? I have recently been experiencing issues where I often forget to breathe while thinking or talking to others. Sometimes I realize I need to breathe halfway through my thoughts, which interrupts my thinking process. To ensure I b...
Dr. Jiang Junyi Reply:
Hello Mr. MJ: You mentioned, "When I woke up that morning, my mind was blank, and I felt a dullness in my head, almost like a sensation of hypoxia?" Your symptoms may warrant consideration of certain medications that can cause memory difficulties, such as antihistamines...[Read More] Breathing and Thinking: Understanding Cognitive Disruption in Neurology
Understanding Pulsatile Tinnitus: Causes, Symptoms, and Treatment Options
Pulsatile tinnitus I experience pulsatile tinnitus in my right ear every night. I had an EEG done, which showed no issues, and the medication prescribed has not improved my condition. My hearing is fine. I am scheduled for an MRI on the 24th, but due to the peak of the pandemic a...
Dr. Jiang Junyi Reply:
Dear Miss Lin, You asked, "Can a metal dental implant undergo MRI?" The imaging from an MRI may be affected by metal, potentially causing artifacts. However, the physician will interpret the results based on the available data. You also mentioned, "Straining durin...[Read More] Understanding Pulsatile Tinnitus: Causes, Symptoms, and Treatment Options
Severe Abdominal Pain Leading to Fainting: When to Seek Medical Help?
Abdominal pain leading to fainting? Sudden severe abdominal pain, accompanied by blurred vision, complete darkness, and a feeling of weakness leading to fainting, followed by waking up in a cold sweat and persistent nausea, could indicate a serious medical condition. Although you...
Dr. Jiang Junyi Reply:
Dear Miss Tzu-Yan, You mentioned experiencing symptoms such as "pain, blurred vision, complete darkness in front of me, feeling weak and collapsing to the ground, and waking up a few seconds later." Your symptoms may suggest reflex syncope. This can occur due to intens...[Read More] Severe Abdominal Pain Leading to Fainting: When to Seek Medical Help?
Understanding Left Foot Weakness: A Comprehensive Neurological Evaluation
Weakness in the left foot? The current situation is as follows: Since November 2021, there has been poor walking posture. In January 2022, weakness was noted in the left foot, with an inability to press down or lift up. Additionally, there have been frequent involuntary muscle tw...
Dr. Jiang Junyi Reply:
Hello Mr. Gao: You mentioned that in January 2022, you noticed weakness in pressing down and lifting up your left foot, as well as involuntary muscle twitching in the left foot. It seems that similar examinations are being conducted, and the lumbar MRI has been repeated. This is ...[Read More] Understanding Left Foot Weakness: A Comprehensive Neurological Evaluation
Understanding Body Vibration: Is It a Sign of Neurological Issues?
The frequency of body diagnostics is the same as the heartbeat? Hello, Doctor. Recently, when I lie flat at night to sleep, I feel a constant vibrating sensation throughout my body, with a frequency that feels similar to my heartbeat. However, when I lie on my side, the vibration...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to visit the neurology outpatient clinic for examination of the underlying cause.[Read More] Understanding Body Vibration: Is It a Sign of Neurological Issues?
Understanding Prominent Dorsalis Pedis Pulse: When to Seek Medical Attention
Dorsalis pedis artery pulse is prominent? In the past two weeks, I have noticed a significant pulsation in the arteries on the dorsum of my right foot. There is no numbness in my foot, and I haven't been standing or walking for long periods. Most of the time, I can feel the ...
Dr. Jiang Junyi Reply:
Dear Miss BB, You mentioned that "the artery on the dorsum of your right foot is noticeably pulsating." Have you compared the pulsations of the dorsalis pedis arteries on both sides? Generally, we should not be able to feel the pulsation of blood vessels; however, if t...[Read More] Understanding Prominent Dorsalis Pedis Pulse: When to Seek Medical Attention
Understanding Sudden Body Jerks Before Sleep: What Could It Be?
What is this problem? When I am about to fall asleep while lying in bed, my lower back suddenly jerks (I'm not sure if "jerk" is the right term). The movement is somewhat similar to kicking my legs out and then pulling them back in while sitting, with more force du...
Dr. Jiang Junyi Reply:
Dear Miss Chi Li, You mentioned that "when I am about to fall asleep while lying in bed, my lower back suddenly jerks (I'm not sure if 'jerk' is the right term), and the movement is somewhat like kicking my legs out and then pulling them back in, with more fo...[Read More] Understanding Sudden Body Jerks Before Sleep: What Could It Be?
Why Lying Down Worsens Your Headache: Understanding Neurological Pain
Headache worsens when lying down? Hello: I have a condition where there is a mild herniation at the C4-C5 cervical vertebrae, and I am undergoing rehabilitation. Previously, I experienced pain in multiple areas (only once), and a neurologist diagnosed it as fibromyalgia. However,...
Dr. Jiang Junyi Reply:
Dear Ms. Tsai, You mentioned that "I have been experiencing headaches every day for the past two months." Your symptoms may suggest chronic migraine. If you have migraine on more than 15 days in a month, with varying severity, it can easily be confused with tension-typ...[Read More] Why Lying Down Worsens Your Headache: Understanding Neurological Pain
Understanding the Connection Between Meningitis and Fever Symptoms
The correlation between meningitis and fever? Last week, I suddenly had a fever of 38 degrees Celsius. I took antipyretics, but they were ineffective. However, I continued taking them for 5 days, and my body temperature gradually decreased to around 36.5 degrees Celsius. I would ...
Dr. Jiang Junyi Reply:
Dear Mr. Jan, You mentioned the analysis of cerebrospinal fluid (CSF), which is primarily used for patients with meningitis. Common symptoms include fever, headache, photophobia, chills, tachycardia, neck stiffness, fatigue, drowsiness, and agitation. In the case of encephalitis...[Read More] Understanding the Connection Between Meningitis and Fever Symptoms
Understanding Involuntary Facial and Hand Tremors: When to See a Neurologist
If you have been experiencing persistent twitching in the forehead area and involuntary shaking in both hands for nearly a year, it would be appropriate to consult a neurologist? The mother-in-law's forehead has been twitching continuously, especially when she is focused on ...
Dr. Hong Weibin Reply:
Hello: You may seek assistance from a neurologist to differentiate the types of tremors commonly seen in the elderly, such as physiological tremor, Parkinsonian tremor, drug-induced tremor, and essential tremor, among others.[Read More] Understanding Involuntary Facial and Hand Tremors: When to See a Neurologist
Managing Blood Pressure After Brain Hemorrhage: Key Concerns
Questions Regarding Discharge After Cerebral Hemorrhage Hello Doctor, my mother underwent successful surgery for a hemorrhagic stroke (left hemisphere) in early March of this year and is currently undergoing active rehabilitation (her recovery is going well). She is also taking t...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to continuously record your morning and evening blood pressure readings and discuss the dosage and timing of antihypertensive medications with your physician.[Read More] Managing Blood Pressure After Brain Hemorrhage: Key Concerns
Understanding Persistent Dizziness and Visual Disturbances: A Neurological Perspective
Dizziness and inability to focus? Hello Doctor: Since November of last year, I have been experiencing dizziness and a feeling of heaviness in my head in the afternoons (not vertigo, but a dull sensation), along with unusual fatigue and low-grade fever. I subsequently underwent va...
Dr. Cai Zongzhang Reply:
Hello: The above symptoms are suspected to be autonomic neuropathy. It is recommended to visit a neurology outpatient clinic.[Read More] Understanding Persistent Dizziness and Visual Disturbances: A Neurological Perspective
Understanding Forehead Twitches: Causes, Health Impact, and When to Seek Help
Consultation for Forehead Tics Dear Dr. Jiang, Recently, I have experienced occasional twitching in the area above my right eye on the forehead. The duration of the twitching varies; sometimes it lasts longer, and other times it disappears quickly. There are no noticeable discom...
Dr. Jiang Junyi Reply:
Dear Mr. Ah-Hsiang, You mentioned experiencing occasional twitching in the area above your right eye. If your symptoms involve muscle movements in the forehead region, these are typically controlled by the facial nerve. It is important to carefully observe the patient's fac...[Read More] Understanding Forehead Twitches: Causes, Health Impact, and When to Seek Help