Understanding Dizziness and Neck Pain: When to Seek Medical Advice
Dizziness and neck pain? Hello, Dr. Jiang. For the past two or three days, I have occasionally experienced dizziness (a sensation of swaying or mild shaking while sitting or lying down). I often wake up in the middle of the night, and when I do, I feel some pain near the occipita...
Dr. Jiang Junyi Reply:
Dear Mr. KK, You mentioned experiencing a sensation of swelling and pain from the center of your forehead to the right eye socket, along with mild nasal congestion and pain on the right side, and ear fullness upon waking this morning. It is important to first consider benign par...[Read More] Understanding Dizziness and Neck Pain: When to Seek Medical Advice
Understanding Prominent Dorsalis Pedis Pulse: When to Seek Medical Attention
Dorsalis pedis artery pulsation is prominent? In the past two weeks, I have noticed a significant pulsation in the artery 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 th...
Dr. Jiang Junyi Reply:
Dear Ms. 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, but if the art...[Read More] Understanding Prominent Dorsalis Pedis Pulse: When to Seek Medical Attention
Unexplained Health Issues: Seeking Answers for Persistent Dizziness and Pain
Many health issues with no identifiable cause? Hello Dr. Jiang: I would like to ask about my condition. About a year or two ago, I underwent tooth extraction for orthodontic treatment and had bone grafting done at the same time. The next day, I experienced severe dizziness and ne...
Dr. Jiang Junyi Reply:
Dear Mr. Hsiao-Kang, You mentioned that "lying down and changing positions causes dizziness," which may initially suggest benign paroxysmal positional vertigo (BPPV). The symptoms are characterized by brief episodes of vertigo related to changes in head position, such ...[Read More] Unexplained Health Issues: Seeking Answers for Persistent Dizziness and Pain
Managing Mild Dementia: Strategies for Caregivers and Health Concerns
Could you please clarify the relationship between dementia and occasional shortness of breath along with feelings of weakness? Hello Doctor, recently my father took my mother to the hospital for a neurology examination, and the doctor informed us that my mother has mild dementia....
Dr. Hong Weibin Reply:
Hello: In addition to pharmacological treatment for dementia, there are non-pharmacological interventions, including occupational therapy, cognitive training, reminiscence therapy, art therapy, and social activities, among others. You can contact the dementia care centers or long...[Read More] Managing Mild Dementia: Strategies for Caregivers and Health Concerns
Understanding Electrical Sensations in the Upper Buttocks: Causes and Insights
It feels like there is an electric current passing through my buttocks? There is a prickling and tingling sensation in the upper left buttock, similar to an electric current, lasting for several seconds each time. It is neither painful nor sore, and daily activities are normal. T...
Dr. Jiang Junyi Reply:
Dear Ms. Yang, You mentioned experiencing a tingling sensation in the upper left buttock, similar to an electric current, lasting for several seconds each time. It is neither painful nor uncomfortable, and your daily life remains normal. Your symptoms may suggest peripheral neur...[Read More] Understanding Electrical Sensations in the Upper Buttocks: Causes and Insights
Understanding Systemic Tingling: Possible Causes and Next Steps
Generalized tingling and numbness? Hello Dr. Jiang, this is Mr. Wu, who inquired about multiple sclerosis last time. I had a follow-up appointment on May 6th, and the cervical MRI report showed normal results. I informed the physician about the tingling sensation in the soles of ...
Dr. Jiang Junyi Reply:
Hello: You are currently on too many medications, and many gastrointestinal drugs can actually be adjusted. For example, the side effects of EPILON may include dry mouth, vomiting, constipation, urinary retention, blurred vision, headache, fatigue, and skin flushing, among others...[Read More] Understanding Systemic Tingling: Possible Causes and Next Steps
Unexplained Tingling: Understanding Nerve Issues and Symptoms
Unexplained numbness? On a certain Saturday evening while sitting and watching TV, I felt numbness in the soles of my feet. I got up to move around and noticed that my ring finger and little finger on both hands were also numb. I thought it was due to poor posture and would impro...
Dr. Jiang Junyi Reply:
Dear Ms. Chi, You mentioned that "the location of the numbness changed after taking the medication, and now the entire abdomen feels numb." If you are only experiencing tingling sensations without any weakness, it may be worth considering hyperventilation. However, if ...[Read More] Unexplained Tingling: Understanding Nerve Issues and Symptoms
Is Nerve Biopsy Necessary for Diagnosing Diabetic Neuropathy?
Is a biopsy necessary for the diagnosis of neuropathy? Hello Doctor: I have a history of diabetes for 5 years and hypertension for 15 years. Over the past year, my hemoglobin A1c level has been around 6.5. A year ago, I noticed a tingling and painful sensation in my legs, which l...
Dr. Jiang Junyi Reply:
Dear Mr. Tong, You mentioned "early neuropathy caused by diabetes." Diabetic neuropathy is a common condition that can initially be treated with medication. Nerve biopsies are typically used to diagnose some rare neuropathies. Can the nerves regenerate after a biopsy? ...[Read More] Is Nerve Biopsy Necessary for Diagnosing Diabetic Neuropathy?
Understanding Neurological Symptoms: Seeking Answers for Persistent Discomfort
Struggling for nearly six months? Hello Dr. Jiang, I started experiencing chest tightness and pain in my pectoral muscles last October, accompanied by weakness, shoulder pain, and numbness in my back during certain movements, with a sensation like electric shocks. When I raise my...
Dr. Jiang Junyi Reply:
Dear Mr. Wu, You mentioned "multiple sclerosis," which affects fewer than 5 people per 100,000 in Taiwan, making it a rare disease. The diagnosis of multiple sclerosis is based on clinical history and examinations that reveal multiple lesions in the nervous system. A d...[Read More] Understanding Neurological Symptoms: Seeking Answers for Persistent Discomfort
Managing Exam-Related Headaches: Tips for Students
Exam-related headache Hello, doctor. I don't experience pressure headaches before exams, but during long exams like midterms or finals, I feel a lot of pressure in my head and a sense of heaviness. My eyes become strained and dry from overuse, which affects my performance. I...
Dr. Jiang Junyi Reply:
Dear Mr. Ke, You mentioned whether taking Tylenol during exams could lead to dependence. Pure Tylenol (acetaminophen) does not cause dependence. However, the extra-strength Tylenol contains caffeine, which may lead to dependence. Will taking Tylenol affect your exam performanc...[Read More] Managing Exam-Related Headaches: Tips for Students
Understanding Muscle Twitches and Weakness: When to Seek Help
Muscle twitching Recently, I have been experiencing muscle twitching that is not localized to a specific area. Sometimes, I notice a decrease in strength in my left hand, and at other times, it shifts to my left hand and left leg. After researching online, I came across the sympt...
Dr. Jiang Junyi Reply:
Hello Mr. Travis, You mentioned that "the strength in your hands has decreased, and sometimes the strength in your left hand and foot has also diminished..." Since these symptoms are on the same side, we should first rule out any cervical spine issues. You are concern...[Read More] Understanding Muscle Twitches and Weakness: When to Seek Help
Neck Pain Leading to Headaches and Numbness: Relief Tips
Cervical spine pain radiating to headaches and numbness in the back? I started experiencing neck pain about a week ago, possibly due to excessive use of my phone or computer. The soreness has persisted for over a week. I also noticed some numbness in my back after taking a nap at...
Dr. Jiang Junyi Reply:
Dear Ms. Ke, You mentioned that "the soreness has lasted for over a week. I noticed some numbness in my back when I got up after napping at work. Can I use heat or ice packs to relieve this soreness more quickly?" Generally, the principle of using ice is as follows: ...[Read More] Neck Pain Leading to Headaches and Numbness: Relief Tips
Unbalanced Dizziness: Exploring Treatment Options for Seniors
Dizziness characterized by unsteadiness while walking? Hello: My family member is 70 years old and had shingles in the left ear last April. After recovery, they have experienced issues with imbalance and dizziness while walking, but these symptoms do not occur when stationary. Th...
Dr. Hong Weibin Reply:
Hello: Currently, there are limited treatment options for dizziness. Besides pharmacological treatment, physical therapy such as balance training can be beneficial. Additionally, cognitive behavioral therapy, which is a form of psychological treatment, can also help.[Read More] Unbalanced Dizziness: Exploring Treatment Options for Seniors
Understanding Involuntary Muscle Twitches: Causes and Concerns
Involuntary muscle twitching? I would like to ask, regardless of whether I am standing, sitting, or lying down, my legs involuntarily twitch and tremble, and sometimes my hands also experience involuntary twitching and trembling. This has been ongoing for about a year. When I con...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to visit the neurology outpatient clinic for an evaluation of the underlying cause.[Read More] Understanding Involuntary Muscle Twitches: Causes and Concerns
Why Do My Heels Feel Numb When Lying Flat? Causes and Solutions
Numbness in the legs while lying flat? When lying flat, if you experience soreness or numbness in your heels, and it alleviates when using a thin blanket or lying on your side, what could be the cause? Thank you, doctor.
Dr. Jiang Junyi Reply:
Hello Ms. Pin, You mentioned experiencing soreness or numbness in your heels while lying flat, which may indicate "piriformis syndrome" or compression of the sciatic nerve. The piriformis muscle is located deep in the buttocks and spans between the spine and the hip jo...[Read More] Why Do My Heels Feel Numb When Lying Flat? Causes and Solutions
Understanding Sleep Issues in Fathers: The Impact of Alcohol and Smoking
Father's sleep issues? Hello doctor, my dad usually goes to bed around 7 or 8 PM, but according to him, he only sleeps for about 4.5 hours (sometimes even less). He has mentioned that he has had trouble sleeping since he was a child (he also can't nap during the day). A...
Dr. Jiang Junyi Reply:
Dear Mr. Zhu, You mentioned that your father usually goes to bed around 7 or 8 PM, but according to him, he only sleeps for about 4.5 hours (sometimes even less). He has said that he has had trouble sleeping since childhood (he also struggles to nap during the day). I wonder if ...[Read More] Understanding Sleep Issues in Fathers: The Impact of Alcohol and Smoking
Unexplained Bump on the Back of the Head: When to Seek Medical Attention
A sudden protrusion at the back of the head? Hello, doctor. I would like to ask about a change in the shape of my occipital region; there is a protrusion. Over the past year, I have also noticed changes in my vision, as my field of view seems to have expanded, making things that ...
Dr. Jiang Junyi Reply:
Dear Ms. ViVI, You mentioned that "your vision has changed over the past year, and the range of what you see feels larger; things that once seemed quite large now appear smaller... Your thoughts also seem unclear, and you often forget things..." I wonder if you are exp...[Read More] Unexplained Bump on the Back of the Head: When to Seek Medical Attention
Understanding the Sensation of Head Pressure and Balance Issues
Feeling of pressure in the head? In the past month, I have occasionally felt a sensation of pressure in my head, and sometimes I feel like my body is leaning to one side. There was also an instance when I felt like the floor was spinning, making it difficult to stand, but it quic...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "sometimes I feel like my body is tilting to one side, and once I felt like the floor was spinning, making it hard to stand, but I quickly recovered." These symptoms are more indicative of Benign Paroxysmal Positional Vertigo (BPPV). The c...[Read More] Understanding the Sensation of Head Pressure and Balance Issues
Understanding Sleep Issues: When to Consult a Neurologist for Snoring
Father's Sleep Issues 2 Hello Doctor, thank you for your response. My father does snore at night, and it happens quite frequently (sometimes it lasts longer, and sometimes it's shorter). If we want to have this checked, would you recommend seeing a neurologist?
Dr. Jiang Junyi Reply:
Dear Mr. Zhu, Your father belongs to a high-risk group for moderate to severe COVID-19. Given the current tight situation of the COVID-19 pandemic, it is advisable to wait until the situation stabilizes before going to the hospital for examinations. Regarding the sleep center: ...[Read More] Understanding Sleep Issues: When to Consult a Neurologist for Snoring
Understanding Dizziness After Cold: Possible Causes and Solutions
Consultation regarding dizziness issues? Hello, Doctor. About six weeks ago, I had a cold (nasal congestion and runny nose). After recovering, I started experiencing two new symptoms: a cough and dizziness. Both symptoms have not improved since then. The dizziness feels like a ge...
Dr. Jiang Junyi Reply:
Hello Mr. Tsai, You mentioned feeling "dizzy and somewhat pressure in your ears... due to poor sleep, the imbalance in your inner ear has persisted for a long time, and it was only after seeing a psychiatrist and taking medication that you recovered. Perhaps this is related...[Read More] Understanding Dizziness After Cold: Possible Causes and Solutions