ALS, Neurology FAQ - Page 37

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Understanding Post-Ride Dizziness: Causes and Self-Care Tips

dizzy Hello doctor, last week I went to an amusement park and rode a roller coaster. After returning home, I have been experiencing mild dizziness for the past few days. It doesn't feel like the room is spinning, but rather like being on a boat swaying. The sensation is more...


Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "after returning home, I have been experiencing mild dizziness for the past few days, not a spinning sensation but more like the feeling of being on a boat, which is more pronounced when sitting." Your issue may involve the vestibular nerv...

[Read More] Understanding Post-Ride Dizziness: Causes and Self-Care Tips


Understanding Right-Sided Numbness: When to Seek Further Medical Evaluation

Numbness in the right hand and right side of the body? Hello doctor, last week I started experiencing mild numbness in the tips of my fingers. I visited a neurologist who prescribed medication, but a few days later the numbness worsened, and soon my entire palm began to feel numb...


Dr. Jiang Junyi Reply:
Dear Mr. Jame, You mentioned that after visiting the neurology department and receiving medication, you experienced increasing numbness over the following days. The doctor indicated that the cervical spine X-ray showed no abnormalities, but by the weekend, you even felt slight n...

[Read More] Understanding Right-Sided Numbness: When to Seek Further Medical Evaluation


Understanding Recent Memory Decline: Causes and Concerns

Recent memory decline? For the past 2 to 3 months, I have frequently experienced a situation where I think about what information I need to look up one moment, and then the next moment I forget it. It takes about 20 seconds for me to remember. This happens very often, every day, ...


Dr. Jiang Junyi Reply:
Hello Mr. Sean, You mentioned, "I was thinking about what information I wanted to look up one second, and then the next second I forgot, and it takes about 20 seconds for me to remember." Your symptoms are indicative of short-term memory dysfunction. Short-term memory ...

[Read More] Understanding Recent Memory Decline: Causes and Concerns


Understanding Neurological Symptoms: Chest Tightness, Numbness, and More

Chest tightness, numbness in hands and feet, mouth sores, palpitations, insomnia? Hello, doctor. I have the following questions regarding possible causes and which specialty I should consult. Thank you. 1. I experience numbness, tingling, and a burning sensation in the joints of...


Dr. Jiang Junyi Reply:
Dear Ms. Vivian, You mentioned experiencing symptoms such as numbness, tingling, and a burning sensation around the finger joints, the back and palm of the hands up to the elbows, as well as around the knees, the tops of the feet, the ankles, and the toes. These symptoms do not ...

[Read More] Understanding Neurological Symptoms: Chest Tightness, Numbness, and More


Understanding Eye Pain and Neck Discomfort: A Neurological Perspective

Deep pain in the left eye (radiating to the left shoulder and neck)? Hello, Dr. Jiang. Three months ago, I experienced eye pain and visited an ophthalmologist. The doctor diagnosed my intraocular pressure at the critical value of 21. I continued to use the prescribed eye drops re...


Dr. Jiang Junyi Reply:
Hello Mr. Bai: You mentioned that "the assessment indicated a neurological issue, and I was referred to the neurology department, where the neurologist suggested the possibility of migraine?" The symptoms you described may need to consider Trigeminal Autonomic Cephalalg...

[Read More] Understanding Eye Pain and Neck Discomfort: A Neurological Perspective


Managing Medication Side Effects and Dosage Reduction in Neurology

Drug side effects and dosage reduction issues? Hello Doctor: I previously inquired about my mother's condition, and you suggested that the tremors in her throat might be a side effect of her medications. Therefore, we have started to taper her current medications: Entacapone...


Dr. Jiang Junyi Reply:
Hello: You mentioned that "after reducing the dosage for just one week, the aforementioned symptoms appeared. I wonder if the reduction time was too short or if the reduction caused the symptoms to recur." In clinical practice, medication adjustments should be accompani...

[Read More] Managing Medication Side Effects and Dosage Reduction in Neurology


Understanding Intermittent Pulsations: When to Seek Medical Advice

Irregular heartbeat phenomenon Hello doctor, I occasionally feel 1 to 2 pulsating sensations on the inner side of my left thigh while sitting, which feel like a heartbeat. When I touch it, I can sense it, and sometimes it also occurs under my left neck. Is this due to fatigue, or...


Dr. Jiang Junyi Reply:
Hello Mr. Ben: You mentioned that you experience "1 to 2 pulsating sensations on the inner left thigh near the knee while sitting." This symptom may be related to muscle twitching. Muscle twitching when awake could be associated with certain metabolic disorders, such as...

[Read More] Understanding Intermittent Pulsations: When to Seek Medical Advice


Understanding Coccydynia: Causes, Symptoms, and Treatment Options

Coccydynia (tailbone pain) issues? I had an X-ray of my coccyx, and the bones are fine. However, I experience significant pain when I stand up while riding my motorcycle, and some chairs cause pain when I sit down and then stand up. This has been bothering me for a long time. I a...


Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "it hurts a lot when I stand up after riding a motorcycle, and some chairs also cause pain when I sit and then stand up." Your symptoms may indicate a potential issue with the sciatic nerve. Herniated discs are often caused by spinal dege...

[Read More] Understanding Coccydynia: Causes, Symptoms, and Treatment Options


Understanding Facial Changes After Tension Headaches: A Neurology Perspective

The cheeks look strange? Hello Dr. Jiang: In February, I experienced headaches and dizziness, and I consulted a neurologist who diagnosed me with tension-type headaches. I was prescribed pain relievers and muscle relaxants. Later, I noticed that one day my left cheek felt suddenl...


Dr. Jiang Junyi Reply:
Dear Mr. K, You mentioned that "compared to the right cheek, the left appears flatter, and when I smile, it doesn't feel as full as before; I can also feel a difference when I touch both sides... there are no issues with closing my eyes or loss of forehead wrinkles.&qu...

[Read More] Understanding Facial Changes After Tension Headaches: A Neurology Perspective


Understanding Carpal Tunnel Syndrome: Symptoms, Diagnosis, and Treatment Options

Carpal Tunnel Syndrome Hello, Doctor. Recently, I've been experiencing numbness in my left hand for over a month, specifically in my palm and fingers, which feel swollen and tingly. My mobility is generally fine, but I notice the symptoms more when I'm at rest. Occasion...


Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "the electromyography (EMG) examination requires inserting a needle into the muscles of the hand." May I ask if your needle sensation is in the index, middle, and part of the ring finger? This would correspond to the area of the median ne...

[Read More] Understanding Carpal Tunnel Syndrome: Symptoms, Diagnosis, and Treatment Options


Understanding Nerve Disorders: Is Your Condition Related to ALS?

Neuropathy About ten years ago, my father underwent surgery on his right arm due to nerve compression, which caused atrophy and weakness in the entire arm. After the surgery, he did not experience further atrophy or weakness. Recently, however, he suddenly started to feel weaknes...


Dr. Jiang Junyi Reply:
Dear Ms. Hong, The condition you are concerned about, commonly referred to as "Lou Gehrig's disease," is known as amyotrophic lateral sclerosis (ALS), which is a type of motor neuron disease. Generally, the motor neurons in the brain are referred to as upper motor...

[Read More] Understanding Nerve Disorders: Is Your Condition Related to ALS?


Why Does My Left Cheek and Lip Twitch During Dumbbell Shoulder Workouts?

During dumbbell training, when exerting force with the right shoulder, the left upper lip and left cheek move along with it? Hello Doctor, due to the pandemic, I started working out at home and recently began using dumbbells. I've noticed that during some shoulder exercises,...


Dr. Jiang Junyi Reply:
Dear Ms. Tina, You mentioned that "when lifting a dumbbell with my right shoulder, my left cheek and left upper lip twitch slightly, and with each lift, the left cheek and left upper lip twitch again." This symptom seems to indicate a chain reaction of activation in th...

[Read More] Why Does My Left Cheek and Lip Twitch During Dumbbell Shoulder Workouts?


Could It Be Trigeminal Neuralgia? Understanding Facial Pain Symptoms

Is it trigeminal neuralgia? Hello Doctor: For the past month, I have suddenly started to feel pain when pressing on the upper inner corner of my right eye socket, as if I am experiencing menstrual cramps. Raising my eyebrows also causes some pain, and pressing on the right side o...


Dr. Jiang Junyi Reply:
Hello: You mentioned that "as the weather gets colder, I start to feel pain when pressing on the upper inner corner of my right eye, similar to menstrual cramps... there is also some pain when pressing on the right eyebrow." Generally speaking, pain that can be pressed ...

[Read More] Could It Be Trigeminal Neuralgia? Understanding Facial Pain Symptoms


Can Neck Tension Cause Tinnitus? Exploring Neurological Connections

Can neck tension cause tinnitus? Hello doctor, since mid-December last year (2021/12), I have been experiencing persistent tinnitus in my right ear, along with occasional difficulty opening my mouth. After visiting both a clinic and a major hospital, I underwent a hearing test, w...


Dr. Jiang Junyi Reply:
Hello Mr. Wang: You mentioned that "your right ear is constantly ringing, and occasionally you have difficulty opening your mouth," which may indicate temporomandibular joint disorder (TMJ). The symptoms that may occur include: 1. Difficulty and pain when opening the mo...

[Read More] Can Neck Tension Cause Tinnitus? Exploring Neurological Connections


Understanding Autonomic Nervous System Disorders and Their Impact on Health

Autonomic nervous system dysfunction Hello, doctor. I have developed a habit of masturbation over the past nine months. Initially, I would do it once or twice a day, but during one instance when I reached orgasm, my hands started to shake intensely. After about ten minutes, the s...


Dr. Cai Zongzhang Reply:
Hello: It is recommended to visit a neurology outpatient clinic to check for any underlying conditions that may be causing the aforementioned symptoms.

[Read More] Understanding Autonomic Nervous System Disorders and Their Impact on Health


Severe Headache After Bathing: When to Seek Medical Attention?

Headache-related issues? Hello, Dr. Jiang: My father has a habit of drying the bathroom walls and floor after showering to prevent slipping. This evening, while he was wiping the water off the walls, he suddenly experienced a severe headache and felt a heat sensation in his head...


Dr. Jiang Junyi Reply:
Hello: You mentioned that your father experienced "a sudden severe headache starting the moment he stood up from a squatting position... He reported feeling an unprecedented intense headache that radiated from both temples to the entire head, accompanied by the sound of his ...

[Read More] Severe Headache After Bathing: When to Seek Medical Attention?


Should I Seek Further Medical Attention for Neck Pain and Dizziness?

Please consult about neck pain and seeking medical attention? Hello, I would like to ask whether I should continue seeking medical attention regarding my situation. Two weeks ago, I experienced dizziness in the evening, and when I got home from work, my steps felt slightly unstea...


Dr. Jiang Junyi Reply:
Dear Mr. Mason, You mentioned that "the physician suggested going to a large hospital to check for other diseases related to the tonsils and thyroid." These examinations can be arranged by relevant physicians at regional hospitals, and you do not necessarily have to wa...

[Read More] Should I Seek Further Medical Attention for Neck Pain and Dizziness?


Understanding Sleep Disturbances: When to Consult a Neurologist

Sleep-related issues Hello doctor, I recently noticed a problem when I sleep at night. Just as I fall asleep, I experience a sensation of "not being able to breathe," which causes me to wake up abruptly. I'm wondering if this condition requires a visit to a neurolo...


Dr. Jiang Junyi Reply:
Dear Ms. Jan, You mentioned experiencing a moment of "feeling unable to breathe" just as you fall asleep, which may indicate sleep paralysis. This condition typically occurs when a person is transitioning into sleep or waking up. Patients often feel as though they have...

[Read More] Understanding Sleep Disturbances: When to Consult a Neurologist


Understanding the Causes of Front-to-Back Swaying Sensation

Sensation of swaying back and forth? Hello, doctor. I have a concern. Suddenly, one day, I started to feel a swaying sensation back and forth while standing, especially when walking normally; the feeling of swaying back and forth is very pronounced (not side to side!). This has b...


Dr. Jiang Junyi Reply:
Dear Mr. Dong-Chen, You mentioned that "the most noticeable sensation during walking is a forward and backward swaying... my mind feels tight. Is this due to autonomic nervous system dysfunction or hyperthyroidism?" Hyperthyroidism should be considered. Typically, auto...

[Read More] Understanding the Causes of Front-to-Back Swaying Sensation


Understanding Unexplained Pain and Forehead Headaches in Patients

Unexplained muscle pain and frontal headache? Hello, doctor. I have Marfan syndrome and have previously undergone spinal surgery. After the surgery, I began experiencing weakness and stiffness in my legs and spine, making it difficult to move, along with some pain. These symptoms...


Dr. Jiang Junyi Reply:
Dear Mr. Lei, You mentioned that "lying down causes headaches, and now I also experience pain while standing, along with frequent headaches... which may be due to compression of the spinal vessels, leading to headaches." Typically, when blood vessels are compressed, it...

[Read More] Understanding Unexplained Pain and Forehead Headaches in Patients


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