Understanding ALS Symptoms: What to Expect and When to Seek Help
Symptoms of Amyotrophic Lateral Sclerosis (ALS) Hello Doctor, I started feeling weakness in my right hand and right foot when I got up on February 21. It feels unusual, but I can still exert strength if I try hard; otherwise, it feels soft as if I had engaged in intense exercise....
Dr. Jiang Junyi Reply:
Hello, Student Luo: You mentioned "EEG and upper and lower limb evoked potentials, and next month there will be an MRI." Essentially, EEG is not a diagnostic tool for motor neuron diseases. Your concern about amyotrophic lateral sclerosis (ALS) primarily refers to issu...[Read More] Understanding ALS Symptoms: What to Expect and When to Seek Help
Understanding Perceptual Disorders: When to Seek Medical Advice
Regarding issues related to sensory integration disorder? Hello, doctor. Sometimes I suddenly experience a strange sensation where it feels like the surroundings are speeding up, and sounds suddenly become amplified. The speed and volume can be so overwhelming that it makes me fe...
Dr. Cai Zongzhang Reply:
Hello Gina: It is recommended to visit the neurology outpatient clinic for an examination.[Read More] Understanding Perceptual Disorders: When to Seek Medical Advice
Understanding Facial Nerve Paralysis: Symptoms, Steroid Side Effects, and Concerns
Facial nerve paralysis Hello Doctor, my daughter (15 years old) noticed on the afternoon of February 13 that she could not fully close her lips when drinking water, and her right face felt stiff when she opened her mouth wide. She visited the doctor on February 14 and was prescri...
Dr. Jiang Junyi Reply:
Hello, You Ma: You mentioned that "when drinking water, your lips cannot fully close, and your right face feels stiff when your mouth is wide open." You have been taking steroids and gastric medication for a week. Clinically, this may suggest facial nerve paralysis. In...[Read More] Understanding Facial Nerve Paralysis: Symptoms, Steroid Side Effects, and Concerns
Understanding Muscle Pain and Fasciculations: Possible Neurological Causes
Muscle fasciculations and muscle soreness with weakness? Since 2019, I have experienced occasional muscle soreness in my limbs (about once every 3 to 6 months, lasting approximately 1.5 weeks). My hand strength has decreased, and when I go shopping and lift items weighing 2 to 5 ...
Dr. Hong Weibin Reply:
Hello: Based on your symptoms, it is recommended that you seek assistance from a neurologist specializing in neuromuscular diseases at a major hospital. They may arrange for blood tests, electromyography (EMG), and other evaluations. Cervical spine compression or myasthenia gravi...[Read More] Understanding Muscle Pain and Fasciculations: Possible Neurological Causes
Understanding Facial Twitches: When to Seek Medical Advice
Facial twitching? The right upper eyelid has been twitching at the outer edge, and occasionally the left corner of the mouth twitches as well. The frequency is irregular and not frequent (about once or twice a week), but it has persisted for approximately two months. I became awa...
Dr. Jiang Junyi Reply:
Dear Miss Ai, You mentioned "twitching at the end of the right upper eyelid, and occasionally at the left corner of the mouth, with an irregular and infrequent frequency." Eyelid movements are controlled by the facial nerve. If the eyelid is twitching continuously, the...[Read More] Understanding Facial Twitches: When to Seek Medical Advice
Can Autonomic Nervous System Disorders Be Diagnosed with Tests?
Can the autonomic nervous system be tested? Hello Doctor, I have been suffering from various ailments recently and have seen multiple doctors without finding a clear cause, which has left me questioning everything. I noticed your patience in responding to some neurology patients,...
Dr. Jiang Junyi Reply:
Hello Mr. Ben, You asked, "Can autonomic nervous system disorders be detected through instruments, or can they only be assessed through clinical experience? If it can be detected, is it similar to an electrocardiogram that measures the current state?" The most common m...[Read More] Can Autonomic Nervous System Disorders Be Diagnosed with Tests?
Sudden Electric Shock Sensation in Buttocks: What Could It Be?
The flesh on the buttocks feels like it has been punctured? About a month ago, I started experiencing a sensation in my left buttock while sitting, like an electric shock that lasts for about two seconds. This occurs occasionally, sometimes once a day or every two to three days, ...
Dr. Jiang Junyi Reply:
Hello, Ms. Gui: You mentioned experiencing a sensation in your buttock that feels like an electric shock lasting about two seconds, specifically on the left side. This symptom is more indicative of peripheral nerve compression. It may be worth considering "piriformis syndro...[Read More] Sudden Electric Shock Sensation in Buttocks: What Could It Be?
Understanding Serotonin Syndrome: Symptoms and Specialist Guidance
Serotonin syndrome inquiry? Hello Dr. Jiang, I have stopped taking the medication prescribed by the psychiatric clinic (Leeyo) because I need to undergo other related tests at the hospital. Initially, I was on a low dose (2.5 mg daily for about two weeks). It has been about a m...
Dr. Jiang Junyi Reply:
Hello Ben: You mentioned "serotonin storm syndrome," which refers to serotonin syndrome that typically occurs when two or more medications that increase serotonin activity in the brain are combined, potentially leading to the onset of serotonin syndrome. Recovery usuall...[Read More] Understanding Serotonin Syndrome: Symptoms and Specialist Guidance
Understanding Your Neurological Concerns: A Guide to ALS Anxiety
Regarding one's own condition? I used to come to you with questions often, and back then (8 months ago), I was very worried about amyotrophic lateral sclerosis (ALS), and I still am. My muscles have been twitching lately, and my left leg feels strange, almost like a reflex s...
Dr. Jiang Junyi Reply:
Hello: You mentioned that you feel strain in your bite when chewing on tough foods. If the masticatory muscles are not frequently used, it is indeed possible to experience this strain. I recommend maintaining appropriate exercise to preserve your muscle mass (you can purchase a b...[Read More] Understanding Your Neurological Concerns: A Guide to ALS Anxiety
Unexplained Armpit Pain: Causes and When to Seek Medical Help
Occasionally experiencing a dull pain in the armpit? Hello Doctor: I often experience unexplained pain in my left armpit. I consulted a doctor, and upon examination, no lumps were found. The doctor could not determine the cause, and later, a biopsy of the armpit showed no abnorma...
Dr. Cai Zongzhang Reply:
Hello Andy: It is recommended to visit the neurology outpatient clinic for an examination.[Read More] Unexplained Armpit Pain: Causes and When to Seek Medical Help
Understanding Headaches and Dizziness: Causes and Concerns
Headache and feelings of dizziness or brain fog? Hello Dr. Jiang, Last Monday, while I was taking a shower, the water might have been too hot, and I suddenly felt a rush to my head. After showering, I felt a bit dizzy. A few days later (around last Wednesday), I started experien...
Dr. Jiang Junyi Reply:
Hello Mr. K: I would like to know if you have a smoking habit? This may increase the risk of cerebrovascular diseases. You mentioned that "I feel like my right eye's vision has declined; I have to strain to see things that were once clear." This may warrant conside...[Read More] Understanding Headaches and Dizziness: Causes and Concerns
Feeling Exhausted and Anxious: Understanding Autonomic Nervous System Disorders
I feel exhausted every day and I feel like I'm about to die! Last night, I suddenly felt unwell in the latter half of my sleep. I got up to check my blood pressure, which was 91/56. I felt like crying; I wanted to sleep but couldn't. At first, I experienced hand tremors...
Dr. Jiang Junyi Reply:
Hello: You mentioned symptoms such as "feeling sleepy but unable to sleep well, initially experiencing hand tremors and numbness in the legs... switching positions while sleeping, rapid internal shaking, left-sided numbness, and a fast heartbeat." These symptoms may sug...[Read More] Feeling Exhausted and Anxious: Understanding Autonomic Nervous System Disorders
Facial Pain After Drinking: Is It Related to Trigeminal Nerve Issues?
Sore cheeks after drinking alcohol? Hello: Recently, I've noticed that my cheeks feel sore when I drink alcohol, but it doesn't happen every time, even with the same type of alcohol. Could this be related to the trigeminal nerve? Should I avoid alcohol completely or see...
Dr. Jiang Junyi Reply:
Dear Ms. WH, You mentioned that you experience a tingling sensation in your cheeks when drinking alcohol. I would like to know if you also experience headaches during this time. Is it more pronounced when you drink red wine? The combination of red wine and cheese may trigger mig...[Read More] Facial Pain After Drinking: Is It Related to Trigeminal Nerve Issues?
Understanding Muscle Tremors: Possible Causes and Next Steps
Muscle twitching for three weeks? Hello, doctor. At the end of 2021, I discovered that my prolactin levels were elevated (29.6), so my obstetrician prescribed cabergoline 0.5 mg, 1 tablet orally once a week, and Yasmin, 1 tablet orally daily. I started taking the medication on De...
Dr. Jiang Junyi Reply:
Hello Ms. Li: You mentioned that "the tremor sensation in the left chest almost never stops, and even when I wake up and open my eyes, I start shaking. If I shake my body and legs vigorously, there is a temporary improvement, and it feels like the tremor disappears, but it q...[Read More] Understanding Muscle Tremors: Possible Causes and Next Steps
Understanding Muscle Weakness: Is It ALS or Just Fatigue?
A young person diagnosed with amyotrophic lateral sclerosis (ALS)? Hello, Doctor. I am the patient with ID 177923 who consulted you on January 23rd. After observing myself over the past few days, I have noticed that my involuntary muscle twitching has almost disappeared. However,...
Dr. Hong Weibin Reply:
Hello: Based on your description, you do not need to worry about amyotrophic lateral sclerosis (ALS). It is recommended to engage in strength training during your spare time from work.[Read More] Understanding Muscle Weakness: Is It ALS or Just Fatigue?
Understanding Occasional Sharp Pain in the Lower Back: Causes and Concerns
Lower back pain? Hello, doctor. I occasionally experience sharp pain in my lower back. I have seen a dermatologist who said my skin is fine, and an orthopedic specialist who also said there is nothing wrong. However, when I'm not lying down, I sometimes feel a bit of sharp p...
Dr. Cai Zongzhang Reply:
Hello, A-Ting: It is recommended to visit a neurologist for an evaluation of the underlying cause.[Read More] Understanding Occasional Sharp Pain in the Lower Back: Causes and Concerns
Understanding Anxiety and Discomfort: A Neurology Perspective
Anxiety and multiple discomforts? I have mitral valve prolapse, and my doctor prescribed medication for palpitations, which helped a lot. The doctor didn't mention the need for a follow-up appointment, so I stopped taking the medication after finishing it. However, about a m...
Dr. Cai Zongzhang Reply:
Hello, Ms. Jan: It is recommended to visit the neurology and psychiatry outpatient clinics for examination and treatment.[Read More] Understanding Anxiety and Discomfort: A Neurology Perspective
Understanding Occipital Neuralgia: Pain Triggered by Gum Inflammation
Occipital neuralgia? Every time I experience gum inflammation and ulceration, I feel a sharp pain in the back of my head. The pain is located slightly above the center of the back of my head, and it feels like an electric shock, occurring intermittently every few seconds. Once th...
Dr. Cai Zongzhang Reply:
Hello: The symptoms mentioned may indicate trigeminal nerve inflammation, possibly due to herpes zoster affecting the trigeminal nerve. It is recommended to consult a neurologist for examination and treatment.[Read More] Understanding Occipital Neuralgia: Pain Triggered by Gum Inflammation
Understanding Unilateral Tinnitus: Causes and Treatments
Unilateral tinnitus in the right ear? Hello, doctor. I have unilateral tinnitus in my right ear that is synchronized with my heartbeat. I also feel a sensation of airflow in my right ear, but when I went to the clinic to measure my ear pressure, it was normal. The clinic physicia...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to consult a neurologist for an evaluation of the underlying cause.[Read More] Understanding Unilateral Tinnitus: Causes and Treatments
Understanding the Increased Dementia Risk After Concussions
The probability of developing dementia after a concussion? A study from Sweden indicates that individuals who have experienced a concussion have an 80% increased risk of developing dementia. Although the likelihood of developing dementia after a head injury decreases over time, e...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned that "nine years ago, you had a motorcycle accident and lost consciousness for more than ten minutes; the doctor said it was a concussion, and that was the only time you have experienced this." Severe head trauma can cause varying degrees of da...[Read More] Understanding the Increased Dementia Risk After Concussions