Understanding Right-Side Numbness: Causes and Concerns in Neurology
Numbness in the right side of the face, hands, and feet? Hello, I initially experienced numbness in my right hand's ring and little fingers, as well as numbness on the right side of my face. Sometimes, I feel saliva pooling in my mouth. I consulted a neurologist who performe...
Dr. Jiang Junyi Reply:
Hello Ms. Ping, You mentioned that "the ring finger and little finger are numb," which is more indicative of ulnar nerve pathology. You also mentioned that "the MRI of the spine shows mild disc herniation." Often, because the MRI is performed while lying down...[Read More] Understanding Right-Side Numbness: Causes and Concerns in Neurology
Understanding Nerve Pain: When to See a Neurologist or Specialist
Pain and numbness in the hands and feet? Hello doctor, I have pain from my lower back to my buttocks and down to my calves, with pain in my heels and soles. My fourth toe has an angle that causes discomfort, possibly due to tight shoes compressing it, which feels like it might be...
Dr. Jiang Junyi Reply:
Dear Mr. Ming-Ting, You mentioned that the pain from the lower back to the buttocks, down to the calves, and from the heels to the soles of the feet resembles a condition related to the sciatic nerve. Additionally, the tingling and numbness in your ring and little fingers are mo...[Read More] Understanding Nerve Pain: When to See a Neurologist or Specialist
Understanding Persistent Numbness: Causes and Treatments for Limb and Abdominal Symptoms
Numbness in the limbs, numbness in the abdomen and back? Hello Doctor: Starting from January 1st of this year, I experienced a progressive numbness in both legs, beginning from the soles and extending up to the waist over a span of five days. The numbness persisted 24 hours a day...
Dr. Jiang Junyi Reply:
Dear Mr. Lai, You mentioned that "the numbness gradually spread from the soles of both feet to the waist over five days." I wonder if you have been exposed to nitrous oxide? If the numbness is rapidly ascending, we may consider acute demyelinating polyneuropathy. Las...[Read More] Understanding Persistent Numbness: Causes and Treatments for Limb and Abdominal Symptoms
Managing Muscle Cramps in Myasthenia Gravis Patients: Solutions and Medications
Medication issues Hello, doctor. I have been diagnosed with myasthenia gravis, and after starting medication, I have been experiencing cramps in the soles of my feet. The frequency of these cramps is higher than with the previous medication I was taking, and they are quite painfu...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned that "after being diagnosed with myasthenia gravis and starting medication, I experienced cramps in the soles of my feet, and the frequency is higher than with the previous medication." In cases of myasthenia gravis, the use of muscle relaxants...[Read More] Managing Muscle Cramps in Myasthenia Gravis Patients: Solutions and Medications
How Long After Starting Epilepsy Medication Will Seizure Frequency Decrease?
How long after starting medication for epilepsy does it typically take to reduce the frequency of seizures? Hello Doctor: My family member is currently 54 years old and began experiencing absence seizures about four to five years ago. In the past one to two years, they have had a...
Dr. Jiang Junyi Reply:
Dear Ms. Ling, You mentioned that "my family member started treatment last year and currently takes one dose of Levetiracetam in the morning and evening. They have been taking Zolpidem at night due to sleep issues for about six months, but still experience one to two comple...[Read More] How Long After Starting Epilepsy Medication Will Seizure Frequency Decrease?
Can Circulating Medications Improve Dizziness from Vertebral Artery Dysplasia?
Can a congenital hypoplasia of the vertebral artery be improved by taking Xunli Ning to enhance cerebral blood circulation? I currently have symptoms due to cervical spondylosis affecting the C3, C4, and C5 vertebrae, which has led to related symptoms, one of which is dizziness. ...
Dr. Cai Zongzhang Reply:
Hello: There are many factors that can affect cerebral circulation. It is recommended to visit a neurology clinic for relevant examinations and to discuss treatment options with a physician. Please do not self-medicate.[Read More] Can Circulating Medications Improve Dizziness from Vertebral Artery Dysplasia?
Understanding Right Brain Pain and Oral Numbness: A Neurology Perspective
Head and face Hello doctor, recently I've been experiencing occasional sharp pains in my right brain, and there's a tingling sensation in the right side of my mouth, similar to the feeling of having a candy in my mouth for too long. I also have increased saliva producti...
Dr. Jiang Junyi Reply:
Dear Ms. Hsuan, You mentioned that you have a tingling sensation in the right side of your mouth, similar to the feeling of having candy in your mouth for too long. This may warrant consideration of trigeminal nerve symptoms. There are many potential causes for trigeminal nerve ...[Read More] Understanding Right Brain Pain and Oral Numbness: A Neurology Perspective
Understanding Muscle Atrophy, Weakness, and Fasciculations: A Neurology Perspective
Muscle atrophy, twitching, weakness? Hello, doctor. I would like to ask you about something. About two months ago, I suddenly noticed a depression on the right side of my thigh near the groin area. Later, I found a similar depression on the left side, measuring approximately 5x5 ...
Dr. Jiang Junyi Reply:
Hello Ms. Chychy, You mentioned that "...but because I feel that the area of indentation has increased, I am now worried every day that I might be in the early stages of ALS..." The symptoms you describe are more indicative of localized muscle or peripheral nerve issue...[Read More] Understanding Muscle Atrophy, Weakness, and Fasciculations: A Neurology Perspective
Understanding Early Symptoms of Amyotrophic Lateral Sclerosis (ALS)
Symptoms of amyotrophic lateral sclerosis (ALS) Hello, doctor. Recently, I have been experiencing some involuntary muscle twitching in my legs, and I also feel a lack of strength. However, I don't have much trouble when lifting things normally. About two months ago, I visite...
Dr. Hong Weibin Reply:
Hello: Regarding the symptoms of amyotrophic lateral sclerosis (ALS), you can refer to the CommonHealth Knowledge Base at https://kb.commonhealth.com.tw/library/417.html#data-3-collapse. However, if your symptoms are not progressively worsening, you can be reassured that it is us...[Read More] Understanding Early Symptoms of Amyotrophic Lateral Sclerosis (ALS)
Understanding Unexplained Cool Sensation at the Corner of the Mouth
Occasionally, there is a "cool sensation at the corners of the mouth" (without saliva)? Dear Dr. Jiang, Thank you very much for taking the time to respond to my concerns. Recently, I have been experiencing a "cool sensation at the corners of my mouth" (withou...
Dr. Jiang Junyi Reply:
Dear Mr. Chen, You mentioned that you have recently experienced a "cool sensation at the corners of your mouth" (without saliva), particularly noticeable after meals. You are currently on the 14th day of treatment for prostatitis with levofloxacin. First, we should con...[Read More] Understanding Unexplained Cool Sensation at the Corner of the Mouth
Dizziness When Turning: Understanding Neurological Symptoms
Dizziness when turning? Hello Doctor, for the past month, I have been feeling a bit dizzy and unsteady whenever I walk, especially when turning or looking back (it's not a spinning sensation). I have tried walking in a straight line, standing on one foot, and performing the ...
Dr. Jiang Junyi Reply:
Hello Mr. Huang, You mentioned that "you have tried walking in a straight line or standing on one foot... and also tried the finger-to-nose test, and personally feel quite stable." This observation suggests that it is less likely to be a cerebellar or brainstem lesion....[Read More] Dizziness When Turning: Understanding Neurological Symptoms
Understanding Symptoms: Multiple Sclerosis vs. Autonomic Nervous System Disorders
Multiple Sclerosis or Autonomic Nervous System Dysfunction Hello Dr. Jiang, I have been experiencing a tingling and numbness in my hands and feet since early September. I visited a neurology clinic, and they suggested it could be either cervical spine inflammation or autonomic ne...
Dr. Jiang Junyi Reply:
Dear Miss Li, You mentioned that "the symptoms really seem very similar to those of multiple sclerosis, and considering that I am 21 years old, which is the age when this condition is more likely to occur..." I believe the chances are low, as multiple sclerosis is clas...[Read More] Understanding Symptoms: Multiple Sclerosis vs. Autonomic Nervous System Disorders
Understanding Muscle Twitches Below the Pinky: Causes and Insights
Twitching of the muscles below the little finger? Hello doctor, I would like to ask about a situation I've been experiencing since last week. There is a twitching sensation in the area just below my palm (specifically the area below my little finger). It doesn't last lo...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that there is a pulsating sensation in the area below the palm (approximately under the little finger). The nerves in that area are primarily innervated by the ulnar nerve. Regarding muscle twitching, current research mainly relates to several factors: e...[Read More] Understanding Muscle Twitches Below the Pinky: Causes and Insights
Understanding Sudden Thigh Pain: Causes and Solutions for Nerve Issues
Leg issue - intermittent sharp pain in the inner thigh (similar to an electric shock sensation)? Last year, between September and October, I frequently experienced sudden sharp pains in the inner thigh of my right leg, close to that side. The pain felt like an electric shock and ...
Dr. Jiang Junyi Reply:
Dear Ms. Hsieh, You mentioned experiencing intermittent sharp pain on the inner side of your right thigh (similar to an electric shock), with each episode being a momentary severe pain. This may warrant consideration of nerve root compression at the lumbar vertebrae L2 and L3. N...[Read More] Understanding Sudden Thigh Pain: Causes and Solutions for Nerve Issues
Understanding Upper Back Pain: Causes and Connections to MRI Findings
Shoulder and back pain? Hello, Doctor. Recently, I've been experiencing frequent upper back pain (on the right side, around the scapula) for the past two months. Sometimes, I also have shoulder pain (on both sides). When I turn my head to the left, I feel a slight pain... It...
Dr. Jiang Junyi Reply:
Dear Miss Sophia, You mentioned, "Is the pain related to previous symptoms? What could be the possible causes?" Your MRI report indicates: 2. Posterior bulging disc of C6/7 with mild anterior indentation on the thecal sac and mild narrowing of bilateral neural foramina...[Read More] Understanding Upper Back Pain: Causes and Connections to MRI Findings
Can I Take Mosapin and Probiotics Together After Meals?
Medication Consultation (MOSAPIN with Probiotics) Hello, doctor. I would like to ask about my recent use of MOSAPIN F.C. TABLET 5MG STANDARD for my irritable bowel syndrome. I am also considering taking a commercially available probiotic (like X tablets). Can I take both after me...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that you are taking MOSAPIN F.C. TABLET 5MG STANDARD for irritable bowel syndrome, but you also want to take over-the-counter probiotics (such as X tablets)... Generally speaking, probiotics are dietary supplements and do not have significant interaction...[Read More] Can I Take Mosapin and Probiotics Together After Meals?
Early Signs of ALS: Understanding Symptoms and Prevention Strategies
Early stage of amyotrophic lateral sclerosis (ALS) Hello, doctor. Recently, when I stand on my left foot, I feel a constant urge to engage my calf muscles (similar to the feeling of trying to maintain balance). I am aware of this urge before it happens. Additionally, when lying i...
Dr. Jiang Junyi Reply:
Hello Mr. Ju, You mentioned "the early reactions of amyotrophic lateral sclerosis (ALS)?" ALS primarily refers to issues with motor neurons, which control muscle movement. Generally, the motor neurons in the brain are referred to as upper motor neurons, while those in ...[Read More] Early Signs of ALS: Understanding Symptoms and Prevention Strategies
Persistent Nausea and Facial Tremors: Should You Worry About Brain Issues?
Persistent headache, nausea, and facial muscle twitching throughout the day? Hello doctor, in recent days I have been experiencing frequent nausea and dry heaving. The left side of my face involuntarily twitches, and I constantly feel a sense of heaviness in my head, which has si...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned that "your mental state is poor and you lack motivation at work, which severely affects your daily life." Since this impacts your life, I recommend seeking medical advice for discussion and examination. The brain tumor you are concerned about i...[Read More] Persistent Nausea and Facial Tremors: Should You Worry About Brain Issues?
Understanding Facial Twitching: Causes and Solutions for Photogenic Moments
Facial twitching Hello, Doctor. When I take photos, the left corner of my mouth suddenly starts to twitch, but this doesn't happen normally. To prevent this from occurring, I practice smiling frequently, and during those times, I can control the corner of my mouth well. Howe...
Dr. Jiang Junyi Reply:
Hello Miss Anan: Muscle twitching while awake may indicate some metabolic disorders, such as hyperthyroidism or electrolyte imbalances. Certain stimulating foods, like caffeine, may also exacerbate muscle twitching during wakefulness. It is recommended that you supplement with B ...[Read More] Understanding Facial Twitching: Causes and Solutions for Photogenic Moments
Understanding Facial Twitching: Causes and Solutions for Your Concerns
Facial twitching? Hello, Doctor. When I take photos, the left corner of my mouth suddenly starts to twitch, but this doesn't happen normally. To prevent this from occurring, I practice smiling frequently, and during those times, I can control the corner of my mouth well. How...
Dr. Jiang Junyi Reply:
Hello Miss An: Muscle twitching while awake may indicate some metabolic disorders, such as hyperthyroidism or electrolyte imbalances. Certain stimulating foods, like caffeine, may also exacerbate muscle twitching during wakefulness. I recommend supplementing with B vitamins and s...[Read More] Understanding Facial Twitching: Causes and Solutions for Your Concerns