Understanding Nerve Damage and Recovery After Rhabdomyolysis
Numbness and weakness in the legs? Hello, doctor. On October 8th of this year, I drank too much at a social gathering and fell asleep on the floor. I woke up the next afternoon with my entire right leg feeling numb. I initially thought it would get better quickly, but I went to t...
Dr. Jiang Junyi Reply:
Hello Mr. Chang: You mentioned that "the doctor said it takes time to repair the nerves, and currently, I am undergoing rehabilitation and taking B12, but it has been two months since the incident... will treatment help me recover faster?" The symptoms seem more like ne...[Read More] Understanding Nerve Damage and Recovery After Rhabdomyolysis
Understanding Unilateral Eye Closure Issues: Causes and Next Steps
Issues with Eye Closure Hello Doctor, currently I am experiencing symptoms where I cannot close my left eye independently, but I can close both eyes simultaneously and also close my right eye alone. When I smile, my left side of the face appears significantly weaker. Additionally...
Dr. Jiang Junyi Reply:
Hello Mr. Sun: You mentioned that "the left side of your face is noticeably weaker when you smile, and there is also tinnitus in your left ear." This may indicate a left-sided facial nerve injury. Facial nerve paralysis is quite similar, primarily affecting the seventh ...[Read More] Understanding Unilateral Eye Closure Issues: Causes and Next Steps
Understanding Dizziness, Headaches, and Nausea: Possible Causes
Dizziness, headache, and nausea? Hello, doctor. One night, I suddenly experienced a headache, dizziness, and nausea. The pain is concentrated in the front of my head, while the back of my head feels heavy. My neck is sore, but it goes away when I lie flat. This has been ongoing f...
Dr. Jiang Junyi Reply:
Hello, Ms. Hsiang: You mentioned experiencing "severe pain in the front of the head, a heavy feeling in the back of the head, and neck soreness that resolves when lying flat." In addition to common cervical myofascial inflammation, intracranial hypotension may need to ...[Read More] Understanding Dizziness, Headaches, and Nausea: Possible Causes
Understanding Hand Numbness: Ulnar Nerve Compression and Neck Issues
Vague sensations of hand numbness? Hello Doctor, I have recently been experiencing a tingling and discomfort in my left hand fingers. Initially, it was a burning sensation in my ring and little fingers, and later the other three fingers on my left hand also started to feel numb, ...
Dr. Jiang Junyi Reply:
Hello Mr. JAM: You mentioned that "the other three fingers of my left hand also started to feel numb, and there is some weakness in my hand. I visited a rehabilitation specialist who said it is ulnar nerve compression." If it is ulnar nerve compression, it typically rel...[Read More] Understanding Hand Numbness: Ulnar Nerve Compression and Neck Issues
Managing Insomnia After Discontinuing Lorazepam: Seeking Solutions
I have been prescribed Lexotan for gastrointestinal pain caused by autonomic nervous system dysfunction. However, after stopping the medication, I still have insomnia and haven't improved. What should I do? I previously took Lorazepam for over three months, and stopping the ...
Dr. Jiang Junyi Reply:
Dear Mr. Hao, You mentioned the issue of dependence after taking "Lorazepam." Generally, Lorazepam is easily absorbed when taken orally, reaching peak plasma concentration approximately 2 hours after administration. The half-life in human plasma is about 12 to 18 hours...[Read More] Managing Insomnia After Discontinuing Lorazepam: Seeking Solutions
Understanding Dizziness: When to Seek Neurological Evaluation
I feel a bit dizzy? About a month ago, I visited a neurologist because I was experiencing slight numbness in my hand. At that time, they said there was no issue and recommended managing stress, supplementing with B vitamins, and getting more rest. The numbness in my hand has impr...
Dr. Cai Zongzhang Reply:
Hello Mr. Guo: It is recommended to visit the neurology outpatient clinic to check for any neurological function abnormalities.[Read More] Understanding Dizziness: When to Seek Neurological Evaluation
Can Treating Sympathetic Nervous System Disorders Help Allergic Rhinitis?
Can treating sympathetic nervous system abnormalities help in the treatment of allergic rhinitis? I believe I have vasomotor rhinitis, which has not improved. Medical reports indicate that the pathogenesis of chronic rhinitis is related to the autonomic nervous system. Both "...
Dr. Cai Zongzhang Reply:
Hello, Mr. Li: It is recommended to undergo desensitization therapy and to minimize external stimuli in daily life. You may consider visiting a neurology or otolaryngology clinic for treatment.[Read More] Can Treating Sympathetic Nervous System Disorders Help Allergic Rhinitis?
Understanding Head Tremors: Causes and Treatment Options for Women in Menopause
Head tremors My mother is 49 years old and started experiencing head tremors accompanied by emotional agitation and shortness of breath three months ago. She has been receiving treatment from both a neurologist and a psychiatrist for two months. During this time, she also visited...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "the position of the chin resembles the location of the hyoid muscle, with a shaking frequency and head tremors." There are many reasons that can cause such symptoms, which are referred to as tremors. 1. Physiological tremors: These do not oc...[Read More] Understanding Head Tremors: Causes and Treatment Options for Women in Menopause
Persistent Headaches After Vaccination: When to Seek Medical Attention?
I have been experiencing a persistent headache for four days after receiving the vaccine? Hello doctor, after receiving the second dose of the AZ vaccine on November 18, I experienced no symptoms and felt fine. However, four days later, I started having headaches, chest tightness...
Dr. Jiang Junyi Reply:
Dear Ms. Selene, You mentioned experiencing intermittent sharp and dull pain in the right occipital region, along with working over 8 hours a day on the computer. This may indicate cervical myofascial pain syndrome. Prolonged periods of looking down can lead to overuse of the tr...[Read More] Persistent Headaches After Vaccination: When to Seek Medical Attention?
Understanding Dizziness After Jarring Movements: Possible Causes
Experiencing dizziness after a head injury? Hello doctor, recently whenever I ride a bike or take a vehicle over bumps that cause vibrations, I feel dizzy for about a second. Sometimes I also experience this dizziness when walking if I encounter vibrations. What could be the issu...
Dr. Hong Weibin Reply:
Hello: The balance system in humans is primarily managed by the vestibular system and semicircular canals located in both inner ears. Dizziness during vibrations often originates from the vestibular system. Generally speaking, staying well-hydrated and getting a good night's...[Read More] Understanding Dizziness After Jarring Movements: Possible Causes
Understanding ALS Symptoms: Fatigue and One-Sided Weakness Explained
Symptoms of Amyotrophic Lateral Sclerosis (ALS) Hello, doctor. Recently, I've been experiencing some symptoms that are concerning me. I've been feeling frequently fatigued, just wanting to sleep, and having difficulty concentrating. Additionally, I have less control ove...
Dr. Jiang Junyi Reply:
Hello Mr. Ju: You mentioned that you have been feeling fatigued lately, often wanting to sleep, unable to concentrate, and having difficulty controlling your left little finger. These symptoms do not resemble those of motor neuron disease. The term "amyotrophic lateral scler...[Read More] Understanding ALS Symptoms: Fatigue and One-Sided Weakness Explained
Understanding Eyelid Twitching: Causes, Remedies, and When to Worry
Eyelid twitching issue? Hello Doctor, my left upper eyelid has been twitching intermittently for over a month. Sometimes it stops when I get enough sleep, but it twitches when I am sleep-deprived. Recently, I have been under significant stress due to a bereavement in the family, ...
Dr. Jiang Junyi Reply:
Dear Ms. Ayou, You mentioned that "the upper left eyelid has been twitching intermittently for over a month; sometimes it doesn't twitch when I have enough sleep, but it does when I'm sleep-deprived." Your symptoms are more indicative of benign eyelid twitchi...[Read More] Understanding Eyelid Twitching: Causes, Remedies, and When to Worry
Understanding Pain Above the Eyebrows: Possible Causes and Solutions
Pain in the area above both eyebrows? Hello Dr. Jiang: I have been experiencing pain in the area of my eyebrows for the past 2-3 days. It hurts when I press on it. Do you have any solutions, Dr. Jiang?
Dr. Jiang Junyi Reply:
Hello Mr. Lin: You mentioned that "the area above both eyebrows hurts, and it is painful when pressed." If tapping causes a dull pain, it may be worth considering inflammation of the frontal sinuses due to sinusitis. In daily life, it is advisable to avoid dry and cold ...[Read More] Understanding Pain Above the Eyebrows: Possible Causes and Solutions
Is Pituitary Tumor Considered a Cerebrovascular Disease?
Pituitary adenomas are not classified as cerebrovascular diseases? Is a pituitary adenoma considered a type of cerebrovascular disease? For individuals who have had this condition and are required to take central nervous system medications, will there be any effects? Thank you!
Dr. Jiang Junyi Reply:
Dear Ms. Tsai, You mentioned whether "pituitary tumors fall under cerebrovascular diseases..." Pituitary tumors are most commonly benign adenomas and are not classified as vascular diseases. They account for approximately 5-10% of all symptomatic intracranial tumors. L...[Read More] Is Pituitary Tumor Considered a Cerebrovascular Disease?
Understanding Head and Neck Discomfort: Possible Neurological Causes
Feeling unwell? Hello, doctor. For the past couple of days, I've been feeling tightness and heaviness on both sides of my head (near the temples), and sometimes it even hurts. I also feel this sensation above my neck, including when I'm sleeping or walking, and I occasi...
Dr. Jiang Junyi Reply:
Dear Ms. Chiu, You mentioned that the "tightness and heaviness on both sides of your head (near the temples)" may suggest tension-type headache, which is caused by muscle tightness in the head. Common symptoms include a squeezing pain in the forehead and temples, resem...[Read More] Understanding Head and Neck Discomfort: Possible Neurological Causes
Understanding Hand Tremors: Could It Be Cerebellar Atrophy?
Tremors in the hands can be treated with muscle relaxants? Hello doctor, I recently noticed that my fingers seem to tremble when I try to touch things, and the shaking appears to worsen the farther I extend my hand. I visited a hospital a while ago, and the doctor prescribed Chlo...
Dr. Jiang Junyi Reply:
Hello Mr. Huang: You mentioned that "my fingers seem to tremble when touching things... usually the further I stretch my hand, the more it shakes." This symptom resembles physiological tremors, which typically do not occur under normal circumstances but may arise in spe...[Read More] Understanding Hand Tremors: Could It Be Cerebellar Atrophy?
Essential Tests and Specialist Consultations for Epilepsy Management
In addition to your current evaluation for epilepsy, what other tests or specialist consultations would be beneficial for me? Frequent occurrences of symptoms: dizziness, headaches, chest tightness, unsteady gait, headaches, muscle cramps, fainting, hand tremors, cold extremities...
Dr. Jiang Junyi Reply:
Dear Mr. Q, You mentioned that you are taking a variety of medications: Diphenhydramine, Amantadine, Clonazepam, Fentanyl, H2 antagonists, Colchicine, Depakote, Topiramate, Venlafaxine, Aripiprazole, thyroid preparations, Aniracetam, and Ritalin. You also reported experiencing s...[Read More] Essential Tests and Specialist Consultations for Epilepsy Management
Understanding Neurological Symptoms: Dysautonomia vs. Multiple Sclerosis
Autonomic Nervous System Dysfunction or Multiple Sclerosis? Hello Dr. Jiang, In early September, I experienced brief episodes of numbness and tingling in my limbs, lasting only a few seconds but occurring quite frequently. I consulted a clinic, and they suggested it might be a c...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned experiencing "temporary numbness and tingling in your limbs, which lasts for a few seconds but occurs quite frequently." These symptoms are more indicative of hyperventilation. Hyperventilation can lead to a decrease in carbon dioxide levels ...[Read More] Understanding Neurological Symptoms: Dysautonomia vs. Multiple Sclerosis
Understanding Parkinson's Disease and Cerebellar Atrophy Symptoms
Parkinson's disease and cerebellar atrophy? Hello doctor, recently I have been experiencing some unsteadiness while walking, but I'm not sure if it's psychological. Additionally, I have a bit of difficulty controlling my left little finger and ring finger. I have t...
Dr. Hong Weibin Reply:
Hello: Typically, Parkinson's disease or cerebellar atrophy tends to occur in middle age. Generally speaking, it is quite rare for these conditions to manifest at the age of 16. If you are still concerned, I recommend seeking assistance from a neurologist, who can conduct a ...[Read More] Understanding Parkinson's Disease and Cerebellar Atrophy Symptoms
Understanding Facial Twitching: Is It Facial Muscle Spasm?
Palpitations Hello Dr. Jiang, a few weeks ago I experienced some facial twitching, and after seeing a doctor, I was told it was inflammation. The twitching has mostly stopped now, but today my lip twitched suddenly. I would like to ask if occasional twitching could be facial musc...
Dr. Jiang Junyi Reply:
Dear Mr. Lin, You mentioned that "occasional twitching could be facial muscle spasms," but it is also important to consider localized nerve inflammation as a cause of muscle twitching. An increase in muscle twitching may warrant consideration of certain metabolic disor...[Read More] Understanding Facial Twitching: Is It Facial Muscle Spasm?