Deviated Uvula and Uneven Pupil Size: When to Seek Medical Advice?
Deviated uvula with unequal pupil size? Although this question may seem a bit strange, I recently noticed that my uvula is leaning to one side. Additionally, under certain lighting conditions, my pupils appear to be of unequal size. After consulting with family members, they also...
Dr. Jiang Junyi Reply:
Hello, You mentioned that "the uvula is deviating to one side," which is primarily controlled by the vagus nerve. You also noted that "under moderate lighting conditions, it is easier to perceive a discrepancy in the size of the pupils, with the right eye respond...[Read More] Deviated Uvula and Uneven Pupil Size: When to Seek Medical Advice?
Understanding Numbness in the Thumb and Back: Causes and Concerns
Mild numbness in the right thumb and slight numbness in the back? Doctor, I started experiencing a slight tingling sensation around my right thumb yesterday (similar to the feeling of a foot falling asleep but not going away, though it's mild and only noticeable when touched...
Dr. Jiang Junyi Reply:
Dear Mr. Fook Chi, You mentioned that "there is a slight tingling sensation around the right thumb... and that you have seen a doctor for shoulder and neck pain, which was diagnosed as a herniated disc at the C6 level." It is important to consider that the C6 nerve roo...[Read More] Understanding Numbness in the Thumb and Back: Causes and Concerns
Understanding Facial Nerve Palsy: Diagnosis and Further Testing Options
Facial nerve paralysis examination Hello Dr. Jiang, about a month ago, I woke up one day to find that I couldn't move the left side of my face. During my consultation, the neurologist suspected that it might be a viral cause of facial nerve paralysis. I have been taking ster...
Dr. Jiang Junyi Reply:
Hello Mr. Kobayashi: You mentioned "facial nerve paralysis," which is a condition affecting the peripheral cranial nerves and usually resolves on its own. 1. If you would like to pursue further brain examinations, what options are available? Are they covered by health i...[Read More] Understanding Facial Nerve Palsy: Diagnosis and Further Testing Options
Understanding Persistent Throat Pain: Is It a Neurological Issue?
Is there a problem with the nervous system? Hello Doctor, I have been experiencing a sensation of a foreign body and sharp pain in my oral and pharyngeal walls, which becomes particularly pronounced when swallowing saliva. There is also sharp pain and a foreign body sensation nea...
Dr. Jiang Junyi Reply:
Dear Miss Lin, Regarding the "medication for post-nasal drip" you mentioned, it may cause discomfort such as dry mouth. Additionally, it is important to consider female hormones and autoimmune issues. Since your symptoms are atypical and you have sought multiple medica...[Read More] Understanding Persistent Throat Pain: Is It a Neurological Issue?
Understanding Facial Nerve Palsy: Diagnosis and Further Brain Examination Options
Facial nerve paralysis examination Hello Dr. Jiang, about a month ago, I woke up one day and found that I could not move the left side of my face. During my visit, the neurologist diagnosed it as possibly viral-induced facial nerve paralysis. I have been taking steroids for a wee...
Dr. Jiang Junyi Reply:
Hello Mr. Kobayashi: You mentioned "facial nerve paralysis," which is a condition affecting the peripheral cranial nerves and typically resolves on its own. 1. If you wish to pursue further brain examinations, what options are available? Are they covered by health insur...[Read More] Understanding Facial Nerve Palsy: Diagnosis and Further Brain Examination Options
Understanding Persistent Dizziness and Heaviness After Vaccination
Feeling of heaviness in the head accompanied by a sensation of dizziness and swaying of the body? Hello, doctor. I am 41 years old. In February 2021, I slipped and fell in the bathroom, hitting the back of my head, which swelled up. At the time, I didn't have any issues and ...
Dr. Jiang Junyi Reply:
Hello Ms. Chen: You mentioned that "about three days after receiving the BNT vaccine, I felt a heaviness in my head, and occasionally I feel dizzy, as if I'm swaying." The issue of dizziness may also be related to factors such as poor inner ear circulation, inadequ...[Read More] Understanding Persistent Dizziness and Heaviness After Vaccination
Understanding Pulsatile Tinnitus: Causes and Consultations for Ear Sounds
Regular sounds in the left ear? Hello Dr. Hong, I need to work on the computer for long periods. Occasionally, I hear a chirping sound in my left ear that syncs with my pulse. I have undergone carotid and intracranial ultrasounds twice (at different hospitals two years apart), ...
Dr. Hong Weibin Reply:
Hello: Generally speaking, if you hear a sound that is synchronized with your pulse and vascular abnormalities have been ruled out, it may indeed be the vascular pulse being transmitted to your ears. The conduction of sound waves relies on a medium, and bones, muscles, and skin a...[Read More] Understanding Pulsatile Tinnitus: Causes and Consultations for Ear Sounds
Managing Autonomic Nervous System Disorders: Medication and Anxiety Solutions
Autonomic nervous system dysfunction Hello, I have been suffering from autonomic nervous system dysregulation for many years. I have been taking 3 mg of Lishuding, increasing from half a pill to one pill every night before bed (I have been taking it for about three years). Howeve...
Dr. Hong Weibin Reply:
Hello: If you have been taking this medication for a long time and it improves your symptoms during the day without causing drowsiness, then it is acceptable to take it in the morning and at noon. When discontinuing this medication after long-term use, it is usually recommended t...[Read More] Managing Autonomic Nervous System Disorders: Medication and Anxiety Solutions
Understanding Left-Side Numbness: Causes and When to Seek Help
Numbness in the left hand and left foot? Hello Dr. Jiang, I would like to ask about a condition I've been experiencing recently. For the past few days, when I wake up in the morning, I feel numbness from my left elbow to my fingers, and also from my left ankle to my toes. To...
Dr. Jiang Junyi Reply:
Hello Ms. Liu, You mentioned that "the left elbow to the fingers often feels numb," which may suggest a common condition of ulnar nerve compression. However, you also noted that "even the left side of the face feels numb, and there are involuntary twitching episod...[Read More] Understanding Left-Side Numbness: Causes and When to Seek Help
Understanding ALS: Symptoms and Concerns About Muscle Weakness
Fear of developing amyotrophic lateral sclerosis (ALS)? Hello, doctor. Recently, I have been experiencing muscle twitching all over my body, and after some research, I found that it could possibly be amyotrophic lateral sclerosis (ALS). I am becoming increasingly worried and woul...
Dr. Jiang Junyi Reply:
Hello Mr. Wei, You mentioned that "the soles of my feet occasionally feel a twitching sensation, and my feet easily become numb." These symptoms are more indicative of peripheral nerve compression, as motor neuron diseases typically do not present with significant sens...[Read More] Understanding ALS: Symptoms and Concerns About Muscle Weakness
Understanding Facial Twitching: Is It Facial Muscle Spasm?
Heartbeat issues Hello Dr. Jiang, I had some facial twitching for a few weeks recently, and when I saw a doctor, they said it was inflammation. It has mostly stopped now, but today my lip twitched suddenly. I would like to ask if occasional twitching could be facial muscle spasms...
Dr. Jiang Junyi Reply:
Hello Mr. Lin: You mentioned that "occasional twitching may be facial muscle spasms," but we should also consider localized nerve inflammation. If the symptoms persist, I recommend that you consult a neurologist to discuss examination and treatment options. Thank you fo...[Read More] Understanding Facial Twitching: Is It Facial Muscle Spasm?
Understanding Facial Twitching: Is It Facial Muscle Spasm?
Palpitations Hello Dr. Jiang, I experienced facial twitching for a few weeks recently, and when I consulted a doctor, they said it was inflammation. It has mostly subsided now, but today I suddenly felt a twitch in my lip. I would like to ask if occasional twitching could be faci...
Dr. Jiang Junyi Reply:
Dear Mr. Lin, You mentioned that "occasional twitching could be facial muscle spasms," but we should also consider localized nerve inflammation. The facial muscle spasms you referred to typically involve multiple muscle groups and are primarily a response to abnormal e...[Read More] Understanding Facial Twitching: Is It Facial Muscle Spasm?
Can Multivitamins Cause Dizziness? Understanding Neurological Effects
Feeling dizzy after taking a multivitamin? After taking two multivitamins in the morning after breakfast, I felt dizzy and lightheaded throughout the day. I would like to ask the doctor if taking multivitamins can cause dizziness?
Dr. Jiang Junyi Reply:
Hello Ms. Momo: You mentioned that "taking multivitamins may cause dizziness." I'm curious about the ingredients in your multivitamin and which brand you are using. Clinically, most people find that taking vitamins reduces dizziness. There are many causes of dizzin...[Read More] Can Multivitamins Cause Dizziness? Understanding Neurological Effects
Understanding Pudendal Nerve Issues: Symptoms, Diagnosis, and Treatment
Pudendal nerve The patient is experiencing neurological discomfort in the female genital area, characterized by a persistent sensation of being touched that is not driven by sexual desire. This condition has led to abnormal erections and discomfort radiating down the right leg, p...
Dr. Jiang Junyi Reply:
Hello, You mentioned that "there may even be discomfort radiating down the right leg..." which may indicate compression of the lumbar nerve roots. Typical symptoms associated with lumbar nerve root pathology include pain radiating from the buttocks down the leg, as we...[Read More] Understanding Pudendal Nerve Issues: Symptoms, Diagnosis, and Treatment
Understanding Pudendal Nerve Issues: Symptoms, Diagnosis, and Treatment Options
Pudendal nerve The patient is experiencing neurological discomfort in the female genital area, characterized by a persistent sensation of being touched that is not related to sexual arousal. This has led to abnormal erections and discomfort extending to the right leg, lasting for...
Dr. Jiang Junyi Reply:
Hello, You mentioned that "there may even be discomfort extending to the right leg..." which may indicate compression of the lumbar nerve roots. Typical symptoms associated with lumbar nerve root pathology include pain radiating from the buttocks down the leg, as well...[Read More] Understanding Pudendal Nerve Issues: Symptoms, Diagnosis, and Treatment Options
Understanding Intermittent Headaches and Dizziness: When to Seek Help
Intermittent headaches and dizziness? Hello Dr. Jiang, In the past week, I have been experiencing recurrent headaches that are different from my usual migraines caused by staying up late until 2 or 3 AM. Sometimes the pain is unilateral, while other times it affects my entire h...
Dr. Jiang Junyi Reply:
Dear Mr. You, You mentioned that "the night before last, I suddenly experienced blurred vision, dizziness, and a feeling of impending fainting, with my vision becoming increasingly dark. This lasted for about 5 minutes before gradually returning to normal, primarily occurri...[Read More] Understanding Intermittent Headaches and Dizziness: When to Seek Help
Understanding Muscle Twitching: Causes and Concerns in Neurology
Muscle tremors Hello Doctor, I would like to ask you some questions. In September, I experienced some health issues that led to anxiety. After seeing the appropriate doctors, they assured me that everything was fine and my symptoms gradually improved. However, recently, I have be...
Dr. Hong Weibin Reply:
Hello: The body's muscles are controlled by nerves, which function like electrical wires, transmitting signals to control muscle movements. However, just like wires can become faulty over time and can be affected by external factors such as temperature and humidity, leading ...[Read More] Understanding Muscle Twitching: Causes and Concerns in Neurology
Understanding Syncope: When to Seek Neurological Evaluation
Occasional syncope Hello, I have had normal health checks during my military service and school admissions. Recently, I have been increasingly troubled by an intermittent issue, which is fainting. I experience a sensation of almost fainting, accompanied by dry mouth and gradually...
Dr. Hong Weibin Reply:
Hello: Based on your description, it is possible that you are experiencing vasovagal syncope. You may seek assistance from a specialist in autonomic nervous system function to arrange for examinations. Such specialists are typically found in neurology, psychiatry, or cardiology. ...[Read More] Understanding Syncope: When to Seek Neurological Evaluation
Understanding Swallowing Difficulties: A Neurological Perspective
Swallowing difficulties Hello, five months ago I suddenly experienced chest pain and neck pain while sleeping. I went to the hospital, and the doctor prescribed muscle relaxants. After taking them for two to three days, I began to have difficulty swallowing, but this improved on ...
Dr. Hong Weibin Reply:
Hello: Swallowing difficulties are related not only to neurological issues but also to muscle coordination. If a swallowing study shows that food remains on the tongue and in the throat during swallowing, there may be a muscular problem. It is recommended to seek assistance from ...[Read More] Understanding Swallowing Difficulties: A Neurological Perspective
Understanding Essential Tremor: When to See a Neurologist or Psychologist?
Tremor issues Hello Doctor: My hands have been shaking since I was young. When I eat with a spoon or chopsticks, or when I use scissors or a utility knife, my hands tremble. Recently, I've also noticed some shaking when holding objects or keys (though not every time). Curren...
Dr. Jiang Junyi Reply:
Hello Benson: The essential tremor you mentioned is also known as primary tremor, where the exact cause of the tremor cannot be identified. It may be due to a specific constitution or hereditary tremor. Typically, individuals experience more tremors when holding objects, while so...[Read More] Understanding Essential Tremor: When to See a Neurologist or Psychologist?