ALS, Neurology FAQ - Page 5

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Understanding Nerve Pain: When to Seek Medical Attention for Numbness

Numbness and tingling extending to the back, face, and tongue? Hello, doctor. I have been experiencing numbness in my limbs and neck pain. Initially, I thought it was due to excessive computer use over several days, and I believed that rest and exercise would help. After a day, I...


Dr. Huang Hongling Reply:
Hello, it is important to observe what conditions are more likely to cause numbness, as well as the duration of the numbness. It is recommended to visit a neurology clinic for further clarification of symptoms or to assess whether any tests are necessary.

[Read More] Understanding Nerve Pain: When to Seek Medical Attention for Numbness


Unexplained Body Pain and Muscle Twitching: Seeking Neurological Insights

Widespread pain that is not fixed in time, muscle twitching for one month, and numbness in the hands? Hello Doctor, I started experiencing headaches around January 2024, and after visiting the hospital, the doctor conducted a preliminary assessment and diagnosed me with tension-t...


Dr. Jiang Junyi Reply:
Hello Ms. Hone, You mentioned that you were "initially diagnosed with tension-type headache... and prescribed antiarrhythmic medication (without relevant examinations), but you feel that the pain and muscle twitching have not improved with the medication." Typically, n...

[Read More] Unexplained Body Pain and Muscle Twitching: Seeking Neurological Insights


Understanding Left-Sided Headaches and Pulsatile Tinnitus: Causes and Concerns

Left-sided headache, numbness, and pulsatile tinnitus in the left ear? Hello, doctor. I previously asked this question, and it seems to have worsened. Could it be related to psychological factors? I have seen an ENT specialist, and there were no issues. I have had depression for ...


Dr. Jiang Junyi Reply:
Hello Mr. Hong: You mentioned experiencing a sensation of hearing blood flow or heartbeat, which feels pulsating. It seems to be pulsatile tinnitus, which can also be associated with vascular issues. Your symptoms: one of the most common causes of pulsatile tinnitus is dysfunctio...

[Read More] Understanding Left-Sided Headaches and Pulsatile Tinnitus: Causes and Concerns


Understanding Prolonged Dizziness: Causes and Concerns in Neurology

I have been experiencing dizziness for over two weeks, and I have had similar episodes in the past? Hello Doctor: I have been suffering from severe anxiety disorder for nearly four months. I have consulted with a psychiatrist and am taking medications including - Sertraline / Esc...


Dr. Jiang Junyi Reply:
Hello Mr. Zhang, You mentioned wanting to confirm whether your symptoms could clinically indicate lung cancer metastasizing to the brain. Lung cancer with brain metastasis can present with different clinical manifestations depending on the location of the metastasis, and dizzine...

[Read More] Understanding Prolonged Dizziness: Causes and Concerns in Neurology


Persistent Dizziness and Headaches One Month After Head Injury

Persistent dizziness and headaches one month after a head injury to the occipital region? At the end of February, I slipped in the bathroom and hit the back of my head against the faucet. There were no external injuries, and I remained conscious without vomiting. After applying i...


Dr. Jiang Junyi Reply:
Hello Ms. C: You mentioned that "while receiving back massage, one side of my nose suddenly started bleeding significantly, and I have been experiencing persistent dizziness and headaches (a feeling of tightness on both sides, not pain from an injury). I wonder if this is a ...

[Read More] Persistent Dizziness and Headaches One Month After Head Injury


Understanding Heat Sensation in the Outer Side of the Right Pinky Finger

Heat sensation on the outer side of the right palm (near the upper side of the little finger)? Hello Dr. Jiang, During the Qingming holiday, I suddenly noticed that the outer side of my right little finger near the top felt warm while I was cooking. It only lasted for a short ti...


Dr. Jiang Junyi Reply:
Dear Ms. Lee, You mentioned that "the outer side of your right little finger is feeling warm near the top..." This is a symptom of peripheral nerve compression. 1. The nature of the pain is characterized by burning and tingling sensations. 2. The symptoms have a specif...

[Read More] Understanding Heat Sensation in the Outer Side of the Right Pinky Finger


Understanding Cervical Spine Disorders: Neck Pain and Swallowing Difficulties

Cervical spine dysfunction I have been experiencing shoulder and neck pain for a long time. Since the end of September last year, I started having some difficulty swallowing. I went to an otolaryngologist who confirmed that there were no growths in my throat. I was then referred ...


Dr. Jiang Junyi Reply:
Dear Mr. Tso, You mentioned that "swallowing is still difficult, and I have recently noticed that the pain in my shoulders, neck, and back has become more severe... Could this be related to my cervical spine?" I suggest considering the symptoms related to the cervical ...

[Read More] Understanding Cervical Spine Disorders: Neck Pain and Swallowing Difficulties


Managing Urinary Tract Infections While on Anticoagulants: A Guide

How to supplement with cranberry and related nutrients while taking Lisinopril? Hello, doctor. My family member had a stroke three years ago and is currently taking anticoagulant medication, Rivaroxaban. However, they have been experiencing recurrent urinary tract infections over...


Dr. Jiang Junyi Reply:
Hello: You mentioned "Rivaroxaban anticoagulant medication, but there have been recurrent urinary tract infections over the past few years..." Anticoagulants can interact with cranberry: newer generation anticoagulants, such as Rivaroxaban, typically do not have signifi...

[Read More] Managing Urinary Tract Infections While on Anticoagulants: A Guide


Understanding Dizziness and Dry Mouth: Possible Causes and Solutions

Dizziness and dry mouth? Recently, I visited a clinic due to symptoms such as loss of appetite, bloating, and nausea, and was diagnosed with gastritis. I also mentioned to the physician that I have been experiencing dizziness, which the doctor believes may be caused by allergic r...


Dr. Jiang Junyi Reply:
Dear Ms. Liang, You mentioned experiencing dizziness along with symptoms such as a cold, dermatitis, urethritis, gastritis, and menstrual irregularities, which may indicate a deficiency in qi and blood. You asked whether this could be related to anemia or if a neurology consulta...

[Read More] Understanding Dizziness and Dry Mouth: Possible Causes and Solutions


Understanding Syncope: What to Do When Someone Faints While Sitting

Syncope while sitting? Hello Doctor: A few days ago, my father fainted, which has caused me a lot of worry. I was originally going to the hospital to pick up a relative who was being discharged, but the discharge process took longer than expected. My father had been walking in th...


Dr. Jiang Junyi Reply:
Dear Mr. Hsiao, You mentioned that your father exhibited "chest rise and fall with noticeable and somewhat rapid breathing, and then hurriedly called the nursing staff, who first called out and then moved him to the adjacent bed, with the entire process taking less than 30 ...

[Read More] Understanding Syncope: What to Do When Someone Faints While Sitting


Finding Treatment for Syringomyelia: Hospitals and Specialists in Northern Taiwan

Syringomyelia I have symptoms of syringomyelia, including pain in my right neck, right shoulder, the area below the right shoulder, and pain in the right hand's thenar eminence, along with numbness in my left foot. Are there hospitals or doctors in the northern region that c...


Dr. Jiang Junyi Reply:
Dear Mr. A-Shan, You mentioned "the pain associated with syringomyelia..." The cause of syringomyelia is the accumulation of fluid within the spinal cord, which compresses the nerves and leads to symptoms such as sensory abnormalities, urinary and fecal incontinence, h...

[Read More] Finding Treatment for Syringomyelia: Hospitals and Specialists in Northern Taiwan


Understanding Muscle Twitches: Causes, Concerns, and When to Seek Help

Muscle twitching Hello Doctor, I asked you the same question about three years ago. I am very concerned about frequent muscle twitching, and I fear a serious illness may be affecting me. The situation is as follows: my muscles occasionally twitch (some areas are particularly freq...


Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned "frequent muscle twitching... electromyography... frequent twitching in the left hand's thenar eminence." If you are concerned about a muscle disease, it typically presents with significant atrophy, and the electromyography would show abno...

[Read More] Understanding Muscle Twitches: Causes, Concerns, and When to Seek Help


Understanding Intermittent Headaches: Causes and Concerns

Intermittent headache Recently, I have been experiencing occasional headaches, and bending over also triggers the pain. What could be the issue?


Dr. Chen Weida Reply:
Hello Willy Lee: It is recommended to continue monitoring and keep a headache diary, including the date, duration of the headache, any accompanying symptoms, whether pain relievers were taken, and their effectiveness. If the headaches persist, you may consider visiting a neurolog...

[Read More] Understanding Intermittent Headaches: Causes and Concerns


Understanding Autonomic Nervous System Disorders: Symptoms and Solutions

Suspected autonomic nervous system dysfunction? Hello Doctor, I have been experiencing episodes of physical agitation about 1 to 2 times a month. Even though I feel like I’m not thinking about anything in particular and don’t feel anxious, my body becomes agitated involuntarily. ...


Dr. Cai Zongzhang Reply:
Hello Mr. Cheng: Based on the symptoms mentioned, it is recommended to visit a neurology clinic for an examination to determine if there is a neurological disorder.

[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Solutions


Persistent Pain and Numbness in the Outer Calf: A Neurological Concern

Tingling and prickling sensation on the outer side of the calf? Hello Doctor, my father is 75 years old and has been experiencing numbness and tingling on the outer side of his calf for the past five days. Pain relievers and injections have not alleviated the pain, which has prev...


Dr. Jiang Junyi Reply:
Dear Mr. Jiang, You mentioned that your father is experiencing "numbness and tingling on the outer side of the calf... and the orthopedic images show no abnormalities..." It may be necessary to consider peripheral nerve compression. Symptoms of peripheral nerve compres...

[Read More] Persistent Pain and Numbness in the Outer Calf: A Neurological Concern


Understanding Head and Chest Discomfort: Possible Neurological Concerns

Occasionally experiencing tingling on both sides of the head? A few weeks ago, I started experiencing chest tightness, difficulty breathing, and a tingling sensation in the area of my left shoulder blade. After a chest X-ray and listening to my heartbeat, the doctor said there we...


Dr. Jiang Junyi Reply:
Hello Mr. Leon, You mentioned that you feel numbness in the area of your left shoulder and occasionally experience a heavy, numb sensation on both sides of your head (around the temples and the top of your head). These symptoms are less indicative of a stroke, which typically pr...

[Read More] Understanding Head and Chest Discomfort: Possible Neurological Concerns


Understanding Left Eye Twitching and Finger Tremors: Causes and Solutions

Twitching of the left fingers and twitching of the left eye? The patient is currently 28 years old and has a chronic condition of allergic rhinitis, with no family history of hereditary diseases and no history of major surgeries. The left eyelid has been twitching, and the left t...


Dr. Jiang Junyi Reply:
Dear Ms. Jan, You mentioned that your husband has recently experienced "his left thumb being completely relaxed, with small involuntary movements." Generally, muscle twitching while awake may warrant consideration of certain metabolic disorders, such as hyperthyroidism...

[Read More] Understanding Left Eye Twitching and Finger Tremors: Causes and Solutions


Understanding Trigeminal Neuralgia: Insights from TMJ Disorders

Temporomandibular joint disorder causing trigeminal neuralgia? Hello, my symptoms began four years ago when I bit down on a hard object, resulting in a sudden electric shock-like pain in the left side of my face. Over the past few years, I have consulted with neurosurgeons, denti...


Dr. Jiang Junyi Reply:
Dear Mr. Kenny, You mentioned "trigeminal neuralgia." The cause of trigeminal neuralgia is primarily due to abnormal transmission of sensory signals by the trigeminal nerve. Approximately 80% of cases are caused by vascular compression of the trigeminal nerve at its en...

[Read More] Understanding Trigeminal Neuralgia: Insights from TMJ Disorders


Understanding Cervical Nerve Compression and TMJ Disorders

Cervical nerve compression and temporomandibular joint arthritis? Hello, doctor. Starting from October 2023, I began experiencing hand numbness, which later progressed to spasms in my hands and feet. After undergoing X-rays at the neurology, orthopedics, and rehabilitation depart...


Dr. Chen Weida Reply:
Hello, Pain Patient: Your current pain may be due to chronic myofascial pain syndrome. Since the pain has spread from the upper back to affect the temporomandibular joint, it is recommended that you consult a neurologist for further evaluation and early treatment of the chronic p...

[Read More] Understanding Cervical Nerve Compression and TMJ Disorders


Understanding Possible Symptoms of Tourette Syndrome in Adults

Symptoms of suspected Tourette syndrome? Hello, doctor. I have a friend who is 26 years old, and after spending a long time together, I've noticed several symptoms that seem to suggest Tourette syndrome. 1. He often makes a light coughing sound or clears his throat when he i...


Dr. Jiang Junyi Reply:
Hello Mr. Tim, You mentioned that one shoulder tends to shrug habitually, which may suggest Tourette syndrome. However, if it does not affect your daily life, you can coexist with this condition peacefully. It is generally recommended to maintain a regular lifestyle, with early ...

[Read More] Understanding Possible Symptoms of Tourette Syndrome in Adults


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