Understanding Muscle Twitches: Causes and Concerns in Neurology
Muscle twitching I have recently noticed that certain muscles in my body twitch, similar to when I click a mouse, and my fingers occasionally tremble. The force of my clicks feels different than usual. Could this be related to my recent irregular schedule, or could it be a sign o...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "your muscles twitch, your fingers occasionally shake, and the force of your clicks feels different than usual." This may indicate localized muscle inflammation. Sometimes, insufficient rest and the consumption of caffeinated beverages can...[Read More] Understanding Muscle Twitches: Causes and Concerns in Neurology
Understanding Muscle Twitches: Causes and Concerns Beyond Parkinson's
Muscle twitching Hello Doctor, I asked about muscle twitching last week, and you mentioned it is not Parkinson's disease. After the holiday break, the intensity of the muscle twitching has decreased a bit, but it still occurs. Additionally, when I click the mouse, I sometime...
Dr. Hong Weibin Reply:
Hello: The body's muscles are controlled by nerves, which act like electrical wires, transmitting signals to control muscle movements. However, just like wires can deteriorate over time and be affected by external factors such as temperature and humidity, leading to electric...[Read More] Understanding Muscle Twitches: Causes and Concerns Beyond Parkinson's
Understanding Left Chest Pain: Causes and When to Seek Medical Help
Left chest pain? Hello Doctor, last night while I was sleeping, I experienced a slight stabbing pain in the upper left side of my chest (closer to the center). The duration felt quite long, and it also felt somewhat like a mild cramp. I'm unsure if this is related to nerve p...
Dr. Cai Zongzhang Reply:
Hello, Li! It is recommended to visit the neurology outpatient clinic for an examination.[Read More] Understanding Left Chest Pain: Causes and When to Seek Medical Help
Understanding Early Parkinson's Disease: Treatment Options and Prognosis
Parkinson's disease Hello Doctor, my father is nearly 50 years old and recently started experiencing tremors in his right hand. He also walks with his body close to his side and does not swing his arms much. Last month, he visited the China Medical University Hospital, where...
Dr. Cai Zongzhang Reply:
Hello, A-Liang! Delaying the use of levodopa and reducing the dosage can postpone the onset of dyskinesia. It is recommended to discuss medication options with your physician.[Read More] Understanding Early Parkinson's Disease: Treatment Options and Prognosis
Understanding Early Parkinson's Disease: Treatment Options and Prognosis
Parkinson's disease Hello Doctor, my father is nearly 50 years old and recently began experiencing tremors in his right hand. He also walks with his body close to his side and doesn't swing his arms much. Last month, he visited China Medical University Hospital, where t...
Dr. Cai Zongzhang Reply:
Hello, A-Liang! Delaying the use of levodopa and reducing the dosage can postpone the onset of dyskinesia. It is recommended to discuss medication options with your physician.[Read More] Understanding Early Parkinson's Disease: Treatment Options and Prognosis
Understanding Parkinson's Disease Risk: Concerns for Family History and Symptoms
Parkinson's disease Hello Doctor, my grandmother had Parkinson's disease in the past, and I have primary restless legs syndrome, although my symptoms are very mild, occurring only one or two days a month with slight discomfort. I am very worried about the possibility of...
Dr. Hong Weibin Reply:
Current research shows that there is no definitive conclusion regarding whether having Restless Legs Syndrome (RLS) increases the likelihood of developing Parkinson's disease later on. Some studies suggest there may be an increased risk, while others find no correlation. The...[Read More] Understanding Parkinson's Disease Risk: Concerns for Family History and Symptoms
Understanding Facial and Scalp Numbness: Possible Causes and Concerns
Tingling sensation in the scalp and face? I'm not sure if I have hypertension, hyperlipidemia, or diabetes. I experienced facial numbness a couple of days ago, which was limited to my face, but today the numbness has spread to my entire head and face. I also noticed red stre...
Dr. Jiang Junyi Reply:
Dear Mr. Blue Sky, You have reached middle age, and the likelihood of developing metabolic syndrome and the three highs (hypertension, hyperlipidemia, and hyperglycemia) increases significantly. It is recommended that you take advantage of the free adult health checkups provided...[Read More] Understanding Facial and Scalp Numbness: Possible Causes and Concerns
Understanding Hand Numbness: When to Seek Medical Attention
Numbness in the hands? Hello Doctor: I usually experience numbness in my hands after intense exercise, but recently I've noticed that any movement of my hands causes numbness starting from my fingertips. If I continue to move, the numbness spreads to my entire palm, but if I...
Dr. Jiang Junyi Reply:
Dear Miss Yi-An, Your symptoms may be primarily attributed to hyperventilation caused by intense exercise, leading to sensations of abnormality. Hyperventilation can result in decreased carbon dioxide levels in the blood, causing an increase in pH, a condition known medically as...[Read More] Understanding Hand Numbness: When to Seek Medical Attention
Signs of Stroke Recurrence: Understanding Fever and Weakness in Patients
Stroke patients have recently experienced fever and weakness? Hello, doctor. My mother has had a stroke for over ten years, resulting in paralysis on her left side. She has also experienced two strokes on her right side. While she can move her right hand, it is weaker and she can...
Dr. Jiang Junyi Reply:
Dear Ms. JOJU, I hope this message finds you well. I would like to inquire about your mother's cerebral blood vessels. If there is already significant stenosis, dehydration caused by fever may lead to insufficient cerebral blood flow, resulting in neurological deficits. Thi...[Read More] Signs of Stroke Recurrence: Understanding Fever and Weakness in Patients
Persistent Neck Heat: Understanding Symptoms and Possible Causes
Heat in the back of the neck? Hello, doctor! I initially thought that my fever was caused by a cold, but even though the cold has resolved for 1 to 2 months, I still experience a sensation of heat in the back of my neck. During the day, there are times when the back of my neck fe...
Dr. Jiang Junyi Reply:
Hello Mr. Haohao: Your symptoms may suggest cervical myofascial inflammation. In the early stages of cervical muscle and fascia tightness, there may not be obvious changes in the cervical spine, but imaging can show a decrease in curvature. Symptoms include pain at the affected s...[Read More] Persistent Neck Heat: Understanding Symptoms and Possible Causes
Post-Masturbation Shaking, Chills, Dizziness, and Headaches Explained
Shaking, chills, dizziness, and headaches after orgasm during masturbation? Dear Doctor, I am a 36-year-old male. I usually masturbate about 1-2 times a day, and this frequency has been consistent recently. Yesterday morning, I also ejaculated without any particular issues. Howe...
Dr. Jiang Junyi Reply:
Hello, sir: Your symptoms resemble "headache associated with sexual activity," and it is important to first rule out structural lesions such as ruptured cerebral aneurysms causing subarachnoid hemorrhage, arterial dissection, cerebral vasospasm, or brain tumors. If the ...[Read More] Post-Masturbation Shaking, Chills, Dizziness, and Headaches Explained
Understanding Cold Hands and Feet: Neurological Concerns Explained
Cold or numb hands and feet? Doctor, I have a question. When I was hiking, my hands would sometimes feel numb or cold. Taking a break would help, but it would happen again as soon as I continued hiking. Eventually, I started experiencing this even at work when I was in a hurry. I...
Dr. Jiang Junyi Reply:
Hello, sir: Your symptoms may indicate hyperventilation syndrome. Hyperventilation can lead to a decrease in carbon dioxide levels in the blood, resulting in an increased pH, a condition known medically as "respiratory alkalosis." This can trigger systemic reactions and...[Read More] Understanding Cold Hands and Feet: Neurological Concerns Explained
Post-Surgery Numbness in Hand: Causes and Solutions Explained
Numbness in the hand after removal of wrist internal fixation plate? Hello Doctor: At the end of March, I dislocated my right wrist due to a fall. The doctor initially said surgery wasn't necessary, but since I arrived too late and the dislocation was significant, I underwen...
Dr. Jiang Junyi Reply:
Hello, Miss: Your symptoms may suggest compression of the median nerve in your right hand. The median nerve passes through the wrist, traversing the "carpal tunnel" formed by the carpal bones and ligaments, and is subjected to pressure from the ligament located above th...[Read More] Post-Surgery Numbness in Hand: Causes and Solutions Explained
Persistent Pain Between Toes: Seeking Solutions for Ongoing Discomfort
There is a sharp pain in the dorsum of the foot upon touch (which has persisted for six months)? Hello Doctor, I used to stand for long periods at work, which often caused my feet to be very sore. Most of the soreness and pain would return to normal after a period of rest, but th...
Dr. Jiang Junyi Reply:
Hello, Miss 0w0: Your symptoms are clinically referred to as "allodynia" and "hyperesthesia," which are manifestations of sensory hypersensitivity. Clinically, in addition to physical therapy, certain medications can also help alleviate the symptoms. Furthermo...[Read More] Persistent Pain Between Toes: Seeking Solutions for Ongoing Discomfort
Palpitations, Anxiety, and Neurological Symptoms: When to Seek Help
Palpitations, anxiety, and other symptoms? In February, I experienced palpitations for the first time and went to the emergency room. Blood tests showed no abnormalities, and follow-up with a cardiologist also indicated no issues. In March, I suddenly had a sharp pain on the left...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned experiencing "sharp pain on the left side of your face," which may warrant consideration of trigeminal nerve dysfunction. The diagnostic criteria for trigeminal neuralgia are as follows: - At least three attacks - Pain occurring in one or m...[Read More] Palpitations, Anxiety, and Neurological Symptoms: When to Seek Help
Understanding Muscle Tremors: Causes and Solutions for Neurological Concerns
Muscle twitching Hello, I have noticed that my arms and thighs experience slight tremors when they are suspended, exerted, or extended at certain angles, similar to the shaking sensation when stretching. Essentially, I can feel the tremors while exerting force and when my limbs a...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: Your symptoms may need to be considered as physiological tremors. 1. Physiological tremors: These do not occur under normal circumstances but only in certain situations such as stress, anxiety, or anger. Some medications, such as bronchodilators, as well as the co...[Read More] Understanding Muscle Tremors: Causes and Solutions for Neurological Concerns
Can You Take Brain-Soothing and Cold Medications Together?
Can cold medicine and brain relaxants be taken together? Hello, doctor. I previously experienced symptoms of orthostatic intolerance, and you prescribed me Sumin Capsule, advising that I could take it when I feel dizzy. Today, I felt a slight dizziness, so I took one capsule. How...
Dr. Jiang Junyi Reply:
Hello Ms. Ting, Regarding the Da Zheng Bai Bao cold medicine you mentioned, each package contains: - Acetaminophen ................. 300 mg - Dextromethorphan HBr ........... 15 mg - dl-Methylephedrine HCl ............... 10 mg - Potassium Guaiacol Sulfonate ......................[Read More] Can You Take Brain-Soothing and Cold Medications Together?
Persistent Dizziness: When to Seek Further Medical Evaluation
Persistent dizziness Hello Doctor: One night while I was using the computer, I suddenly experienced a bout of dizziness. I had similar episodes before, but they usually lasted only a few seconds and then went away. This time, however, the dizziness persisted for a long time, so I...
Dr. Jiang Junyi Reply:
Hello, Miss: Based on your description of experiencing dizziness, it may be necessary to first consider symptoms caused by inner ear imbalance. However, conditions such as anemia and autonomic nervous system dysfunction could also contribute to your symptoms. It is essential to r...[Read More] Persistent Dizziness: When to Seek Further Medical Evaluation
Managing Persistent Dizziness: Insights from Neurology and Emergency Care
Recurrent dizziness? Hello Dr. Hong, I have been experiencing severe dizziness recently, accompanied by vomiting and diarrhea, which led me to visit the emergency department. They assisted with blood tests and a CT scan of my brain (which showed no issues). The dizziness and vomi...
Dr. Hong Weibin Reply:
Hello, I apologize for the late response. There are many causes of dizziness. If you have already undergone imaging studies of the head and confirmed that there are no structural issues in the brain, a detailed medical history inquiry is necessary for diagnosis. Generally, the ...[Read More] Managing Persistent Dizziness: Insights from Neurology and Emergency Care
Evaluating Long-Term Effects of Traumatic Brain Injury on Neurological Health
Four years ago, I sustained a concussion to the right posterior part of my brain? Doctor: Hello, four years ago during my postpartum period, I fell from a table and hit the back right side of my head, resulting in a large swelling. I was taken to the emergency room, and after a C...
Dr. Cai Zongzhang Reply:
Hello, Ms. Yuan! If you have a head injury that did not involve the brain, it should not leave any lasting effects. If you are still experiencing symptoms after four years, there may be another underlying cause. It is recommended that you visit a neurology outpatient clinic.[Read More] Evaluating Long-Term Effects of Traumatic Brain Injury on Neurological Health