ALS, Neurology FAQ

Understanding Persistent Head Pain: Causes and Treatment Options

I've been experiencing a persistent feeling of pressure and dull pain in my head lately? Hello Doctor, my situation is as follows: Recently, I have been experiencing pain on the left side of my head, specifically the top and the back left side, which started in early Decembe...

Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned "gastroesophageal reflux... I almost always sleep with my head elevated on my side (using a pillow and a body pillow to alleviate discomfort), and I wonder if my sleeping position is causing headaches." Elevating the head can indeed lead to ov...

Two Years of Dizziness: Unraveling the Mystery Behind Neurological Symptoms

Dizziness for two years with no identifiable cause? About three years ago, I had to take a break from school due to panic attacks caused by dizziness. During this time, I frequently visited the emergency room. After being diagnosed two years ago, I suddenly experienced severe diz...

Dr. Jiang Junyi Reply:
Dear Mr. Chen, You mentioned, "Could my dizziness be related to my long-standing high cholesterol?" Indeed, elevated cholesterol levels, particularly high LDL (low-density lipoprotein), can accelerate atherosclerosis. High concentrations of LDL in the bloodstream can a...

Persistent Head Pain After Facelift Surgery: Seeking Relief and Answers

It has been a year since the facelift surgery, but the head still feels tight, numb, and uncomfortable, causing unbearable pain? Hello Dr. Peng, I underwent a facelift surgery in November 2022. Since February 2023, I have been experiencing tightness and electric shock sensations...

Dr. Peng Shiwei Reply:
Hello, online consultations cannot provide diagnostic advice. Please consult a neurologist in person. Thank you.

Understanding Persistent Dizziness: Possible Causes and Treatment Options

Persistent dizziness and vertigo? Hello Doctor, I discovered over a year ago that I have poor hearing in my left ear, along with unilateral tinnitus, a feeling of fullness in the ear, and headaches. I began visiting an otolaryngologist for examinations, during which I underwent A...

Dr. Peng Shiwei Reply:
You should seek medical treatment at a neurology outpatient clinic for your symptoms. Thank you.

Understanding Hand Stiffness: Signs of ALS or Other Concerns?

Stiffness and lack of flexibility? I am a high school student, and I recently noticed that my hand feels a bit stiff and less flexible when I write. I am a bit worried that it might be amyotrophic lateral sclerosis (ALS). What self-checks should I perform?

Dr. Peng Shiwei Reply:
When the weather is colder, blood circulation slows down, which can reduce the dexterity of the hands and feet. If these conditions are ruled out, it is recommended to seek evaluation from a neurosurgeon. Thank you.

Understanding Anxiety in Elderly Patients with Constipation: Causes and Solutions

Elderly individuals experience high anxiety regarding "not having a regular daily bowel movement." My father is 82 years old and has been experiencing significant anxiety about bowel movements for the past year. If he does not have a bowel movement early in the morning,...

Dr. Jiang Junyi Reply:
Dear Ms. Zoe, You mentioned, "What could be the possible causes of anxiety related to 'constipation' (pseudoconstipation)? Is it related to dementia? How can family members assist? Which specialty should we consult?" Anxiety can activate the sympathetic nervo...

Understanding Neck and Head Pain: Is It Related to Your Recent Cold?

Bending the head forward can cause significant pain? Hello, doctor: I've been experiencing persistent headaches lately. Bending down causes significant pain, which also radiates to my neck. During these episodes, I am unable to move at all. I had a cold a while ago, but my s...

Dr. Jiang Junyi Reply:
Hello Mr. Wu: You mentioned that "bending my head down is very painful, and it also hurts my neck... I feel a sensation of blood flowing through the top of my head when I bend down." Your symptoms may suggest cervical headache. This is related to tightness in the cervic...

Understanding Mild Numbness in the Feet: Causes and Concerns

Slight tingling in the soles of the feet? Hello, doctor. Recently (about two weeks ago), I suddenly noticed a slight tingling sensation in the soles of my feet while sitting at work. However, I had not experienced this phenomenon before while sitting in the same chair and positio...

Dr. Jiang Junyi Reply:
Hello Mr. Hou, You mentioned experiencing slight numbness in your feet, which may be a symptom of plantar fasciitis and indicates peripheral nerve compression. Prolonged fixed positions, repetitive motions, and overtraining can lead to peripheral nerve compression. Activities su...

Understanding Sports Injuries: When to See a Neurologist or Orthopedist?

Doctor, please help me? Hello, doctor. Back in August, I strained my lower back and hips while exercising. I felt a warm, painful sensation in my lower back and hips, and my legs would tingle and feel numb when walking. I had an X-ray done, and the doctor said there was damage to...

Dr. Jiang Junyi Reply:
Hello Mr. Ah-Ming, You mentioned that "your back, waist, and hips feel hot and painful, and your legs feel tingling and numb while walking." Your symptoms may suggest possible sciatic nerve compression. A common cause is a herniated disc leading to localized inflammato...

Understanding Sports Injuries: When to See a Neurologist or Orthopedist

Doctor, please help me? Hello doctor, back in August, I strained my lower back and hips while exercising. I have been feeling a warm, painful sensation in my lower back and hips, and my legs have been experiencing tingling and numbness when I walk. I had an X-ray done, and the do...

Dr. Jiang Junyi Reply:
Hello Mr. Amin, You mentioned experiencing "heat and pain in your back, waist, and hips, along with tingling and numbness in your legs while walking." Your symptoms may suggest possible sciatic nerve compression. A common cause is a herniated disc, which can lead to lo...

Understanding Back and Hip Pain: When to See a Neurologist or Orthopedist

Dr. Jiang Junyi Reply:
Hello Mr. Ah Ming, You mentioned experiencing "heat and pain in your back, waist, and hips, along with tingling and numbness in your legs while walking." Your symptoms may suggest possible sciatic nerve compression. A common cause of this is a herniated disc, which can...

Understanding Knee Pain: When to Seek Neurological Evaluation

Knee pain Hello, Dr. Jiang... My mother has been experiencing knee pain for the past three months, with symptoms fluctuating. However, in the last two weeks, not only has the knee pain worsened, but she is also experiencing pain throughout her entire leg, making it difficult for ...

Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "knee pain" may need to consider knee joint inflammation. Pain or swelling in the joint, especially during excessive activity or when going up and down stairs, or when standing up after prolonged sitting, can be more pronounced. In the m...

Persistent Pain After Facelift Surgery: Is It a Long-Term Side Effect?

It has been a year since the facelift surgery, but the head still feels tight and numb, causing unbearable pain? In November 2022, I underwent a facelift surgery. Starting in February 2023, I experienced tightness and electric shock-like sensations in my head, along with recurren...

Dr. Jiang Junyi Reply:
Dear Ms. Cheng, You mentioned that the "tightness and electric sensation in your head" may indicate peripheral sensory nerve compression. These symptoms could be exacerbated by tightness in the cervical myofascia. It would be beneficial for you to supplement with B vit...

Post-Stroke Numbness and Tingling: Causes and Treatment Options

After recovering from a stroke, there may be a tingling or numb sensation on one side of the body? Hello, Dr. Jiang! My father is 72 years old and had a stroke six months ago. After lying in the hospital for two weeks, he was able to walk slowly with support, and two months later...

Dr. Jiang Junyi Reply:
Dear Mr. Uber, You mentioned that your father has been experiencing a persistent tingling sensation on one side of his body (including his hand and foot), accompanied by a warm feeling and dulled temperature perception, which has intensified in recent days. These symptoms may su...

Understanding Foot Numbness: Causes and Solutions for Walking Discomfort

The tingling sensation in the soles of the feet becomes more pronounced the longer I walk? Occasionally, there is numbness in the soles of my feet, especially after walking for more than 20 minutes, where the numbness becomes more pronounced and can extend to halfway up my calves...

Dr. Jiang Junyi Reply:
Dear Miss Lin, You mentioned that "the numbness in the soles of your feet becomes more pronounced, and it extends to half of your calves, improving only after resting for a while, but there is still a slight numbness in your feet." Your symptoms may suggest possible sc...

Understanding Involuntary Muscle Twitches: Causes and Solutions

Involuntary muscle twitching? Hello doctor, I am currently 26 years old. In the past few months, I have been experiencing shoulder and neck twitching just as I am about to fall asleep at night. This often causes me to wake up suddenly, and it happens multiple times throughout the...

Dr. Wu Mukhan Reply:
Hello, your description may be indicative of myoclonus, which can occur in some individuals upon falling asleep and is usually a normal physiological phenomenon. However, if the frequency of these episodes is high and affects your sleep or daily life, it is advisable to consult a...

Understanding Autonomic Nervous System Dysregulation After Surgery

Autonomic nervous system dysfunction Hello Dr. Tsai, I have a question to ask you. In 2015, I was diagnosed with left coronary artery atherosclerosis. Since the narrowing was less than 25%, I was prescribed medication for control. In July and October of 2020, I underwent catheter...

Dr. Cai Zongzhang Reply:
Hello Albert: The cardiovascular system gradually deteriorates with age and becomes sensitive to temperature changes. It is recommended to keep warm before going out on cold days. This symptom is unrelated to the surgery.

Unexplained Severe Body Pain: A 71-Year-Old's Medical Mystery

Intermittent generalized bone pain? Hello Doctor, my father is 71 years old. He has seen several specialists in the hospital, but we have not been able to find the cause of his condition, which has left our family and the patient feeling helpless and discouraged. He has been rece...

Dr. Cai Zongzhang Reply:
Hello Mr. Dong: Based on the symptoms mentioned, it is recommended to consult with an immunology and rheumatology specialist. If the cause is still not identified, please seek a detailed examination from a neurologist.

Understanding Taste Changes: Neurological Insights for Seniors

Oral issues Hello Doctor, I would like to ask about my father who has recently experienced a lack of taste for the first bite of food, but the second bite tastes normal. He is 55 years old and has a history of hypertension and myocardial infarction. He also has cold symptoms with...

Dr. Peng Shiwei Reply:
If you experience changes in taste, it is recommended to seek evaluation from a neurologist, a gastroenterologist specializing in liver and biliary disorders, or an otolaryngologist (ENT). Thank you.

Understanding Dizziness: Causes, Triggers, and Relief Strategies

Dizziness caused by high blood pressure or multiple factors? Process Review: Last Monday: I sought medical attention for a hand strain caused by exercise, which severely disrupted my sleep at night. The physician prescribed pain relief medication sulindac (200 mg) and muscle rela...

Dr. Jiang Junyi Reply:
Dear Ms. Li, You mentioned, "prescribing the pain reliever sulindac (200 mg) and the muscle relaxant phenprobamate (400 mg)... the episodes often occur during times of stress and fatigue." The dizziness you are experiencing may be related to your menstrual cycle, which...

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