Understanding Muscle Fasciculations: Causes, Symptoms, and Diagnosis
Fasciculation Hello doctor, I started experiencing muscle fasciculations on the outer side of my left thigh around October 3rd, which lasted continuously for half an hour. After that, it would occur every few days for a few minutes at a time, several times a day. I suspect this s...
Dr. Jiang Junyi Reply:
Dear Mr. Shang, You mentioned that you are "very anxious and worried whether it is ALS..." Your symptoms should still consider lumbar spine issues. ALS is a motor neuron disease, and your mention of "easily feeling numb" does not align with the characteristic...[Read More] Understanding Muscle Fasciculations: Causes, Symptoms, and Diagnosis
Understanding Right-Sided Numbness: Causes and Treatment Options
Numbness in the right side of the limbs? Hello, I would like to ask about a condition I started experiencing about a week and a half ago. I began to feel a slight numbness in my right big toe (it's not painful, just a tingling sensation, more like a mild numbness without any...
Dr. Jiang Junyi Reply:
Hello Ms. Feny: You mentioned that "the second, third, and fourth toes of my right foot feel a bit numb, and then over the next two days, the numbness spread to the top of my foot, my calf, and my knee, and even my right hand started to feel numb, particularly around the fin...[Read More] Understanding Right-Sided Numbness: Causes and Treatment Options
Understanding Occipital Pain: Headaches and Neck Issues Explained
Occipital pain, headache, cervical spine issues? Hello Doctor: I would like to ask about my condition. I have been experiencing headaches for over four days (I usually do not have headaches). I have taken pain relievers, but the pain persists. The pain is mostly located at the ba...
Dr. Jiang Junyi Reply:
Dear Ms. Jun, You mentioned that "the pain feels dull and tight, and the area where I lie down also hurts" due to localized pain points. This may indicate cervical myofascial pain syndrome. Prolonged periods of looking down can lead to overuse of the trapezius muscle i...[Read More] Understanding Occipital Pain: Headaches and Neck Issues Explained
Understanding Nerve Pain and Weakness in Hands and Feet: A Patient's Journey
Numbness and tingling in both hands, weakness in both legs? Since March of last year, I started feeling a foreign sensation behind my occiput upon waking up one day. I consulted a doctor and took medication, but it did not improve. Later, the foreign sensation suddenly disappeare...
Dr. Jiang Junyi Reply:
Dear Miss Vicky, You mentioned "Multiple sclerosis? Neuritis? Autoimmune diseases? Diabetes? Herniated disc? Amyotrophic lateral sclerosis? CIDP?... Which specialty should I consult to thoroughly identify and resolve the issue?" You also noted that "the discomfort...[Read More] Understanding Nerve Pain and Weakness in Hands and Feet: A Patient's Journey
Understanding Involuntary Muscle Twitches: Causes and Concerns
Involuntary muscle twitching? Hello Doctor, I have recently been experiencing involuntary muscle twitching throughout my body (in my feet, calves, thighs, lower back, buttocks, etc.), with the highest frequency occurring in my right foot. The amplitude of the twitches varies, and...
Dr. Cai Zongzhang Reply:
Hello, Xiao Wu: If the above symptoms persist, it is recommended to visit a neurologist for further examination to determine the cause.[Read More] Understanding Involuntary Muscle Twitches: Causes and Concerns
Understanding Dizziness and Nausea: Possible Neurological Causes
Dizziness and nausea? Hello Doctor: I have been experiencing dizziness for about a week now, and sometimes I even feel a bit nauseous (though I haven't actually vomited). I also have some diarrhea, but I'm not sure if it's related to the dizziness. The dizziness us...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "you feel dizzy when sitting or lying down, and there seems to be a slight swaying sensation." This symptom may suggest Benign Paroxysmal Positional Vertigo (BPPV), where dizziness occurs when turning the head, tilting the head back, or rising ...[Read More] Understanding Dizziness and Nausea: Possible Neurological Causes
Understanding Facial Numbness After a Head Injury: What to Expect
Numbness following facial impact? Hello, doctor. I had an accident where I hit the corner of a table near my eyebrow and eye. There is a wound below my right eyebrow, and it is swollen. After the impact, I experienced numbness in the right eyebrow, right eyelid, right side of my ...
Dr. Jiang Junyi Reply:
Hello, Xin Xin: You mentioned, "I can understand the temporary numbness from the impact, but it has been three days now. Could this cause any issues?" As of 10/12, have your symptoms improved? Typically, after tissue is injured by external force, symptoms such as swelli...[Read More] Understanding Facial Numbness After a Head Injury: What to Expect
Understanding Post-Earthquake Dizziness: Neurological Insights
Regarding shaking? Hello, Dr. Jiang. Since the earthquake on September 19, I have been experiencing a sensation similar to swaying. I notice it more when sitting on a chair without a backrest, and it occurs less when standing. Riding a motorcycle does not trigger this sensation a...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "only sitting on a chair without a backrest tends to make you feel unsteady." This symptom may suggest Benign Paroxysmal Positional Vertigo (BPPV), which occurs when turning the head, tilting the head back, or rising from a lying position. Dizz...[Read More] Understanding Post-Earthquake Dizziness: Neurological Insights
Understanding Persistent Head Sensations: Dizziness, Pressure, and Sleep Issues
Sensation of swaying, feeling of an earthquake, heaviness in the back left side of the head? Hello Doctor, for the past two weeks, I have been experiencing a sensation of my head shaking throughout the day, whether I am sitting or standing. Sometimes, I feel like there is an eart...
Dr. Cai Zongzhang Reply:
Hello, Ruid: The symptoms mentioned above are suggestive of balance dysfunction. If appropriate rest and sleep do not improve the symptoms, it is recommended to visit a neurology outpatient clinic for evaluation.[Read More] Understanding Persistent Head Sensations: Dizziness, Pressure, and Sleep Issues
Managing Leg Jerks Before Sleep During Pregnancy: Tips and Solutions
Legs twitching before falling asleep? Hello Doctor, I am currently four months pregnant. Recently (over the past month), I have been experiencing involuntary leg movements just before falling asleep at night, which wakes me up and makes it difficult to fall back asleep. I am genu...
Dr. Cai Zongzhang Reply:
Hello Wendy: The symptoms mentioned above are suspected to be related to Restless Legs Syndrome. The underlying cause needs to be confirmed through examination, but it is not advisable to conduct tests during pregnancy. It is recommended to initially alleviate the symptoms throug...[Read More] Managing Leg Jerks Before Sleep During Pregnancy: Tips and Solutions
Understanding Right Arm Pain and Numbness: When to Seek Medical Help
Right arm swelling and pain extending to finger numbness? Hello, I have been working in the food industry for a long time, and recently my right wrist appears more swollen compared to my left wrist and is less flexible. It hurts whenever I exert force, and I even struggle to push...
Dr. Jiang Junyi Reply:
Hello, Ms. Ruby: The symptoms you mentioned seem to indicate two issues combined. You noted that "the palms and fingers also feel numb, and at their worst, even the vibrations while riding a bike can cause the entire palm to go numb and unable to grip." This symptom re...[Read More] Understanding Right Arm Pain and Numbness: When to Seek Medical Help
How to Alleviate Nighttime Headaches: Tips for Relief and Management
Recently, I have been frequently awakened at night by headaches? Hello Doctor, I have been waking up in the middle of the night due to pain that extends from my temples to my eyes and the back of my head. In the mornings, I often feel a heavy, dull sensation in my head. I have pr...
Dr. Cai Zongzhang Reply:
Hello: Based on the symptoms mentioned, the headache may be caused by neuroinflammation. It is recommended to continue follow-up treatment with a neurologist.[Read More] How to Alleviate Nighttime Headaches: Tips for Relief and Management
Understanding Saddle Area Sensory Loss: Causes and Concerns
Saddle area sensory loss or numbness? Hello, doctor. A few months ago, I strained my lower back, and since then, I've been experiencing pain in my lower back when sitting. About a month ago, I suddenly noticed a decrease in the urge to urinate and defecate, and my ability to...
Dr. Jiang Junyi Reply:
Hello Mr. Cheng, You mentioned that "lying on my right side for a few minutes causes numbness and loss of sensation in my buttocks, perineum, genitals, and adjacent thigh, with no pain even when pinched, while lying on my left side feels more normal." This may indicate...[Read More] Understanding Saddle Area Sensory Loss: Causes and Concerns
Understanding Dizziness: Common Causes and When to Seek Help
Dizziness in the head Hello, doctor. I recently moved to the northern part of the country for university, but I've been experiencing some uncomfortable symptoms in the past few days. Initially, I felt a slight sensation of my head drooping while sitting, but later it also oc...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "when sitting, there is a slight feeling of the head dropping, and later when standing or walking, it occasionally occurs as well..." It may be necessary to first consider Benign Paroxysmal Positional Vertigo (BPPV), characterized by brief epis...[Read More] Understanding Dizziness: Common Causes and When to Seek Help
Understanding and Managing Occipital and Temporal Headaches: Tips for Relief
Occipital and temporal headache? Hello Doctor, I have been experiencing chronic and intermittent migraines, mostly occurring around 4 PM. Usually, taking Panadol or other pain relievers provides relief. However, the day before yesterday, upon waking, I felt a throbbing pain regar...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "the pain usually occurs around 4 PM, but it typically alleviates after taking Panadol or other pain relievers... The pain is located around the back of the head and the temples, and I would like to know how to relieve it." Your symptoms ...[Read More] Understanding and Managing Occipital and Temporal Headaches: Tips for Relief
Understanding Dizziness: Causes and Concerns in Neurology
Dizziness and lightheadedness, feeling like being on a boat? Hello Dr. Jiang, thank you for clarifying things for the public; you are a great doctor, and I appreciate your hard work! Dr. Jiang, for the past week, I have been experiencing sudden dizziness while standing, similar t...
Dr. Jiang Junyi Reply:
Hello Nick, You mentioned experiencing a sudden dizziness lasting 2-10 seconds after bending down, sometimes feeling a swaying motion. Your symptoms may suggest Benign Paroxysmal Positional Vertigo (BPPV), characterized by brief episodes of dizziness related to changes in head p...[Read More] Understanding Dizziness: Causes and Concerns in Neurology
Understanding Left Lower Back and Hip Pain: Causes and Solutions
Left lumbar and hip pain? Hello doctor, I have been experiencing lower back pain for the past ten years due to sitting for long periods during exams and suddenly lifting heavy objects. Since then, my back occasionally hurts, and I need to stretch it. Typically, it takes about a m...
Dr. Jiang Junyi Reply:
Hello Ms. KOKO: You mentioned that after doing squats with an empty barbell, you felt some discomfort in your lower back. Upon returning home and resting, you found that even walking caused pain. After a night of rest, you felt slightly better, but the next day, even sneezing cau...[Read More] Understanding Left Lower Back and Hip Pain: Causes and Solutions
Severe Pain in the Back of the Head Radiating to Ear and Tongue: Causes Explained
Pain in the back of the head radiating to the ear and tongue? While lying down preparing to sleep, I suddenly experienced severe sharp pain in the lower left side of the back of my head (near the neck), which then radiated to my ear and tongue (near the throat). After a while, I ...
Dr. Jiang Junyi Reply:
Dear Miss Pei Pei, You mentioned that "after a while, I feel tightness in the muscles near the back of my head close to my neck, and the lymph nodes in my lower jaw also hurt during the process of tilting my head back." Your symptoms may suggest issues with the cervica...[Read More] Severe Pain in the Back of the Head Radiating to Ear and Tongue: Causes Explained
Severe Pain in the Back of the Head Radiating to Ear and Tongue: Causes Explained
Pain in the back of the head radiating to the ear and tongue? While lying down and preparing to sleep, I suddenly experienced severe pain in the lower left part of the back of my head (near the neck). The pain then radiated to my ear and tongue (near the throat). After a while, I...
Dr. Jiang Junyi Reply:
Dear Miss Pei Pei, You mentioned that "after a while, I feel tightness in the muscles at the back of my head near my neck, and there is pain in the lymph nodes of my lower jaw during the process of tilting my head back." Your symptoms may suggest issues related to the ...[Read More] Severe Pain in the Back of the Head Radiating to Ear and Tongue: Causes Explained
Understanding Chronic Headaches and Neck Pain: Possible Causes and Solutions
Headache and neck pain? Hello, doctor. Since I hit the back of my head on a stone step corner in sixth grade, I have been experiencing persistent headaches. I have been to a large hospital for examinations, but they all said there was no problem. After that, I often find myself e...
Dr. Cai Zongzhang Reply:
Hello, the symptoms mentioned may be related to cervical spine disorders or hypotension. It is recommended to visit a neurology clinic for an examination to determine the underlying cause.[Read More] Understanding Chronic Headaches and Neck Pain: Possible Causes and Solutions