Understanding Neurological Symptoms: Seeking Answers for Persistent Discomfort
Struggling for nearly six months? Hello Dr. Jiang, I started experiencing chest tightness and pain in my pectoral muscles last October, accompanied by weakness, shoulder pain, and numbness in my back during certain movements, with a sensation like electric shocks. When I raise my...
Dr. Jiang Junyi Reply:
Dear Mr. Wu, You mentioned "multiple sclerosis," which affects fewer than 5 people per 100,000 in Taiwan, making it a rare disease. The diagnosis of multiple sclerosis is based on clinical history and examinations that reveal multiple lesions in the nervous system. A d...[Read More] Understanding Neurological Symptoms: Seeking Answers for Persistent Discomfort
Neck Pain Leading to Headaches and Numbness: Relief Tips
Cervical spine pain radiating to headaches and numbness in the back? I started experiencing neck pain about a week ago, possibly due to excessive use of my phone or computer. The soreness has persisted for over a week. I also noticed some numbness in my back after taking a nap at...
Dr. Jiang Junyi Reply:
Dear Ms. Ke, You mentioned that "the soreness has lasted for over a week. I noticed some numbness in my back when I got up after napping at work. Can I use heat or ice packs to relieve this soreness more quickly?" Generally, the principle of using ice is as follows: ...[Read More] Neck Pain Leading to Headaches and Numbness: Relief Tips
Understanding Frequent Heart Pain and Headaches: A Neurological Perspective
Frequent sharp pain in the heart, with headaches and tightness in the neck occurring approximately every 4.5 days? I have been evaluated by a neurologist and diagnosed with autonomic dysfunction, which fluctuates between good and bad. The main issue is that my symptoms have not i...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to visit the neurology outpatient clinic for evaluation.[Read More] Understanding Frequent Heart Pain and Headaches: A Neurological Perspective
Why Do My Heels Feel Numb When Lying Flat? Causes and Solutions
Numbness in the legs while lying flat? When lying flat, if you experience soreness or numbness in your heels, and it alleviates when using a thin blanket or lying on your side, what could be the cause? Thank you, doctor.
Dr. Jiang Junyi Reply:
Hello Ms. Pin, You mentioned experiencing soreness or numbness in your heels while lying flat, which may indicate "piriformis syndrome" or compression of the sciatic nerve. The piriformis muscle is located deep in the buttocks and spans between the spine and the hip jo...[Read More] Why Do My Heels Feel Numb When Lying Flat? Causes and Solutions
Unexplained Bump on the Back of the Head: When to Seek Medical Attention
A sudden protrusion at the back of the head? Hello, doctor. I would like to ask about a change in the shape of my occipital region; there is a protrusion. Over the past year, I have also noticed changes in my vision, as my field of view seems to have expanded, making things that ...
Dr. Jiang Junyi Reply:
Dear Ms. ViVI, You mentioned that "your vision has changed over the past year, and the range of what you see feels larger; things that once seemed quite large now appear smaller... Your thoughts also seem unclear, and you often forget things..." I wonder if you are exp...[Read More] Unexplained Bump on the Back of the Head: When to Seek Medical Attention
Understanding the Sensation of Head Pressure and Balance Issues
Feeling of pressure in the head? In the past month, I have occasionally felt a sensation of pressure in my head, and sometimes I feel like my body is leaning to one side. There was also an instance when I felt like the floor was spinning, making it difficult to stand, but it quic...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "sometimes I feel like my body is tilting to one side, and once I felt like the floor was spinning, making it hard to stand, but I quickly recovered." These symptoms are more indicative of Benign Paroxysmal Positional Vertigo (BPPV). The c...[Read More] Understanding the Sensation of Head Pressure and Balance Issues
Understanding Neurological Symptoms: Chest Tightness, Numbness, and More
Chest tightness, numbness in hands and feet, mouth sores, palpitations, insomnia? Hello, doctor. I have the following questions regarding possible causes and which specialty I should consult. Thank you. 1. I experience numbness, tingling, and a burning sensation in the joints of...
Dr. Jiang Junyi Reply:
Dear Ms. Vivian, You mentioned experiencing symptoms such as numbness, tingling, and a burning sensation around the finger joints, the back and palm of the hands up to the elbows, as well as around the knees, the tops of the feet, the ankles, and the toes. These symptoms do not ...[Read More] Understanding Neurological Symptoms: Chest Tightness, Numbness, and More
Understanding Eye Pain and Neck Discomfort: A Neurological Perspective
Deep pain in the left eye (radiating to the left shoulder and neck)? Hello, Dr. Jiang. Three months ago, I experienced eye pain and visited an ophthalmologist. The doctor diagnosed my intraocular pressure at the critical value of 21. I continued to use the prescribed eye drops re...
Dr. Jiang Junyi Reply:
Hello Mr. Bai: You mentioned that "the assessment indicated a neurological issue, and I was referred to the neurology department, where the neurologist suggested the possibility of migraine?" The symptoms you described may need to consider Trigeminal Autonomic Cephalalg...[Read More] Understanding Eye Pain and Neck Discomfort: A Neurological Perspective
Neck Pain When Bending: Should You Seek Medical Advice?
Neck pain due to neck strain? Hello: When I bend my neck to the left (not turning) at a certain angle, I feel a sharp pain extending from the left back of my neck to the left side of my head, almost like a muscle is being pulled. It is extremely painful and sometimes accompanied ...
Dr. Jiang Junyi Reply:
Dear Ms. Amy, You mentioned that "there is a muscle in the left side of my brain that gets strained, causing extreme pain, sometimes accompanied by a bit of dizziness and nausea. However, as soon as I change my position, it immediately alleviates..." Your symptoms seem...[Read More] Neck Pain When Bending: Should You Seek Medical Advice?
Understanding Occipital Headaches: Causes, Symptoms, and Relief Strategies
Headache - Occipital Pain Hello, starting this Tuesday around noon to afternoon, I have been experiencing a feeling of pressure and pain in the back of my head, but it does not occur in the morning, evening, or before bed. During the episodes of pressure and pain, it sometimes af...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "the back of your head feels swollen and painful, but it goes away in the morning, evening, or before sleep. During the period of swelling and pain, it can sometimes be unilateral or bilateral, and bending over makes it more pronounced." If you...[Read More] Understanding Occipital Headaches: Causes, Symptoms, and Relief Strategies
Understanding Coccydynia: Causes, Symptoms, and Treatment Options
Coccydynia (tailbone pain) issues? I had an X-ray of my coccyx, and the bones are fine. However, I experience significant pain when I stand up while riding my motorcycle, and some chairs cause pain when I sit down and then stand up. This has been bothering me for a long time. I a...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "it hurts a lot when I stand up after riding a motorcycle, and some chairs also cause pain when I sit and then stand up." Your symptoms may indicate a potential issue with the sciatic nerve. Herniated discs are often caused by spinal dege...[Read More] Understanding Coccydynia: Causes, Symptoms, and Treatment Options
Understanding the Impact of Gastritis on Sleep and Insomnia Management
Gastritis can affect sleep and lead to insomnia? Hello Doctor, I have been experiencing discomfort all day due to gastric antritis, which has made it difficult for me to sleep at night. I have been unable to sleep for 2-3 weeks and feel very tired throughout the day. I then visit...
Dr. Cai Zongzhang Reply:
Hello: Medications for sleep should not be used long-term. It is recommended to visit an outpatient clinic to check for any health issues that may be affecting sleep.[Read More] Understanding the Impact of Gastritis on Sleep and Insomnia Management
Managing Insomnia Due to Gastritis: Safe Use of Stilnox and Imovane
Gastritis, insomnia at night? Hello Doctor, I have been experiencing discomfort throughout the day due to gastric antritis, which has made it difficult for me to sleep at night. I have been unable to sleep for the past 2-3 weeks and feel very tired all day. I then consulted a doc...
Dr. Cai Zongzhang Reply:
Hello: Sleep medications should not be used long-term. It is recommended to visit an outpatient clinic to check for any health issues that may be affecting sleep.[Read More] Managing Insomnia Due to Gastritis: Safe Use of Stilnox and Imovane
Understanding Stroke Symptoms and Necessary Tests: A Guide
Symptoms of a stroke? Blood pressure is at 170, with audible sounds in the neck. There is a feeling of pressure in the back of the head, elevated intraocular pressure, and white matter lesions in the brain. Blood test results show: Creatinine is 0.57 (normal range is 0.6-1.2), MP...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to visit the neurology outpatient clinic.[Read More] Understanding Stroke Symptoms and Necessary Tests: A Guide
Why Does My Left Cheek and Lip Twitch During Dumbbell Shoulder Workouts?
During dumbbell training, when exerting force with the right shoulder, the left upper lip and left cheek move along with it? Hello Doctor, due to the pandemic, I started working out at home and recently began using dumbbells. I've noticed that during some shoulder exercises,...
Dr. Jiang Junyi Reply:
Dear Ms. Tina, You mentioned that "when lifting a dumbbell with my right shoulder, my left cheek and left upper lip twitch slightly, and with each lift, the left cheek and left upper lip twitch again." This symptom seems to indicate a chain reaction of activation in th...[Read More] Why Does My Left Cheek and Lip Twitch During Dumbbell Shoulder Workouts?
Understanding Neuropathic Pain: Which Specialist Should You See?
Suspected neuropathic pain - unsure which specialty to consult? Hello, Dr. Jiang. I apologize for bothering you. My mother and grandmother have both reported experiencing "neuropathic pain" after reaching a certain age. They have occasional episodes, a few times a year,...
Dr. Jiang Junyi Reply:
Dear Miss Peng, You mentioned that "the pain usually starts at night when falling asleep and continues into the next day, occurring in episodes, and typically resolves within two days." Your symptoms may suggest Restless Legs Syndrome (RLS). The etiology of RLS is rela...[Read More] Understanding Neuropathic Pain: Which Specialist Should You See?
Understanding the Causes of Front-to-Back Swaying Sensation
Sensation of swaying back and forth? Hello, doctor. I have a concern. Suddenly, one day, I started to feel a swaying sensation back and forth while standing, especially when walking normally; the feeling of swaying back and forth is very pronounced (not side to side!). This has b...
Dr. Jiang Junyi Reply:
Dear Mr. Dong-Chen, You mentioned that "the most noticeable sensation during walking is a forward and backward swaying... my mind feels tight. Is this due to autonomic nervous system dysfunction or hyperthyroidism?" Hyperthyroidism should be considered. Typically, auto...[Read More] Understanding the Causes of Front-to-Back Swaying Sensation
Understanding Persistent Numbness in the Left Back: Causes and Solutions
Numbness in the left side of the back when squatting or sitting? Hello, doctor. At the end of last year, after carrying a heavy bag of books with one hand, I started experiencing numbness on the left side of my back the next day. This condition has persisted until now without imp...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "the left side of my back started to feel numb the next day, and this condition has persisted without improvement... there is a numb sensation extending from the inner side of my left scapula to my arm... sitting up straight helps alleviate the...[Read More] Understanding Persistent Numbness in the Left Back: Causes and Solutions
Why Do Bloody Images Cause Narrow Vision and Dizziness?
Why does seeing bloody scenes cause a narrowing of vision and dizziness? Hello Doctor, my son is 19 years old. Since he was around 11, he has experienced episodes where, after seeing graphic images, his vision narrows (he can only see clearly in the center while the periphery bec...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned that your son is experiencing intermittent neurological deficits. If the brain injury is caused by a hemorrhage, the symptoms are usually persistent. It may be necessary to first consider the symptoms of vascular headaches (migraines) or abnormal electri...[Read More] Why Do Bloody Images Cause Narrow Vision and Dizziness?
Understanding Hand Numbness: Sympathetic vs. Nerve Compression Issues
Numbness in the hands? Hello Doctor, I have visited you before and was diagnosed with abnormalities in the parasympathetic nervous system. Currently, I am taking Fluxel and related vitamins. I went back to the rehabilitation department where I was previously diagnosed with cervic...
Dr. Jiang Junyi Reply:
Dear Mr. Sheng, You mentioned that "the numbness in your right thumb and index finger has not improved," which may indicate the need to consider compression of the median nerve rather than an issue with the autonomic nervous system. The median nerve is responsible for ...[Read More] Understanding Hand Numbness: Sympathetic vs. Nerve Compression Issues