Understanding Facial Nerve Paralysis: Symptoms, Steroid Side Effects, and Concerns
Facial nerve paralysis Hello Doctor, my daughter (15 years old) noticed on the afternoon of February 13 that she could not fully close her lips when drinking water, and her right face felt stiff when she opened her mouth wide. She visited the doctor on February 14 and was prescri...
Dr. Jiang Junyi Reply:
Hello, You Ma: You mentioned that "when drinking water, your lips cannot fully close, and your right face feels stiff when your mouth is wide open." You have been taking steroids and gastric medication for a week. Clinically, this may suggest facial nerve paralysis. In...[Read More] Understanding Facial Nerve Paralysis: Symptoms, Steroid Side Effects, and Concerns
Understanding Muscle Pain and Fasciculations: Possible Neurological Causes
Muscle fasciculations and muscle soreness with weakness? Since 2019, I have experienced occasional muscle soreness in my limbs (about once every 3 to 6 months, lasting approximately 1.5 weeks). My hand strength has decreased, and when I go shopping and lift items weighing 2 to 5 ...
Dr. Hong Weibin Reply:
Hello: Based on your symptoms, it is recommended that you seek assistance from a neurologist specializing in neuromuscular diseases at a major hospital. They may arrange for blood tests, electromyography (EMG), and other evaluations. Cervical spine compression or myasthenia gravi...[Read More] Understanding Muscle Pain and Fasciculations: Possible Neurological Causes
Can Autonomic Nervous System Disorders Be Diagnosed with Tests?
Can the autonomic nervous system be tested? Hello Doctor, I have been suffering from various ailments recently and have seen multiple doctors without finding a clear cause, which has left me questioning everything. I noticed your patience in responding to some neurology patients,...
Dr. Jiang Junyi Reply:
Hello Mr. Ben, You asked, "Can autonomic nervous system disorders be detected through instruments, or can they only be assessed through clinical experience? If it can be detected, is it similar to an electrocardiogram that measures the current state?" The most common m...[Read More] Can Autonomic Nervous System Disorders Be Diagnosed with Tests?
Sudden Electric Shock Sensation in Buttocks: What Could It Be?
The flesh on the buttocks feels like it has been punctured? About a month ago, I started experiencing a sensation in my left buttock while sitting, like an electric shock that lasts for about two seconds. This occurs occasionally, sometimes once a day or every two to three days, ...
Dr. Jiang Junyi Reply:
Hello, Ms. Gui: You mentioned experiencing a sensation in your buttock that feels like an electric shock lasting about two seconds, specifically on the left side. This symptom is more indicative of peripheral nerve compression. It may be worth considering "piriformis syndro...[Read More] Sudden Electric Shock Sensation in Buttocks: What Could It Be?
Understanding Your Neurological Concerns: A Guide to ALS Anxiety
Regarding one's own condition? I used to come to you with questions often, and back then (8 months ago), I was very worried about amyotrophic lateral sclerosis (ALS), and I still am. My muscles have been twitching lately, and my left leg feels strange, almost like a reflex s...
Dr. Jiang Junyi Reply:
Hello: You mentioned that you feel strain in your bite when chewing on tough foods. If the masticatory muscles are not frequently used, it is indeed possible to experience this strain. I recommend maintaining appropriate exercise to preserve your muscle mass (you can purchase a b...[Read More] Understanding Your Neurological Concerns: A Guide to ALS Anxiety
Understanding Unusual Cold Sensations and Fatigue: A Neurological Perspective
Coolness in the back of the head. Fatigue? I woke up feeling fatigued this morning, but I am currently on my menstrual period, so I'm not sure if that is related. Then tonight, while lying in bed, I suddenly felt a cool sensation at the back of my head, which went away withi...
Dr. Jiang Junyi Reply:
Hello, Miss Xiaozhu: You mentioned feeling a sudden coolness at the back of your head and that your feet have been consistently cool. These may be two separate issues. The cool sensation at the back of your head could indicate an abnormality in the peripheral nerves, such as ner...[Read More] Understanding Unusual Cold Sensations and Fatigue: A Neurological Perspective
Understanding Headaches and Dizziness: Causes and Concerns
Headache and feelings of dizziness or brain fog? Hello Dr. Jiang, Last Monday, while I was taking a shower, the water might have been too hot, and I suddenly felt a rush to my head. After showering, I felt a bit dizzy. A few days later (around last Wednesday), I started experien...
Dr. Jiang Junyi Reply:
Hello Mr. K: I would like to know if you have a smoking habit? This may increase the risk of cerebrovascular diseases. You mentioned that "I feel like my right eye's vision has declined; I have to strain to see things that were once clear." This may warrant conside...[Read More] Understanding Headaches and Dizziness: Causes and Concerns
Feeling Exhausted and Anxious: Understanding Autonomic Nervous System Disorders
I feel exhausted every day and I feel like I'm about to die! Last night, I suddenly felt unwell in the latter half of my sleep. I got up to check my blood pressure, which was 91/56. I felt like crying; I wanted to sleep but couldn't. At first, I experienced hand tremors...
Dr. Jiang Junyi Reply:
Hello: You mentioned symptoms such as "feeling sleepy but unable to sleep well, initially experiencing hand tremors and numbness in the legs... switching positions while sleeping, rapid internal shaking, left-sided numbness, and a fast heartbeat." These symptoms may sug...[Read More] Feeling Exhausted and Anxious: Understanding Autonomic Nervous System Disorders
Understanding Head Pain: Causes and Concerns in Neurology
Head issues Hello, doctor. I experience headaches when I lie back on a specific spot on the back of my head while sitting in a chair. The pain is not located at the area in contact with the chair, but rather closer to the top of my head. I haven't hit my head or experienced ...
Dr. Jiang Junyi Reply:
Hello Mr. Ren, You mentioned that "lying back on a certain spot on the back of your head causes headaches, and the pain is not at the point of contact but rather closer to the top of your head..." This symptom may suggest cervical myofascial pain. Prolonged periods of ...[Read More] Understanding Head Pain: Causes and Concerns in Neurology
Understanding Occasional Sharp Pain in the Lower Back: Causes and Concerns
Lower back pain? Hello, doctor. I occasionally experience sharp pain in my lower back. I have seen a dermatologist who said my skin is fine, and an orthopedic specialist who also said there is nothing wrong. However, when I'm not lying down, I sometimes feel a bit of sharp p...
Dr. Cai Zongzhang Reply:
Hello, A-Ting: It is recommended to visit a neurologist for an evaluation of the underlying cause.[Read More] Understanding Occasional Sharp Pain in the Lower Back: Causes and Concerns
Understanding Anxiety and Discomfort: A Neurology Perspective
Anxiety and multiple discomforts? I have mitral valve prolapse, and my doctor prescribed medication for palpitations, which helped a lot. The doctor didn't mention the need for a follow-up appointment, so I stopped taking the medication after finishing it. However, about a m...
Dr. Cai Zongzhang Reply:
Hello, Ms. Jan: It is recommended to visit the neurology and psychiatry outpatient clinics for examination and treatment.[Read More] Understanding Anxiety and Discomfort: A Neurology Perspective
Understanding Occipital Neuralgia: Pain Triggered by Gum Inflammation
Occipital neuralgia? Every time I experience gum inflammation and ulceration, I feel a sharp pain in the back of my head. The pain is located slightly above the center of the back of my head, and it feels like an electric shock, occurring intermittently every few seconds. Once th...
Dr. Cai Zongzhang Reply:
Hello: The symptoms mentioned may indicate trigeminal nerve inflammation, possibly due to herpes zoster affecting the trigeminal nerve. It is recommended to consult a neurologist for examination and treatment.[Read More] Understanding Occipital Neuralgia: Pain Triggered by Gum Inflammation
Managing Sleep Apnea Symptoms: Tips for Immediate Relief
Questions related to respiratory arrest? Hello Doctor, I occasionally experience a heart rate of around 100 beats per minute while lying down at night, and during the day, when sitting at the computer, my heart rate ranges from 100 to 120 (measured with a fingertip pulse oximeter...
Dr. Cai Zongzhang Reply:
Hello Ben: It is recommended to visit an otolaryngologist to check for any other underlying causes.[Read More] Managing Sleep Apnea Symptoms: Tips for Immediate Relief
Understanding Hand Tremors: Insights on Parkinsonism in Young Adults
Regarding hand tremors and juvenile Parkinson's disease? Hello, pharmacist. About three years ago, during my sophomore year, I visited Datong Hospital due to movement disorders (PKD) and restless legs syndrome. The restless legs syndrome has been an issue since I became awar...
Dr. Hong Weibin Reply:
Hello: Based on your description, "the tremor does not occur when the hand is completely relaxed with the palm facing up on the thigh, but it does tremble when the fingers slowly make a fist or when clenching and then slowly relaxing," this type of tremor is more indica...[Read More] Understanding Hand Tremors: Insights on Parkinsonism in Young Adults
Understanding Right-Side Numbness: Causes and Concerns in Neurology
Numbness in the right side of the face, hands, and feet? Hello, I initially experienced numbness in my right hand's ring and little fingers, as well as numbness on the right side of my face. Sometimes, I feel saliva pooling in my mouth. I consulted a neurologist who performe...
Dr. Jiang Junyi Reply:
Hello Ms. Ping, You mentioned that "the ring finger and little finger are numb," which is more indicative of ulnar nerve pathology. You also mentioned that "the MRI of the spine shows mild disc herniation." Often, because the MRI is performed while lying down...[Read More] Understanding Right-Side Numbness: Causes and Concerns in Neurology
Understanding Nerve Pain: When to See a Neurologist or Specialist
Pain and numbness in the hands and feet? Hello doctor, I have pain from my lower back to my buttocks and down to my calves, with pain in my heels and soles. My fourth toe has an angle that causes discomfort, possibly due to tight shoes compressing it, which feels like it might be...
Dr. Jiang Junyi Reply:
Dear Mr. Ming-Ting, You mentioned that the pain from the lower back to the buttocks, down to the calves, and from the heels to the soles of the feet resembles a condition related to the sciatic nerve. Additionally, the tingling and numbness in your ring and little fingers are mo...[Read More] Understanding Nerve Pain: When to See a Neurologist or Specialist
Understanding Persistent Numbness: Causes and Treatments for Limb and Abdominal Symptoms
Numbness in the limbs, numbness in the abdomen and back? Hello Doctor: Starting from January 1st of this year, I experienced a progressive numbness in both legs, beginning from the soles and extending up to the waist over a span of five days. The numbness persisted 24 hours a day...
Dr. Jiang Junyi Reply:
Dear Mr. Lai, You mentioned that "the numbness gradually spread from the soles of both feet to the waist over five days." I wonder if you have been exposed to nitrous oxide? If the numbness is rapidly ascending, we may consider acute demyelinating polyneuropathy. Las...[Read More] Understanding Persistent Numbness: Causes and Treatments for Limb and Abdominal Symptoms
Understanding Nerve Compression: Left Upper Back and Limb Numbness Issues
Frequent numbness in the upper left back and numbness in the limbs while sleeping? Hello, doctor. I have the following main symptoms and I'm unsure if they are related: 1. I frequently experience numbness in the upper left back (around the scapula) that started about three...
Dr. Jiang Junyi Reply:
Hello Mr. Wu: You mentioned, "Could the physician determine if it is due to thoracic nerve compression or a brain issue?" The symptoms include "involuntary muscle twitching in small, localized areas throughout the body, visible to the naked eye, which has persisted...[Read More] Understanding Nerve Compression: Left Upper Back and Limb Numbness Issues
Managing Muscle Cramps in Myasthenia Gravis Patients: Solutions and Medications
Medication issues Hello, doctor. I have been diagnosed with myasthenia gravis, and after starting medication, I have been experiencing cramps in the soles of my feet. The frequency of these cramps is higher than with the previous medication I was taking, and they are quite painfu...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned that "after being diagnosed with myasthenia gravis and starting medication, I experienced cramps in the soles of my feet, and the frequency is higher than with the previous medication." In cases of myasthenia gravis, the use of muscle relaxants...[Read More] Managing Muscle Cramps in Myasthenia Gravis Patients: Solutions and Medications
Understanding Nerve Issues: Frequent Left Upper Back and Limb Numbness
Frequent numbness in the upper left back and numbness in the limbs while sleeping? Hello, doctor. I have the following main symptoms and I'm not sure if they are related: 1. I have frequent numbness in the upper left back area, which started about three years ago. X-rays a...
Dr. Jiang Junyi Reply:
Hello Mr. Wu, You mentioned, "Could the physician determine if the issue is due to thoracic nerve compression or a brain problem?" The symptoms include "involuntary muscle twitching in small, non-fixed areas of the body, visible to the naked eye, which has persist...[Read More] Understanding Nerve Issues: Frequent Left Upper Back and Limb Numbness