Facing Fears: Understanding ALS Concerns and Next Steps
I have reviewed your response, Doctor? I am feeling very anxious after reading your response. Are you suggesting that I have atrophy and that I might have ALS? Should I go back to the hospital for further examination? The doctor previously advised me not to worry excessively, so ...
Dr. Jiang Junyi Reply:
Hello: You misunderstood my point. I suggest you let go of the rare idea of amyotrophic lateral sclerosis (ALS)! May I ask about your sleep patterns? Are you achieving 7-8 hours of restorative sleep? Are you consuming 2 grams of protein per kilogram of body weight in your daily r...[Read More] Facing Fears: Understanding ALS Concerns and Next Steps
Understanding Hand Weakness: When to Seek Medical Advice
Hand problems Hello, doctor. I am currently in high school, and I recently noticed that when I write with my right hand, I suddenly experience a feeling of weakness, making it difficult to apply force. If I force myself to write, my handwriting becomes crooked, and it feels like ...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms are more indicative of ulnar nerve neuropathy, particularly affecting the branches on the back of the hand. This condition can occur when the elbow rests on a hard surface or when pressure is applied to the elbow, such as during com...[Read More] Understanding Hand Weakness: When to Seek Medical Advice
Is It a Stroke? Understanding Neurological Symptoms and Concerns
Could it be a stroke? Or is it another disease? I usually use a ventilator to sleep at night due to my issue with sleep apnea. However, I also have nasal congestion (the left nostril is partially open while the right is completely blocked). When I use the ventilator, I wake up th...
Dr. Cai Zongzhang Reply:
Hello, Lin! It is recommended to visit the neurology outpatient clinic![Read More] Is It a Stroke? Understanding Neurological Symptoms and Concerns
Understanding Head Injuries: Symptoms and Recovery Tips
Head issues Hello Doctor: Last night I fell and hit my buttocks. After getting up, I experienced dizziness and blurred vision that lasted for about 20 seconds. During that time, I also hit the back left side of my head. After 20 seconds, I returned to normal but noticed that touc...
Dr. Jiang Junyi Reply:
Hello: You mentioned (1) Is it normal to experience dizziness, blurred vision, or even a brief loss of consciousness after hitting the back of the head? A: Yes, because the occipital lobe is responsible for vision, external force impacts can cause temporary visual symptoms, such ...[Read More] Understanding Head Injuries: Symptoms and Recovery Tips
Understanding Neck and Trapezius Pain: Causes and When to Seek Help
Stiffness and pain in the neck and trapezius muscle? Hello, Doctor. In the past few days, I have been experiencing neck stiffness and a tingling sensation, along with pain in my trapezius muscle. I have taken muscle relaxants, but they only provide temporary relief, and the pain ...
Dr. Hong Weibin Reply:
Hello: Based on the symptoms you described, it may be due to stiffness and tension in the shoulder and neck muscles. It is advisable to seek treatment from a rehabilitation specialist. Wishing you a speedy recovery.[Read More] Understanding Neck and Trapezius Pain: Causes and When to Seek Help
Understanding Numbness in Limbs: When to Seek Medical Attention
Numbness in the limbs? Hello, I have been sitting for long periods while using the computer, and four days ago, when I sat at a 90-degree angle, I started to feel numbness in the upper left part of my back. However, when I stand up or lie back in a chair at about a 20-degree angl...
Dr. Jiang Junyi Reply:
Hello, based on your description—your right foot is experiencing numbness. The sensation of numbness in your right foot extends from the foot to the calf, but does not reach the thigh. It feels like the source is in the little toe and spreads to the calf. This level of numbness m...[Read More] Understanding Numbness in Limbs: When to Seek Medical Attention
Understanding Itchy Skin and Tingling Sensations: Possible Causes and Solutions
Tingling sensations in the body and itchy skin? Hello, doctor. On April 24th, I went for a ride in the mountains, and after returning, I started to feel itchy skin without a specific area. Initially, I suspected that I might have brought back some bugs (like fleas), but there are...
Dr. Hong Weibin Reply:
Hello: Generally speaking, the possible factors for skin itching can be categorized as follows: Dermatological factors: excessive dryness, eczema, psoriasis, scabies, parasites, burns, insect bites, allergic urticaria. Internal factors: liver disease, kidney disease, anemia, di...[Read More] Understanding Itchy Skin and Tingling Sensations: Possible Causes and Solutions
Post-Car Accident Injuries: Should I See a Neurologist?
Injury issues due to a car accident? Hello, doctor. I was sent to the emergency room due to a car accident, and I experienced pain in multiple areas, including my head, lower back, hands, ankles, and toes. The hospital performed a CT scan on my head and lower back, and X-rays on ...
Dr. Cai Zongzhang Reply:
Hello, Xiao Fangkuai! The process of injury from a car accident can cause multiple contusions. The purpose of an X-ray is solely to check for fractures; contusions can only be assessed based on external signs such as redness, swelling, and pain, as X-rays cannot visualize contusi...[Read More] Post-Car Accident Injuries: Should I See a Neurologist?
Understanding Leg Numbness and Back Pain: Possible Causes and Solutions
Leg numbness and lower back pain? Hello Doctor: About a month ago, I started experiencing a tingling sensation in my foot, but it would go away quickly. After receiving acupuncture treatment from a traditional Chinese medicine practitioner, the tingling became more persistent. Ab...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider symptoms related to a herniated disc compressing the nerves. A herniated disc can also occur due to sudden injuries, such as twisting the waist abruptly, bending to lift heavy objects, or experiencing sudden excess...[Read More] Understanding Leg Numbness and Back Pain: Possible Causes and Solutions
Understanding Muscle Twitches: Insights on Neurological Concerns
Muscle regeneration inquiry (Please let the doctor review this, thank you.) If the doctor sees this, please just reply to this post. Recently, I've been experiencing some symptoms that remind me of my concerns about multiple sclerosis from six months ago: sometimes, my muscl...
Dr. Jiang Junyi Reply:
Hello: The differential diagnosis of multiple sclerosis is quite extensive, including factors such as genetics, infections, inflammation, metabolism, tumors, psychiatric conditions, toxins, and blood circulation issues. When spontaneous remission of neurological symptoms occurs, ...[Read More] Understanding Muscle Twitches: Insights on Neurological Concerns
Persistent Dizziness and Nausea: When to Seek Neurological Help
Feeling nauseous all day, like being car sick? Hello Dr. Jiang, I started experiencing mild dizziness around January of this year, similar to motion sickness, accompanied by a feeling of nausea and frequent burping. This would last for about one to two hours but did not affect my...
Dr. Jiang Junyi Reply:
Hello, based on your description, there are many potential causes for dizziness, such as anemia, autonomic nervous system dysfunction, and inner ear imbalance, which may contribute to your symptoms. First, it is important to rule out anemia or fluid deficiency that could lead to ...[Read More] Persistent Dizziness and Nausea: When to Seek Neurological Help
Understanding Muscle Twitches and Visual Disturbances Before Sleep
Your own condition? Hello, doctor. I would like to describe my recent situation. Sometimes, just as I am about to fall asleep, I experience muscle twitches or my limbs move involuntarily. There have been instances where I wake up in the middle of the night to find my muscles twit...
Dr. Hong Weibin Reply:
Hello: There are many types of muscle twitching, including muscle fasciculation, muscle myokymia, muscle spasm, and muscle myoclonus, among others (which are difficult to translate into Chinese). The causes are quite diverse, with the most common being stress, electrolyte imbalan...[Read More] Understanding Muscle Twitches and Visual Disturbances Before Sleep
Understanding Electric Sensations in the Right Cheekbone: A Neurological Concern
Electric sensation in the right zygomatic bone? This month, I have occasionally experienced an electric shock sensation in my right cheekbone. It's not frequent, and pressing on it provides some relief. About three days ago, I woke up with severe pain in my neck and the back...
Dr. Cai Zongzhang Reply:
Hello! It is recommended to visit the neurology outpatient clinic for an examination.[Read More] Understanding Electric Sensations in the Right Cheekbone: A Neurological Concern
Understanding Visual Disturbances: Insights on Flashing Lights and Eye Symptoms
Frequent bright spots and flashes in the eyes are indicative of enhanced Scherer's symptom? Hello Doctor, I am really very anxious and I seek your help to understand what might be wrong with me. I apologize for the lengthy message. My symptoms started in January after I boug...
Dr. Hong Weibin Reply:
Hello: 1-4. It is likely due to eye strain; I recommend reducing the use of VR, mobile phones, and computers, and taking more breaks. Improvement is expected in a few months. 5-6. It may be "typical aura without headache." In some patients, typical auras are always acco...[Read More] Understanding Visual Disturbances: Insights on Flashing Lights and Eye Symptoms
Understanding Persistent Lightheadedness: When to See a Neurologist
The head feels unsteady (only a sensation of swaying and dizziness, without vertigo)? Hello, Doctor... I am 29 years old, 177 cm tall, weighing 64 kg, and I do not have any chronic diseases. I would like to ask a few questions. Recently, I have been experiencing dizziness for abo...
Dr. Jiang Junyi Reply:
Hello: Based on your description, can shoulder and neck pain lead to dizziness? It is important to consider that tightness in the neck muscles may affect proprioception. Is it a problem with blood circulation, or is there another issue? Can a rapid heartbeat also cause dizziness?...[Read More] Understanding Persistent Lightheadedness: When to See a Neurologist
Understanding Muscle Tremors: Causes and Concerns in Neurology
Body tremors Hello, doctor. In the past few days, I've suddenly felt a kind of tremor sensation in the inner part of my left thigh near the groin area, similar to where the line of a thong would be. It feels a bit tingly, like a vibrating massage, and it's not localized...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are more indicative of lumbar nerve compression causing tingling and shooting sensations. It is recommended that you take breaks while studying to do some stretching exercises. If the symptoms persist, it is advisable to consult a neurologist or a rehabilitat...[Read More] Understanding Muscle Tremors: Causes and Concerns in Neurology
Understanding ALS: Your Concerns and Next Steps for Diagnosis
The last time I asked you about the issue of amyotrophic lateral sclerosis (ALS)? Hello, doctor. I am the one who asked you about ALS last time. Based on your response, do you mean that it is possible I might have it, and I should go get checked? Should I schedule an electromyogr...
Dr. Jiang Junyi Reply:
Hello: It is advisable not to consider amyotrophic lateral sclerosis (ALS) at this time, as this disease is more commonly seen around the age of 40, peaking at 70 years old. It is recommended that you engage in more stretching exercises to reduce body tremors. It would also be be...[Read More] Understanding ALS: Your Concerns and Next Steps for Diagnosis
Why Your Left Palm Loses Sensation at Night: Possible Causes Explained
Numbness in the left palm at midnight? Hello Doctor: Recently, I have occasionally woken up at night feeling a bit of heat in my head and a slightly rapid heartbeat. It seems like there is a lack of sensation in my left palm (not a tingling or numb feeling), but after a few secon...
Dr. Jiang Junyi Reply:
Hello: Your symptoms occurring during sleep, along with associated sensory abnormalities, may suggest abnormal brain discharges during sleep, leading to temporary dysfunction in specific brain areas. It is recommended that you consult a neurologist to discuss and arrange for mult...[Read More] Why Your Left Palm Loses Sensation at Night: Possible Causes Explained
Understanding Muscle Tremors: Symptoms, Concerns, and Next Steps
About muscle twitching? Hello Doctor, I have recently noticed a lack of sensation in a specific area at the back of my throat, which made me worried enough to see a doctor. The doctor reviewed my previous reports, tested my reflexes with a hammer, conducted a consultation, and ha...
Dr. Jiang Junyi Reply:
Hello: You are concerned about Parkinson's disease, which typically does not occur in your age group unless there are familial genetic factors involved. Instead, you should consider drug-induced extrapyramidal syndrome, which occurs when the body's motor system is disru...[Read More] Understanding Muscle Tremors: Symptoms, Concerns, and Next Steps
Understanding Rapid Heartbeat, Palpitations, and Dizziness: A Neurology Perspective
Regarding tachycardia, palpitations, and dizziness? Hello Dr. Tsai, Two weeks ago, I visited the cardiology and neurology outpatient departments at Taipei Medical University due to symptoms of palpitations, discomfort, and dizziness. My dizziness is persistent with a floating se...
Dr. Cai Zongzhang Reply:
Entresto and Heart Care Room contain the same ingredients but differ in dosage. If symptoms are mild, taking Entresto may be sufficient. Please discuss with a neurologist before making a decision.[Read More] Understanding Rapid Heartbeat, Palpitations, and Dizziness: A Neurology Perspective