Understanding Neurological Symptoms: Chest Pain, Arm Discomfort, and Dizziness
Symptom issues Hello Doctor: 1. I have pain in the chest (in the middle and on the right side). 2. My right arm feels sore when I rotate it backward. 3. I experience brief dizziness, occurring 2-3 times a day. Thank you, Doctor.
Dr. Cai Zongzhang Reply:
The above symptoms may be caused by cervical spine nerve compression. It is recommended to visit a neurology clinic for evaluation to confirm the underlying cause.[Read More] Understanding Neurological Symptoms: Chest Pain, Arm Discomfort, and Dizziness
Understanding Lower Back Pain: Causes, Symptoms, and Treatment Options
Lumbar issues? I used to wear high heels frequently for work, but I haven't worn any heeled shoes for almost two years now. However, I feel like I have an issue with anterior pelvic tilt. I have tried chiropractic adjustments, but they didn't seem to help much. To lose ...
Dr. Cai Zongzhang Reply:
It is recommended to consult a neurologist to check for symptoms caused by lumbar nerve compression.[Read More] Understanding Lower Back Pain: Causes, Symptoms, and Treatment Options
Frequent Headaches and Nosebleeds: When to Seek Medical Advice
Headache and nosebleed? I sometimes experience unexplained headaches and have been having frequent nosebleeds lately. While eating hot pot, I find that my nose starts bleeding uncontrollably. I visited an otolaryngologist, but the doctor said everything is normal and there are no...
Dr. Jiang Junyi Reply:
Hello: It is recommended to visit the ENT department at the hospital to determine the location of the nosebleed, which may help identify possible causes. You might also want to consider coagulation disorders. As for the headache, common causes include tension-type headaches or mi...[Read More] Frequent Headaches and Nosebleeds: When to Seek Medical Advice
Understanding Numbness: When to See a Doctor for Nerve Issues
Numbness issues? Hello, doctor. I have recently noticed numbness extending from my right leg to my buttocks over the past two days. When I touch it, it feels like there is a layer blocking the sensation, which is different from my left leg. There is no tingling, just numbness. Sh...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider symptoms of nerve compression due to a herniated disc, commonly known as sciatica. A herniated disc can also occur due to sudden injuries, such as twisting the waist suddenly, bending to lift heavy objects, or expe...[Read More] Understanding Numbness: When to See a Doctor for Nerve Issues
Understanding Diplopia in Myasthenia Gravis: Diagnosis and Treatment Insights
Diplopia caused by myasthenia gravis? Hello Doctor: I have been experiencing double vision for nearly a year, and since the situation has worsened, I went to a neurologist for an examination. The tests included a contrast-enhanced brain MRI, skin sympathetic nerve reflex (SSR), R...
Dr. Jiang Junyi Reply:
Hello: Based on your description, the effects of the medication typically begin around thirty minutes after administration, with peak effects occurring approximately two hours later, followed by a gradual decline. There are many causes of diplopia: binocular causes include ocular...[Read More] Understanding Diplopia in Myasthenia Gravis: Diagnosis and Treatment Insights
Managing Neck Pain and Hand Tremors: When to See a Neurologist
Tremors and neck and shoulder pain issues? Hello, Doctor! I would like to ask you about my condition. Due to long-term computer use and carrying heavy books, I experienced shoulder and neck pain three months ago and visited an orthopedic clinic. The doctor diagnosed me with shoul...
Dr. Jiang Junyi Reply:
Hello: If you experience hand numbness after lifting objects, it may be necessary to consider carpal tunnel syndrome. This condition typically occurs in individuals who perform repetitive wrist movements, such as mechanics, carpenters, typists, and homemakers, particularly affect...[Read More] Managing Neck Pain and Hand Tremors: When to See a Neurologist
Genetic Links Between Migraine and Stroke Risk: What You Need to Know
Genetic predisposition to migraine and its association with the risk of stroke? Hello, doctor. I have had a predisposition to migraines since I was a child, experiencing them intermittently around the age of six or seven. In addition to unilateral headaches, I also experienced sy...
Dr. Cai Zongzhang Reply:
Clinical cases have confirmed that severe migraine attacks can trigger strokes; however, rare instances suggest that neurologists should monitor these patients. Proper management of migraines can help prevent strokes.[Read More] Genetic Links Between Migraine and Stroke Risk: What You Need to Know
Understanding Widespread Pain: When to See a Specialist for Neurological Issues
Multiple areas of pain in a short period of time? Over the past month, I have been experiencing various pains throughout my body. Initially, I consulted a specialist, but due to the wide range of symptoms and the duration of the issue, I began to wonder if it might be related to ...
Dr. Jiang Junyi Reply:
Hello: It is recommended that you print out the detailed description and discuss it with your physician. Based on your description, fibromyalgia should be considered. Clinically, it is differentiated from other conditions that present with widespread pain, such as inflammatory or...[Read More] Understanding Widespread Pain: When to See a Specialist for Neurological Issues
Medication Concerns: Neurology and Psychiatry Guidance
Medication issues The doctor prescribed me two days' worth of Berilene, to be taken one tablet three times a day. I plan to take three tablets from 4 PM to 10 PM. Is this acceptable? I also need to take psychiatric medication. If I wake up tomorrow morning still experiencing...
Dr. Jiang Junyi Reply:
Hello: Acetaminophen tablets. Product name: Depyretin Tab 500 mg (Veterans). Chinese name: Depyretin Tablet 500 mg. The active ingredient is the same as that in Tylenol. It is primarily used for fever reduction and pain relief, and is also used to treat headaches, muscle aches, a...[Read More] Medication Concerns: Neurology and Psychiatry Guidance
Understanding Muscle Twitching and Weakness: Possible Causes and Next Steps
Muscle twitching and weakness? Hello Doctor: At the end of February, I suddenly felt unusual sensations in my limbs, followed by involuntary muscle twitching throughout my arms and legs. Recently, I also noticed that when I try to open my left pinky finger from a fist, it feels s...
Dr. Jiang Junyi Reply:
Hello: The condition you are concerned about, commonly known as amyotrophic lateral sclerosis (ALS), primarily involves issues with motor neurons. Motor neurons control muscle movement; generally, the motor neurons in the brain are referred to as upper motor neurons, while those ...[Read More] Understanding Muscle Twitching and Weakness: Possible Causes and Next Steps
Understanding Nerve Issues: Left Thumb Sensation and Foot Pain Explained
Abnormal sensation in the left thumb and pain on the dorsum of the left foot? Hello, doctor. I would like to explain my main symptoms, which are twofold: 1. I have abnormal sensations in my left thumb (a tingling feeling, but not like an electric shock). The sensation is most p...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider symptoms of nerve compression due to a herniated disc. The numbness in your hands could be due to compression of the sixth cervical nerve root. The pain in your lower limbs may be related to compression of the fift...[Read More] Understanding Nerve Issues: Left Thumb Sensation and Foot Pain Explained
Understanding Ear Pulsations: Causes and Treatment Options
There is a sensation of vibration in the ear? Hello, Doctor. Here’s the situation: I have a noticeable pulsating sensation in my right ear, as if some structure is beating or vibrating. I’ve researched online and found that this is different from tinnitus, as it’s not a sound of ...
Dr. Jiang Junyi Reply:
Hello: Based on your description, it may be necessary to consider Eustachian tube dysfunction, which can lead to pressure imbalance in the middle ear. This may cause a sensation of vibration at times. I recommend that you consult an otolaryngologist to discuss examination and tre...[Read More] Understanding Ear Pulsations: Causes and Treatment Options
Post-Concussion Symptoms: What to Expect After a Year
Can there be residual effects a year after a concussion? The incident occurred at the end of November 2019 when my eldest daughter, who was seven years old at the time, fell on the school playground. She hit the back of her head on the sharp edge of the steps of the platform, res...
Dr. Cai Zongzhang Reply:
Concussion symptoms should not last for a year; it is recommended to consult a pediatric neurologist and an otolaryngologist for evaluation.[Read More] Post-Concussion Symptoms: What to Expect After a Year
Understanding Nighttime Headaches: Causes and When to Seek Help
Headache during sleep at night? Hello Doctor: I am the person who asked question #166040. It seems that the answer to someone else's question was mistakenly applied to mine, so I am asking again. Thank you! I have a history of migraines, experiencing them about 2-3 times a m...
Dr. Jiang Junyi Reply:
Hello: Your symptoms occurring at midnight may suggest a variant of migraine. Alternatively, it could be due to slow breathing during sleep, leading to increased cerebral blood flow and elevated intracranial pressure, which can cause headaches. It is recommended that you visit a ...[Read More] Understanding Nighttime Headaches: Causes and When to Seek Help
Understanding Sudden Sharp Pain in the Back of the Head
Pain in the back of the head? Two days ago, I suddenly experienced a sharp, lightning-like pain in the area near the back of my head, specifically on the right side. The pain occurs as a brief episode and is not consistent in timing; it can happen throughout the day. I also feel ...
Dr. Jiang Junyi Reply:
Hello, based on your description, cervical myofascial pain syndrome should be considered first. Symptoms may include pain, discomfort, muscle stiffness, or a feeling of heaviness. Symptoms may worsen with changes in weather and can be alleviated with stretching activities, often ...[Read More] Understanding Sudden Sharp Pain in the Back of the Head
Understanding Nighttime Headaches: Causes and When to Seek Help
Headache during sleep at night? Hello Doctor: I have a history of migraines, occurring about 2-3 times a month, usually while I am awake. However, in the past month, I have been experiencing headaches frequently during the night, waking up suddenly from sleep due to pain. On a pa...
Dr. Jiang Junyi Reply:
Hello: The commonly referred to "wet ears" is actually oily earwax. It is not recommended to use cotton swabs for cleaning, as they often push the earwax further in, leading to impaction. The external auditory canal has its own self-cleaning mechanism, so it is advisabl...[Read More] Understanding Nighttime Headaches: Causes and When to Seek Help
Understanding Neurological Symptoms: A Guide to Managing Stress and Discomfort
Please take a look for me, thank you? I experience eye strain, dizziness, a feeling of pressure in my head, numbness in my head and the back of my skull, tinnitus, rapid heartbeat, numbness and trembling in my hands, chest tightness, stomach pain, loud bowel movements, dry mouth,...
Dr. Cai Zongzhang Reply:
It is recommended to visit the neurology outpatient clinic for further examination.[Read More] Understanding Neurological Symptoms: A Guide to Managing Stress and Discomfort
Understanding Neck Pain and Scalp Tingling: When to See a Neurologist
Scalp tingling and pain in the left posterior neck? I would like to ask about the tightness and soreness I've been experiencing in the left side of my neck over the past two days. The pain extends up to the scalp at the back of my left head, which feels tingly, and I also ha...
Dr. Jiang Junyi Reply:
Hello: Based on your description, it may be necessary to consider spinal-related diseases. Excessive force during neck rotation and other external factors can lead to cervical instability, dislocation, and cervical disc herniation. If there are pathological changes in the cervica...[Read More] Understanding Neck Pain and Scalp Tingling: When to See a Neurologist
Understanding Left Leg Numbness and Discomfort: When to See a Neurologist
Left leg soreness and numbness? Hello Doctor, about a year ago, I started experiencing swelling and numbness in my left leg. Initially, the swelling was more pronounced in the calf and ankle compared to my right leg, but it resolved after a few days. The numbness also lasted for ...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider symptoms of nerve compression due to a herniated disc, as posture can lead to sensations of numbness or tingling. However, the swelling you mentioned may warrant consideration of deep vein thrombosis (DVT). Poor ve...[Read More] Understanding Left Leg Numbness and Discomfort: When to See a Neurologist
Dizziness When Lying Down or Getting Up: Possible Causes and Solutions
Experiencing dizziness when lying down or getting up? Hello, Doctor: Recently, I have been experiencing dizziness for a few seconds when lying down and getting up (I feel normal during the day, only when sleeping). I have a cerebral venous aneurysm, and my doctor said to monitor ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest Benign Paroxysmal Positional Vertigo (BPPV). The characteristic symptoms include brief episodes of dizziness related to changes in head position, such as bending over, tilting back, lying down, getting up, turning over, or suddenly turning your he...[Read More] Dizziness When Lying Down or Getting Up: Possible Causes and Solutions