Persistent Left Chest Itching: Should I Seek a Second Opinion?
Itchy sensation on the left chest? Hello, Doctor Gao: Following my previous inquiry, my neurologist arranged an MRI for my left upper arm to neck, which came back normal. However, I still have itching in my left chest that hasn't improved. Should the correct imaging have bee...
Dr. Gao Chunde Reply:
I am more concerned about the neck and arm area, but the examinations have shown no issues. I can't think of any specific diseases that might be the cause; it could be a condition that current diagnostic tools cannot detect, or it might be due to some rare reason. Consulting...[Read More] Persistent Left Chest Itching: Should I Seek a Second Opinion?
Understanding Numbness and Tingling in Feet and Calves: Causes and Solutions
Numbness and tingling in the soles of the feet and calves? About a week before the Lunar New Year, I started experiencing a tingling sensation in the soles of my feet and calves. It feels like a numbness, and I can sense my muscles twitching, but when I touch them, there is no ac...
Dr. Yang Shenggong Reply:
Hello Mr. Lele: Your main issue seems to be intermittent distal numbness and pain in both lower limbs. According to your description, these symptoms occur with activity. You mentioned having used Sichuan pepper, and you wonder if there is a correlation. Based on your description,...[Read More] Understanding Numbness and Tingling in Feet and Calves: Causes and Solutions
Understanding Occipital Pain: Causes and Solutions for Eye Blinking Discomfort
Headache issues If you experience pain in the back of your head when blinking, it could be related to several issues. One possibility is tension headaches, which can be triggered by muscle strain or stress. Another potential cause could be a migraine, which may present with pain ...
Dr. Gao Chunde Reply:
Blinking can trigger headaches in many types of headaches. It is essential to be cautious of problematic headaches, such as those caused by central nervous system infections or increased intracranial pressure, which require immediate attention. If your headache persists after the...[Read More] Understanding Occipital Pain: Causes and Solutions for Eye Blinking Discomfort
Understanding Chronic Fatigue and Neurological Symptoms in Young Adults
Brain fog and irritability? Hello, Doctor: I usually go to bed around 11 PM and tend to feel anxious. However, I experience daily symptoms of dizziness, nasal congestion, frequent yawning and tearing, irritability, fatigue, and cold extremities, often feeling excessively sleepy. ...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider sleep disorders. Common causes include obstructive sleep apnea syndrome: habitual snoring, nasal congestion, enlarged tonsils, family members noticing breathing pauses, and a persistent feeling of not being well-re...[Read More] Understanding Chronic Fatigue and Neurological Symptoms in Young Adults
Sudden Dizziness, Shortness of Breath, and High Blood Pressure: What to Do?
Suddenly feeling faint, experiencing shortness of breath, high blood pressure, and nausea? Hello, this afternoon while I was cleaning at home, I suddenly felt like I was going to fall backward and then I started to have difficulty breathing. After that, I felt a bit nauseous. I w...
Dr. Lan Shengxing Reply:
Dear Rinna, these symptoms are difficult to categorize into a specific disease. Please visit the neurology outpatient clinic for evaluation.[Read More] Sudden Dizziness, Shortness of Breath, and High Blood Pressure: What to Do?
Understanding Lower Back Pain: Causes and Concerns After a Fall
Lower back pain? Hello Doctor: I slipped in the bathroom last time, and since then I've been experiencing some pain in the lower back area, particularly near the spine. The pain tends to be worse when I get up after sleeping for a long time. I would like to know what this mi...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider symptoms of nerve compression due to a herniated disc, which can also occur as a result of sudden injuries, such as twisting the waist suddenly, bending to lift heavy objects, or experiencing excessive force sudden...[Read More] Understanding Lower Back Pain: Causes and Concerns After a Fall
Understanding Dizziness in Children: Causes, Concerns, and Solutions
Children may experience dizziness? Hello doctor, I have a daughter who is in the fourth grade this year. Since first grade, she has been intermittently telling me that she feels dizzy, and last year, during her third grade, the frequency of her dizziness increased. She experience...
Dr. Jiang Junyi Reply:
Hello, based on your description, positional vertigo should be considered first. The symptoms are characterized by brief episodes of dizziness related to changes in head position, such as bending over, leaning back, lying down, getting up, turning over, or suddenly turning the he...[Read More] Understanding Dizziness in Children: Causes, Concerns, and Solutions
Understanding and Managing Left Occipital Pain: When to Seek Help
Pain in the left posterior part of the head? Hello, doctor. Since I was in middle school, I've experienced sharp pain in the left side of my occipital region, which usually lasts for about one to two days and tends to occur more frequently before major exams. Over the past f...
Dr. Gao Chunde Reply:
The pain feels like neuropathic pain, originating from the greater occipital nerve and lesser occipital nerve located at the back of the head, which emerge from the uppermost cervical vertebrae beneath the occipital bone. If there is an old injury in this area or if muscles and l...[Read More] Understanding and Managing Left Occipital Pain: When to Seek Help
Understanding Burning Sensations and Electric Shock Feelings in the Body
Burning sensation, sometimes accompanied by electric shock-like feelings, and occasionally numbness? Hello doctor, I am experiencing a burning sensation in my back. I feel like I am being shocked awake in the middle of the night, and the burning in my back becomes more severe. I ...
Dr. Gao Chunde Reply:
There seems to be abnormal neurological sensations below the head, which may suggest issues related to the cervical spinal cord or peripheral nerve problems due to specific causes, such as inflammation, metabolic disorders, compression, or hereditary factors. It is advisable to c...[Read More] Understanding Burning Sensations and Electric Shock Feelings in the Body
Understanding Lower Back Pain: Causes and Relief Strategies
Lower back pain? I've been feeling very uncomfortable in my lower back these past couple of days. I can't stand for long without feeling unbearable pain, and I have to lie down in bed and bend my body to feel some relief.
Dr. Jiang Junyi Reply:
Hello, based on your description, it seems that you have lumbar spine pathology such as a herniated disc causing nerve root compression. Typically, the pain is located in the lower back and may radiate down to the legs. The risk of damage increases with greater activity levels. S...[Read More] Understanding Lower Back Pain: Causes and Relief Strategies
Understanding Occasional Stimulating Sensations in the Back of the Head
Why does the surface of the back of the head sometimes feel刺激感? Hello, doctor. Sometimes (this has happened twice with a long interval in between), I suddenly feel a stimulating sensation in my head, as if there is a very sensitive area in my body that is being overstimulated. I ...
Dr. Jiang Junyi Reply:
Hello, based on your description, the symptoms of neuropathic pain differ from typical pain following tissue injury, including sensations such as tingling, stabbing, electric shock, tearing, burning, coldness, numbness, and itching, which may sometimes be accompanied by varying d...[Read More] Understanding Occasional Stimulating Sensations in the Back of the Head
Morning Dizziness: Understanding Causes and Symptoms After Illness
Experiencing dizziness upon waking up in the morning? I have experienced symptoms of dizziness since childhood, but it would only occur once every six months to a year. Recently, I had a more severe cold, during which I also experienced mild dizziness. However, after recovering f...
Dr. Jiang Junyi Reply:
Hello, based on your description, Benign Paroxysmal Positional Vertigo (BPPV) should be considered first. The symptoms are characterized by brief episodes of dizziness related to changes in head position, such as bending over, tilting back, lying down, getting up, rolling over, o...[Read More] Morning Dizziness: Understanding Causes and Symptoms After Illness
Understanding Muscle Tightness and Twitching: Neurological Insights
Whole body twitching, with tightness and numbness in the hands and feet? Hello, Doctor Gao. I previously asked you about the pain in my left leg, which has persisted for two years from my thigh to my calf. The symptoms include tightness, pain, and soreness, and I feel uncomfortab...
Dr. Gao Chunde Reply:
Electromyography (EMG) primarily examines issues related to peripheral nerve and muscle diseases. If the results are normal, then motor neuron diseases (such as amyotrophic lateral sclerosis) or myopathies are not considered at this time. Symptoms such as tightness, pain, and sor...[Read More] Understanding Muscle Tightness and Twitching: Neurological Insights
Understanding Back Pain, Chest Discomfort, and Possible Depression Symptoms
Back pain, back discomfort, chest pain, chest tightness? 1. Recently, I have been experiencing back pain, chest pain, and a feeling of tightness. Sometimes I feel dizzy, and I have difficulty breathing, as if I can't get enough air. I can also feel my heart racing at times, ...
Dr. Jiang Junyi Reply:
Based on your description, the diagnosis for depressive mood is as follows: 1. The melancholic emotional response persists for more than two years. In children or adolescents, it manifests as irritability or agitation for at least one year. 2. At least two of the following sympto...[Read More] Understanding Back Pain, Chest Discomfort, and Possible Depression Symptoms
Chronic Lower Back Pain: Seeking Answers and Effective Treatments
Lower back pain for about one year? Hello, Doctor. About six years ago, I started experiencing occasional lower back pain. Whenever it occurs, I am unable to bend or stand for long periods, but it usually resolves on its own after a few days, so I did not seek medical attention. ...
Dr. Gao Chunde Reply:
Pain radiating to the buttocks and knees should raise suspicion for a herniated disc compressing the nerve root. It is recommended to consult a neurologist or neurosurgeon for further examination and treatment.[Read More] Chronic Lower Back Pain: Seeking Answers and Effective Treatments
Understanding Muscle Atrophy: Seeking Answers for Persistent Pain
Muscle atrophy? Hello Doctor, I would like to ask you specifically about my condition. I have been experiencing pain in my left leg from the thigh to the calf for two years. The symptoms include tightness, pain, and soreness, and I feel uncomfortable every day. I have undergone n...
Dr. Gao Chunde Reply:
The main component of the fingertip of the middle finger is tendon, with no muscle present. A depression in this area is generally due to dehydration or a reduction in the subcutaneous fat tissue. As for the tightness and soreness, as long as you are regularly following up with a...[Read More] Understanding Muscle Atrophy: Seeking Answers for Persistent Pain
Understanding Sudden Lower Back Pain During Sneezing and Bending
Specific movements causing pain in the lower back? Hello, doctor. I apologize for bothering you, but I would like to ask a question. About a month ago, I started experiencing severe lower back pain when I sneeze or bend over, especially during sneezing, to the point where I can&#...
Dr. Jiang Junyi Reply:
Hello, based on your description, the first consideration should be symptoms caused by a herniated disc, which commonly include lower back pain that worsens with sneezing, coughing, or bending, and cramping pain in the back of the thigh. Generally, a physician can diagnose this c...[Read More] Understanding Sudden Lower Back Pain During Sneezing and Bending
Understanding Hand Numbness and Pain: When to Seek Neurological Help
Hand numbness and pain? I used to experience hand numbness, but it would go away after a while. Recently, however, the numbness has extended from my fingertips to my entire palm and even to my elbow (it's numb to the point of pain), and it radiates from my shoulder to my bac...
Dr. Gao Chunde Reply:
Issues related to cervical spine nerves can be evaluated and diagnosed by either a neurosurgeon or a neurologist.[Read More] Understanding Hand Numbness and Pain: When to Seek Neurological Help
Understanding Neck and Shoulder Stiffness: When to Seek Medical Help
Stiffness in the shoulders and neck, as well as in the limbs? I am in my fifties and have been experiencing stiffness in my shoulders and neck for the past two months. My hands and feet often have joint pain, and sometimes my lumbar spine hurts to the point where I can't str...
Dr. Lan Shengxing Reply:
Dear Dolq, this symptom is something that most programmers experience to some extent. It is advisable to first consult with a rehabilitation specialist. If rehabilitation activities do not yield results, then consider visiting a neurologist or a neurosurgeon.[Read More] Understanding Neck and Shoulder Stiffness: When to Seek Medical Help
Understanding Lumbar Pain: Causes, Symptoms, and Specialist Guidance
Lumbar pain Around the end of October 2011, I sprained my ankle while playing basketball at noon. However, when I went to play again in the afternoon, the pain that was originally located below my spine seemed to have disappeared. But at the moment I stepped out with my right foo...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms are more indicative of a lumbar disc herniation, where the intervertebral disc compresses one of the two nerve roots at each level. Patients typically complain of pain radiating down one leg, while simultaneous radiation to both leg...[Read More] Understanding Lumbar Pain: Causes, Symptoms, and Specialist Guidance