Understanding Neonatal Brain Injury: Causes, Effects, and Treatment Options
Neonatal brain hypoxia Hello Doctor, my daughter was born ten days ago. After her birth, the pediatrician examined her and found everything to be normal. However, the next day, we noticed that her right hand and foot were involuntarily twitching, rather than stretching. Later, th...
Dr. Gao Chunde Reply:
Neonatal brain hypoxia can be assessed based on the timing of seizure onset. If seizures occur within the first 24 hours after birth, they are generally easier to control and are classified as moderate hypoxic-ischemic encephalopathy, with a possibility of complete recovery withi...[Read More] Understanding Neonatal Brain Injury: Causes, Effects, and Treatment Options
Understanding Limited Neck Movement and Discomfort: Possible Causes and Solutions
When turning the head to the left, there is a limited range of motion and significant discomfort on the left side of the neck? The symptoms began around March of last year. When I turn my head to the left, even a small angle causes significant discomfort compared to turning to th...
Dr. Jiang Junyi Reply:
Hello, based on your description, the common cause of neck pain is cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscle in the back of the neck, resulting in neck and shoulder discomfort. Initially, resting may alleviate the pain...[Read More] Understanding Limited Neck Movement and Discomfort: Possible Causes and Solutions
Understanding Salty Taste: Possible Neurological Causes and Stress Impact
The taste sensation is salty? Hello Doctor: Recently, I have been experiencing a salty taste in my mouth, and it seems like my saliva is also salty. I have seen a dentist and a family physician, and I have undergone routine blood tests, all of which came back normal. What could b...
Dr. Jiang Junyi Reply:
Based on your description, it may be necessary to consider the impact of reduced saliva secretion on taste perception. Saliva secretion is triggered by neural reflexes and is regulated by the cerebral cortex and the autonomic nervous system. During eating, food stimulates the sen...[Read More] Understanding Salty Taste: Possible Neurological Causes and Stress Impact
Understanding Lower Back Pain: Causes and Management Strategies
Lower back pain Hello, Doctor. I would like to ask you about issues related to lower back pain. A month ago, I visited a traditional Chinese medicine clinic for spinal manipulation. The practitioner asked me to lie on my side and struck my lower back once on each side. At that mo...
Dr. Gao Chunde Reply:
A month ago, after treatment, the pain has persisted until now. If it were a muscle inflammation or strain, it shouldn't last this long unless there was no rest and repetitive movements that could exacerbate the inflammation. If that is not the case, issues with the lumbar v...[Read More] Understanding Lower Back Pain: Causes and Management Strategies
Understanding Left Buttock Pain Near the Coccyx: Nerve or Bone Issues?
Pain near the left buttock close to the coccyx? Hello, when I sleep on my side, I feel a pressure or discomfort near the left buttock close to the coccyx. I'm not sure if it's a nerve issue or a bone injury, as I haven't had any trauma. In the past, I would hear a ...
Dr. Jiang Junyi Reply:
Hello, based on your description of neck pain, hand pain, hand numbness, lower back pain, leg pain, and leg numbness, the X-ray may indicate that bone spurs are compressing the nerve roots. The diagnosis of radiculopathy primarily relies on clinical examination and medical histor...[Read More] Understanding Left Buttock Pain Near the Coccyx: Nerve or Bone Issues?
Understanding Unexplained Body Pain and Numbness: A Neurology Perspective
Feeling unwell all over? In the past month, I have experienced body aches that progressed to numbness in my legs and hands. My legs feel weak and painful when standing, and I have intermittent pain or twitching throughout my body. Sometimes my wrists, near my ankles, and knees al...
Dr. Lan Shengxing Reply:
Dear Ms. Chen, the symptoms you described are most likely caused by cervical spine issues. It is recommended that you first visit a neurology clinic for a detailed neurological examination to determine the underlying cause. Additionally, it is advised not to use overly soft beddi...[Read More] Understanding Unexplained Body Pain and Numbness: A Neurology Perspective
Understanding Migratory Numbness and Tingling: Possible Causes and Insights
Widespread tingling, numbness, and occasional brief muscle twitching? Hello Dr. Lan! I recently visited the hospital due to unilateral numbness in my limbs and lips. An MRI revealed symptoms of moderate to severe stenosis of the middle cerebral artery. I am currently on antiplate...
Dr. Lan Shengxing Reply:
Due to its systemic nature, it may be necessary to first consider factors affecting the entire body, such as metabolism, toxins, medications, and immune responses, which can present symptoms similar to neuropathic pain. It may be necessary to arrange for nerve conduction studies ...[Read More] Understanding Migratory Numbness and Tingling: Possible Causes and Insights
Understanding Dizziness Starting from the Back of the Head: A Neurology Perspective
Dizziness originating from the back of the head? I have been receiving treatment in cardiology for 2 years and 4 months. Twenty years ago, I was treated for Meniere's disease for about a year. During middle school, I injured my right eardrum while playing basketball, which l...
Dr. Gao Chunde Reply:
Your symptoms are experienced by many people, often occurring after periods of fatigue or busy tasks, and sometimes around the time of a cold when physical strength is diminished. Often, examinations reveal no significant issues. I can only explain that it may be a slight vestibu...[Read More] Understanding Dizziness Starting from the Back of the Head: A Neurology Perspective
Persistent Dizziness and Throat Foreign Body Sensation: Next Steps in Diagnosis
Dizziness and a sensation of a foreign body in the throat? I have been experiencing dizziness for the past two years. The symptoms include feeling dizzy all day, a heavy sensation in my head, and a sense of imbalance, particularly in the back of my head. Initially, I also had sym...
Dr. Gao Chunde Reply:
The tests related to dizziness, palpitations, and sweating seem to be normal. I can't think of any further questions. However, if dizziness is accompanied by a sensation of a foreign body in the throat, it may sometimes be a manifestation of increased tension in the nervous ...[Read More] Persistent Dizziness and Throat Foreign Body Sensation: Next Steps in Diagnosis
Understanding Numbness and Pain: Is It Sciatica?
Numbness in the feet while sleeping? Hello, I would like to ask if experiencing gradual numbness in the inner left thigh while lying flat or in a certain sitting position, along with occasional mild soreness in the lower back on the left side, could be symptoms of sciatica? Thank...
Dr. Lan Shengxing Reply:
Dear Amo, the symptoms you mentioned are somewhat different from typical sciatica. I recommend that you frequently change your position to avoid symptoms of nerve compression.[Read More] Understanding Numbness and Pain: Is It Sciatica?
Understanding Dizziness: Causes and Concerns in Neurology
Dizzy? Hello doctor, since last week, I have been feeling dizzy when sitting, experiencing a sensation of my body swaying back and forth. When I stand up, any significant turning movement causes dizziness and makes me feel like I might fall. However, I have tried running and goin...
Dr. Lan Shengxing Reply:
Dear A-Kai, these symptoms may indicate an issue with the inner ear or cerebellum. Please visit a neurology clinic for evaluation as soon as possible![Read More] Understanding Dizziness: Causes and Concerns in Neurology
Exploring Surgical Options for Persistent Facial Nerve Damage
Facial nerve sequelae Hello: I have been experiencing facial nerve damage for over six months. Although there has been some improvement, about 30% of the function has not recovered! Currently, when I blink, my mouth corner is also affected! Do I need surgery for this? I also hear...
Dr. Lan Shengxing Reply:
Dear Miaomiao, these sequelae can indeed be quite bothersome, and the progression may be slow at this stage. My personal suggestion is to practice facial expressions in front of a mirror daily, using the feedback from the mirror to adjust your efforts. However, please do not lose...[Read More] Exploring Surgical Options for Persistent Facial Nerve Damage
Understanding Left Shoulder Pain, Dizziness, and Heart Symptoms
Left shoulder, neck, and back pain, palpitations, and dizziness? Hello, Doctor: I have been experiencing intermittent pain in my left shoulder, neck, and back for about two years. My presbyopia has been worsening. Last year, I suddenly experienced dizziness and went to the emerge...
Dr. Lan Shengxing Reply:
Dear Victor, based on your symptoms, I recommend that you seek treatment from a neurologist and a rehabilitation specialist. There is a high chance that your condition is related to the cervical spine, and treatment may include medication and physical therapy, among other options...[Read More] Understanding Left Shoulder Pain, Dizziness, and Heart Symptoms
Understanding Chronic Lower Back Pain: Causes and Relief Strategies
Lower back pain is common? Hello, my mother has been lifting heavy objects and standing for long periods due to work for several years. During this time, she has been experiencing frequent lower back pain, sometimes to the point of weakness, especially after work, making it diffi...
Dr. Jiang Junyi Reply:
Based on your description, the symptoms may be related to conditions such as herniated discs, bone spurs, vertebral dislocation or slippage, thickening or calcification of spinal ligaments, all of which can cause nerve root compression. The symptoms primarily manifest as unilater...[Read More] Understanding Chronic Lower Back Pain: Causes and Relief Strategies
Reflexive vs. Conscious Swallowing: Understanding Your Saliva Control
Reflexive actions or conscious actions? Hello, doctor. Recently, while chatting with my classmates, I mentioned that I often forget to swallow my saliva. Everyone found it quite astonishing, thinking that this should be an automatic action controlled by the brainstem in an uncons...
Dr. Jiang Junyi Reply:
According to your description, the salivary glands in normal adults secrete 1 to 1.5 liters of saliva daily. The secretion of saliva is a neurogenic reflex regulated by the cerebral cortex and the autonomic nervous system. During eating, food stimulates the sensory nerves in the ...[Read More] Reflexive vs. Conscious Swallowing: Understanding Your Saliva Control
Understanding Sciatica: Symptoms, Diagnosis, and Treatment Options
Sciatica Hello, doctor. In July of this year, I experienced slight lower back pain while moving feed for my aquaculture business. I went to Mackay Memorial Hospital for acupuncture and manual therapy, but after returning home, my symptoms worsened. I experienced pain and numbness...
Dr. Gao Chunde Reply:
Based on the symptoms you described, it does appear to be sciatica. However, common causes such as herniated discs, other nerve compressions, or inflammatory lesions have been ruled out. This leads us to consider some rare causes, which would require a nerve biopsy and subsequent...[Read More] Understanding Sciatica: Symptoms, Diagnosis, and Treatment Options
Recurring Dizziness During Pregnancy: Causes and Solutions
Recurrent dizziness Hello, Dr. Jiang. During my second pregnancy, I experienced several episodes of dizziness. A few times while I was out, I suddenly felt like everything was spinning (similar to the sensation of a hangover, or like spinning around ten times and then trying to w...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms are similar to Benign Paroxysmal Positional Vertigo (BPPV). This condition is characterized by brief episodes of dizziness that are related to changes in head position, such as bending over, leaning back, lying down, getting up, rol...[Read More] Recurring Dizziness During Pregnancy: Causes and Solutions
Understanding Left Facial Numbness: Possible Causes and Concerns
Numbness in the left cheek? Hello Doctor, my question is that initially I felt like there was a foreign body in my eye, but after visiting an ophthalmologist, they said there was no foreign body. I have also experienced a tingling sensation in the left side of my cheek. The ophth...
Dr. Jiang Junyi Reply:
According to your description, the facial sensation abnormalities you mentioned are primarily governed by the trigeminal nerve (the fifth cranial nerve). The area extending from below the left eye to the left side of the lip corresponds to the second division of the trigeminal ne...[Read More] Understanding Left Facial Numbness: Possible Causes and Concerns
Understanding Dizziness: Causes and Symptoms Explained
Dizziness: What are the causes? This morning, I started feeling dizzy about 10 minutes after sitting at the train station. I experienced a sensation of pressure in the back of my head, blurred consciousness, tinnitus, weakness in my legs, and a warm sensation around my ears and f...
Dr. Jiang Junyi Reply:
Hello, based on your description, there are many factors that can cause dizziness, such as anemia, autonomic dysfunction, and inner ear imbalance. Since your symptoms occur in the morning, it is more likely to be due to dehydration. However, it is also important to rule out sympt...[Read More] Understanding Dizziness: Causes and Symptoms Explained
Chronic Lower Back Pain After Injury: Seeking Relief and Treatment Options
Having a history of back injury can lead to discomfort and pain in the lower back after prolonged standing or sitting? In my freshman year, while playing basketball, I injured my lower back because my legs were not bent properly, resulting in a sprain. At that moment, I experienc...
Dr. Lan Shengxing Reply:
Dear Zhen Sheng, many people share your concerns. You can consult with specialists in neurology, neurosurgery, orthopedics, and rehabilitation medicine. Wishing you good luck, Lan Sheng Xing.[Read More] Chronic Lower Back Pain After Injury: Seeking Relief and Treatment Options