Understanding Morning Fainting in Toddlers: Causes and Concerns
A two-year-old child fainting upon waking up in the morning? Hello Dr. Lin: I have a three-year-old boy at home who experiences fainting spells or appears to have a blank stare with his eyes rolled back for about 20 to 30 minutes every morning after waking up. He also exhibits le...
Dr. Lin Zijing Reply:
Fainting accompanied by transient loss of consciousness, blank stare, eye rolling, and leg twitching should raise suspicion for either epilepsy or transient cerebral hypoperfusion. Generally, brain and cardiac evaluations are necessary. Brain assessments include electroencephalog...[Read More] Understanding Morning Fainting in Toddlers: Causes and Concerns
Understanding Sleep Jerks: Causes and Solutions for Nighttime Disturbances
Body jerks during sleep! Hello, I have a question! I am currently troubled by involuntary body jerks while trying to sleep. Before these symptoms appeared, I experienced headaches, dizziness, neck and shoulder pain, and gastrointestinal discomfort. After taking medication, I felt...
Dr. Gao Chunde Reply:
Involuntary body shaking can sometimes be related to certain medications, and discontinuing the medication often leads to improvement. The twitching that occurs just before falling asleep is usually physiological, meaning many normal individuals experience it as well. However, co...[Read More] Understanding Sleep Jerks: Causes and Solutions for Nighttime Disturbances
Could My Leg Proportions Indicate Polio or Other Neurological Issues?
I would like to inquire whether I have polio or something else? I am a 36-year-old male and I have a concern. When I was in middle school, I was quite overweight, but it was strange because my upper body was very heavy. My thighs are thick, but my calves are thin, which creates a...
Dr. Lin Zijing Reply:
Polio is caused by a filtrable virus attacking nerve cells, leading to the destruction of lower motor neurons, resulting in muscle weakness, paralysis, and atrophy. Your symptoms do not match this description, so it is unlikely to be polio. Based on your description, it is more p...[Read More] Could My Leg Proportions Indicate Polio or Other Neurological Issues?
Understanding Childhood Neurological Concerns: A Personal Experience
Childhood concerns In my childhood, there would occasionally (but not often) be a situation where, for a brief moment, I would experience a sensation of my entire head feeling tangled, similar to the feeling of gripping a vibrating phone tightly. Afterwards, I would feel discomfo...
Dr. Lin Zijing Reply:
This sensation may be caused by muscle tension in the head. If it is accompanied by transient confusion or memory loss, further examination is necessary to rule out intracranial pathology.[Read More] Understanding Childhood Neurological Concerns: A Personal Experience
Understanding Tremors, Muscle Stiffness, and Unexplained Fever: A Guide
Tremors in the hands and feet: some questions? 1. I feel stiffness on both sides of my face, particularly around the area near my ears, but not in my cheeks. I don't know why it feels stiff; I've never experienced this before. 2. I have been having unexplained fevers....
Dr. Ye Boshou Reply:
Hello: Please first conduct a neurological examination; it may not necessarily be tetanus.[Read More] Understanding Tremors, Muscle Stiffness, and Unexplained Fever: A Guide
Understanding Breathing Difficulties: Neurological Insights and Solutions
Dyspnea Hello, my symptoms include shortness of breath, a tight feeling in my neck accompanied by sounds, and pain in the area of my heart. However, the clinic doctor said it is related to nerve spasms. Recently, I have been experiencing high levels of stress, anxiety, and insomn...
Dr. Ye Boshou Reply:
Hello: It is likely not a result of nerve compression or vascular obstruction, but rather a manifestation of anxiety disorder. If you are concerned, it is advisable to first consult a neurologist for an examination.[Read More] Understanding Breathing Difficulties: Neurological Insights and Solutions
Chronic Lower Back Pain: Which Specialist Should You Consult?
Lumbar pain Hello, Doctor. I would like to ask a question before describing my issue. I have lower back pain; seeing an orthopedic specialist hasn't helped. Should I see a neurologist (either internal or external) or a rehabilitation specialist? Here's my situation: Abo...
Dr. Ye Boshou Reply:
As you mentioned, it may be myositis. Please consult a rehabilitation specialist first.[Read More] Chronic Lower Back Pain: Which Specialist Should You Consult?
Unexplained Tooth Pain: Could It Be Trigeminal Neuralgia?
Toothache with no identifiable cause? Hello Doctor: About one or two months ago, I started experiencing unexplained sharp pain in my teeth (specifically in the lower right back teeth), and sometimes I even wake up in the middle of the night due to the pain. I went to see a dentis...
Dr. Lin Zijing Reply:
The pain sensation in the teeth is a branch of the trigeminal nerve. Typical trigeminal neuralgia is characterized by sudden, severe unilateral facial pain that feels like a knife or electric shock, which then abruptly disappears, only to recur shortly thereafter. Most individual...[Read More] Unexplained Tooth Pain: Could It Be Trigeminal Neuralgia?
Understanding Neck Pain: Causes, Symptoms, and Treatment Options
Cervical spine pain Hello Doctor, the patient has the following conditions: 1. On June 19, there was localized pain in the left posterior thorax (the area around the scapula) that did not respond to corticosteroid injections. Subsequently, the patient experienced numbness in th...
Dr. Gao Chunde Reply:
According to Scenario 1, it truly resembles typical symptoms of cervical radiculopathy; however, I find it difficult to understand why the cervical MRI is normal. Additionally, traction has been ineffective. If this is indeed the case, one should consider isolated neuritis or neu...[Read More] Understanding Neck Pain: Causes, Symptoms, and Treatment Options
Understanding Neck Pain: When to See a Neurologist for Relief
Neck issues Hello Doctor: I have been troubled by a persistent issue. I often feel discomfort in my neck, with a sensation of tightness in the muscles. Sometimes, it can be uncomfortable enough to cause dizziness. Recently, I have also been experiencing a slight tingling sensatio...
Dr. Ye Boshou Reply:
Hello: At 29 years old, it is mostly caused by tendon fatigue, such as maintaining the same posture for long periods, like working on a computer or driving. Start with neck exercises and apply heat therapy. Avoid staying in a fixed position. If there is no improvement, you may co...[Read More] Understanding Neck Pain: When to See a Neurologist for Relief
Understanding Left Occipital Neuralgia: When to Seek Medical Attention
Painful spasms in the left occipital region? I have recently experienced nerve pain in the left posterior part of my head, which I have never had before. The pain lasts about three to four seconds each time, with variable intervals between episodes. It also hurts when I apply pre...
Dr. Lin Zijing Reply:
Pain that occurs from the back of the neck to the occipital region can feel like a tight band constricting the head, with dull pain radiating from the back of the neck to the back of the head, pulsating or throbbing pain, or a sensation of pressure as if the head is covered by a ...[Read More] Understanding Left Occipital Neuralgia: When to Seek Medical Attention
Understanding Gastrointestinal Disorders: A Neurological Perspective
Gastrointestinal dysregulation Hello, Doctor. After binge eating in 2008, I experienced stomach bloating in the afternoon, loss of appetite, and underwent gastroscopy which showed no issues. I tried traditional Chinese medicine for treatment but saw no improvement. In 2009, I had...
Dr. Gao Chunde Reply:
The condition commonly referred to as autonomic nervous system dysfunction primarily indicates an imbalance between the sympathetic and parasympathetic nervous systems, particularly when the sympathetic nervous system is overactive. Symptoms may include palpitations, diarrhea, tr...[Read More] Understanding Gastrointestinal Disorders: A Neurological Perspective
Burning Sensation in Arms: Could It Be a Cervical Spine Issue?
There is a burning sensation between the arms? Hello, last week I went to Tainan, and after a long drive, I suddenly felt a burning sensation in the back of my neck, as if I had been sunburned. However, it was raining heavily that day, so it wasn't due to sun exposure. The b...
Dr. Ye Boshou Reply:
Hello: It could be related to the cervical spine or brachial plexus. If there is no improvement, please see a neurologist for an examination.[Read More] Burning Sensation in Arms: Could It Be a Cervical Spine Issue?
Understanding Symmetrical Sensory Delays in the Lower Legs
Symmetrical sensory impairment on the lateral aspect of the lower leg? A 13-year-old daughter who practices dance is experiencing itching in her calves. After scratching, she feels a delay in sensation, which later spreads to her limbs. The next day, she has severe lower back pai...
Dr. Ye Boshou Reply:
Hello: I'm not sure if the sensation you mentioned as "slowed" refers to numbness or decreased sensation? Is there any accompanying motor function impairment? Based on the current description, I may not be able to provide you with a definitive answer. I recommend t...[Read More] Understanding Symmetrical Sensory Delays in the Lower Legs
Understanding Right Posterior Head Pain: Causes and Concerns
Sharp pain in the right posterior part of the head? Hello, Doctor Huang. I would like to ask why I have been experiencing intermittent sharp pain in the back right side of my head since yesterday afternoon, and it hasn't improved for two days. What could be the cause? Is the...
Dr. Huang Yongquan Reply:
Hello: Paroxysmal stabbing pain in the back of the head is mostly caused by compression of the higher cervical nerves or tension-type headaches due to muscle contraction. The latter is most commonly tension-type headache. Adequate rest, local heat application, and massage can hel...[Read More] Understanding Right Posterior Head Pain: Causes and Concerns
Understanding Right Posterior Head Pain: Causes and Concerns
Right posterior headache? Hello, doctor: Last night, I accidentally pressed on the back of my head and experienced pain. The location is approximately 3 centimeters to the left of the right earlobe, at the back of my head. When I lightly press on that area, it feels sharp, but th...
Dr. Lin Zijing Reply:
There are several conditions that may lead to tenderness in this area: 1. Cervical muscle strain: caused by poor posture. 2. Mastoiditis: acute or chronic otitis media that has not been properly treated, allowing bacteria to invade the mastoid bone. 3. Cervical spine disorders: p...[Read More] Understanding Right Posterior Head Pain: Causes and Concerns
Understanding Nighttime Headaches and Sleep Disturbances: A Neurology Perspective
Waking up with a headache? Hello Dr. Lin, I have a few symptoms I would like to consult with you, listed as follows: 1. Insomnia: For a long time, I have had trouble sleeping, often experiencing insomnia, and I tend to wake up easily during the night, feeling in a state of ha...
Dr. Lin Zijing Reply:
Dangerous headaches have the following symptoms: 1. Headaches that worsen over time, accompanied by nausea, blurred vision, focal neurological deficits, seizures, or headaches that occur with coughing or straining: this may indicate a brain tumor. 2. A splitting, explosive headac...[Read More] Understanding Nighttime Headaches and Sleep Disturbances: A Neurology Perspective
Understanding Dizziness: Causes, Symptoms, and Treatment Options
Dizziness On April 28th and 29th, I experienced vomiting upon waking up in the morning, along with dizziness and a darkening of my vision. I also had cold sweats. On April 30th, I visited a family medicine clinic, but the doctor was unsure of the cause of my symptoms. He prescrib...
Dr. Gao Chunde Reply:
Symptoms of vestibular nerve disorders include dizziness, tinnitus, or hearing impairment. During episodes, patients may experience significant discomfort, nausea, and cold sweats. Viral infections causing inflammation may take about one to two weeks to fully resolve. It is impor...[Read More] Understanding Dizziness: Causes, Symptoms, and Treatment Options
Understanding Foot Numbness and Lower Back Pain: When to Seek Help
Numbness and pain in the big toe and lower back discomfort? Hello, I work as an operator who stands and walks for long periods, with a 12-hour shift and less than 1.5 hours of sitting time. Six months ago, I experienced sharp pain in my lower back and sought treatment in the reha...
Dr. Ye Boshou Reply:
Hello: Due to prolonged standing and posture-related issues, avoid standing for too long and engage in more foot exercises to improve the condition. If problems persist, both orthopedic and neurology specialists can provide treatment.[Read More] Understanding Foot Numbness and Lower Back Pain: When to Seek Help
Understanding Neurological Symptoms: Seeking the Right Specialist for Diagnosis
Symptom inquiry? Hello Dr. Lin: Recently, I have been experiencing many symptoms and have seen numerous doctors in various hospitals without finding the cause. Could you please help explain my symptoms? 1. I have sharp pain in the left back of my head accompanied by muscle spasms...
Dr. Lin Zijing Reply:
Your symptoms are quite broad and nonspecific, which may indicate the presence of two to three concurrent conditions or a transient episodic illness. Here are some analyses based on your symptoms: 1. Headache: The stabbing pain and spasms in the back of your head may be due to n...[Read More] Understanding Neurological Symptoms: Seeking the Right Specialist for Diagnosis