Understanding Headaches, Dizziness, and Ear Congestion: Causes and Solutions
Headache, dizziness, ear congestion? Hello, doctor. Six days ago, after taking a shower, I suddenly felt dizzy. Since then, I've had persistent pain in the back of my head, a feeling of dizziness, and my ears feel clogged, making it hard to hear. I have a constant sense of i...
Dr. Jiang Junyi Reply:
Dear Ms. Jia, You mentioned experiencing "sudden dizziness, followed by persistent pain in the back of the head... sudden dizziness, difficulty hearing, and an overall feeling of imbalance." Your symptoms may suggest sudden sensorineural hearing loss, which is an otola...[Read More] Understanding Headaches, Dizziness, and Ear Congestion: Causes and Solutions
Loss of Sensation in Fingers: Causes and Solutions for Nerve Issues
There is no sensation in the area of the back of the hand from the index finger to the middle finger? Hello Doctor, due to poor sleeping posture and a habit of sleeping on my stomach, I often experience numbness in my hands. On the morning of April 8th, I noticed that the area on...
Dr. Jiang Junyi Reply:
Dear Ms. Chen, You mentioned that there is a lack of sensation in the area from the index finger to the middle finger on the back of your right hand, which may be due to compression of the radial nerve while sleeping on your stomach. The diagnostic tool for radial nerve injury i...[Read More] Loss of Sensation in Fingers: Causes and Solutions for Nerve Issues
Understanding Recurrent Toe Pain: Causes and Solutions
The toes on the left foot are experiencing recurrent cramping pain? Hello Dr. Jiang, since the end of last year, I have been experiencing intermittent sharp pain between the 3rd and 4th toes on my left foot. Sometimes it occurs 5-6 times within an hour, and other times it happens...
Dr. Jiang Junyi Reply:
Dear Ms. Ying, You mentioned that "the area between the 3rd and 4th toes on my left foot experiences recurrent cramping pain, sometimes occurring 5-6 times within an hour, and other times only once every 2-3 days. Although the pain is not very intense..." Poor blood ci...[Read More] Understanding Recurrent Toe Pain: Causes and Solutions
Sharp Pain in Left Shoulder When Coughing: What You Need to Know
Sharp pain in the left shoulder when coughing? Hello, doctor. I've been feeling a bit under the weather these past few days. On the first day, I had tonsillitis, and by the second day, I developed nasal congestion and a mild cough. On the third day of my illness, while I was...
Dr. Jiang Junyi Reply:
Hello Mr. Yoyo: You mentioned that "after a cough, I suddenly felt a sharp pain in my left shoulder, as if I was being electrocuted, and when I coughed again after a while, I experienced another sudden sharp pain." Your symptoms may suggest that the cervical nerve roots...[Read More] Sharp Pain in Left Shoulder When Coughing: What You Need to Know
Understanding Progressive Sensory Abnormalities: A Neurological Concern
Abnormal sensations on the right side are gradually spreading? Hello Doctor, last Saturday, February 24th, I experienced mild numbness in my right lip, right finger, and half of my palm. By Monday, the numbness worsened, so I visited a family medicine doctor who prescribed medica...
Dr. Jiang Junyi Reply:
Dear Miss Lily, You mentioned that on March 2nd, you woke up and noticed abnormal sensations in your scalp, the back of your head, and your eyelids. Additionally, the numbness in your hands has spread to your entire palm, and you can no longer distinguish objects by touch. You a...[Read More] Understanding Progressive Sensory Abnormalities: A Neurological Concern
Understanding Neck and Shoulder Pain After Prolonged Sitting: When to Seek Help
I would like to inquire about what condition these symptoms may indicate? Sitting for 1-2 hours (such as in a car or at a desk) causes intense stabbing pain throughout the neck, shoulders, and upper back, along with a feeling of tightness and swelling around the neck and shoulder...
Dr. Jiang Junyi Reply:
Hello Ms. QZ: You mentioned experiencing a strong stabbing pain from your neck to your shoulders and upper back. I wonder if you also have any tingling sensations? We should first consider cervical nerve root compression, which is often related to tightness in the cervical muscle...[Read More] Understanding Neck and Shoulder Pain After Prolonged Sitting: When to Seek Help
Understanding Hand Stiffness: Signs of ALS or Other Concerns?
Stiffness and lack of flexibility? I am a high school student, and I recently noticed that my hand feels a bit stiff and less flexible when I write. I am a bit worried that it might be amyotrophic lateral sclerosis (ALS). What self-checks should I perform?
Dr. Peng Shiwei Reply:
When the weather is colder, blood circulation slows down, which can reduce the dexterity of the hands and feet. If these conditions are ruled out, it is recommended to seek evaluation from a neurosurgeon. Thank you.[Read More] Understanding Hand Stiffness: Signs of ALS or Other Concerns?
Understanding Mild Numbness in the Feet: Causes and Concerns
Slight tingling in the soles of the feet? Hello, doctor. Recently (about two weeks ago), I suddenly noticed a slight tingling sensation in the soles of my feet while sitting at work. However, I had not experienced this phenomenon before while sitting in the same chair and positio...
Dr. Jiang Junyi Reply:
Hello Mr. Hou, You mentioned experiencing slight numbness in your feet, which may be a symptom of plantar fasciitis and indicates peripheral nerve compression. Prolonged fixed positions, repetitive motions, and overtraining can lead to peripheral nerve compression. Activities su...[Read More] Understanding Mild Numbness in the Feet: Causes and Concerns
Head Injury from Rolling Door: Symptoms and Next Steps
Hit the top of the head against a rolling metal door? Hello, doctor. Yesterday, I accidentally bumped into a rolling shutter door that was just about to rise while I was bending down. At the moment of impact, I felt nauseous once and experienced a temporary loss of vision twice. ...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "I can't really turn my head, and washing my hair while bending over causes severe pain. The right side also hurts a lot while sleeping, but it feels a bit better after waking up." Your symptoms may suggest inflammation of the cervic...[Read More] Head Injury from Rolling Door: Symptoms and Next Steps
Understanding Facial Nerve Issues: Symptoms, Causes, and Treatment Options
Facial nerve Hello, doctors! I am 28 years old, and in March of this year, I noticed weakness on the right side of my face, with difficulty closing my right eye. I have noticeable asymmetry in my eyes, and when I drink, water leaks from the right side of my mouth. When I try to m...
Dr. Jiang Junyi Reply:
Hello Dr. De: You mentioned that "some doctors said I have both facial nerve paralysis and spasms... (I am completely confused)." Generally speaking, facial nerve paralysis occurs due to inflammation, which prevents the muscle tissue it innervates from contracting adequ...[Read More] Understanding Facial Nerve Issues: Symptoms, Causes, and Treatment Options
Facial Surgery Complications: Inability to Smile and Eye Closure Issues
After the facelift surgery, the left side of the face is unable to express emotions? I underwent a three-layer facelift surgery on September 19, and now the left side of my face cannot lift the corner of my mouth, causing my smile to be lopsided. The lower eyelid cannot close pro...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned the symptoms of "a crooked smile and the inability to close the lower eyelid," which may indicate inflammation of the facial nerve. During the acute phase, due to nerve damage, improvement of symptoms may take some time. The use of corticoster...[Read More] Facial Surgery Complications: Inability to Smile and Eye Closure Issues
Understanding Tightness in the Right Calf: Is It a Disc Issue or Muscle Imbalance?
Tightness in the right calf? Hello Doctor, since mid-June, I have been experiencing tightness in the back of my right calf (without pain). After that, I started to have numbness in my foot, which lasted for over a month. I then visited a neurologist who arranged for an X-ray and ...
Dr. Jiang Junyi Reply:
Dear Ms. N, You mentioned that "nerve testing revealed that the area innervated by L5 is associated with the left foot... muscle imbalance." Your symptoms may still need to consider underlying structural abnormalities, along with the possibility that emotional fluctuat...[Read More] Understanding Tightness in the Right Calf: Is It a Disc Issue or Muscle Imbalance?
Understanding Neck Tightness: Causes and Relief Strategies
Tightness in the back of the neck? Hello, doctor. Due to my work, I often sit in front of a computer desk or use my phone. Three days ago, after dinner, I suddenly felt tightness in the back of my neck, accompanied by mild headaches, dizziness, and nausea (I tend to be easily ner...
Dr. Wu Mukhan Reply:
Hello, your symptoms may be caused by neck muscle tension resulting from prolonged posture, poor sitting habits, or computer use. Anxiety and stress can also lead to physical tension, which may trigger headaches and neck discomfort. It is recommended to avoid maintaining the same...[Read More] Understanding Neck Tightness: Causes and Relief Strategies
Concerns About Drug Interactions: Lyrica and Circulating Medications
Please provide information regarding the drug interactions between medications used for fibromyalgia and cyclobenzaprine? Hello, Dr. Tsai. I would like to ask about my fibromyalgia issue. My doctor prescribed me Lyrica to take one capsule every night, but my family is concerned a...
Dr. Cai Zongzhang Reply:
Hello, Ms. Kuo: Circulin is a medication for peripheral circulation. It is essential to have a physician evaluate and confirm that the underlying cause is due to circulatory disorders before taking this medication. Please do not self-medicate.[Read More] Concerns About Drug Interactions: Lyrica and Circulating Medications
Neck Pain, Numbness, and Facial Twitching: When to Seek Advanced Care
Neck issues, numbness in the limbs, facial nerve twitching? Initially, I experienced tightness in my shoulders and neck along with numbness in my hands (more severe in the right hand). Subsequently, I began to feel numbness in my left foot, and the muscles on both sides of my nec...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned experiencing "tingling in the left foot" and "intermittent electric shock-like sensations and pain in the muscles on both sides of the neck (right side)." Based on your description, it may be necessary to consider cervical spine disor...[Read More] Neck Pain, Numbness, and Facial Twitching: When to Seek Advanced Care
Should You Use B Vitamins and Zinc for Neuropathy or Choose Keener Capsules?
Medication Use Can nerve paralysis be treated with B-complex vitamins and zinc supplements, or is it better to take Enada capsules?
Dr. Jiang Junyi Reply:
Dear Mr. ZWS, You mentioned, "Can I take B-complex vitamins and zinc for nerve paralysis, or is it better to take Kenda capsules?" In the acute phase of facial nerve paralysis, symptoms improve over time due to nerve damage. The use of corticosteroids in the first week...[Read More] Should You Use B Vitamins and Zinc for Neuropathy or Choose Keener Capsules?
Understanding Dizziness and Autonomic Nervous System Disorders
Dizziness, autonomic nervous system issues? Hello Doctor, Subject: 1. I experienced several episodes of fainting in early December 2022 after performing 100 sit-ups in a short period as part of my exercise routine. A few days later, while walking on the street, I suddenly lost...
Dr. Jiang Junyi Reply:
Hello Mr. Li: You mentioned experiencing several episodes of syncope while walking, feeling as if you suddenly lost consciousness... Your symptoms are more likely caused by syncope. When cerebral blood flow drops below 30 ml per minute, it can lead to loss of consciousness, usu...[Read More] Understanding Dizziness and Autonomic Nervous System Disorders
Understanding Foot Pain and Numbness: Causes and Next Steps
Light pressure on the sole of the foot causes sharp pain? Numbness below the ankle (including toes and soles) is often experienced, with light pressure causing sharp pain and a sensation of poor blood circulation, making walking difficult. There is also numbness in the calves and...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "below the ankle (including toes, soles, etc.) often feels numb... The MRI only indicated that the spine is slightly smaller, and it seems there is no compression on the nerves." Since lumbar MRI is performed while lying down, it cannot tr...[Read More] Understanding Foot Pain and Numbness: Causes and Next Steps
Understanding Mild Dizziness: Possible Causes and Connections to Menstruation
Mild dizziness Hello Doctor, I am currently a third-year junior high school student. I started feeling slightly dizzy during class the day before yesterday. Sometimes I feel like I might faint, but I don't actually fall. I would like to know if this is related to my menstrua...
Dr. Jiang Junyi Reply:
Dear Ms. Jian, You mentioned, "I would like to ask if this is related to my menstrual period, as I started experiencing symptoms on Tuesday, but my period began on Sunday." Typically, migraine-associated vertigo tends to occur within three days prior to menstruation. T...[Read More] Understanding Mild Dizziness: Possible Causes and Connections to Menstruation
Understanding Lower Leg Pain: When to See a Neurologist
Painful tingling below the calf? Today, the temperature is 20 degrees Celsius, and the tingling sensation is mild, only slightly felt on the dorsum of my feet. A few days ago, when the weather was hot and the air conditioning was set to 27 degrees, the tingling became severe and ...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned that "the tingling has severely spread to the calves, and it also occurs while sleeping." This symptom may indicate that the lumbar nerve roots are being compressed. Typical discomfort associated with lumbar nerve root pathology includes pain r...[Read More] Understanding Lower Leg Pain: When to See a Neurologist