Understanding Cold Hands and Feet: Possible Causes and When to Seek Help
Numbness and coldness in the hands and feet? Hello Doctor: Since childhood, I have easily experienced cold hands and feet. I am currently eighteen years old and preparing for university entrance exams in my senior year of high school. I have been maintaining a posture of looking ...
Dr. Lan Shengxing Reply:
Dear Jessie, the symptoms you experience after exercising indicate that your body is redirecting blood circulation to the central areas, sacrificing circulation in your extremities. It is evident that your usual blood pressure is on the lower side. There is no need for medical at...[Read More] Understanding Cold Hands and Feet: Possible Causes and When to Seek Help
Early Signs of Parkinson's Disease: Understanding Symptoms and Diagnosis
Early-stage Parkinson's disease? Hello Dr. Lan: I have noticed that my hands have been trembling involuntarily since last year. Initially, I felt that both hands were shaking, but the tremors were very slight. However, since this had never happened before, I became quite anx...
Dr. Lan Shengxing Reply:
Dear Aaron, the likelihood of developing Parkinson's disease at your age is low, and the symptoms you described do not resemble the early signs of Parkinson's disease. Additionally, you did not mention any reactions after taking medication. I personally recommend that y...[Read More] Early Signs of Parkinson's Disease: Understanding Symptoms and Diagnosis
Facial Nerve Paralysis: Addressing Hearing Issues and Next Steps
Facial nerve paralysis with impaired hearing? Hello, doctor. I have been experiencing facial nerve paralysis for over a month now. My facial asymmetry has improved, but I still have strange sensations in my ear, difficulty hearing, and I am very sensitive to loud and sharp sounds...
Dr. Jiang Junyi Reply:
Hello, based on your description, 80% of patients with facial nerve paralysis will recover within 4 to 6 weeks, while a small portion may experience very slow recovery, potentially taking over 2 years, and often with incomplete recovery. During the acute phase, treatment includes...[Read More] Facial Nerve Paralysis: Addressing Hearing Issues and Next Steps
Understanding Head Tremors and Numbness: Possible Causes and Solutions
What exactly is causing the head shaking and numbness? I am a very anxious person, and recently, whether standing or sitting, I frequently experience tingling in the left side of my head that lasts from a few minutes to several hours. Sometimes, while sitting, my head involuntari...
Dr. Jiang Junyi Reply:
Hello, based on your description, the autonomic nervous system is generally regulated by the sympathetic and parasympathetic nervous systems, with one acting as the accelerator and the other as the brake. The sympathetic nervous system is responsible for stimulating the "gas...[Read More] Understanding Head Tremors and Numbness: Possible Causes and Solutions
Understanding and Managing Persistent Thigh Pain in Older Adults
Mother has thigh nerve pain? Hello, doctor. I actually came here to ask before. For the past two and a half years, my mother has been experiencing a burning sensation in her right thigh, which started last year. Now, her thigh is constantly numb and painful at irregular intervals...
Dr. Gao Chunde Reply:
General neurologists may find no issues during their examination, but if the pain is determined to be caused by peripheral neuropathy or central nervous system issues, there are medications available to manage the pain and improve quality of life. If the pain is difficult to cont...[Read More] Understanding and Managing Persistent Thigh Pain in Older Adults
Understanding Parkinson's Disease: Symptoms, Diagnosis, and Treatment Options
Does Parkinson's disease have sensory symptoms associated with physical discomfort? Hello, doctor! I have some questions. My mother-in-law experiences involuntary tremors in her left hand, and at times, her entire body shakes severely. She has undergone examinations at Kaohs...
Dr. Lan Shengxing Reply:
Dear Shujun, patients with Parkinson's disease may experience not only tremors and bradykinesia but also autonomic nervous system issues, so feeling unwell is common. There are indeed certain nuclear medicine tests that can help differentiate whether it is truly Parkinson&#x...[Read More] Understanding Parkinson's Disease: Symptoms, Diagnosis, and Treatment Options
Understanding Sleep-Related Numbness: Causes and Solutions
Numbness while sleeping? Hello, doctor. Recently, I often wake up in the middle of the night with numbness on the same side of my body. My head, hand, and foot on the right side feel numb. When I move a bit, it gets better, but I'm not sure what's going on. Thank you, D...
Dr. Gao Chunde Reply:
Generally, poor peripheral blood circulation affects at most one limb, either a hand or a foot, especially if there is compression. If both the head and the same side limb are involved, it indicates a problem above the cervical spine, particularly in the brain. It is advisable to...[Read More] Understanding Sleep-Related Numbness: Causes and Solutions
Numbness in Left Big Toe: When to See a Specialist?
Numbness in the left big toe? Hello, I noticed about two to three weeks ago that the tip of my left big toe has a tingling sensation. When I press on the flesh, it seems to recover more slowly than my right foot. In cold weather, if I don't wear socks or keep warm enough, I ...
Dr. Gao Chunde Reply:
This is mostly due to insufficient peripheral blood circulation. It is advisable to pay more attention to keeping warm and to engage in gentle, sustained lower limb exercises such as walking, cycling, or playing sports.[Read More] Numbness in Left Big Toe: When to See a Specialist?
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 and Numbness: Neurological Insights
Dizziness and numbness in the legs? Menstrual cramps are severe, and I usually don't consume cold drinks; I drink a lot of water. Recently, for the past two to three months, I've experienced sudden numbness in my legs during class, and my head often feels like it pauses...
Dr. Yang Shenggong Reply:
Hello Ms. Lon: Numbness in the legs is a symptom that can have multiple causes: 1) Unilateral leg numbness may be attributed to poor posture, nerve compression, or inadequate blood circulation, among other factors. 2) Bilateral leg numbness requires consideration of systemic issu...[Read More] Understanding Dizziness and Numbness: Neurological Insights
Understanding Nighttime Muscle Vibrations and Weakness: Causes and Solutions
Involuntary muscle twitching before sleep? Since July of this year, I have been experiencing a sensation of soreness and weakness in my calves and thighs before bedtime, resembling poor blood circulation. This is accompanied by vibrations in my calf muscles, which feel similar to...
Dr. Lan Shengxing Reply:
Dear Queen, the symptoms you described are somewhat similar to Restless Legs Syndrome, which is a disorder of the central nervous system. There are effective treatment options available, and generally, a neurologist should be familiar with the diagnosis and management of this con...[Read More] Understanding Nighttime Muscle Vibrations and Weakness: Causes and Solutions
Understanding Calf Muscle Twitches: Causes, Diagnosis, and Treatment
Calf twitching I occasionally experience involuntary twitching in my left calf while sleeping, which feels like it spreads from the bone to the muscle. This involuntary movement often disrupts my sleep. The episodes occur when my calves are exposed to a fan or air conditioning, a...
Dr. Lan Shengxing Reply:
Dear Mr. Chen, the issues you described may be related to poor blood circulation in the lower extremities or Restless Legs Syndrome. It is advisable for you to seek consultation at a neurology clinic as soon as possible.[Read More] Understanding Calf Muscle Twitches: Causes, Diagnosis, and Treatment
Understanding Sleep Issues and Neck Pain: When to Seek Neurology Help
Neurology Hello, doctor. Recently, my sleep quality has been very poor; it takes me a long time to fall asleep, and even though I feel very tired, I just can't seem to doze off! I keep yawning without being able to actually yawn, and my head feels heavy and stuffy. My body h...
Dr. Gao Chunde Reply:
Sleep disorders are often caused by intense physical or mental activities before bedtime, consumption of stimulating foods, or napping shortly before sleep. Additionally, if one enjoys reading in bed without actually sleeping, this can contribute to the issue. If none of these fa...[Read More] Understanding Sleep Issues and Neck Pain: When to Seek Neurology Help
Understanding Dizziness: Insights from Traditional and Modern Medicine
Question: Is there really dizziness? (After examinations by Traditional Chinese Medicine, Neurology, and Otolaryngology) After consultations with Traditional Chinese Medicine, Neurology, and Otolaryngology, the findings are as follows: 1. Traditional Chinese Medicine: (1) Exc...
Dr. Gao Chunde Reply:
Dizziness is a subjective sensation, and physicians can determine if there is a vertiginous component by observing eye movements. Other clinical findings, such as blood pressure, hemoglobin levels, electrolytes, and additional tests, can help identify potential causes. After hear...[Read More] Understanding Dizziness: Insights from Traditional and Modern Medicine
Understanding EEG Results: What to Expect and Next Steps in Neurology Care
Based on the previous response, I went for an examination? Based on previous symptoms of eyelid twitching, sensitivity to light, and pressure in the back of the head, I visited a large hospital for an outpatient consultation. The doctor conducted preliminary tests on my limbs and...
Dr. Gao Chunde Reply:
The EEG is the most important test; it can determine whether there are abnormal discharges in the brain and if there is any localized functional impairment. Whether to perform a CT or MRI scan should be based on the results of the EEG.[Read More] Understanding EEG Results: What to Expect and Next Steps in Neurology Care
Sudden Dizziness and Balance Issues: When to Seek a Second Opinion
Sudden dizziness and unsteady gait? Hello, my mother suddenly experienced dizziness and imbalance while walking on the night of April 6th, and she went to the emergency room. The doctor said that her blood tests were normal and administered an anti-dizziness medication through an...
Dr. Zheng Zhiwen Reply:
Hello, dizziness can be caused by issues related to the inner ear balance or the brain. It is recommended to visit an otolaryngology or neurology clinic for relevant examinations to determine the exact problem. Wishing you safety and health. Sincerely, Dr. Liu Chia-Chen, Attendin...[Read More] Sudden Dizziness and Balance Issues: When to Seek a Second Opinion
Why Does My Ear Tingle When Lying Flat? Possible Causes and Solutions
Experiencing numbness in the ear while lying flat? Hello, I have a question. When I sleep on my back, my right ear experiences persistent numbness, to the point that I have to sleep on my right side for it to stop. If I sleep on my left side, my right ear still feels numb. This i...
Dr. Gao Chunde Reply:
I must honestly say that this symptom is the first time I have encountered in my over ten years of practice. I can only provide answers based on my understanding of neurophysiology and other related clinical experiences. Consider the possibility of circulatory issues; lying flat ...[Read More] Why Does My Ear Tingle When Lying Flat? Possible Causes and Solutions
Understanding Winter-Related Muscle Cramps: Causes and Solutions
Menstrual cramps in winter? This winter, I have experienced menstrual cramps while brushing my teeth... it has happened three times now... Could it be due to the cold affecting my blood circulation? I do not have high blood pressure.
Dr. Huang Yongquan Reply:
It is unclear where the cramping is occurring. Is it related to fatigue or cold weather? Are there any factors such as smoking, alcohol consumption, or medication use? It is recommended to visit an outpatient clinic for an initial physical examination and blood tests.[Read More] Understanding Winter-Related Muscle Cramps: Causes and Solutions
Unexplained Dizziness: A Three-Year Journey Through Neurology
Dizziness with no identifiable cause? My father has been experiencing intermittent dizziness for about three years. It tends to occur more frequently in the morning and after some physical exertion. He has consulted several hospitals, including both ENT and neurology departments,...
Dr. Lan Shengxing Reply:
Hello, there are many causes of recurrent dizziness, including issues related to the brain, ears, heart, or autonomic nervous system. Therefore, a comprehensive examination is necessary, as the effectiveness of treatments for these four systems can vary from person to person. In ...[Read More] Unexplained Dizziness: A Three-Year Journey Through Neurology
Why Do My Thighs and Calves Itch and Numb During Exercise?
Tingling and itching in the thighs and calves during exercise? I'm sorry! I'm 26 years old. I would like to ask about the issue of "tingling and itching in the thighs and calves during exercise." At the end of last month, I went cycling on the Houfeng Bike Pat...
Dr. Liu Zhiyang Reply:
Due to your young age, you may not be considering issues related to neurodegeneration or bone spurs. Your problem could be related to poor blood circulation, but it would be best to visit the outpatient clinic for a more detailed examination. Sincerely, Dr. Cheng Chih-Wen, Attend...[Read More] Why Do My Thighs and Calves Itch and Numb During Exercise?