Understanding Involuntary Muscle Twitches in the Inner Thigh
Involuntary twitching of the adductor muscles? The doctor would like to continue asking about a previous issue: my left thigh's quadriceps, specifically the vastus medialis, experiences intermittent twitching. 1. Is this twitching related to autonomic nervous system dysfunct...
Dr. Jiang Junyi Reply:
Hello Mr. Ben: You mentioned that "autonomic nervous system dysfunction" is generally regulated by the sympathetic and parasympathetic nervous systems, one acting as the accelerator and the other as the brake. The sympathetic nervous system is responsible for revving up...[Read More] Understanding Involuntary Muscle Twitches in the Inner Thigh
Joint Pain After COVID-19 Vaccination: Understanding Possible Causes
Joint pain after COVID-19 vaccination? Doctor: Hello, I received my first dose of the AstraZeneca vaccine on July 30, 2021, and my second and third doses of Moderna on October 3, 2021, and March 14, 2022, respectively. I am approximately 50 years old. About 1 to 2 weeks after the...
Dr. Jiang Junyi Reply:
Hello: Your symptoms do not appear to be indicative of Guillain-Barré syndrome, which is formally known as acute inflammatory demyelinating polyneuropathy. It is an acute peripheral neuropathy that may affect the motor, sensory, and autonomic nervous systems of the body. Typical ...[Read More] Joint Pain After COVID-19 Vaccination: Understanding Possible Causes
Can I Get Vaccinated with Cervical Nerve Compression and Mitral Valve Prolapse?
Cervical nerve compression Hello, I am 42 years old and have recently discovered that cervical spine compression is causing numbness and tingling in my hands and feet. I am currently taking medication (B12 and a nerve stabilizer) and undergoing rehabilitation (heat therapy, elect...
Dr. Jiang Junyi Reply:
Dear Ms. Hsiao-Chen, You mentioned cervical nerve root compression and mitral valve insufficiency. Neither of these conditions is a contraindication for receiving the COVID-19 vaccine. The reactions that may occur after vaccination are mostly mild and include pain and swelling a...[Read More] Can I Get Vaccinated with Cervical Nerve Compression and Mitral Valve Prolapse?
Understanding Sleep Issues in Fathers: The Impact of Alcohol and Smoking
Father's sleep issues? Hello doctor, my dad usually goes to bed around 7 or 8 PM, but according to him, he only sleeps for about 4.5 hours (sometimes even less). He has mentioned that he has had trouble sleeping since he was a child (he also can't nap during the day). A...
Dr. Jiang Junyi Reply:
Dear Mr. Zhu, You mentioned that your father usually goes to bed around 7 or 8 PM, but according to him, he only sleeps for about 4.5 hours (sometimes even less). He has said that he has had trouble sleeping since childhood (he also struggles to nap during the day). I wonder if ...[Read More] Understanding Sleep Issues in Fathers: The Impact of Alcohol and Smoking
Understanding Right-Sided Numbness: When to Seek Further Medical Evaluation
Numbness in the right hand and right side of the body? Hello doctor, last week I started experiencing mild numbness in the tips of my fingers. I visited a neurologist who prescribed medication, but a few days later the numbness worsened, and soon my entire palm began to feel numb...
Dr. Jiang Junyi Reply:
Dear Mr. Jame, You mentioned that after visiting the neurology department and receiving medication, you experienced increasing numbness over the following days. The doctor indicated that the cervical spine X-ray showed no abnormalities, but by the weekend, you even felt slight n...[Read More] Understanding Right-Sided Numbness: When to Seek Further Medical Evaluation
Understanding Unilateral Tinnitus: Is It Related to Autonomic Nervous System Disorders?
Unilateral tinnitus and pulsatile tinnitus? Hello, doctor. Two years ago, I experienced dizziness and a heavy head, which led me to consult a neurologist. At that time, I was prescribed nerve repair agents and B vitamins, and after a while, I felt better. I attributed my symptoms...
Dr. Jiang Junyi Reply:
Mr. Pei, you mentioned: "However, the tinnitus in my left ear has worsened significantly, accompanied by mild headaches, and my left ear also feels uncomfortable when exposed to loud sounds." Unilateral tinnitus symptoms do not typically resemble those of autonomic nerv...[Read More] Understanding Unilateral Tinnitus: Is It Related to Autonomic Nervous System Disorders?
Understanding Sleep-Related Breathing Difficulties: A Neurology Perspective
Respiratory sleep disorders Hello Doctor: Sometimes when I wake up and want to continue sleeping (lingering in bed), I suddenly feel short of breath, as if my whole body is frozen and I can't move, with a vague consciousness and the sensation of holding my breath. I need to ...
Dr. Hong Weibin Reply:
Hello, it is recommended to consult a sleep specialist to check for the possibility of sleep paralysis.[Read More] Understanding Sleep-Related Breathing Difficulties: A Neurology Perspective
Understanding Dizziness and Pressure: Neurological Insights and Solutions
Dizziness and a feeling of heaviness in the head? Hello Doctor: I have been experiencing dizziness, a feeling of pressure in my head, and nausea for almost three weeks. After visiting an ENT specialist and taking medication, I haven't vomited in the past few days, but I stil...
Dr. Jiang Junyi Reply:
Dear Miss Ling, You mentioned that "my head still feels a bit dizzy and swollen, with pain on both sides, and my ears also hurt a little. I feel heavy-headed and light-bodied, and looking at my phone causes some dizziness... After visiting the ENT and taking medication, I h...[Read More] Understanding Dizziness and Pressure: Neurological Insights and Solutions
Unexplained Tremors and Weakness in Children: A Neurological Concern
Continuous shaking of the limbs (weakness in the extremities), headache, and difficulty breathing? The child was hospitalized due to severe abdominal pain and a cough caused by a mycoplasma infection. Starting the next day, they experienced continuous tremors in their hands and f...
Dr. Jiang Junyi Reply:
Hello: You mentioned "Mycoplasma infection, which led to hospitalization, and starting the next day, there has been continuous trembling of the hands and feet, general weakness, and difficulty breathing." Some species of mycoplasma can potentially affect the nervous sys...[Read More] Unexplained Tremors and Weakness in Children: A Neurological Concern
Understanding the Link Between Sexual Dysfunction and Multiple Sclerosis
Multiple Sclerosis Hello, doctor. I previously experienced sexual dysfunction due to an incident of masturbation. I have difficulties with erection, sensation, and ejaculation, and my penis feels numb with little sensation. This has caused me a lot of stress. Later, I came across...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned whether "sexual dysfunction could indirectly lead to central nervous system diseases such as multiple sclerosis." The answer is "no," as multiple sclerosis is considered a rare disease in Taiwan. Erectile dysfunction can be classified...[Read More] Understanding the Link Between Sexual Dysfunction and Multiple Sclerosis
Can Autonomic Nervous System Disorders Be Diagnosed with Tests?
Can the autonomic nervous system be tested? Hello Doctor, I have been suffering from various ailments recently and have seen multiple doctors without finding a clear cause, which has left me questioning everything. I noticed your patience in responding to some neurology patients,...
Dr. Jiang Junyi Reply:
Hello Mr. Ben, You asked, "Can autonomic nervous system disorders be detected through instruments, or can they only be assessed through clinical experience? If it can be detected, is it similar to an electrocardiogram that measures the current state?" The most common m...[Read More] Can Autonomic Nervous System Disorders Be Diagnosed with Tests?
Feeling Exhausted and Anxious: Understanding Autonomic Nervous System Disorders
I feel exhausted every day and I feel like I'm about to die! Last night, I suddenly felt unwell in the latter half of my sleep. I got up to check my blood pressure, which was 91/56. I felt like crying; I wanted to sleep but couldn't. At first, I experienced hand tremors...
Dr. Jiang Junyi Reply:
Hello: You mentioned symptoms such as "feeling sleepy but unable to sleep well, initially experiencing hand tremors and numbness in the legs... switching positions while sleeping, rapid internal shaking, left-sided numbness, and a fast heartbeat." These symptoms may sug...[Read More] Feeling Exhausted and Anxious: Understanding Autonomic Nervous System Disorders
Managing Sleep Apnea Symptoms: Tips for Immediate Relief
Questions related to respiratory arrest? Hello Doctor, I occasionally experience a heart rate of around 100 beats per minute while lying down at night, and during the day, when sitting at the computer, my heart rate ranges from 100 to 120 (measured with a fingertip pulse oximeter...
Dr. Cai Zongzhang Reply:
Hello Ben: It is recommended to visit an otolaryngologist to check for any other underlying causes.[Read More] Managing Sleep Apnea Symptoms: Tips for Immediate Relief
Understanding Early Symptoms of Amyotrophic Lateral Sclerosis (ALS)
Symptoms of amyotrophic lateral sclerosis (ALS) Hello, doctor. Recently, I have been experiencing some involuntary muscle twitching in my legs, and I also feel a lack of strength. However, I don't have much trouble when lifting things normally. About two months ago, I visite...
Dr. Hong Weibin Reply:
Hello: Regarding the symptoms of amyotrophic lateral sclerosis (ALS), you can refer to the CommonHealth Knowledge Base at https://kb.commonhealth.com.tw/library/417.html#data-3-collapse. However, if your symptoms are not progressively worsening, you can be reassured that it is us...[Read More] Understanding Early Symptoms of Amyotrophic Lateral Sclerosis (ALS)
Understanding Autonomic Nervous System Disorders: Symptoms and When to Seek Help
Autonomic nervous system dysfunction I would like to ask. I have stomach pain (I have undergone an endoscopy and have a gastric ulcer), chest tightness, difficulty breathing, and recently I've been experiencing dizziness, tingling sensations, and stiffness in my shoulders an...
Dr. Cai Zongzhang Reply:
Hello Ms. Chang: It is recommended to visit the neurology outpatient clinic for an examination to confirm the cause of your condition.[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and When to Seek Help
Understanding Neurological Symptoms: When to Seek Further Testing
Electroencephalogram (EEG) brain wave examination? Hello Doctor: In May, I suddenly experienced severe dizziness, feeling as if I was about to die, unable to breathe, with a tingling sensation in my head and a near-death feeling. After visiting the emergency room, all tests came ...
Dr. Jiang Junyi Reply:
Dear Mr. Ren-Zhang, You mentioned that in May, there was a day when you suddenly felt dizzy, as if you were about to die, experiencing difficulty breathing, numbness, and a sensation of near-death. I would like to know if your symptoms have recurred. If this was an acute episode...[Read More] Understanding Neurological Symptoms: When to Seek Further Testing
Understanding Exploding Head Syndrome: Symptoms and When to Seek Help
Sleep issues In the past week, when lying down to sleep, I have experienced a sensation in my brain that feels like a mild electric shock. After this sensation, I can change positions or fall asleep normally. However, this has occurred about 2-3 times over the week. Yesterday, I ...
Dr. Jiang Junyi Reply:
Dear Mr. Shen, You mentioned that "when lying down to sleep, it feels like my brain has been lightly shocked by an electric current..." This may indicate a sleep disorder. Exploding Head Syndrome has two main causes: one is unstable brain waves or transitions in brain ...[Read More] Understanding Exploding Head Syndrome: Symptoms and When to Seek Help
Understanding Autonomic Nervous System Dysregulation Symptoms
Suspected autonomic nervous system dysfunction but uncertain? Hello, Doctor. I apologize for the interruption during your busy schedule. I am at the age of menopause and unable to supplement hormones due to breast-related issues. Recently, I experienced heightened emotions, durin...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to consult a neurologist for an examination to confirm the cause.[Read More] Understanding Autonomic Nervous System Dysregulation Symptoms
Signs of ALS: Understanding Weakness and Stiffness Symptoms
Suspecting that you have amyotrophic lateral sclerosis (ALS)? Recently, I've been experiencing significant weakness in my limbs, although I can still exert normal strength. My hands also feel somewhat stiff, and I have been feeling a bit weak when breathing. When swallowing,...
Dr. Cai Zongzhang Reply:
Hello, Miss Ting: It is recommended to visit the neurology outpatient clinic for an examination to confirm the cause of your condition.[Read More] Signs of ALS: Understanding Weakness and Stiffness Symptoms
Understanding Symptoms: Dizziness, Headaches, and Optic Nerve Swelling
Dizziness, headache, and optic nerve edema? Hello Doctor, since May 20th of this year, I have experienced symptoms such as blurred vision, dizziness, headaches, a sensation of something stuck in my throat, and difficulty breathing. After visiting an ENT clinic, the doctor suggest...
Dr. Jiang Junyi Reply:
Dear Ms. Wu, There are many causes of headaches. If your headaches are related to your menstrual cycle, the likelihood of migraines is higher. However, conditions such as anemia, autonomic dysfunction, and inner ear imbalance may also contribute to your symptoms. First, it is im...[Read More] Understanding Symptoms: Dizziness, Headaches, and Optic Nerve Swelling