Head Injury from Bathroom Fall: When to See a Neurologist?
I fell in the bathroom around noon and hit the back of my right head? Hello Doctor: I slipped and hit my head in the bathroom around noon. Since the bathroom is small, I didn't fall flat on my back; instead, my head struck the wall behind me at a nearly vertical angle. I ins...
Dr. Jiang Junyi Reply:
Dear Miss Emma, You mentioned experiencing "chest tightness that feels better with deep breaths, and mild swelling in your right hand. I would like to ask if you need to visit the neurology or surgery outpatient clinic tomorrow?" Generally speaking, if there is no loss...[Read More] Head Injury from Bathroom Fall: When to See a Neurologist?
Understanding Post-Impact Head Discomfort: Causes and Concerns
Head trauma Hello, doctor. In the first half of 2020, I had two upper molars extracted, and since then, I have experienced discomfort in my head. I started seeing doctors, but they all said it was unrelated to the tooth extraction, attributing it to anxiety and sleep issues. I ha...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned, "Has the impact to the head caused internal bleeding or delayed bleeding? It has been a year and a half; could it last this long? Additionally, could the earlier tooth extraction have affected the brain? After all, I have been experiencing discomfo...[Read More] Understanding Post-Impact Head Discomfort: Causes and Concerns
Understanding Nerve Pain: Left Hand and Foot Tingling and Weakness
Numbness and tingling in the left hand and left foot, accompanied by weakness? Hello Doctor, The first symptoms appeared on February 27. After attending a wedding banquet that afternoon, I stepped out of the venue and experienced a sudden, electric shock-like tingling in my lef...
Dr. Jiang Junyi Reply:
Hello Ms. Yang, You mentioned that "my left hand and left foot feel like they are being electrocuted, experiencing intermittent tingling and numbness." This condition may suggest symptoms of neuropathic pain. If it occurs only on one side, it may be necessary to consid...[Read More] Understanding Nerve Pain: Left Hand and Foot Tingling and Weakness
Understanding Nerve Pain: Left Hand and Foot Tingling and Weakness
Numbness and tingling in the left hand and left foot, accompanied by weakness? Hello Doctor, The first symptoms appeared on February 27th. After attending a wedding banquet that afternoon, I stepped out of the venue and suddenly felt a tingling sensation in my left hand and lef...
Dr. Jiang Junyi Reply:
Hello Ms. Yang, You mentioned that "my left hand and left foot feel like they are being electrocuted, with intermittent tingling and numbness." This condition may suggest symptoms of neuropathic pain. If it is only present on one side, it may be necessary to consider l...[Read More] Understanding Nerve Pain: Left Hand and Foot Tingling and Weakness
Understanding Unusual Brain Sensations: When to Seek Neurological Help
Cerebrovascular events feel like an electric shock? Doctor, I have been experiencing sensations in my head that feel like pressure on my blood vessels or like an electric shock. It's similar to the feeling of stepping on a water pipe or compressing it, and it happens frequen...
Dr. Jiang Junyi Reply:
Hello Ms. Hsiao-Yu, You mentioned that your head feels like it's being compressed, similar to pressure on a blood vessel or an electric shock, akin to stepping on a water pipe and squeezing it. This may warrant consideration of cervical headache. The small muscles connected...[Read More] Understanding Unusual Brain Sensations: When to Seek Neurological Help
Understanding Muscle Pain and Fasciculations: Possible Neurological Causes
Muscle fasciculations and muscle soreness with weakness? Since 2019, I have experienced occasional muscle soreness in my limbs (about once every 3 to 6 months, lasting approximately 1.5 weeks). My hand strength has decreased, and when I go shopping and lift items weighing 2 to 5 ...
Dr. Hong Weibin Reply:
Hello: Based on your symptoms, it is recommended that you seek assistance from a neurologist specializing in neuromuscular diseases at a major hospital. They may arrange for blood tests, electromyography (EMG), and other evaluations. Cervical spine compression or myasthenia gravi...[Read More] Understanding Muscle Pain and Fasciculations: Possible Neurological Causes
Understanding Coma: Causes, Treatments, and Recovery in Elderly Patients
Coma scale score of 4? My mother is 86 years old. After a nap on January 8, she could not be awakened. That evening, her blood sugar was measured at 183, her blood oxygen level was 89, and her blood pressure was normal. On January 19, she still could not be awakened in the mornin...
Dr. Jiang Junyi Reply:
Dear Ms. Vicky, You mentioned, "Doctors only treat infections with antibiotics. I really want to ask, for a comatose patient like this, do we just have to wait aside from antibiotic treatment? Are there no more aggressive treatment options?" In clinical practice, the m...[Read More] Understanding Coma: Causes, Treatments, and Recovery in Elderly Patients
Understanding Neck Stiffness: When to See a Neurologist or ENT
Neck stiffness Recently, I have been experiencing stiffness in my cervical spine, making it difficult to turn my head. It feels tight and rigid, and I sometimes feel dizzy, but the dizziness passes quickly. I'm not sure what the issue could be. Should I see a neurologist or ...
Dr. Jiang Junyi Reply:
Hello Ms. Chen, You mentioned experiencing "stiffness in the cervical spine, difficulty turning your head, tightness, and dizziness that comes and goes." I would like to know if your dizziness is accompanied by any other neurological symptoms, such as hearing abnormali...[Read More] Understanding Neck Stiffness: When to See a Neurologist or ENT
Understanding Arm and Shoulder Numbness: Beyond Cervical Compression
Numbness in the shoulder and upper arm? Hello Doctor, recently I have experienced sudden numbness in my right shoulder and upper arm. I had an X-ray of my neck a while ago, and the doctor said there were no issues. Besides cervical spine compression, what other possibilities coul...
Dr. Jiang Junyi Reply:
Dear Mr. JAM, You mentioned that you suddenly experienced numbness in your right shoulder and upper arm, and that a recent cervical X-ray showed no issues. Your symptoms are more indicative of nerve root compression, which is commonly caused by cervical disc herniation or an imp...[Read More] Understanding Arm and Shoulder Numbness: Beyond Cervical Compression
Understanding Symptoms: Multiple Sclerosis vs. Autonomic Nervous System Disorders
Multiple Sclerosis or Autonomic Nervous System Dysfunction Hello Dr. Jiang, I have been experiencing a tingling and numbness in my hands and feet since early September. I visited a neurology clinic, and they suggested it could be either cervical spine inflammation or autonomic ne...
Dr. Jiang Junyi Reply:
Dear Miss Li, You mentioned that "the symptoms really seem very similar to those of multiple sclerosis, and considering that I am 21 years old, which is the age when this condition is more likely to occur..." I believe the chances are low, as multiple sclerosis is clas...[Read More] Understanding Symptoms: Multiple Sclerosis vs. Autonomic Nervous System Disorders
Understanding Tension in the Temples: Causes and Solutions
Tightness in the temples? Hello Dr. Jiang, I have not experienced similar symptoms before (tightness in the temples, nausea, and a sense of imbalance). Here is a record of the process: On October 15, 2021, during a company health check (gastrointestinal endoscopy): a. Duodenal ...
Dr. Jiang Junyi Reply:
Dear Mr. William, You mentioned experiencing "headaches / slight imbalance / feelings of nausea... currently feeling tightness in the temples / forehead / between the eyebrows / back of the head" and that "lying on the sofa while using your phone" may indicat...[Read More] Understanding Tension in the Temples: Causes and Solutions
Understanding Hand Numbness: Ulnar Nerve Compression and Neck Issues
Vague sensations of hand numbness? Hello Doctor, I have recently been experiencing a tingling and discomfort in my left hand fingers. Initially, it was a burning sensation in my ring and little fingers, and later the other three fingers on my left hand also started to feel numb, ...
Dr. Jiang Junyi Reply:
Hello Mr. JAM: You mentioned that "the other three fingers of my left hand also started to feel numb, and there is some weakness in my hand. I visited a rehabilitation specialist who said it is ulnar nerve compression." If it is ulnar nerve compression, it typically rel...[Read More] Understanding Hand Numbness: Ulnar Nerve Compression and Neck Issues
Understanding Neurological Symptoms: Dysautonomia vs. Multiple Sclerosis
Autonomic Nervous System Dysfunction or Multiple Sclerosis? Hello Dr. Jiang, In early September, I experienced brief episodes of numbness and tingling in my limbs, lasting only a few seconds but occurring quite frequently. I consulted a clinic, and they suggested it might be a c...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned experiencing "temporary numbness and tingling in your limbs, which lasts for a few seconds but occurs quite frequently." These symptoms are more indicative of hyperventilation. Hyperventilation can lead to a decrease in carbon dioxide levels ...[Read More] Understanding Neurological Symptoms: Dysautonomia vs. Multiple Sclerosis
Understanding Numbness in the Thumb and Back: Causes and Concerns
Mild numbness in the right thumb and slight numbness in the back? Doctor, I started experiencing a slight tingling sensation around my right thumb yesterday (similar to the feeling of a foot falling asleep but not going away, though it's mild and only noticeable when touched...
Dr. Jiang Junyi Reply:
Dear Mr. Fook Chi, You mentioned that "there is a slight tingling sensation around the right thumb... and that you have seen a doctor for shoulder and neck pain, which was diagnosed as a herniated disc at the C6 level." It is important to consider that the C6 nerve roo...[Read More] Understanding Numbness in the Thumb and Back: Causes and Concerns
Understanding Right-Side Pain and Numbness: Causes and Solutions
Pain and numbness on the right side of the body? Hello Doctor: I have been experiencing these symptoms for over a year. The main issues are soreness and tightness in the right side of my neck and shoulder, along with numbness and tingling that radiates from my right arm to my fin...
Dr. Jiang Junyi Reply:
Dear Mr. Tsao, You mentioned that "the soreness and tightness in the right shoulder and neck, along with numbness and tingling extending from the right arm to the fingers," may indicate a potential issue with cervical nerve root compression. It is important to consider...[Read More] Understanding Right-Side Pain and Numbness: Causes and Solutions
Exploring Neuromuscular Disorders: What to Do When Tests Come Back Normal
Neuromuscular Disease Examination Hello doctor, I have been experiencing weakness in my limbs for over a year, and I am very concerned that it might be a rare neuromuscular disease. I have visited many major hospitals and undergone neurological examinations each time I saw a diff...
Dr. Jiang Junyi Reply:
Hello, sir: I am not sure if there is a medical center near your residence. Due to the nature of neurological disease examinations, they require a period of follow-up for comparison. For instance, if a score drops from 80 to 70, it may still be considered passing from a 60-point ...[Read More] Exploring Neuromuscular Disorders: What to Do When Tests Come Back Normal
Understanding Occipital Headaches: Causes, Symptoms, and Next Steps
Occipital headache and dizziness? A week ago, I experienced some strain while doing deadlifts during weight training. It felt better after a minute, and I was able to continue training my back and chest a few days later. I tried smoking water pipe for the first time, and the next...
Dr. Jiang Junyi Reply:
Hello Mr. YI, Regarding the "Valsalva maneuver" you mentioned, it typically resolves after a few minutes. However, you noted experiencing "occipital headache, dizziness, a feeling of slight confusion, and elevated blood pressure at 130/75" lasting for about a...[Read More] Understanding Occipital Headaches: Causes, Symptoms, and Next Steps
Left Arm and Leg Weakness: Seeking Answers for Neurological Issues
Weakness in the left arm and difficulty lifting the left leg, leading to trouble walking? Hello Doctor, As per the title, my mother has been experiencing weakness in her left hand and left leg for over a year. Both her left hand and leg have muscle atrophy, and her condition is...
Dr. Jiang Junyi Reply:
Dear Mr. Tsai, You mentioned that your mother was previously able to walk to the bathroom with the aid of a walker, but now she is unable to walk and can only sit in a wheelchair. I am not sure if the doctor has any recommendations for further examinations. I wonder if your moth...[Read More] Left Arm and Leg Weakness: Seeking Answers for Neurological Issues
Muscle Twitches, Cramps, and Weakness: Understanding Neurological Issues
Involuntary muscle twitching, cramping, weakness in the left leg, and difficulties in walking? Hello Dr. Jiang! For the past three to four months, I have been experiencing involuntary muscle twitching, particularly noticeable on the left side of my body compared to the right. My ...
Dr. Jiang Junyi Reply:
Hello Mr. CooK: You mentioned that "when the palm is open and the thumb is pushed towards the palm, it can also cramp. The same situation applies to the index finger (both hands can experience this), and sneezing can cause cramps in the upper abdomen near the ribs." Thi...[Read More] Muscle Twitches, Cramps, and Weakness: Understanding Neurological Issues
Persistent Throat Discomfort and Vision Issues: A Neurological Perspective
Feeling of a lump in the throat, sensation of foreign body, difficulty breathing, blurred vision, eyelids often feel sticky as if sweating, fatigue, hair loss, and poor skin condition? Hello, doctor. My family member is experiencing significant discomfort, so I would like to inqu...
Dr. Jiang Junyi Reply:
Hello: I see that your family has undergone numerous examinations. I would like to suggest a principle to follow, which is the concept of "local healthcare." As we age and experience various symptoms, the recommended approach is to find a nearby hospital with an emergen...[Read More] Persistent Throat Discomfort and Vision Issues: A Neurological Perspective