Understanding Auditory Hallucinations: Are They a Sign of Serious Illness?
Suspected auditory hallucinations? Hello doctor, I am a college student. Sometimes during classes, I feel like I hear a bell ringing, but there is actually no bell. Does this count as auditory hallucination? I went to see a doctor, and they performed an EEG, which appeared normal...
Dr. Jiang Junyi Reply:
Hello: Auditory hallucinations refer to patients believing they hear sounds that do not actually exist. Typically, patients with schizophrenia may hear meaningful speech. A single bell sound is less characteristic of schizophrenia symptoms. It is recommended to monitor your sympt...[Read More] Understanding Auditory Hallucinations: Are They a Sign of Serious Illness?
Understanding Early Signs of ALS: What You Need to Know
Early signs of amyotrophic lateral sclerosis (ALS)? Hello Doctor: Recently, I suddenly noticed something unusual with my body; it feels as if my limbs are not completely my own. I can say there is a bit of weakness in my limbs, but it's not entirely that. After a day, this s...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may warrant consideration of a brain disorder. The condition you are concerned about, commonly known as amyotrophic lateral sclerosis (ALS), primarily involves issues with motor neurons. Motor neurons control muscle movement; generally, the motor neurons in t...[Read More] Understanding Early Signs of ALS: What You Need to Know
Understanding Weakness in the First Finger Joint: Causes and Concerns
Weakness in the first phalanx of the left hand? Hello, I sometimes feel weakness in the first phalanx of my left index finger when pressing down, usually occurring at night, and it feels better after I wake up. My left thumb and middle finger have also experienced this once; my r...
Dr. Jiang Junyi Reply:
Hello: Your symptoms seem to be located in the joints of your hand. It may be necessary to consider issues related to the muscles and tendons. I recommend discussing further examinations with your attending physician, as many tests may not provide definitive answers. It might be ...[Read More] Understanding Weakness in the First Finger Joint: Causes and Concerns
Understanding Post-Concussion Symptoms: Seeking Expert Advice
Dr. Cheng, I would like to ask you again? Hello, since my head was injured from a collision on July 14, 2020, I have experienced dizziness, blurred vision, a feeling of pressure in my head, vomiting, numbness in my limbs, tongue numbness, left facial numbness, and high blood pres...
Dr. Jiang Junyi Reply:
Hello: It is recommended that you seek treatment at the same hospital for more comprehensive information. If there are physical injuries caused by trauma, you may consider adding hyperbaric oxygen therapy to accelerate the body's healing process. Hyperbaric oxygen therapy is...[Read More] Understanding Post-Concussion Symptoms: Seeking Expert Advice
Understanding Post-Concussion Symptoms: Seeking Answers and Next Steps
Concussion inquiry 🙏 Hello, I experienced a head injury from a collision on July 14, 2020, and have since been suffering from dizziness, blurred vision, a feeling of pressure in my head, vomiting, numbness in my limbs, tongue numbness, left facial numbness, and elevated blood pre...
Dr. Jiang Junyi Reply:
Hello: Based on your description, it seems that in addition to the brain, issues related to the cervical musculoskeletal system should also be considered. The symptoms related to the brain include facial and tongue numbness, as well as difficulty in immediately recognizing past p...[Read More] Understanding Post-Concussion Symptoms: Seeking Answers and Next Steps
Managing Epilepsy: Recognizing Relapse After Medication Withdrawal
Relapse after discontinuation of antiepileptic medication? Hello, Dr. Tsai. I have focal epilepsy and underwent an EEG examination two and a half years ago. My symptoms include headaches and occasional forgetfulness regarding unimportant matters. After receiving medication treatm...
Dr. Cai Zongzhang Reply:
It is recommended to discontinue the medication after an evaluation by a neurologist, and the method of discontinuation should be discussed with the physician.[Read More] Managing Epilepsy: Recognizing Relapse After Medication Withdrawal
Understanding Chronic Headaches in Children: Causes and Solutions
My child frequently experiences headaches? I have a son who frequently experiences headaches, which are often accompanied by severe nausea, vomiting, and dizziness. He reports that his headaches initially cause some blurriness in his vision, followed by numbness in his hands and ...
Dr. Cai Zongzhang Reply:
Based on the symptom description, these symptoms are paroxysmal and not persistent, and the cause may not be identifiable upon examination. It is recommended to seek immediate medical attention (neurology) during the onset of symptoms.[Read More] Understanding Chronic Headaches in Children: Causes and Solutions
Understanding Persistent Headaches: Causes, Treatments, and When to Seek Help
Persistent headache Hello Doctor, On a certain day in May, I suddenly experienced a severe headache accompanied by nausea and the urge to vomit. At that time, I was undergoing treatment in the obstetrics and gynecology department for recurrent candidiasis, and I had taken multi...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest a vascular headache. Consider the following criteria: (a) recurrent migraine attacks that significantly affect the patient's quality of life or daily activities, with triggers ruled out, and appropriate use of acute treatment medications and ...[Read More] Understanding Persistent Headaches: Causes, Treatments, and When to Seek Help
Understanding Numbness and Tingling: Causes and When to Seek Help
Numbness in the head and face? Hello, doctor! Recently, I have been experiencing a sensation of vibration near my chest. I'm not sure how to describe it; it feels very chaotic and uncomfortable, like a buzzing or tingling sensation. Upon closer examination, I notice that thi...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest hyperventilation syndrome. Hyperventilation leads to a decrease in carbon dioxide levels in the blood, resulting in an increased pH, a condition known medically as "respiratory alkalosis." This can cause systemic reactions and symptoms, ...[Read More] Understanding Numbness and Tingling: Causes and When to Seek Help
Understanding Toe Twitching: Causes and Treatment Options
Toe twitching I have been experiencing twitching in the index finger of my left foot for over a year, and recently the index finger of my right foot has also started twitching. The twitching appears as a side-to-side shaking and is not very frequent at times, but it tends to occu...
Dr. Cai Zongzhang Reply:
Hello: It is advisable to conduct hospitalization for further investigation of the cause, but if there are constraints regarding budget or time, outpatient follow-up examinations can be an alternative.[Read More] Understanding Toe Twitching: Causes and Treatment Options
Understanding Lewy Body Dementia: Symptoms and Diagnostic Imaging
Symptoms of Lewy Body Dementia 1. There are multiple articles available online, each describing slightly different symptoms. What are the correct symptoms of Lewy Body Dementia? 2. What imaging studies are currently available to diagnose Lewy Body Dementia? Thank you, doctor, f...
Dr. Hong Weibin Reply:
Hello: 1. Dementia with Lewy Bodies (DLB) must first meet the criteria for dementia, defined as a decline in daily functioning due to cognitive impairment. Other possible symptoms include significant daily fluctuations in the patient's consciousness, bradykinesia and unste...[Read More] Understanding Lewy Body Dementia: Symptoms and Diagnostic Imaging
Concussions and Epilepsy: Understanding Risks and Treatment Options
Concussion and Epilepsy Six years ago, I lost consciousness for no apparent reason, and a year later, it happened again. After seeking medical attention, the doctor suspected epilepsy. I had no idea what was happening, and both the brain MRI and EEG were normal. The sudden onset ...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to consult with a neurologist in the outpatient clinic.[Read More] Concussions and Epilepsy: Understanding Risks and Treatment Options
Do Jewelry and Smart Bands Affect EEG Results?
Could you please provide more context or specify what information you need regarding an EEG (electroencephalogram)? If I forgot to remove earrings, necklaces, bracelets, and a Xiaomi band during an EEG test, will it affect the results? I realized this after the test was completed...
Dr. Cai Zongzhang Reply:
Hello: 1. Environmental electromagnetic interference or abnormal physiological activity in the brain can be easily distinguished during an electroencephalogram (EEG). 2. During the EEG, it is necessary to simultaneously monitor the electrocardiogram (ECG), and the electrode patch...[Read More] Do Jewelry and Smart Bands Affect EEG Results?
Understanding Muscle Weakness and Pain: A Neurology Perspective
Hand pain with a sensation of weakness? Hello Doctor, I have been experiencing muscle twitching since the end of April, and it continues to this day. Initially, it was a persistent twitch in a fixed location, but after a while, it became random, with occasional twitches that vary...
Dr. Hong Weibin Reply:
Hello: If you have undergone multiple neurophysiological examinations that have all returned normal results, you generally do not need to worry excessively about the possibility of motor neuron disease and may want to consider other potential causes. I recommend discussing this f...[Read More] Understanding Muscle Weakness and Pain: A Neurology Perspective
Understanding Food Sensitivities and Neurological Symptoms: A Patient's Journey
Discomfort after consuming certain foods? Hello, doctor. I am 29 years old, and I started experiencing abnormal symptoms around February of last year (2019). Initially, I had difficulty breathing when lying down, feeling as if I couldn't catch my breath. I went to a clinic, ...
Dr. Hong Weibin Reply:
Hello: If all test results show no abnormalities, it is possible that there are no specific physiological issues. It is important to consider psychological, environmental, and stress-related factors. You may want to seek further evaluation and assistance from a psychiatrist. Wish...[Read More] Understanding Food Sensitivities and Neurological Symptoms: A Patient's Journey
Understanding Cervical Spine Vascular Issues: Symptoms and Solutions
Cervical vascular issues Hello, doctor. A year ago, I underwent cervical traction therapy due to cervical degeneration. However, after just one session of traction, my body began to undergo significant changes. Initially, I experienced dizziness, headaches, rapid heartbeat, insom...
Dr. Jiang Junyi Reply:
Hello, based on your description, if rehabilitation does not yield satisfactory results, an MRI of the cervical spine may be considered. The symptoms you mentioned may be related to cervical disc herniation, which often exacerbates nerve root pain during coughing or sneezing. A d...[Read More] Understanding Cervical Spine Vascular Issues: Symptoms and Solutions
Understanding Cervical Spine Vascular Issues: Symptoms and Solutions
Cervical vascular issues Hello, doctor. A year ago, I underwent cervical traction therapy due to cervical degeneration. However, after just one session of traction, my body began to undergo significant changes. Initially, I experienced dizziness, headaches, rapid heartbeat, insom...
Dr. Jiang Junyi Reply:
Hello: It is recommended that you choose a medical center near your home for relevant examinations. This will make it easier to compare changes over time. Additionally, the information will be more comprehensive, and it will be easier for physicians from different specialties to ...[Read More] Understanding Cervical Spine Vascular Issues: Symptoms and Solutions
Understanding Uncontrolled Muscle Contractions: A Neurological Perspective
The body may experience uncontrollable urges to exert force? I experience episodes infrequently, during which I am conscious and able to talk, but my body is uncontrollable. Sometimes it affects specific areas, while other times it is generalized. I feel my muscles tightening, wi...
Dr. Cai Zongzhang Reply:
Hello, it is recommended that you consult a neurologist or a rehabilitation physician for further evaluation and treatment.[Read More] Understanding Uncontrolled Muscle Contractions: A Neurological Perspective
Understanding Epilepsy: Managing Symptoms and Seeking Solutions
Questions about epilepsy? Hello, Doctor. I was diagnosed with abnormal brain wave activity due to sleepwalking and other factors when I was five years old, and I started medication until middle school. I discontinued the medication in middle school as my symptoms improved. Howeve...
Dr. Cai Zongzhang Reply:
Hello, based on your description, it seems to be symptoms of epilepsy. There may be an adjustment period during the medication process, so I recommend that you continue to communicate with your physician.[Read More] Understanding Epilepsy: Managing Symptoms and Seeking Solutions
Overcoming Epilepsy: A Student's Journey Through Challenges and Recovery
Epilepsy Issues and Solutions I am a law student preparing for the national examination. Several years ago, I was hospitalized in the intensive care unit due to encephalitis, and later developed postictal epilepsy, for which I was prescribed Sabril and Revotril for two years. Dur...
Dr. Jiang Junyi Reply:
Hello: Adjustments to epilepsy medication should be made under the guidance of a physician. The authority on epilepsy in Taiwan is at Taipei Veterans General Hospital. If you have concerns about your medication, you can consult with the epilepsy specialists at this medical center...[Read More] Overcoming Epilepsy: A Student's Journey Through Challenges and Recovery