Understanding Muscle Tremors: Possible Causes and Next Steps
Muscle twitching for three weeks? Hello, doctor. At the end of 2021, I discovered that my prolactin levels were elevated (29.6), so my obstetrician prescribed cabergoline 0.5 mg, 1 tablet orally once a week, and Yasmin, 1 tablet orally daily. I started taking the medication on De...
Dr. Jiang Junyi Reply:
Hello Ms. Li: You mentioned that "the tremor sensation in the left chest almost never stops, and even when I wake up and open my eyes, I start shaking. If I shake my body and legs vigorously, there is a temporary improvement, and it feels like the tremor disappears, but it q...[Read More] Understanding Muscle Tremors: Possible Causes and Next Steps
Understanding Nerve Compression: Left Upper Back and Limb Numbness Issues
Frequent numbness in the upper left back and numbness in the limbs while sleeping? Hello, doctor. I have the following main symptoms and I'm unsure if they are related: 1. I frequently experience numbness in the upper left back (around the scapula) that started about three...
Dr. Jiang Junyi Reply:
Hello Mr. Wu: You mentioned, "Could the physician determine if it is due to thoracic nerve compression or a brain issue?" The symptoms include "involuntary muscle twitching in small, localized areas throughout the body, visible to the naked eye, which has persisted...[Read More] Understanding Nerve Compression: Left Upper Back and Limb Numbness Issues
Understanding Nerve Issues: Frequent Left Upper Back and Limb Numbness
Frequent numbness in the upper left back and numbness in the limbs while sleeping? Hello, doctor. I have the following main symptoms and I'm not sure if they are related: 1. I have frequent numbness in the upper left back area, which started about three years ago. X-rays a...
Dr. Jiang Junyi Reply:
Hello Mr. Wu, You mentioned, "Could the physician determine if the issue is due to thoracic nerve compression or a brain problem?" The symptoms include "involuntary muscle twitching in small, non-fixed areas of the body, visible to the naked eye, which has persist...[Read More] Understanding Nerve Issues: Frequent Left Upper Back and Limb Numbness
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 Unexplained Cool Sensation at the Corner of the Mouth
Occasionally, there is a "cool sensation at the corners of the mouth" (without saliva)? Dear Dr. Jiang, Thank you very much for taking the time to respond to my concerns. Recently, I have been experiencing a "cool sensation at the corners of my mouth" (withou...
Dr. Jiang Junyi Reply:
Dear Mr. Chen, You mentioned that you have recently experienced a "cool sensation at the corners of your mouth" (without saliva), particularly noticeable after meals. You are currently on the 14th day of treatment for prostatitis with levofloxacin. First, we should con...[Read More] Understanding Unexplained Cool Sensation at the Corner of the Mouth
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 Symptoms: Could It Be Altitude Sickness or Something Else?
Suspected altitude sickness? Hello, Dr. Tsai. Recently, I went hiking in Gu Guan at an altitude of about 1500 meters without reaching the summit. During the hike, I suddenly experienced severe throbbing pain in my temples, nausea, vomiting, chills, weakness, fatigue, numbness in ...
Dr. Cai Zongzhang Reply:
Hello Mr. Huang: It is recommended to visit a neurologist to check for any cerebrovascular diseases.[Read More] Understanding Symptoms: Could It Be Altitude Sickness or Something Else?
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 Your Body's Tension: Insights on Fibromyalgia and Beyond
The body feels as if it is bound by a rope, similar to Dongpo pork? Hello, doctor. Since March of last year, I have felt as if my body is bound by a rope, similar to Dongpo pork. The thickness of this rope feels about the same as the wire of earphones (the thinner ones for the le...
Dr. Jiang Junyi Reply:
Hello Mr. Franky, You mentioned that "the sensation travels from the left side up through the neck, passing through the left ear and splitting into two paths around the left eye, then running down the right side of the back to the right palm. Although there is no obvious fe...[Read More] Understanding Your Body's Tension: Insights on Fibromyalgia and Beyond
Can You Get Vaccinated After Facial Nerve Paralysis? Expert Insights
Can a person who has had facial nerve paralysis receive a vaccine? In early 2019, I experienced stiffness on the right side of my face, could not close my right eye, and my mouth was slightly crooked. After receiving injections, medication, heat therapy, and facial exercises, my ...
Dr. Jiang Junyi Reply:
Dear Ms. Hsiao-Mi, You mentioned, "Given my current situation, can I get vaccinated? Which vaccine should I choose? How should I decide? If I cannot get vaccinated, are there any other protective injections I can receive? I am hesitant to get vaccinated due to the side effe...[Read More] Can You Get Vaccinated After Facial Nerve Paralysis? Expert Insights
Can You Get Vaccinated After Facial Nerve Paralysis? Expert Insights
Can a person who has had facial nerve paralysis receive a vaccine? In early 2019, I experienced stiffness on the right side of my face, with my eye unable to close and my mouth slightly drooping. After receiving injections, medication, heat therapy, and facial exercises, my condi...
Dr. Jiang Junyi Reply:
Dear Ms. Hsiao Mi, In light of the recent surge in COVID-19 cases, please ensure to implement self-protection measures, including cleaning and disinfection, before and after seeking medical care, and adhere to the new preventive lifestyle. It is recommended to complete the two ...[Read More] Can You Get Vaccinated After Facial Nerve Paralysis? Expert Insights
Understanding Dizziness and Eye Twitching: Neurological Concerns Explained
Dizziness and right eye (globe) twitching? I started experiencing dizziness at the beginning of last year, which is not vertigo. I consulted an ENT specialist who diagnosed me with vestibular neuritis. I took medication for three months, but there was not much improvement. Recent...
Dr. Jiang Junyi Reply:
Dear Miss May, You mentioned that your right eye occasionally twitches and wondered if it could be a brain issue or a sign of a stroke. Typically, a stroke is accompanied by other symptoms, and there is often an increase in blood pressure. I would like to know if you have experi...[Read More] Understanding Dizziness and Eye Twitching: Neurological Concerns Explained
Can You Get Vaccinated After Facial Nerve Paralysis? Expert Insights
Can someone who has had facial nerve paralysis receive a vaccine? In early 2019, I experienced stiffness on the right side of my face, which made it difficult to close my eye and caused my mouth to appear slightly crooked. After receiving injections, medication, heat therapy, and...
Dr. Jiang Junyi Reply:
Hello, Ms. Hsiao-Mi: "Having a history of facial nerve palsy" is not a contraindication for vaccination. In the outpatient clinic, many patients with this condition have already received two doses of the vaccine (including AZ, BNT, and Medigen), and none have reported a...[Read More] Can You Get Vaccinated After Facial Nerve Paralysis? Expert Insights
Understanding Eyelid and Mouth Twitches: Causes and Concerns
Eyelid and mouth corner twitching? Hello, doctor! A few months ago, my right upper eyelid started twitching for no apparent reason, and I wasn't sure if the frequency was excessive. At that time, I thought it might be due to fatigue, so I didn't pay much attention to it...
Dr. Cai Zongzhang Reply:
Hello, Ah Quan: If the above symptoms do not improve with rest, it is recommended to visit a neurology clinic for further evaluation.[Read More] Understanding Eyelid and Mouth Twitches: Causes and Concerns
Understanding Eyelid Twitching: Causes and Concerns for Neurological Health
Eyelid twitching for three to four days, with the eyelid appearing double-layered; the left eye feels different from the right eye? In the past few days, I have experienced an unexplained twitching in my left upper eyelid, which occurs even when I close my eyes before sleeping or...
Dr. Hong Weibin Reply:
Hello: There are many potential causes for eyelid muscle twitching. The most common causes include stress, electrolyte imbalances, lack of sleep, dehydration, excessive caffeine or stimulant intake, certain medications, fatigue, kidney disease, and diabetic neuropathy, among othe...[Read More] Understanding Eyelid Twitching: Causes and Concerns for Neurological Health
Understanding Unilateral Eye Closure Issues: Causes and Next Steps
Issues with Eye Closure Hello Doctor, currently I am experiencing symptoms where I cannot close my left eye independently, but I can close both eyes simultaneously and also close my right eye alone. When I smile, my left side of the face appears significantly weaker. Additionally...
Dr. Jiang Junyi Reply:
Hello Mr. Sun: You mentioned that "the left side of your face is noticeably weaker when you smile, and there is also tinnitus in your left ear." This may indicate a left-sided facial nerve injury. Facial nerve paralysis is quite similar, primarily affecting the seventh ...[Read More] Understanding Unilateral Eye Closure Issues: Causes and Next Steps
Understanding Dizziness: When to Seek Neurological Evaluation
I feel a bit dizzy? About a month ago, I visited a neurologist because I was experiencing slight numbness in my hand. At that time, they said there was no issue and recommended managing stress, supplementing with B vitamins, and getting more rest. The numbness in my hand has impr...
Dr. Cai Zongzhang Reply:
Hello Mr. Guo: It is recommended to visit the neurology outpatient clinic to check for any neurological function abnormalities.[Read More] Understanding Dizziness: When to Seek Neurological Evaluation
Evening Dizziness: Causes and Solutions for Nighttime Symptoms
Experiencing dizziness in the evening? Hello: I often feel dizzy in the evening, especially around 6 or 7 PM when I start to feel lightheaded. When I lie down to sleep (without changing my position), I experience a sensation of impending dizziness, and I can easily be awakened by...
Dr. Hong Weibin Reply:
Hello: It is suggested that if it only occurs in the evening and not at other times, it may be a sign of excessive fatigue. Your body might be signaling the need for adequate rest. Additionally, it could be a case of vestibular migraine, and you may want to seek assistance from a...[Read More] Evening Dizziness: Causes and Solutions for Nighttime Symptoms
Understanding Eyelid Twitching: Causes, Remedies, and When to Worry
Eyelid twitching issue? Hello Doctor, my left upper eyelid has been twitching intermittently for over a month. Sometimes it stops when I get enough sleep, but it twitches when I am sleep-deprived. Recently, I have been under significant stress due to a bereavement in the family, ...
Dr. Jiang Junyi Reply:
Dear Ms. Ayou, You mentioned that "the upper left eyelid has been twitching intermittently for over a month; sometimes it doesn't twitch when I have enough sleep, but it does when I'm sleep-deprived." Your symptoms are more indicative of benign eyelid twitchi...[Read More] Understanding Eyelid Twitching: Causes, Remedies, and When to Worry
Understanding Eyelid Twitching: Causes, Management, and Recovery Tips
Eyelid twitching? Hello, my eyelid has been twitching for nearly two months, with fluctuations in severity. Recently, I started getting enough sleep and taking calcium and magnesium supplements, and for several consecutive days, it didn't twitch at all. However, after gettin...
Dr. Hong Weibin Reply:
Hello: There are many potential causes for eyelid muscle twitching, with the most common being stress, electrolyte imbalances, insufficient sleep, dehydration, excessive intake of caffeine or stimulants, certain medications, fatigue, kidney disease, and diabetic neuropathy, among...[Read More] Understanding Eyelid Twitching: Causes, Management, and Recovery Tips