Understanding Hand Tremors: When to Seek Medical Advice
Consulting a doctor about issues such as tremors? Hello Doctor, about 4-5 years ago, my family noticed that sometimes when I eat with chopsticks or pick up things, my fingers would tremble, especially when I am nervous, which is more pronounced. After a year or two, they finally ...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider physiological tremors. In the early stages of Parkinson's disease, low-frequency tremors occur primarily at rest. The causes of tremors can be categorized into four types: physiological tremors, psychological ...[Read More] Understanding Hand Tremors: When to Seek Medical Advice
Headache or Eye Strain? Understanding Your Symptoms and Next Steps
I'm not sure if it's a headache or an eye problem? Hello Doctor, I would like to ask about my issue. Two weeks ago, I started experiencing pain above my left eye, possibly due to staying up late or high stress. Last Friday evening, I visited an ophthalmologist who said ...
Dr. Jiang Junyi Reply:
Hello: In addition to considering eye-related issues, your symptoms may also suggest cervical myofascial headache or tension-type headache. Tension-type headache is caused by muscle tightness in the head. Common manifestations include a tightening pain in the forehead and temples...[Read More] Headache or Eye Strain? Understanding Your Symptoms and Next Steps
Understanding Weakness in Limbs: Could It Be Autonomic Nervous System Issues?
Weakness in the limbs (autonomic nervous system) Hello Doctor, I have been experiencing a sense of weakness for the past month (it's a strange feeling, not that I can't exert force), with episodes occurring at unpredictable times, lasting anywhere from 1-2 hours to as l...
Dr. Cai Zongzhang Reply:
"Could it be a problem with the autonomic nervous system?" It is possible. Symptoms of autonomic dysfunction can range from head to toe and may be mild (dizziness, headaches, dry and blurry eyes, poor sleep, dry mouth, throat discomfort, difficulty breathing, palpitatio...[Read More] Understanding Weakness in Limbs: Could It Be Autonomic Nervous System Issues?
Understanding Chronic Headaches: Symptoms, Causes, and Treatment Options
Chronic headache Hello Doctor, I would like to ask the following question: For the past two to three months, I have been experiencing frequent headaches (about 1-2 times a month on average). It usually starts with a feeling of pressure at the top of my head, which then extends to...
Dr. Jiang Junyi Reply:
Hello, based on your description, the symptoms resemble those of a migraine. This type of headache lasts from 4 to 72 hours. The characteristics of the headache include unilateral pain, which may feel throbbing or pulsating, often accompanied by nausea and vomiting, as well as se...[Read More] Understanding Chronic Headaches: Symptoms, Causes, and Treatment Options
Persistent High-Pitched Tinnitus at Night: Seeking Further Medical Advice
When lying down to sleep at night, there is a high-frequency tinnitus in the right ear? Hello, Doctor: When I lie down on my right side at night, I experience a high-pitched ringing in my right ear that lasts until morning, but it disappears shortly after I get up. Therefore, I u...
Dr. Hong Weibin Reply:
Hello: You can visit the neurology outpatient clinic nearby, where a physician will examine you. Wishing you a speedy recovery.[Read More] Persistent High-Pitched Tinnitus at Night: Seeking Further Medical Advice
Understanding Facial Numbness and Twitching: Is It Trigeminal Neuralgia?
Left facial pain, with twitching of the upper left lip? Doctor, I have been experiencing a tingling sensation in the upper left corner of my mouth recently, and sometimes it twitches like a spasm. There is also soreness around the inner side of my left cheekbone. Could this be tr...
Dr. Cai Zongzhang Reply:
Hello, if your symptoms persist, it is recommended to visit a neurology outpatient clinic for further evaluation and treatment.[Read More] Understanding Facial Numbness and Twitching: Is It Trigeminal Neuralgia?
Understanding Visual Symptoms in Migraine: Causes, Treatments, and Duration
Migraine with visual symptoms Hello Doctor: Recently, I have been experiencing zigzag-shaped flashes in my left eye every few days (without headaches), and whenever I lie down, I notice a slight flashing sensation, similar to a light bulb repeatedly turning on and off, or like te...
Dr. Jiang Junyi Reply:
Hello: 1. What medications are typically prescribed to alleviate migraine with visual symptoms? A: If the visual symptoms occur within half an hour before the headache, it is referred to as migraine with aura. Medications such as ergotamine (e.g., Cafergot) or triptans (e.g., ...[Read More] Understanding Visual Symptoms in Migraine: Causes, Treatments, and Duration
Understanding Muscle Twitches: Causes, Symptoms, and Treatment Options
Muscle twitching Hello Doctor, I have been suffering from muscle twitching for two months. Initially, it was constant twitching in fixed areas like my eyelids and calves, but now the twitching has become less localized and occurs intermittently, with my left foot's arch twit...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest benign muscle twitching, which can be triggered by various factors in daily life, such as exercise, acute viral infections, anxiety, and medication use. Prolonged physical activity is one of the primary causes of muscle twitching. Additionally, ce...[Read More] Understanding Muscle Twitches: Causes, Symptoms, and Treatment Options
Understanding Myasthenia Gravis: Symptoms, Treatment, and Lifestyle Tips
Myasthenia Gravis Hello, doctor. Recently, I have been experiencing double vision and hand tremors. I first went to an ophthalmologist, who said my eyes were fine and recommended that I see a neurologist. After several follow-up visits, the neurologist diagnosed me with myastheni...
Dr. Jiang Junyi Reply:
Hello: You mentioned that this disease is lifelong? A: It may be necessary to identify the underlying causes and other diagnoses. If it is a thymoma, surgery may effectively control the disease. What are the side effects of frequently taking Pyridostigmine besides diarrhea? A: Th...[Read More] Understanding Myasthenia Gravis: Symptoms, Treatment, and Lifestyle Tips
Understanding Muscle Twitching: Causes and Concerns in Young Adults
Involuntary muscle twitching at irregular locations? Hello Doctor, about a month ago, I started experiencing twitching in my right eye bag and my left calf. After an EEG, the doctor said it was normal, so my family suggested I get blood tests for thyroid function. I might be over...
Dr. Hong Weibin Reply:
Hello: If you experience visible persistent muscle twitching and pain, you can seek assistance from a neurologist to determine if an electromyography (EMG) is necessary. Muscle twitching can have many causes that require differential diagnosis, and not all causes are as alarming ...[Read More] Understanding Muscle Twitching: Causes and Concerns in Young Adults
Understanding Muscle Twitches and Weakness: A Neurology Perspective
Weakness in the legs and muscle tremors? Doctor, last week I experienced muscle twitching in multiple areas of my body, so I went to a neurologist for an electroencephalogram, which came back normal. Although the twitching is not very frequent, I sometimes notice significant musc...
Dr. Jiang Junyi Reply:
Hello: The ALS you are concerned about primarily refers to issues with motor neurons. Motor neurons control muscle movement; generally, the motor neurons in the brain are referred to as upper motor neurons, while those in the brainstem and spinal cord are called lower motor neuro...[Read More] Understanding Muscle Twitches and Weakness: A Neurology Perspective
Chronic Neck Stiffness and Swelling: Seeking Solutions for Persistent Pain
Unilateral neck swelling and tightness, with stiffness in the shoulders and upper back for many years? Hello, doctor. I have been experiencing stiffness and swelling in my right neck for many years. When I turn my head to the right, I feel tightness, and my right eyelid and eyebr...
Dr. Jiang Junyi Reply:
Hello, based on your description, I believe it is essential to first clarify whether there is cervical nerve root compression or cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscle in the neck, resulting in neck and shoulder dis...[Read More] Chronic Neck Stiffness and Swelling: Seeking Solutions for Persistent Pain
Understanding Upper Body Numbness: Causes and When to Seek Help
Numbness in the upper body? Hello doctor, last night while sitting, I suddenly experienced numbness that radiated from my spine in the back of my chest to my hands and the muscles in my face below my eyes. During the numbness, both my hands and face were able to move freely, but ...
Dr. Jiang Junyi Reply:
Hello: The symptoms you mentioned are more indicative of hyperventilation syndrome. Hyperventilation can lead to a decrease in carbon dioxide levels in the blood, resulting in "respiratory alkalosis," which can cause systemic reactions and symptoms. Common manifestation...[Read More] Understanding Upper Body Numbness: Causes and When to Seek Help
Understanding Facial Twitching: Causes and When to Seek Help
Facial spasms Hello, I would like to ask about a twitching sensation on the left side of my cheekbone or just above the corner of my mouth. It occurs a few times a day, about 3 to 4 times, each lasting around 3 seconds. Sometimes there is a slight twitching feeling, but it doesn&...
Dr. Jiang Junyi Reply:
Hello: Eyelid movement is controlled by the facial nerve. If the eyelid is twitching continuously, the physician will first carefully observe the patient's facial muscles. If only the eyelid is affected and other facial muscles are not twitching, it is considered simple eyel...[Read More] Understanding Facial Twitching: Causes and When to Seek Help
Understanding Sleep Movements in Children: Is It Epilepsy?
Children may experience eyelid twitching, chewing, and swallowing during sleep? Hello Doctor: My son is currently 3 and a half years old. Recently, I have noticed that he often exhibits chewing and swallowing movements while sleeping, along with eyelid twitching and exertion of o...
Dr. Cai Zongzhang Reply:
Hello, the symptoms you mentioned cannot be directly attributed to neurological responses; they may be reactions related to the sleep process. It is advisable to seek further evaluation and treatment from a pediatrician.[Read More] Understanding Sleep Movements in Children: Is It Epilepsy?
Understanding Involuntary Eye and Limb Movements: A Neurology Perspective
Involuntary twitching of the eyes and a feeling of weakness in the limbs? Hello Doctor, Two weeks ago, I started experiencing twitching in the area under my right eye, which has continued until now. A few days later, I noticed frequent twitching in the back of my left foot and ...
Dr. Cai Zongzhang Reply:
Hello, you have many concerns about your symptoms. You have undergone relevant examinations, and it is recommended that you follow up with your physician based on the test results. Until a diagnosis is confirmed, try to relax and not let worry affect your mood.[Read More] Understanding Involuntary Eye and Limb Movements: A Neurology Perspective
Understanding Occipital Pain and Nosebleeds After Sneezing
Occipital headache? Recently, every time I sneeze, I experience a nosebleed accompanied by pain in the back of my head, affecting both sides. The pain lasts about 5 to 10 minutes each time. However, I do not have symptoms like dizziness or nausea; it is just the pain in the back ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest sinusitis or lesions in the nasopharynx. The locations of the sinuses are as follows: Maxillary sinus: This is the largest sinus, located on the lateral side of the nasal cavity, beneath the eyeball. Ethmoid sinus: Located between the two eye s...[Read More] Understanding Occipital Pain and Nosebleeds After Sneezing
Understanding Muscle Twitches: Causes, Concerns, and When to Seek Help
Muscle twitching Hello Doctor, I am a 23-year-old student. Two weeks ago, I experienced persistent twitching in the area under my right eye, which has since improved. However, I then started to have frequent twitching in my left foot and the top of my foot, so I went to see a neu...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are more indicative of sympathetic nervous system hyperactivity. The ALS you are concerned about primarily refers to issues with motor neurons, which control muscle movement. Generally, the motor neurons in the brain are referred to as upper motor neurons, wh...[Read More] Understanding Muscle Twitches: Causes, Concerns, and When to Seek Help
Visual Disturbances While Lying Down: A Neurological Concern?
Visual perception while lying down? Hello Doctor: Recently, whenever I lie down to sleep, after closing my eyes for a few minutes, I experience flickering and a sensation of visual noise. When I wake up in the middle of the night and open my eyes, the flickering becomes very pron...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest the possibility of migraine with visual symptoms or abnormal electrical discharges in the brain. It is recommended that you consult a neurologist to discuss examinations (such as EEG or other tests) and treatment. Wishing you good health and peace...[Read More] Visual Disturbances While Lying Down: A Neurological Concern?
Understanding Head, Eye, and Tooth Pain: Neurological Insights
Pain in the back of the head, pain around the eyes, and toothache? Hello Dr. Jiang: I am 25 years old and have recently experienced intermittent tooth pain, discomfort around my eye socket, and pain in the back of my head. I visited the dentist just two weeks ago, so I don't...
Dr. Jiang Junyi Reply:
Hello, based on your description: your symptoms may suggest trigeminal neuralgia. As for the brain injury from four years ago, it is unlikely to be the cause of the symptoms you mentioned. Generally, if there is no loss of consciousness, no anticoagulant use, or obvious local hem...[Read More] Understanding Head, Eye, and Tooth Pain: Neurological Insights