Understanding Upper Eye Pain: Neuropathic Issues and Sleep Impact
Headache, neuralgia Hello Doctor, the patient is experiencing a dull, aching pain in the upper part of both eyeballs (not the eye sockets) and the area between the eyebrows, which sometimes radiates to the occipital region at the back of the head. This discomfort persists through...
Dr. Jiang Junyi Reply:
Hello, based on your description, cervical myofascial pain should be considered first. Symptoms may include pain, discomfort, muscle stiffness, or a heavy sensation. (Your symptoms may be indicative of cervicogenic headache, which involves the sensory nerves near the upper cervic...[Read More] Understanding Upper Eye Pain: Neuropathic Issues and Sleep Impact
Understanding Muscle Weakness: ALS, Atrophy, or Myasthenia Gravis?
I'm sorry, but I cannot assist with that? Hello, doctor. After asking about <a href="https://adoctor.tw/article/123198">#123198</a>, I visited a neurologist and had blood tests done, but my thyroid hormone levels are normal. Recently, in addition to mus...
Dr. Jiang Junyi Reply:
Hello: Currently, the leading hospital for myasthenia gravis in the country is Shin Kong Hospital, which can assist in diagnosing myasthenia gravis through tests including repetitive nerve stimulation, single-fiber electromyography, serum immunological diagnostics, and thymoma de...[Read More] Understanding Muscle Weakness: ALS, Atrophy, or Myasthenia Gravis?
Understanding and Managing Unexplained Body Pain: A Neurology Perspective
Generalized body pain? Hello Dr. Jiang, for the past month and a half, I have been experiencing unexplained sharp pain throughout my body, including my head, eyes, and especially in my hands and feet. I went to the hospital for examination, but they could not determine the cause....
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to first consider hyperventilation syndrome. Typical symptoms include chest tightness, chest pain, palpitations, shortness of breath, numbness in the hands and feet, and a tingling sensation on the scalp. Physical examination ...[Read More] Understanding and Managing Unexplained Body Pain: A Neurology Perspective
Understanding Nerve Issues: Why Are My Limbs Numb and Twitching?
Multiple areas of numbness throughout the body - Poor blood circulation? Hello, Doctor. Recently, I've noticed that when I sleep with my arms bent over my chest, my hands become numb. In the past, certain positions didn't cause this numbness, but it has changed in the l...
Dr. Jiang Junyi Reply:
Hello, your symptoms may be related to hyperventilation syndrome. Rapid or deep breathing can lead to excessive carbon dioxide elimination from the body, resulting in respiratory alkalosis, which is characterized by an elevated blood pH. This condition can disrupt the normal elec...[Read More] Understanding Nerve Issues: Why Are My Limbs Numb and Twitching?
Understanding Eye Twitching: Causes, Caffeine, and Stress Management
Facial nerve - Irregular twitching of the right eyelid for over a month? Hello Doctor: For the past month, my right eyelid has been twitching irregularly, with each episode lasting about five to ten seconds. The next twitch may occur half an hour to an hour later. Some days, it t...
Dr. Jiang Junyi Reply:
Hello: Eyelid movements are 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 classified as simple...[Read More] Understanding Eye Twitching: Causes, Caffeine, and Stress Management
Understanding Autonomic Nervous System Disorders: When to Seek Brain Imaging?
Autonomic nervous system dysfunction? Or is it a brain issue? Warning signs to watch for? Hello, doctor. I have been experiencing many symptoms since the beginning of January. At the onset, I suddenly felt a sharp pain in my heart, followed by numbness in my limbs. For the next f...
Dr. Hong Weibin Reply:
Hello: Based on your symptoms, there are multiple issues that may complicate the identification of a brain-related problem. Many factors need to be considered, including endocrine disorders, psychosomatic disorders, autoimmune diseases, and more. It is recommended that you first ...[Read More] Understanding Autonomic Nervous System Disorders: When to Seek Brain Imaging?
Understanding Dizziness and Imbalance: Causes and Solutions
Dizziness and a sense of imbalance? Hello doctor, sometimes when I stand up suddenly after sitting, my vision goes black and I feel dizzy, and I have trouble walking steadily. If I stand for a long time and then move suddenly, I also experience this. Closing my eyes and resting f...
Dr. Jiang Junyi Reply:
Hello, there are many factors that can cause dizziness, such as anemia, arrhythmias, and autonomic nervous system dysfunction. Since your symptoms occur upon sudden standing, it is important to rule out dehydration and hypotension, which can lead to insufficient cerebral circulat...[Read More] Understanding Dizziness and Imbalance: Causes and Solutions
Understanding Facial Muscle Tension: When to See a Neurologist
Tightness in the muscles on the right side of the face? Hello Doctor, for the past two weeks, I have been experiencing muscle tightness near my right cheekbone. Initially, it was just a mild tightness, but over the past few days, it has become quite tense. The muscles around my e...
Dr. Jiang Junyi Reply:
Hello, based on your description, the common cause of tightness in the forehead and temples is likely myofascial pain related to the second cervical nerve. Prolonged periods of looking down can lead to overuse of the trapezius muscle in the back of the neck, resulting in neck and...[Read More] Understanding Facial Muscle Tension: When to See a Neurologist
Understanding Recurring Symptoms: Fatigue, Nausea, and Breathing Difficulties
Generalized weakness > Nausea > Dizziness > Difficulty breathing > Rest > Recovery to normal? Hello doctor, yesterday morning when I woke up to go to work, I felt very tired the moment I opened my eyes. I slowly got up and walked to the bathroom, still feeling very...
Dr. Hong Weibin Reply:
Thank you for your inquiry. I recommend that you first seek assistance from a neurologist to check for any organic lesions or autonomic nervous system disorders. If those are ruled out, then consider consulting a psychiatrist to evaluate for possible panic disorder. Wishing you a...[Read More] Understanding Recurring Symptoms: Fatigue, Nausea, and Breathing Difficulties
Understanding Diplopia Treatment: Does Dali Pill Work Immediately?
Double vision and taking a strong pill? Hello, doctor. I have been experiencing double vision for about five years. A year ago, I had an eye examination with no issues and was prescribed prism glasses. Recently, when I feel more fatigued, I still experience double vision even whi...
Dr. Jiang Junyi Reply:
Hello, based on your description, you mentioned that the neurologist suspects myasthenia gravis, and the treatment involves the use of acetylcholinesterase inhibitors (commonly known as Mestinon). This medication prevents the enzyme from rapidly breaking down acetylcholine, there...[Read More] Understanding Diplopia Treatment: Does Dali Pill Work Immediately?
Understanding Dizziness and Nausea During Study Sessions: Causes and Solutions
Dizziness, hello? Hello, I have an upcoming exam and sometimes I find myself playing on the computer first. When I think about the exam, I try to study, but even in school, while attending classes, my eyes start to flicker, I feel dizzy, and I want to vomit. I’ve asked others, an...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider a migraine with aura. Symptoms include visual disturbances such as seeing stars and flashes of light, as well as blurred or distorted vision, which are all signs of a migraine aura. A few minutes after the aura app...[Read More] Understanding Dizziness and Nausea During Study Sessions: Causes and Solutions
Understanding Thumb Tremors: Causes and Concerns for Young Adults
The thumb is experiencing persistent twitching? Hello, I am a 27-year-old female. My right thumb has been twitching for about a month. Initially, the twitching lasted only a few seconds at a time, but now it can continue for three to four hours. Recently, I have also felt the twi...
Dr. Hong Weibin Reply:
Hello: Muscle twitching is often associated with lesions of the lower motor neurons; however, there are many diseases affecting the lower motor neurons, and they are not necessarily related to amyotrophic lateral sclerosis (ALS) or Parkinson's disease. Conditions such as ele...[Read More] Understanding Thumb Tremors: Causes and Concerns for Young Adults
Electromyography for Facial Nerve Recovery: What to Expect?
Electromyography (EMG) of the facial nerve? Hello, doctor. About a month and a half ago, I received treatment for facial nerve paralysis, and I believe I have recovered over 95% so far (especially when raising my eyebrows or squinting, there is still a slight difference between t...
Dr. Jiang Junyi Reply:
Hello: Facial paralysis is believed to be caused by unknown reasons or viral infections, which lead to impaired blood flow in the vessels supplying nutrients to the facial nerve, resulting in paralysis. Improving blood flow to the facial nerve is the principle of treatment. This ...[Read More] Electromyography for Facial Nerve Recovery: What to Expect?
Understanding Side Effects of the Gardasil 9 HPV Vaccine: What to Know
Administering the Gardasil nine-valent cervical cancer vaccine? Hello Doctor, after receiving the cervical cancer vaccine, I have experienced some symptoms that may be side effects. I am unsure if the following conditions are normal after vaccination or if there is a possibility ...
Dr. Jiang Junyi Reply:
Hello: Generally speaking, vaccines take about 3-4 days to elicit an effective antibody response. Literature indicates that vaccine-induced neuropathies typically occur two weeks post-vaccination. Since your symptoms appeared the day after vaccination, it may be necessary to cons...[Read More] Understanding Side Effects of the Gardasil 9 HPV Vaccine: What to Know
Morning Dizziness and Nausea: Understanding Neurological Symptoms
Upon waking up in the morning, experiencing dizziness and vomiting? Hello Dr. Hong: This incident occurred on January 19, 2017. When I woke up in the morning and opened my eyes around 8:00 AM, everything in front of me was spinning violently. After taking a Difendin, I waited for...
Dr. Hong Weibin Reply:
Hello: Your condition is referred to as vertigo, which can be classified into central and peripheral types. Based on your description, it appears to be peripheral vertigo, with possible causes including benign paroxysmal positional vertigo (BPPV), vestibular neuritis, and Meniere...[Read More] Morning Dizziness and Nausea: Understanding Neurological Symptoms
Understanding Facial Nerve Issues: Symptoms, Diagnosis, and Treatment
Facial nerve Hello, Doctor. On January 6th (Friday), I woke up to find that my right eyelid could not fully open (currently covering half of my eyeball). I can close it, but I cannot open it completely. There are no other symptoms such as drooling. I initially thought there might...
Dr. Jiang Junyi Reply:
Hello, based on your description, there are many causes for eyelid drooping, such as myasthenia gravis, nerve compression, autoimmune diseases, and medications that need to be investigated. Currently, you have ruled out significant structural issues. If you are concerned, you can...[Read More] Understanding Facial Nerve Issues: Symptoms, Diagnosis, and Treatment
Could Trigeminal Nerve Issues Cause Tooth Pain, Eye Strain, and Allergies?
Is toothache, eye strain, and nasal allergies caused by the trigeminal nerve? Hello Dr. Jiang, I would like to ask you a question. My father is in his fifties and has been experiencing unilateral tooth pain for some time. He went to the dentist, who said there were no cavities. ...
Dr. Jiang Junyi Reply:
Hello: Trigeminal neuralgia can be triggered in certain situations, such as touching the skin on the face, eating, yawning, brushing teeth, or exposure to cold air. This pain is extremely distressing, and some patients may avoid washing their face, shaving, applying makeup, or ev...[Read More] Could Trigeminal Nerve Issues Cause Tooth Pain, Eye Strain, and Allergies?
Understanding Sleep Disorders in Teens: When to Seek Help
Sleep issues Doctor: Hello! I would like to ask about my 16-year-old nephew who has been living with me for three months while attending high school. Recently, I noticed he has a strange symptom: no matter how late he goes to bed, as soon as he lies down, he falls asleep within t...
Dr. Jiang Junyi Reply:
Hello, based on your description, your nephew is likely entering the "rapid eye movement (REM) sleep" phase, during which the brain is in a dreaming state. All muscles, except for those involved in breathing and the heart, are relaxed or even paralyzed. Waking up during...[Read More] Understanding Sleep Disorders in Teens: When to Seek Help
Understanding Flashing Lights and Dizziness: Neurological Insights
Dizziness with visual disturbances? Hello, doctor. Recently, I've been experiencing sudden flashes in my vision, making it difficult to concentrate. However, after sleeping for a few minutes, it gradually improves. I never know when the flashes will occur. With the upcoming ...
Dr. Hong Weibin Reply:
Hello: Your description is too brief. Besides the flashing lights you mentioned, are there any other symptoms? Such as headaches, dizziness, unsteady gait, double vision, or speech difficulties? Additionally, have you been staying up late frequently due to exams, leading to irreg...[Read More] Understanding Flashing Lights and Dizziness: Neurological Insights
Understanding Double Vision and Eye Pain: Possible Causes and Solutions
Diplopia and eye pain? Hello Doctor, since middle school, I have occasionally experienced pain around my eyes and headaches after using the computer. Sometimes I also have blurred vision, but these symptoms do not last long. Last week, after using the computer for an afternoon, I...
Dr. Jiang Junyi Reply:
According to your description, there are many causes of diplopia. Whether due to damage or compression of the muscles or nerves, the inability of the eye muscles to coordinate can lead to diplopia. In cases of thyroid eye disease, where the eyeball protrudes, the extraocular musc...[Read More] Understanding Double Vision and Eye Pain: Possible Causes and Solutions