Understanding Neurological Symptoms: Chest Tightness, Numbness, and More
Chest tightness, numbness in hands and feet, mouth sores, palpitations, insomnia? Hello, doctor. I have the following questions regarding possible causes and which specialty I should consult. Thank you. 1. I experience numbness, tingling, and a burning sensation in the joints of...
Dr. Jiang Junyi Reply:
Dear Ms. Vivian, You mentioned experiencing symptoms such as numbness, tingling, and a burning sensation around the finger joints, the back and palm of the hands up to the elbows, as well as around the knees, the tops of the feet, the ankles, and the toes. These symptoms do not ...[Read More] Understanding Neurological Symptoms: Chest Tightness, Numbness, and More
Understanding Eye Pain and Neck Discomfort: A Neurological Perspective
Deep pain in the left eye (radiating to the left shoulder and neck)? Hello, Dr. Jiang. Three months ago, I experienced eye pain and visited an ophthalmologist. The doctor diagnosed my intraocular pressure at the critical value of 21. I continued to use the prescribed eye drops re...
Dr. Jiang Junyi Reply:
Hello Mr. Bai: You mentioned that "the assessment indicated a neurological issue, and I was referred to the neurology department, where the neurologist suggested the possibility of migraine?" The symptoms you described may need to consider Trigeminal Autonomic Cephalalg...[Read More] Understanding Eye Pain and Neck Discomfort: A Neurological Perspective
Understanding Facial Changes After Tension Headaches: A Neurology Perspective
The cheeks look strange? Hello Dr. Jiang: In February, I experienced headaches and dizziness, and I consulted a neurologist who diagnosed me with tension-type headaches. I was prescribed pain relievers and muscle relaxants. Later, I noticed that one day my left cheek felt suddenl...
Dr. Jiang Junyi Reply:
Dear Mr. K, You mentioned that "compared to the right cheek, the left appears flatter, and when I smile, it doesn't feel as full as before; I can also feel a difference when I touch both sides... there are no issues with closing my eyes or loss of forehead wrinkles.&qu...[Read More] Understanding Facial Changes After Tension Headaches: A Neurology Perspective
Does Eye Pain Indicate a Neurological Issue? Expert Insights
Will it affect the eyes? Hello Doctor: Thank you for your thorough and detailed explanation regarding the pain in the upper inner corner of my right eye during my last visit. However, I would like to ask if it is necessary to go to a larger hospital's ophthalmology departmen...
Dr. Jiang Junyi Reply:
Dear Ms. Hsieh, You mentioned the issue of pain in the upper inner corner of your right eye and are considering whether you should consult a doctor, as your last visit was only to an ophthalmology clinic for basic tests like intraocular pressure. You are wondering if a more deta...[Read More] Does Eye Pain Indicate a Neurological Issue? Expert Insights
Could It Be Trigeminal Neuralgia? Understanding Facial Pain Symptoms
Is it trigeminal neuralgia? Hello Doctor: For the past month, I have suddenly started to feel pain when pressing on the upper inner corner of my right eye socket, as if I am experiencing menstrual cramps. Raising my eyebrows also causes some pain, and pressing on the right side o...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "as the weather gets colder, I start to feel pain when pressing on the upper inner corner of my right eye, similar to menstrual cramps... there is also some pain when pressing on the right eyebrow." Generally speaking, pain that can be pressed ...[Read More] Could It Be Trigeminal Neuralgia? Understanding Facial Pain Symptoms
Understanding Sleep Disturbances: When to Consult a Neurologist
Sleep-related issues Hello doctor, I recently noticed a problem when I sleep at night. Just as I fall asleep, I experience a sensation of "not being able to breathe," which causes me to wake up abruptly. I'm wondering if this condition requires a visit to a neurolo...
Dr. Jiang Junyi Reply:
Dear Ms. Jan, You mentioned experiencing a moment of "feeling unable to breathe" just as you fall asleep, which may indicate sleep paralysis. This condition typically occurs when a person is transitioning into sleep or waking up. Patients often feel as though they have...[Read More] Understanding Sleep Disturbances: When to Consult a Neurologist
Understanding Visual Disturbances Before Fainting: A Neurological Perspective
Visuals and sensations experienced before fainting? Before going to school, I felt completely normal, but suddenly at school, I started to feel unwell during the flag-raising ceremony. I initially thought it was just a mild stomachache and tried to endure it. However, after about...
Dr. Jiang Junyi Reply:
Dear Mr. Mo Wei, You mentioned, "But they said it shouldn't be completely black, right? I said no, so I'm confused. Was the scene I saw before fainting really completely black? How is it different from what I saw? Additionally, I really feel that a person is just ...[Read More] Understanding Visual Disturbances Before Fainting: A Neurological Perspective
Understanding Post-Hyperventilation Symptoms: Headaches and Dizziness
After excessive hyperventilation, my wife has been experiencing headaches, dizziness, and a feeling of tightness in her head for several days, and lying down makes her feel even worse? Hello Dr. Jiang: As mentioned, my wife has been experiencing these symptoms for a week after th...
Dr. Jiang Junyi Reply:
Hello Mr. Huang: You mentioned that your wife experiences "headaches and dizziness for several days after hyperventilation, along with a tight feeling in her head, which worsens when lying down." In addition to cervical spine issues, it may be necessary to consider prim...[Read More] Understanding Post-Hyperventilation Symptoms: Headaches and Dizziness
Why Do Bloody Images Cause Narrow Vision and Dizziness?
Why does seeing bloody scenes cause a narrowing of vision and dizziness? Hello Doctor, my son is 19 years old. Since he was around 11, he has experienced episodes where, after seeing graphic images, his vision narrows (he can only see clearly in the center while the periphery bec...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned that your son is experiencing intermittent neurological deficits. If the brain injury is caused by a hemorrhage, the symptoms are usually persistent. It may be necessary to first consider the symptoms of vascular headaches (migraines) or abnormal electri...[Read More] Why Do Bloody Images Cause Narrow Vision and Dizziness?
Understanding Neck Discomfort: Causes and Solutions for Nerve Pain
Discomfort in the posterior neck? Hello Doctor, recently I've been feeling very uncomfortable in the right posterior area of my head where it connects to my neck. Occasionally, I experience sharp, brief pain along a specific nerve that lasts only a few seconds. Over time, th...
Dr. Jiang Junyi Reply:
Dear Miss MIN, You mentioned that you feel very uncomfortable at the right posterior side of your head connecting to your neck, and occasionally experience sharp, uncomfortable sensations in a certain nerve (which do not last long, about a few seconds). The common cause of the n...[Read More] Understanding Neck Discomfort: Causes and Solutions for Nerve Pain
Understanding Involuntary Muscle Twitches: Causes and Treatment Options
Involuntary muscle twitching? My muscles randomly twitch, including my eyelids, abdomen, arms, and legs. Sometimes the twitching frequency is very high and can last for more than a day. This started in March 2021, and since then, I have undergone numerous tests at various medical...
Dr. Jiang Junyi Reply:
Hello Mr. Chris: You mentioned that you have a regular routine, do not smoke or drink alcohol, exercise regularly each week, take vitamin B complex and fish oil supplements, control your diet, and mostly drink plain water without coffee or tea. If your muscle twitching persists, ...[Read More] Understanding Involuntary Muscle Twitches: Causes and Treatment Options
Understanding Eyelid Twitching: Causes and When to See a Neurologist
Eyelid twitching Hello, Doctor! I would like to inquire about a condition I experience. Whenever I close my eyes to rest, I can feel my eyelids rapidly twitching (similar to rapid blinking, but my eyes are still closed). This twitching does not stop even if I keep my eyes closed ...
Dr. Jiang Junyi Reply:
Hello Miss Tong, You mentioned, "After opening my eyes, my eyelids don't blink uncontrollably anymore, and this has been going on for a while. I wonder what could be causing this issue?" Most eyelid twitching is physiological and not caused by any disease. The eye...[Read More] Understanding Eyelid Twitching: Causes and When to See a Neurologist
Can Vaccines Cause Neurological Issues? Understanding Eye and Muscle Twitches
Can vaccination cause neurological issues? Hello doctor, I had no issues after receiving the first two doses of the AstraZeneca vaccine. However, after my third dose of Moderna, I started experiencing frequent twitching in my left lower eyelid about a week later, occurring 2-5 ti...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "after receiving the third dose of Moderna, my left lower eyelid started twitching frequently, 2-5 times an hour, and it has been nearly three weeks." Your symptoms do not seem to indicate a serious adverse reaction. There have been many r...[Read More] Can Vaccines Cause Neurological Issues? Understanding Eye and Muscle Twitches
Understanding Sleep-Related Breathing Difficulties: A Neurology Perspective
Respiratory sleep disorders Hello Doctor: Sometimes when I wake up and want to continue sleeping (lingering in bed), I suddenly feel short of breath, as if my whole body is frozen and I can't move, with a vague consciousness and the sensation of holding my breath. I need to ...
Dr. Hong Weibin Reply:
Hello, it is recommended to consult a sleep specialist to check for the possibility of sleep paralysis.[Read More] Understanding Sleep-Related Breathing Difficulties: A Neurology Perspective
Understanding Eyelid Twitching: Causes and Remedies Explained
Eyelid muscle twitching Hello Doctor: My eyelid has been twitching for nearly a month, specifically in the upper left eyelid. It twitches intermittently several times a day, although it is not very noticeable externally, I can clearly feel it. The twitching seems to occur more fr...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned that your eyelid twitches "when you hit your head and when you are more tired; what could be the problem?" Eyelid movement is controlled by the facial nerve. If the eyelid is twitching continuously, the physician will first carefully observe th...[Read More] Understanding Eyelid Twitching: Causes and Remedies Explained
Managing Severe Headaches During Pregnancy: Tips and Solutions
Headaches in Pregnant Women I have often experienced migraines even before pregnancy, especially when I go out and don't sleep well; they usually occur about twice a month. A single pain reliever or Eve (a brand of pain medication) typically resolves the issue quickly. Howev...
Dr. Jiang Junyi Reply:
Hello Miss QQ: You mentioned that you often experience migraines, especially when traveling or not sleeping well, and that usually one painkiller or Eve resolves it quickly. Eve contains the active ingredient ibuprofen, along with Anhydrous Caffeine - 80 mg and Allylisopropylacet...[Read More] Managing Severe Headaches During Pregnancy: Tips and Solutions
Understanding Facial Nerve Paralysis: Symptoms, Steroid Side Effects, and Concerns
Facial nerve paralysis Hello Doctor, my daughter (15 years old) noticed on the afternoon of February 13 that she could not fully close her lips when drinking water, and her right face felt stiff when she opened her mouth wide. She visited the doctor on February 14 and was prescri...
Dr. Jiang Junyi Reply:
Hello, You Ma: You mentioned that "when drinking water, your lips cannot fully close, and your right face feels stiff when your mouth is wide open." You have been taking steroids and gastric medication for a week. Clinically, this may suggest facial nerve paralysis. In...[Read More] Understanding Facial Nerve Paralysis: Symptoms, Steroid Side Effects, and Concerns
Understanding Facial Twitches: When to Seek Medical Advice
Facial twitching? The right upper eyelid has been twitching at the outer edge, and occasionally the left corner of the mouth twitches as well. The frequency is irregular and not frequent (about once or twice a week), but it has persisted for approximately two months. I became awa...
Dr. Jiang Junyi Reply:
Dear Miss Ai, You mentioned "twitching at the end of the right upper eyelid, and occasionally at the left corner of the mouth, with an irregular and infrequent frequency." Eyelid movements are controlled by the facial nerve. If the eyelid is twitching continuously, the...[Read More] Understanding Facial Twitches: When to Seek Medical Advice
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 Headaches and Dizziness: Causes and Concerns
Headache and feelings of dizziness or brain fog? Hello Dr. Jiang, Last Monday, while I was taking a shower, the water might have been too hot, and I suddenly felt a rush to my head. After showering, I felt a bit dizzy. A few days later (around last Wednesday), I started experien...
Dr. Jiang Junyi Reply:
Hello Mr. K: I would like to know if you have a smoking habit? This may increase the risk of cerebrovascular diseases. You mentioned that "I feel like my right eye's vision has declined; I have to strain to see things that were once clear." This may warrant conside...[Read More] Understanding Headaches and Dizziness: Causes and Concerns