Understanding Body Tingling: Causes and When to See a Neurologist
Tingling sensation in the body (more pronounced in the fingers)? Hello Doctor, a few nights ago I experienced a tingling sensation in my fingers while I was asleep, without any pressure or injury. When I woke up, the tingling sensation in my fingers persisted, although it had les...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are more commonly the result of hyperventilation syndrome, which leads to a decrease in carbon dioxide levels in the blood, causing an increase in pH and resulting in systemic reactions and symptoms. Common manifestations include vasoconstriction and hypocalc...[Read More] Understanding Body Tingling: Causes and When to See a Neurologist
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 Memory Loss: Possible Causes and When to Seek Help
Memory loss Hello, Doctor! I would like to inquire about memory impairment. I have the following situation: my memories mostly only last for about the past two years, and memories from more than two years ago are mostly vague, and sometimes I can't even recall events or expe...
Dr. Hong Weibin Reply:
Hello: The human brain has a limited capacity, especially regarding "working memory." Working memory refers to the level of focus a person has at a given moment. For example, when a waiter is taking an order from a customer, they must concentrate and remember what the c...[Read More] Understanding Memory Loss: Possible Causes and When to Seek Help
Could Your Ongoing Symptoms Indicate Autonomic Nervous System Disorder?
Is it autonomic nervous system dysfunction? I started experiencing a cold in February of this year, with symptoms such as nasal congestion and a sensation of something stuck in my throat. I have been seeing an otolaryngologist and taking medication, but I have developed additiona...
Dr. Jiang Junyi Reply:
Hello, based on your description, the autonomic nervous system can be affected by life stress or irregular lifestyle patterns. Generally, the autonomic nervous system is regulated by the sympathetic and parasympathetic nervous systems, one acts as the accelerator and the other as...[Read More] Could Your Ongoing Symptoms Indicate Autonomic Nervous System Disorder?
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
Understanding Dizziness, Headaches, and Nausea: Possible Causes and Solutions
Dizziness, headache, nausea, and eye discomfort? Recently, I've been experiencing pain around my eye sockets, dizziness, nausea after eating, and occasional headaches. I researched online and found that it might be acute glaucoma, so I visited an ophthalmologist. However, th...
Dr. Jiang Junyi Reply:
Hello, based on your description, in addition to the eye issues, it may be necessary to consider factors such as migraines. Common symptoms of migraine with aura include visual disturbances. These may manifest as bright lights resembling stars or lightning, as well as blurred or ...[Read More] Understanding Dizziness, Headaches, and Nausea: Possible Causes and Solutions
Managing Chronic Headaches After Concussion: Symptoms and Solutions
Chronic headache Hello, Doctor: Three years ago, I was hospitalized for a concussion for a week, and since then, I have experienced issues such as depression, headaches, and gastric ulcers, which have been continuously monitored. However, my headaches have been occurring more fre...
Dr. Jiang Junyi Reply:
Hello, based on your description: it may be necessary to first treat the migraines, as young women are a common demographic for migraines. The symptoms of migraine with aura include visual disturbances, such as seeing stars and flashes of light, as well as blurred or distorted vi...[Read More] Managing Chronic Headaches After Concussion: Symptoms and Solutions
Understanding Chronic Discomfort: A Year of Neurological Challenges
It has been a year, and recently, my daily routine has been affected by discomfort during waking hours? Hello, doctor. I have been experiencing discomfort for over a year. Initially, I felt unusually unwell at home on weekends, with persistent dizziness and chest tightness throug...
Dr. Jiang Junyi Reply:
Hello, based on your description and age, it may be necessary to first consider the symptoms of migraine. Common aura symptoms of migraine include visual disturbances such as seeing bright lights resembling stars or lightning, as well as blurred or distorted vision. These are all...[Read More] Understanding Chronic Discomfort: A Year of Neurological Challenges
Understanding Neck and Shoulder Pain: When to Seek MRI for Diagnosis
Head trauma and shoulder-neck issues! Hello, doctor. I've loved using computers since I was young and often stayed up late with poor posture, which has led to frequent sharp pain in my right neck and shoulder. Over time, the pain has subsided, but my right neck and shoulder ...
Dr. Jiang Junyi Reply:
Hello: The symptoms you mentioned are more indicative of cervical spine issues. In addition to an MRI, I recommend consulting a rehabilitation specialist for physical therapy and electromyography (EMG) testing. Wishing you good health and peace. Dr. Jiang, Neurology, Taoyuan Hosp...[Read More] Understanding Neck and Shoulder Pain: When to Seek MRI for Diagnosis
Understanding Trigeminal Neuralgia: Symptoms and Possible Causes
Trigeminal neuralgia? The patient has recently experienced pain in the upper right teeth, described as a dull ache, and visited a dentist. The dentist indicated that the teeth themselves are fine, but there is mild inflammation of the gums. However, the patient has noticed that s...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are very similar to trigeminal neuralgia, but a period of observation is needed. According to the International Classification of Headache Disorders, Third Edition (ICHD-3), the diagnostic criteria for trigeminal neuralgia are as follows: - At least three ep...[Read More] Understanding Trigeminal Neuralgia: Symptoms and Possible Causes
Understanding Facial Twitching: Causes, Symptoms, and Treatment Options
Facial twitching? Hello Doctor: Since yesterday, I have been experiencing involuntary muscle twitching on the right side of my face. During the twitching, the muscles under my right eye also twitch, and my right upper eyelid feels like it is drooping. The duration of the twitchin...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest blepharospasm, which often has an unknown cause and is three times more common in females than in males, typically occurring after the age of forty. Common causes include dry eye syndrome, high levels of stress, eye inflammation, light sensitivity...[Read More] Understanding Facial Twitching: Causes, Symptoms, and Treatment Options
Understanding Gastrointestinal Spasms and Migraines: When to See a Neurologist
Gastric spasms and migraine issues? Hello, Doctor. I have been experiencing gastric spasms for several years. I have visited a gastroenterologist multiple times, but they only diagnosed me with gastritis and prescribed some medications for inflammation and spasms. Recently, the f...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be worth considering gastrointestinal symptoms associated with migraines. Common prodromal symptoms of migraines include visual disturbances, such as seeing stars and flashes of light, as well as blurred or distorted vision. These are all ...[Read More] Understanding Gastrointestinal Spasms and Migraines: When to See a Neurologist
Understanding Nerve Damage After a Fall: Symptoms and Concerns
I accidentally fell backward while exercising? Two days ago, I accidentally fell backward while exercising and hit my head. The next day, I went to see a doctor because my shoulder was very sore. The doctor advised me to let my muscles rest for a few days. However, when I got hom...
Dr. Jiang Junyi Reply:
Hello: Your symptoms indeed warrant consideration of nerve compression. Taking the ulnar nerve as an example, resting the elbow on a hard surface or applying pressure to the elbow can likely lead to ulnar nerve pathology. Activities such as typing on a computer or scarring and fi...[Read More] Understanding Nerve Damage After a Fall: Symptoms and Concerns
Why Does My Hand Suddenly Retract While Side Sleeping?
When sleeping on the side, the hand may suddenly retract? I have a habit of sleeping on my side. When I sleep on my side, if the hand that is underneath my body is extended straight and perpendicular to my body, it suddenly bends and retracts as I am about to fall asleep, causing...
Dr. Cai Zongzhang Reply:
Hello, I am trying to understand your condition based on your description. I recommend that you visit a neurologist for further examinations, or you may consider undergoing a sleep study for a more detailed diagnosis.[Read More] Why Does My Hand Suddenly Retract While Side Sleeping?
Understanding Sensory Issues: Are They Vascular or Neurological?
Perceptual issues The skin surface sensation on the thigh and buttocks feels as if there is a layer in between, and there is no sensation upon touch. Is this a vascular issue or a neurological problem? Thank you. (I have already checked CBC, creatinine, urine, and ESR; only the c...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider meralgia paresthetica, which is a condition involving the lateral femoral cutaneous nerve. This nerve extends from the lateral border of the psoas major muscle and enters the subcutaneous tissue about 3 to 5 centim...[Read More] Understanding Sensory Issues: Are They Vascular or Neurological?
Understanding Body Twitches and Sleep Issues: A Neurology Perspective
Body twitching and inability to sleep? Hello, doctor. I apologize for bothering you with a question. My mother (48 years old) has been experiencing some health issues. About a week ago, she started feeling her body twitching while she was conscious before falling asleep. Initiall...
Dr. Cai Zongzhang Reply:
Hello, the twitching you are referring to likely involves involuntary and rhythmic movements of a certain part of our body, most commonly seen as shaking of the hands or limbs. However, it can also occur in other areas such as the head, neck, and extremities. There are many cause...[Read More] Understanding Body Twitches and Sleep Issues: A Neurology Perspective
Skin or Nerve Issues? Understanding Your Itchy Symptoms After Sun Exposure
Skin or neurological issues? Two weeks ago, I worked on the rooftop and was exposed to the sun for six hours. That night, my skin started to itch, and it was so severe that I couldn't sleep. I went to a dermatology clinic, and they diagnosed me with a UV allergy. After takin...
Dr. Jiang Junyi Reply:
Hello: You mentioned the sensation of itching on the skin, which may be related to stimulation of the nerve endings. If there is numbness, it could indicate nerve compression. In the case of itchy scalp, conditions like herpes zoster, which involve abnormal sensory nerve response...[Read More] Skin or Nerve Issues? Understanding Your Itchy Symptoms After Sun Exposure
Understanding Facial Nerve Paralysis: Steroid Use and Recovery Insights
Facial nerve paralysis Hello, doctor! My father-in-law has been diagnosed with facial nerve paralysis... but he only took steroids for one day and then stopped. The doctor said that the inflammation of the nerve does not require further steroid treatment and that we should wait f...
Dr. Jiang Junyi Reply:
Hello: Peripheral facial nerve palsy primarily affects the seventh cranial nerve. The clinical symptoms include sensations of numbness or stiffness in the face. Due to the inability to close the eyelids, tearing may also occur. Sometimes, patients may notice an increased sensitiv...[Read More] Understanding Facial Nerve Paralysis: Steroid Use and Recovery Insights
Numbness Around the Back of the Head: Possible Causes and Concerns
Numbness near the occipital region? Hello doctor, starting today, I have been experiencing a tingling sensation in my head and face intermittently (sometimes lasting for a long time), primarily around the back of my head and near my cheeks. Could you please tell me what this migh...
Dr. Hong Weibin Reply:
Hello: External stress and irregular lifestyle can often lead to physiological issues, such as excessive fatigue, numbness, pain, and general discomfort. It is recommended that you get plenty of rest and observe whether your condition improves. Wishing you a speedy recovery.[Read More] Numbness Around the Back of the Head: Possible Causes and Concerns