Understanding Facial Tingling and Muscle Twitches: Neurological Insights
Muscle twitching and a slight tingling sensation in the face that can be relieved by touching it? Hello doctor, I have been experiencing muscle twitching for over a year without addressing it. Recently, in the past month, I have noticed slight tingling and numbness in my face, wh...
Dr. Jiang Junyi Reply:
Hello: The symptoms you are experiencing, particularly the burning sensation, should first raise concerns about peripheral nerve issues, which typically suggest nerve compression. However, since your symptoms are localized to the face, it may be necessary to consider inflammation...[Read More] Understanding Facial Tingling and Muscle Twitches: Neurological Insights
Understanding Facial Nerve Disorders: Symptoms and Concerns
Facial nerve Hello, I would like to ask if the following symptoms could be related to facial nerve dysfunction. Last night, I felt pain behind my ear, and by around noon today, I noticed that when I smile, the movement on the right side of my face is reduced. I also have a tingli...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are very similar to peripheral facial nerve palsy, primarily affecting the seventh cranial nerve. The clinical symptoms include occasional numbness or stiffness in the face. Due to the inability to close the eyelids, tearing may also occur. Sometimes, patient...[Read More] Understanding Facial Nerve Disorders: Symptoms and Concerns
Uncontrollable Jaw Clenching: Understanding Neurological and Stress Factors
Involuntary mandibular clenching? Hello, Doctor. In early September of this year, due to high stress, I started grinding my teeth to protect them and wore an occlusal splint for two weeks. After that, my lower jaw began to involuntarily clench. My teeth often collide with each ot...
Dr. Jiang Junyi Reply:
Hello: The causes of excessive tension in the masticatory muscles may include electrolyte imbalances. Prolonged overuse of these muscles can lead to a square-shaped face or muscle tightness. The electrical stimulation response you mentioned refers to the facial nerve examination,...[Read More] Uncontrollable Jaw Clenching: Understanding Neurological and Stress Factors
Facial Numbness After Eating Sweets: Possible Neurological Issues
Numbness in the face after consuming sweets? Whenever I eat sweets (especially cake), my face and chin become numb (particularly the right side of my face), regardless of how sweet they are. However, drinks do not cause this issue. This has been happening for two years, and recen...
Dr. Jiang Junyi Reply:
Hello: You mentioned that the issue of chin numbness may be due to abnormal nerve signaling of the trigeminal nerve. The trigeminal nerve originates from the brainstem, and conditions such as vestibular schwannoma, multiple sclerosis, herpes zoster, or even dental issues causing ...[Read More] Facial Numbness After Eating Sweets: Possible Neurological Issues
Is Waking Up at Night with Head Pain a Sign of Brain Tumor?
Waking up in the middle of the night due to pain is not necessarily indicative of a brain tumor? Last night, I experienced a dull headache before going to bed, and I was awakened by the pain around 5 AM. I took some pain relievers, and after one or two hours, the pain subsided. I...
Dr. Jiang Junyi Reply:
According to your description, the likelihood of a brain tumor causing headaches is relatively low, and the pain tends to worsen over time. Given your age, the more common causes are tension-type headaches or migraines. The symptoms of tension-type headaches are typically bilater...[Read More] Is Waking Up at Night with Head Pain a Sign of Brain Tumor?
Understanding Headaches and Numbness: Which Specialist to See?
Head numbness and headache? Hello Doctor: I have been experiencing headaches for the past six months. Sometimes they feel like sharp pains, other times they are more of a pressure pain, with no fixed pattern or location. Additionally, I have numbness in my head and face, and my e...
Dr. Jiang Junyi Reply:
Hello: Regarding the issue of high intraocular pressure, you can visit an ophthalmologist to measure your eye pressure, which can help rule out the problem of elevated intraocular pressure. As for the headache, it is advisable to first rule out migraine-related issues. Symptoms o...[Read More] Understanding Headaches and Numbness: Which Specialist to See?
Understanding Recurrent Nausea and Dizziness: A Neurology Perspective
請提供您想詢問的內容，我將為您翻譯 Hello, doctor. When I was in sixth grade, I suddenly woke up feeling nauseous while sleeping. I immediately ran to the bathroom, feeling like I needed to vomit, but I couldn't. I experienced tinnitus, my vision became very bright and blurry, my limbs felt w...
Dr. Jiang Junyi Reply:
Based on your description: First, it is important to consider the symptoms of syncope, with the most common causes being reflex syncope. This can occur due to excessive stimulation of the vagus nerve, leading to bradycardia and decreased cardiac output. Other triggers include pos...[Read More] Understanding Recurrent Nausea and Dizziness: A Neurology Perspective
Is Neck Cracking During Rotation Normal? Understanding Your Symptoms
Cervical rotation exercises produce cracking or popping sounds? Hello, Doctor. For the past couple of days, I've been experiencing tight pain in the left occipital region, and my neck and shoulders seem quite stiff. Therefore, I did some neck rotation exercises (similar to w...
Dr. Jiang Junyi Reply:
Hello: The sounds you mentioned are primarily due to friction occurring between the joint surfaces, the cartilage pads, and the tendons and joint capsule during joint movement. In most individuals, these sounds are not prominent, while in some, they may be more noticeable. If the...[Read More] Is Neck Cracking During Rotation Normal? Understanding Your Symptoms
Understanding Facial Nerve Pain: Causes, Symptoms, and Treatment Options
Facial nerve neuralgia I have already consulted both an otolaryngologist and a dentist, and no abnormalities were found. Currently, I am continuing to take anti-inflammatory pain medication and muscle relaxants prescribed by a neurologist (three times a day). I can close my eyes ...
Dr. Jiang Junyi Reply:
Hello: Your neuropathic pain is likely trigeminal neuralgia, which is more common in women and typically occurs in adults around the age of 50. There are many causes, most commonly due to compression of the trigeminal nerve by vascular structures as it exits the brainstem. Other ...[Read More] Understanding Facial Nerve Pain: Causes, Symptoms, and Treatment Options
Unraveling the Mystery of Unexplained Neurological Symptoms
Unknown etiology? Around June 14, I suddenly experienced a jolt of dizziness, the kind that made it hard to stand, but it was not accompanied by headaches or nausea. I thought it was just due to lack of sleep, as I had been under a lot of stress from final exams and had hardly ea...
Dr. Jiang Junyi Reply:
Hello, Student Chang: You have done a lot of homework, which is impressive. Myofascial pain syndrome in the neck should be considered first. Symptoms may include pain, discomfort, muscle stiffness, or a heavy sensation. Symptoms may worsen with changes in weather and can be allev...[Read More] Unraveling the Mystery of Unexplained Neurological Symptoms
Understanding Facial Tingling: Causes and When to Seek Help
Tingling sensation on one side of the face? Hello, Doctor. Recently, I've experienced a slight tingling sensation on the left side of my face. Initially, I thought it was an allergic reaction to skincare products, but now all the sensations on the left side of my face have b...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider trigeminal nerve inflammation, with the area of sensory abnormality appearing at the location of the ophthalmic branch. The occurrence of trigeminal neuralgia is associated with demyelination of nerve fibers, but t...[Read More] Understanding Facial Tingling: Causes and When to Seek Help
Understanding Nighttime Calf Cramps: Causes and Prevention Tips
Leg cramps? Doctor, I would like to ask about experiencing calf cramps during sleep, which cause pain upon waking. The pain lasts for a short duration, about 2 to 3 minutes. After the cramping episode, the calf area is tender to the touch. This occurs only during sleep. How can I...
Dr. Jiang Junyi Reply:
Hello: Common causes of nighttime calf cramps include: 1. Electrolyte imbalances, such as calcium deficiency. 2. Intense exercise leading to muscle contractions and the accumulation of metabolic byproducts like lactic acid in the leg muscles. 3. Poor sleeping positions, such as l...[Read More] Understanding Nighttime Calf Cramps: Causes and Prevention Tips
Understanding Left-Sided Numbness: When to See a Doctor?
Numbness on the left side of the body? Initially, I felt numbness on the left side of my buttocks, which then spread to my left hand and foot, followed by numbness in my left face. These sensations of numbness are accompanied by slight soreness and weakness, and they are persiste...
Dr. Jiang Junyi Reply:
Hello, your abnormal neurological sensations from the lower limbs to the face may warrant consideration of lesions above the cervical spine, including the brain. I recommend that you consult a neurologist to discuss examination and treatment options. Wishing you good health, peac...[Read More] Understanding Left-Sided Numbness: When to See a Doctor?
Trigeminal Neuralgia or Migraine: Understanding Your Facial Pain
Trigeminal neuralgia or migraine? Hello doctor, I started having a cold at the end of June, which developed into sinusitis, but by the end of July, I had mostly recovered. However, I have been experiencing several issues since then. Every morning, I feel a sense of fullness in my...
Dr. Jiang Junyi Reply:
Hello: The branches of the trigeminal nerve are distributed from top to bottom in the forehead, cheeks, and chin. Trigeminal neuralgia often occurs in the areas innervated by its lower two branches, with a lower incidence in the region of the first branch. Additionally, trigemina...[Read More] Trigeminal Neuralgia or Migraine: Understanding Your Facial Pain
Experiencing Numbness in Left Buttock When Sitting or Lying Down?
There is a patch of numbness on the left buttock when sitting down or lying down? Hello, doctor. Since the beginning of this year, I have been suffering from "suspected" autonomic nervous system dysfunction... I have asked many questions, and I appreciate your patience ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are more indicative of sciatic nerve root compression, which is caused by a herniated disc that compresses the cervical nerve roots. If the first sacral nerve root is compressed, it can lead to a tingling sensation in the buttocks. It is advisable to lift hea...[Read More] Experiencing Numbness in Left Buttock When Sitting or Lying Down?
Experiencing Dizziness and Lightheadedness: Causes and Solutions
I have been experiencing frequent dizziness lately, and even when sitting still, I feel like I'm swaying? I have been staying up late every day last week, almost going to bed around 3 AM and waking up at 6 AM. I took short naps around noon and in the late afternoon. This wee...
Dr. Jiang Junyi Reply:
Hello, based on your description, the headaches related to your menstrual cycle are likely migraines, characterized by visual disturbances. Symptoms may include seeing stars and lightning-like flashes, as well as blurred or distorted vision, which are all common aura symptoms of ...[Read More] Experiencing Dizziness and Lightheadedness: Causes and Solutions
Understanding Nerve Compression: Symptoms of Tingling in Limbs and Face
Numbness in the hands and feet, and even the face is starting to feel numb? Hello, Dr. Jiang. Last month, I suddenly woke up one morning with simultaneous numbness in my left arm and leg. This sensation felt different from just an abnormal sleeping position. Even during the day, ...
Dr. Jiang Junyi Reply:
Hello, you mentioned that the issue of unilateral limb numbness is more indicative of cervical nerve root compression. As for the tingling sensations around the mouth and in the limbs, it may be necessary to consider hyperventilation syndrome. The typical symptoms include chest t...[Read More] Understanding Nerve Compression: Symptoms of Tingling in Limbs and Face
Understanding Facial Nerve Pain: Symptoms and When to Seek Help
Facial nerve Hello Doctor: I experience pain when pressing on the back end of my left eyebrow, which radiates down to my cheek and feels like nerve pain. I do not have any pain when not pressing on it. I would like to know what this symptom might indicate and which department I s...
Dr. Jiang Junyi Reply:
Hello: The nerve distribution you mentioned seems to resemble the trigeminal nerve. The branches of the trigeminal nerve are roughly distributed from top to bottom in the forehead, cheeks, and chin. The nerve endings that dentists anesthetize during tooth extraction are branches ...[Read More] Understanding Facial Nerve Pain: Symptoms and When to Seek Help
Understanding Chronic Headaches: Causes, Symptoms, and Treatments
Headache - has been painful for a long time? Hello Doctor: I often experience severe headaches that make me feel nauseous, and my eyes hurt. My blood pressure spikes to 180, my vision becomes blurry, and sometimes I feel like I might faint. I have had to take painkillers to relie...
Dr. Jiang Junyi Reply:
Hello: The more common causes are tension-type headaches or migraines. The symptoms of tension-type headaches include: 1. Typically bilateral, located in the occipital and parietal regions, sometimes with widespread pain. The nature of the pain is dull, pressure-like, or tight, w...[Read More] Understanding Chronic Headaches: Causes, Symptoms, and Treatments
Understanding Facial Nerve Paralysis: Symptoms, Treatment, and Recovery
Facial nerve paralysis Hello, doctor. I would like to ask about my condition. Today marks the sixth day of my facial nerve disorder. I have been taking steroids for the first three days. Yesterday, I underwent an electromyography (EMG) test. After returning home, I started to mas...
Dr. Jiang Junyi Reply:
1. Facial nerve paralysis is a relatively common condition, with statistics indicating that there are 15 to 40 cases per 100,000 people each year. The progression of this condition is quite rapid in the early stages, typically reaching its peak within two days. Prior to the onset...[Read More] Understanding Facial Nerve Paralysis: Symptoms, Treatment, and Recovery