Understanding Autonomic Nervous System Disorders and Trigeminal Neuralgia
Autonomic nervous system dysfunction, trigeminal neuralgia? Hello Doctor, my recent condition is as follows: On the night of November 2, I experienced tinnitus and dizziness. On the morning of November 3, I woke up with muscle cramps and palpitations, and I began to feel numbness...
Dr. Cai Zongzhang Reply:
The above symptoms are related to the function of the right facial nerve, and it is recommended to visit a neurology outpatient clinic for treatment.[Read More] Understanding Autonomic Nervous System Disorders and Trigeminal Neuralgia
Understanding Unilateral Tinnitus: Possible Neurological Causes and Insights
Hello, doctor. I would like to ask about some unusual phenomena related to tinnitus? Hello Dr. Jiang, I have been experiencing unilateral tinnitus with a buzzing sound in my left ear for about two weeks. I have already undergone hearing and tympanometry tests at other large hosp...
Dr. Jiang Junyi Reply:
Hello HJK: You mentioned that "when chewing food or yawning, the tinnitus becomes louder..." This could potentially be related to issues with the nerves or muscles around the ear. One possible cause is related to the Eustachian tube, as yawning and chewing help to equal...[Read More] Understanding Unilateral Tinnitus: Possible Neurological Causes and Insights
Understanding Balance Issues: The Impact of Stress on Neurological Health
Body swaying, unstable center of gravity? Hello, doctor. Two months ago, I was under a lot of stress and only sleeping six hours a day. I often experienced nasal congestion, had canker sores on my tongue, and noticed white spots on almost every fingernail (which I hadn't exp...
Dr. Cai Zongzhang Reply:
Hello: I have been experiencing dizziness for over a month. Ear examinations showed no abnormalities, and I was advised to see a neurologist for further evaluation.[Read More] Understanding Balance Issues: The Impact of Stress on Neurological Health
Understanding Your Facial Pain: Possible Neurological Issues Explained
Could you please specify which symptoms you are referring to in order to determine which aspect of the nervous system may be involved? Hello Doctor, for the past few months, I have been experiencing pain in the gums of the last tooth on the left side at the back. Sometimes the pa...
Dr. Jiang Junyi Reply:
Dear Ms. Lee, You mentioned that "the acidic pain in the mouth can extend to the cheeks and then to the ears, and it can also radiate to the muscles of the tongue and the upper and lower jaws," which suggests trigeminal neuralgia. The diagnostic criteria for trigeminal...[Read More] Understanding Your Facial Pain: Possible Neurological Issues Explained
Understanding Neck Pain: Seeking Effective Treatment for Neurological Issues
Neck pain Hello, doctor! A year ago, I have been experiencing a heavy sensation in the back of my neck and occiput, along with fatigue. Sometimes, I also feel pain and swelling in my jaw, as well as partial numbness in my face. My left ear feels stuffy, and I have tinnitus, which...
Dr. Jiang Junyi Reply:
Hello Mr. Kuan, You mentioned that your left hand experiences numbness, tingling, soreness, and weakness, and that the rehabilitation clinic indicated it might be due to nerve compression. I'm curious about the specific area where you feel the numbness and tingling. Based o...[Read More] Understanding Neck Pain: Seeking Effective Treatment for Neurological Issues
Understanding Nerve Pain and Weakness in Hands and Feet: A Patient's Journey
Numbness and tingling in both hands, weakness in both legs? Since March of last year, I started feeling a foreign sensation behind my occiput upon waking up one day. I consulted a doctor and took medication, but it did not improve. Later, the foreign sensation suddenly disappeare...
Dr. Jiang Junyi Reply:
Dear Miss Vicky, You mentioned "Multiple sclerosis? Neuritis? Autoimmune diseases? Diabetes? Herniated disc? Amyotrophic lateral sclerosis? CIDP?... Which specialty should I consult to thoroughly identify and resolve the issue?" You also noted that "the discomfort...[Read More] Understanding Nerve Pain and Weakness in Hands and Feet: A Patient's Journey
Understanding Scalp and Facial Numbness: Possible Neurological Concerns
Tingling sensations in the scalp and face? Hello, doctor. This year I have experienced tingling in my scalp and face, mostly in the upper right side of my scalp and right cheek, with occasional sensations on the left side. I also have experienced tingling and pain in my chest, wh...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned whether there is a greater possibility of stroke or brain tumor issues. I wonder if you have any problems related to hypertension, diabetes, or hyperlipidemia? Generally, the risk factors for cerebral artery embolism include older age, diabetes, hyperte...[Read More] Understanding Scalp and Facial Numbness: Possible Neurological Concerns
Understanding TIA: Insights from Carotid Ultrasound Results
TIA - Carotid Ultrasound Examination Issues Hello Dr. Hong, I would like to ask the following questions: Q1: Have the results and conditions from the two ultrasound examinations worsened? (1) 2021/9/14 (2) 2022/8/16 Q2-1: If I consume too much salt, I experience dizziness. Is ...
Dr. Hong Weibin Reply:
Hello: 1. The results from the two carotid ultrasounds show that both the peak systolic velocity (PSV) and end diastolic velocity (EDV) as well as the flow are normal. 2. Consuming too much salt can lead to dehydration, and when the body is dehydrated, it can cause brain fog and ...[Read More] Understanding TIA: Insights from Carotid Ultrasound Results
Understanding TIA: Insights from Carotid Ultrasound Results
TIA - Carotid Ultrasound Examination Issues Hello Dr. Hong, I would like to ask the following questions: Q1: Have the results and conditions from the two ultrasound examinations worsened? (1) September 14, 2021 (2) August 16, 2022 Q2-1: If I consume too much salt, I feel dizzy...
Dr. Hong Weibin Reply:
Hello: 1. The results from two carotid ultrasounds show that both the peak systolic velocity (PSV) and end diastolic velocity (EDV) as well as the flow are normal. 2. Consuming too much salt can lead to dehydration, and when the body is in a dehydrated state, it can cause brain f...[Read More] Understanding TIA: Insights from Carotid Ultrasound Results
Understanding Elbow Pain and Numbness in the Pinky and Ring Finger
There is pain in the right elbow when bent, along with numbness in the little finger and ring finger? Hello Doctor, recently during a nap while sleeping on my side, I felt numbness in my little finger and ring finger, along with pain on the inner side of my elbow. After searching...
Dr. Jiang Junyi Reply:
Dear Mr. Wayne, You mentioned that after searching online for your symptoms, you suspect they might be due to ulnar nerve compression or inflammation. You noted that you have experienced minimal numbness since then, but occasionally feel pain on the inner side of your right elbo...[Read More] Understanding Elbow Pain and Numbness in the Pinky and Ring Finger
Understanding Limb and Facial Numbness: When to Seek Neurological Care
Numbness in the limbs extending to the face? Hello, doctor. Yesterday, while using my computer, I suddenly experienced numbness in my limbs. I had a similar episode in March and consulted a rehabilitation physician. Due to insurance coverage limitations, they only performed an X-...
Dr. Cai Zongzhang Reply:
Hello, the symptoms mentioned may indicate cervical spine discomfort. It is recommended to maintain proper sitting posture and correct neck positioning. If the symptoms do not improve, it is advisable to consult a neurologist for further evaluation.[Read More] Understanding Limb and Facial Numbness: When to Seek Neurological Care
Why Is My Finger Numb After a Deep Cut? Understanding Nerve Healing
The tip of the finger was punctured by scissors and has become numb after healing? At the end of January this year, I accidentally punctured the tip joint of my middle finger with scissors, resulting in a deep wound (leaving a one-centimeter scar on the surface). Initially, I onl...
Dr. Jiang Junyi Reply:
Hello, Miss Shui Xin: You mentioned that "the wound healed but the tip of the middle finger became numb," which may be due to peripheral nerve damage. 1. Do you still need to seek medical attention, or should you just leave it as is? Which specialty should you consult...[Read More] Why Is My Finger Numb After a Deep Cut? Understanding Nerve Healing
Medication Consultation for Neurological Recovery After Brain Surgery
Medication consultation Hello Dr. Jiang, after my brain surgery last year, I have developed various neurological sequelae on my face and facial area. The surgeon only prescribed B12 and folic acid for "treatment" during follow-up visits. I would like to know if the bloo...
Dr. Jiang Junyi Reply:
Dear Mr. Zolt, You mentioned whether the "blood-brain barrier" might also reduce the absorption and efficacy of water-soluble vitamins. Vitamins need to bind to proteins to cross the blood-brain barrier, and it seems that Vitamin B12 can pass through. To enhance absorp...[Read More] Medication Consultation for Neurological Recovery After Brain Surgery
How Long Will Facial Numbness Last After an Injury?
How long does facial tingling last? Hello, doctor. I fell and hit my face on a rock in the early morning of July 27th, resulting in significant bruising. I went to the emergency room that night for examination and was told there were no major issues. Two days later, I returned to...
Dr. Jiang Junyi Reply:
Dear Ms. Yu, You mentioned that "the impact has caused a noticeable tingling and numbness in the left nostril and upper lip, as well as mild pain in the teeth." Your symptoms may suggest compression or injury to the maxillary branch of the trigeminal nerve. Nerve repai...[Read More] How Long Will Facial Numbness Last After an Injury?
Understanding Eye Twitching and Facial Discomfort: Possible Causes and Solutions
After the twitching of the lower right eyelid, my face feels strange? Hello doctor, about four or five days ago, my right lower eyelid twitched for 2-3 days intermittently. Yesterday, the eyelid stopped twitching, but I felt some tightness in the area of my right cheekbone. Today...
Dr. Jiang Junyi Reply:
Dear Miss CC, You mentioned that "the apple of my right cheek feels a bit tight..." Have you looked in the mirror? Is there any asymmetry? Issues with the cervical spine typically manifest near the area behind the ear. If the symptoms persist, I recommend visiting a ne...[Read More] Understanding Eye Twitching and Facial Discomfort: Possible Causes and Solutions
Post-Surgery Complications of Brain Tumor: Understanding Discrepancies in Symptoms and Tests
Postoperative complications of brain tumors? Hello Dr. Jiang, I underwent brain tumor resection surgery last June, and I have been experiencing persistent postoperative complications such as tinnitus, diplopia, and facial numbness. However, a nerve conduction study conducted at a...
Dr. Jiang Junyi Reply:
Dear Mr. Zolt, You mentioned that "the nerve conduction study of the face is 'normal'," which is reasonable. This is because nerve conduction studies assess peripheral nerves. The tinnitus, diplopia, and facial paralysis you are experiencing following your br...[Read More] Post-Surgery Complications of Brain Tumor: Understanding Discrepancies in Symptoms and Tests
Understanding Facial Nerve Control Issues: Causes and Solutions
The facial nerve on the right side is not functioning properly? Hello, doctor. Since I can remember, my lower lip on the right side has always been crooked when I speak, and I can also notice that my cheeks are asymmetrical when I smile. My speech is somewhat unclear, and when I ...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "my dominant hand is the right hand, but its dexterity is not as good as my left hand. Although it does not affect my daily life, I would like to ask if this is related to the facial issues mentioned above." You noted that the function of your ...[Read More] Understanding Facial Nerve Control Issues: Causes and Solutions
Understanding Body Numbness: When to See a Neurologist
The body may experience numbness? Hello Doctor: Recently, I have been experiencing occasional numbness in my body, with varying frequency. Sometimes it affects my hands, sometimes my feet, and at times my face, neck, and the area around my collarbone. Additionally, I feel that my...
Dr. Jiang Junyi Reply:
Dear Ms. Wen, You mentioned feeling bodily numbness and experiencing faster-than-usual breathing, which may indicate hyperventilation leading to decreased carbon dioxide levels in the blood. This can result in an increase in blood pH, causing systemic reactions and symptoms. Com...[Read More] Understanding Body Numbness: When to See a Neurologist
Understanding Widespread Numbness and Tingling: Possible Causes and Insights
Generalized body pain? Hello, I started experiencing numbness from the soles of my feet to my upper body about two weeks ago. This has now extended to my face, including my eyes, throat, tongue, and lips. I have intermittent numbness and tingling throughout my entire body. The nu...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to continue follow-up treatment in the neurology department.[Read More] Understanding Widespread Numbness and Tingling: Possible Causes and Insights
Managing Chronic Liver Issues and New Ear Symptoms: A Neurology Perspective
Long-term liver function abnormalities and bronchial sensitivity have recently led to increased ear ringing and worsening headaches? Hello, Doctor. Here is a summary of my pre-existing conditions and the issues that have arisen this past week. I have been a carrier of hepatitis B...
Dr. Jiang Junyi Reply:
Dear Miss Chiu, You mentioned that "the frequency of the popping sound in my left ear has decreased, but there are sudden sharp pains on the right side of my head, which are not the usual occasional dull aches. The pain is severe enough to furrow my brow and make my express...[Read More] Managing Chronic Liver Issues and New Ear Symptoms: A Neurology Perspective