Understanding Facial Twitching: Causes and When to Seek Medical Help
Lip twitching? Hello, I have recently been feeling a twitching sensation at the corner of my right mouth, similar to a pulsing feeling. What could be the cause, and should I seek medical attention?
Dr. Jiang Junyi Reply:
Hello Ms. Yang, You mentioned that "the right corner of my mouth keeps twitching, like a pulsing sensation. What could be the cause?" Your symptoms may suggest facial nerve spasms, which typically involve twitching of the same side of the cheek and mouth (hemifacial sp...[Read More] Understanding Facial Twitching: Causes and When to Seek Medical Help
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
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
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 Unilateral Tinnitus: Causes and Treatments
Unilateral tinnitus in the right ear? Hello, doctor. I have unilateral tinnitus in my right ear that is synchronized with my heartbeat. I also feel a sensation of airflow in my right ear, but when I went to the clinic to measure my ear pressure, it was normal. The clinic physicia...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to consult a neurologist for an evaluation of the underlying cause.[Read More] Understanding Unilateral Tinnitus: Causes and Treatments
Understanding Unexplained Cool Sensation at the Corner of the Mouth
Occasionally, there is a "cool sensation at the corners of the mouth" (without saliva)? Dear Dr. Jiang, Thank you very much for taking the time to respond to my concerns. Recently, I have been experiencing a "cool sensation at the corners of my mouth" (withou...
Dr. Jiang Junyi Reply:
Dear Mr. Chen, You mentioned that you have recently experienced a "cool sensation at the corners of your mouth" (without saliva), particularly noticeable after meals. You are currently on the 14th day of treatment for prostatitis with levofloxacin. First, we should con...[Read More] Understanding Unexplained Cool Sensation at the Corner of the Mouth
Can You Get Vaccinated After Facial Nerve Paralysis? Expert Insights
Can a person who has had facial nerve paralysis receive a vaccine? In early 2019, I experienced stiffness on the right side of my face, could not close my right eye, and my mouth was slightly crooked. After receiving injections, medication, heat therapy, and facial exercises, my ...
Dr. Jiang Junyi Reply:
Dear Ms. Hsiao-Mi, You mentioned, "Given my current situation, can I get vaccinated? Which vaccine should I choose? How should I decide? If I cannot get vaccinated, are there any other protective injections I can receive? I am hesitant to get vaccinated due to the side effe...[Read More] Can You Get Vaccinated After Facial Nerve Paralysis? Expert Insights
Can You Get Vaccinated After Facial Nerve Paralysis? Expert Insights
Can a person who has had facial nerve paralysis receive a vaccine? In early 2019, I experienced stiffness on the right side of my face, with my eye unable to close and my mouth slightly drooping. After receiving injections, medication, heat therapy, and facial exercises, my condi...
Dr. Jiang Junyi Reply:
Dear Ms. Hsiao Mi, In light of the recent surge in COVID-19 cases, please ensure to implement self-protection measures, including cleaning and disinfection, before and after seeking medical care, and adhere to the new preventive lifestyle. It is recommended to complete the two ...[Read More] Can You Get Vaccinated After Facial Nerve Paralysis? Expert Insights
Can You Get Vaccinated After Facial Nerve Paralysis? Expert Insights
Can someone who has had facial nerve paralysis receive a vaccine? In early 2019, I experienced stiffness on the right side of my face, which made it difficult to close my eye and caused my mouth to appear slightly crooked. After receiving injections, medication, heat therapy, and...
Dr. Jiang Junyi Reply:
Hello, Ms. Hsiao-Mi: "Having a history of facial nerve palsy" is not a contraindication for vaccination. In the outpatient clinic, many patients with this condition have already received two doses of the vaccine (including AZ, BNT, and Medigen), and none have reported a...[Read More] Can You Get Vaccinated After Facial Nerve Paralysis? Expert Insights
Understanding Unilateral Eye Closure Issues: Causes and Next Steps
Issues with Eye Closure Hello Doctor, currently I am experiencing symptoms where I cannot close my left eye independently, but I can close both eyes simultaneously and also close my right eye alone. When I smile, my left side of the face appears significantly weaker. Additionally...
Dr. Jiang Junyi Reply:
Hello Mr. Sun: You mentioned that "the left side of your face is noticeably weaker when you smile, and there is also tinnitus in your left ear." This may indicate a left-sided facial nerve injury. Facial nerve paralysis is quite similar, primarily affecting the seventh ...[Read More] Understanding Unilateral Eye Closure Issues: Causes and Next Steps
Facial Swelling and Numbness: Understanding Neurological Issues
Facial swelling and numbness? Hello doctor, I have a question. Sixteen years ago, I was lying on my side in bed, propping my face with my hand while watching TV. After six months, my face started to swell and feel numb, and it has continued to this day. Could this be a facial ner...
Dr. Cai Zongzhang Reply:
Hello, Ah-Feng: It is recommended to visit a neurologist to check for any abnormalities in facial nerve function.[Read More] Facial Swelling and Numbness: Understanding Neurological Issues
Understanding Facial Nerve Palsy: Diagnosis and Further Testing Options
Facial nerve paralysis examination Hello Dr. Jiang, about a month ago, I woke up one day to find that I couldn't move the left side of my face. During my consultation, the neurologist suspected that it might be a viral cause of facial nerve paralysis. I have been taking ster...
Dr. Jiang Junyi Reply:
Hello Mr. Kobayashi: You mentioned "facial nerve paralysis," which is a condition affecting the peripheral cranial nerves and usually resolves on its own. 1. If you would like to pursue further brain examinations, what options are available? Are they covered by health i...[Read More] Understanding Facial Nerve Palsy: Diagnosis and Further Testing Options
Understanding Facial Nerve Palsy: Diagnosis and Further Brain Examination Options
Facial nerve paralysis examination Hello Dr. Jiang, about a month ago, I woke up one day and found that I could not move the left side of my face. During my visit, the neurologist diagnosed it as possibly viral-induced facial nerve paralysis. I have been taking steroids for a wee...
Dr. Jiang Junyi Reply:
Hello Mr. Kobayashi: You mentioned "facial nerve paralysis," which is a condition affecting the peripheral cranial nerves and typically resolves on its own. 1. If you wish to pursue further brain examinations, what options are available? Are they covered by health insur...[Read More] Understanding Facial Nerve Palsy: Diagnosis and Further Brain Examination Options
Understanding Eye and Ear Symptoms: Seeking Guidance from a Neurologist
Inquiry Consultation Dear Dr. Jiang, I am unsure which medical specialty my issue falls under. If it is not within your area of expertise, I would appreciate your guidance on which specialty I should consult. Here is my concern: when I turn my eyes to the right (and occasionally...
Dr. Jiang Junyi Reply:
Hello Mr. Ah-Hsiang: You mentioned that "when turning right (and occasionally left), there is a flash accompanied by a 'pop' sound (similar to an electrical short circuit) echoing in the ear." This may suggest issues related to the temporomandibular joint or t...[Read More] Understanding Eye and Ear Symptoms: Seeking Guidance from a Neurologist
Understanding Facial Nerve Paralysis: Treatment and Recovery Insights
Facial nerve paralysis Hello Doctor, two weeks ago I noticed symptoms of left facial nerve paralysis: I cannot close my eye, my mouth cannot open, my face cannot move, and sounds in my ear are excessively loud. A neurologist prescribed steroids and also performed acupuncture and ...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that facial nerve paralysis affects hearing. This is because the stapedius muscle, which is responsible for stabilizing the stapes bone, is innervated by the facial nerve. Recovery of symptoms requires nerve regeneration, unlike facial muscles that can i...[Read More] Understanding Facial Nerve Paralysis: Treatment and Recovery Insights
Can Patients with Facial Nerve Paralysis Receive the BNT Vaccine?
Facial nerve paralysis Hello Dr. Jiang, I would like to ask if a patient with facial nerve paralysis can receive the first dose of the BNT vaccine at this time. The BNT vaccine has a rare side effect of facial nerve paralysis, which may make it difficult to distinguish between th...
Dr. Jiang Junyi Reply:
Dear Mr. Hsiao-Lin, Facial nerve paralysis is not a contraindication for receiving the BNT vaccine. It is not recommended to administer the vaccine within two weeks of an acute infection. Based on the current domestic epidemic situation, vaccination can be considered one month a...[Read More] Can Patients with Facial Nerve Paralysis Receive the BNT Vaccine?
Can Patients with Facial Nerve Paralysis Receive the BNT Vaccine?
Facial nerve paralysis Hello Dr. Jiang, I would like to ask if a patient with facial nerve paralysis can receive the first dose of the BNT vaccine at this time. The BNT vaccine has a rare side effect of facial nerve paralysis, which may make it difficult to differentiate. It has ...
Dr. Jiang Junyi Reply:
Dear Mr. Hsiao-Lin, Facial nerve paralysis is not a contraindication for receiving the BNT vaccine. It is advised not to administer the vaccine within two weeks of an acute infection. Based on the current domestic epidemic situation, vaccination can be considered one month after...[Read More] Can Patients with Facial Nerve Paralysis Receive the BNT Vaccine?
Can Inflammation Lead to Facial Nerve Paralysis? Prevention Tips
Inflammatory issues? Hello Dr. Jiang, thank you for patiently answering my questions. I would like to ask if this kind of inflammatory pulsation can worsen and lead to facial nerve paralysis? How can it be prevented? Thank you, doctor.
Dr. Jiang Junyi Reply:
Hello Mr. Lin: The main cause of facial nerve paralysis is viral infection. Please do not worry too much; it is localized nerve inflammation. If you are concerned, you can consult a neurologist for an examination. You may refer to the interview on facial nerve paralysis by Zhongg...[Read More] Can Inflammation Lead to Facial Nerve Paralysis? Prevention Tips
Can Inflammation Lead to Facial Nerve Paralysis? Prevention Tips
Inflammatory issues Hello Dr. Jiang, thank you for patiently answering my questions. I would like to ask if this type of inflammation and pulsation can worsen and lead to facial nerve paralysis? How can it be prevented? Thank you, doctor.
Dr. Jiang Junyi Reply:
Hello Mr. Lin: The primary cause of facial nerve paralysis is viral infection. Please do not worry too much. You can refer to the interview by Zhongguang regarding facial nerve paralysis at https://www.youtube.com/watch?v=eyeMD2jNwI8. Thank you for your question, and feel free to...[Read More] Can Inflammation Lead to Facial Nerve Paralysis? Prevention Tips