Family medicine, Neurology FAQ

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Understanding Occasional Back Spasms: When to See a Neurologist

Could you please clarify what you mean by "back pain"? Recently, I have been experiencing cramping pain in the lower back, specifically on the left side near the spine. The cramping lasts for about a minute and occurs infrequently, about once or twice a week. I have con...


Dr. Chen Weida Reply:
Hello Mr. Lin! Regarding your inquiry about back pain, please note that back pain is a signal from your body indicating that something may be wrong. Try to recall if you have any other accompanying symptoms besides the back pain, as this information will be helpful for the physic...

[Read More] Understanding Occasional Back Spasms: When to See a Neurologist


Uncontrollable Limb Movements: When to See a Neurologist?

Involuntary limb movements? Hello Dr. Jiang, on the morning of May 23rd, I experienced uncontrollable, forceful movements of my limbs while in a semi-conscious state. I struggled to stay awake but could not control the movements of my limbs, and my fingers felt weak. After much e...


Dr. Jiang Junyi Reply:
Dear Ms. Enid, You mentioned experiencing "uncontrollable vigorous movements of the limbs while in a semi-conscious state." Your symptoms may warrant consideration of extrapyramidal syndrome or focal epilepsy. Extrapyramidal syndrome is typically caused by medication a...

[Read More] Uncontrollable Limb Movements: When to See a Neurologist?


Understanding Progressive Sensory Abnormalities: A Neurological Concern

Abnormal sensations on the right side are gradually spreading? Hello Doctor, last Saturday, February 24th, I experienced mild numbness in my right lip, right finger, and half of my palm. By Monday, the numbness worsened, so I visited a family medicine doctor who prescribed medica...


Dr. Jiang Junyi Reply:
Dear Miss Lily, You mentioned that on March 2nd, you woke up and noticed abnormal sensations in your scalp, the back of your head, and your eyelids. Additionally, the numbness in your hands has spread to your entire palm, and you can no longer distinguish objects by touch. You a...

[Read More] Understanding Progressive Sensory Abnormalities: A Neurological Concern


Understanding Dizziness and Dry Mouth: When to Seek Neurological Care

Dizziness and dry mouth? Recently, I have been experiencing dizziness, a feeling of pressure in the back of my head, dry mouth, tinnitus, and occasional numbness in my hands. My walking is normal. I visited a family medicine clinic where I was prescribed medication for the dizzin...


Dr. Jiang Junyi Reply:
Hello Mr. Ming: You mentioned feeling "pressure in the back of your head, dry mouth, tinnitus, and occasional hand numbness." Could you clarify the numbness in your hands? Is it bilateral or unilateral? If it is unilateral, we may need to consider cervical spine issues....

[Read More] Understanding Dizziness and Dry Mouth: When to Seek Neurological Care


Understanding Anxiety in Elderly Patients with Constipation: Causes and Solutions

Elderly individuals experience high anxiety regarding "not having a regular daily bowel movement." My father is 82 years old and has been experiencing significant anxiety about bowel movements for the past year. If he does not have a bowel movement early in the morning,...


Dr. Jiang Junyi Reply:
Dear Ms. Zoe, You mentioned, "What could be the possible causes of anxiety related to 'constipation' (pseudoconstipation)? Is it related to dementia? How can family members assist? Which specialty should we consult?" Anxiety can activate the sympathetic nervo...

[Read More] Understanding Anxiety in Elderly Patients with Constipation: Causes and Solutions


Unexplained Severe Body Pain: A 71-Year-Old's Medical Mystery

Intermittent generalized bone pain? Hello Doctor, my father is 71 years old. He has seen several specialists in the hospital, but we have not been able to find the cause of his condition, which has left our family and the patient feeling helpless and discouraged. He has been rece...


Dr. Cai Zongzhang Reply:
Hello Mr. Dong: Based on the symptoms mentioned, it is recommended to consult with an immunology and rheumatology specialist. If the cause is still not identified, please seek a detailed examination from a neurologist.

[Read More] Unexplained Severe Body Pain: A 71-Year-Old's Medical Mystery


Understanding Persistent Headaches and Dizziness: Possible Causes and Solutions

Persistent headaches and dizziness for over a month? Hello, doctor. I would like to ask about my condition. I have been experiencing headaches for a month now, with daily pain that feels tight and pressure-like. Recently, I've noticed a pulsating sensation in my temples and ...


Dr. Cai Zongzhang Reply:
Hello Eric: There are various causes of headaches, and not all of them can be identified through a CT scan. If the headache does not improve, it is recommended to continue follow-up treatment in a neurology outpatient clinic.

[Read More] Understanding Persistent Headaches and Dizziness: Possible Causes and Solutions


Understanding Nerve Damage: Recovery and Treatment After a Dog Bite

Abnormal sensation Last month, I was bitten by a dog on the second phalanx of my index finger. The wound is somewhat deep, and my current symptoms include an abnormal sensation on the back of my finger from the second phalanx to the base of the nail (it feels like I'm touchi...


Dr. Peng Shiwei Reply:
After being scratched or bitten by an animal, in addition to cleaning the wound, it is important to have a physician assess the risk of rabies virus infection and receive appropriate medical recommendations. It is advised that you seek medical attention at a family medicine or su...

[Read More] Understanding Nerve Damage: Recovery and Treatment After a Dog Bite


Chronic Anemia-Like Symptoms Without Anemia: What Could It Be?

Feeling chronically anemic without actually being anemic? To summarize the usual symptoms: I experience dizziness after prolonged sitting, after eating, and when standing up from a squatting position. I also feel dizzy and have headaches when I fall asleep while sitting. It feels...


Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned experiencing dizziness when squatting and standing up, which may indicate insufficient cerebral blood flow due to changes in posture. If the symptoms are more severe, fainting may occur. "Fainting" is defined as a sudden, temporary loss of co...

[Read More] Chronic Anemia-Like Symptoms Without Anemia: What Could It Be?


Understanding Carotid Ultrasound Results: When to Seek Medical Attention

Neck ultrasound examination The company's health check revealed that my carotid ultrasound showed a thickness of 1.7 mm (indicating that it is too thick, with a standard value of 1.2 mm). They advised me to pay attention to my cholesterol blood report. I often feel fatigued ...


Dr. Wu Mukhan Reply:
Hello, a neck ultrasound can show the thickness of the carotid artery intima. If there is thickening, it is important to regularly monitor blood glucose and lipid levels, check blood pressure, and avoid risk factors such as smoking to prevent further narrowing of the carotid arte...

[Read More] Understanding Carotid Ultrasound Results: When to Seek Medical Attention


Understanding MRI Results: When to Seek Further Medical Advice

Magnetic Resonance Imaging Interpretation Issues Hello, doctor. I have been experiencing some health issues, so I underwent a health check-up and paid for a full-body MRI. I would like to ask the following questions: 1. The MRI report from the health check-up only mentioned a cy...


Dr. Jiang Junyi Reply:
Dear Mr. Wang, You mentioned, "it's not a significant issue, so it wasn't documented." This often reflects the personal judgment of the radiologist who interprets the report; some physicians may choose to minimize descriptions to avoid complicating explanatio...

[Read More] Understanding MRI Results: When to Seek Further Medical Advice


Understanding Left Back and Thigh Discomfort: A Neurological Perspective

When sitting and lying flat, there is something unusual in the left back area and the left thigh? Hello, doctor! This issue has been troubling me for two years, but it has become particularly severe in the past few months. When I sit upright (with my back relatively straight) and...


Dr. Peng Shiwei Reply:
Hello, based on your symptoms, it cannot be ruled out that they are related to deep muscle issues. If you are feeling very troubled, you may consider going to a major hospital to check your muscle enzymes, or consult with your physician about whether an MRI is necessary. Thank yo...

[Read More] Understanding Left Back and Thigh Discomfort: A Neurological Perspective


Understanding Chronic Fatigue: Causes and Solutions for Brain Fog

Feeling fatigued no matter what you do? Doctor, I sleep at least 8 hours every day. Usually, when I wake up in the morning, I don't feel refreshed. Sometimes on my days off, even after sleeping for 8 or 9 hours, I still feel very sleepy and can't go back to sleep. In th...


Dr. Cai Zongzhang Reply:
Hello Junjun: Based on the symptoms mentioned, it is recommended to first visit a family medicine clinic to check for any thyroid disorders. If none are found, it is advised to continue exercising to strengthen cardiovascular function, which can enhance physical stamina.

[Read More] Understanding Chronic Fatigue: Causes and Solutions for Brain Fog


Struggling with Sleep: Breathing Issues and Unexplained Pain

Difficulty breathing during sleep? I have trouble falling asleep and when I do, it feels like I can't breathe, which wakes me up. I have a slight pain on the left side of my head, not very severe. I also experience chest tightness, lower back pain, and a dull ache in my back...


Dr. Cai Zongzhang Reply:
Hello, Xuan: Based on the symptoms mentioned above, it is recommended to visit the neurology and pulmonology outpatient clinics.

[Read More] Struggling with Sleep: Breathing Issues and Unexplained Pain


Understanding Jaw Pain: Is It TMJ Disorder or Trigeminal Neuralgia?

Temporomandibular joint disorder (TMJ disorder)? Trigeminal neuralgia? Hello Doctor, recently I have been experiencing pain when biting down on the right side of my teeth, with a sensation of soreness and weakness. When the pain and tingling become severe, it radiates to the area...


Dr. Cai Zongzhang Reply:
Hello: Trigeminal neuralgia can vary in severity. The symptoms mentioned may still indicate trigeminal neuralgia. It is recommended to visit a neurology clinic for examination and treatment.

[Read More] Understanding Jaw Pain: Is It TMJ Disorder or Trigeminal Neuralgia?


Understanding Neck Ultrasound Follow-Up for Dizziness and Heart Issues

Regarding cervical ultrasound follow-up examination? Dr. Peng, previously, due to dizziness, I underwent three cervical ultrasounds: in 1993 (at Shou-Ji Family Medicine), in 2014 (at Chang Gung Neurology), and in 20XX (at Shou-Ji Neurology). From 2003 to 2013, my dizziness was al...


Dr. Peng Shiwei Reply:
Hello Mr. Chang, no problem! You can register first, and then I will help you with the assessment. Thank you for your inquiry.

[Read More] Understanding Neck Ultrasound Follow-Up for Dizziness and Heart Issues


Managing Dizziness and Migraines: Insights on Medication and Supplements

Shunao, vertigo, migraine? Hello Dr. Jiang, On January 9th, I woke up and immediately felt like the room was spinning, making it difficult to stand. I had a video consultation with a family medicine clinic, and they diagnosed me with suspected vestibular imbalance causing dizzi...


Dr. Jiang Junyi Reply:
Hello Ms. Jiang, You mentioned, "Can I usually supplement with calcium, magnesium, and zinc as health products?" Generally speaking, when nutritional status is adequate, our bodies do not lack magnesium, calcium, or zinc. The absorption of magnesium from the diet can b...

[Read More] Managing Dizziness and Migraines: Insights on Medication and Supplements


Investigating Post-AZ Vaccine Neurological Issues: A Case of Myasthenia Gravis

Development of myasthenia gravis after receiving the AZ vaccine? Hello Doctor: After receiving my first dose of the AZ vaccine in mid to late July 2021, I noticed that I frequently fell from late July to early August. I initially thought it was due to not exercising for a long ti...


Dr. Hong Weibin Reply:
Hello: Currently, similar case reports can be found in the PubMed search engine of the National Library of Medicine at the National Institutes of Health in the United States.

[Read More] Investigating Post-AZ Vaccine Neurological Issues: A Case of Myasthenia Gravis


Understanding Brain Vibrations and Sensations of Electric Currents

Vibrations in the brain, feeling like microcurrents? Hello, doctor. I am 20 years old and, unfortunately, due to a history of consuming a lot of rich foods, I have developed hereditary hypertension. My blood pressure at home is around 130/75, but it surprisingly rises to 150/90 a...


Dr. Hong Weibin Reply:
Hello: It is recommended that you regularly measure your blood pressure, twice a day. Does this sensation of "blood rushing to your head, creating a feeling of pressure as if something is pressing down on your head" only occur when you are using your phone? Does it happ...

[Read More] Understanding Brain Vibrations and Sensations of Electric Currents


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


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