Family medicine, Neurology FAQ - Page 3

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Understanding Eye Twitching: Causes, Symptoms, and When to Seek Help

The lower eyelid has been twitching intermittently for a week? For a week, my lower eyelid has been twitching (since Sunday). That morning, I woke up feeling some swelling at the outer corner of my upper eyelid and lower eyelid. I thought it was just normal edema, so I didn'...


Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest myofascial pain syndrome in the posterior neck muscle group, which can also lead to referred discomfort in the eyes. The key issue lies within the muscles of the posterior neck. The myofascial connection points are located in the forehead area. I&...

[Read More] Understanding Eye Twitching: Causes, Symptoms, and When to Seek Help


Understanding Autonomic Nervous System Disorders: When to Seek Brain Imaging?

Autonomic nervous system dysfunction? Or is it a brain issue? Warning signs to watch for? Hello, doctor. I have been experiencing many symptoms since the beginning of January. At the onset, I suddenly felt a sharp pain in my heart, followed by numbness in my limbs. For the next f...


Dr. Hong Weibin Reply:
Hello: Based on your symptoms, there are multiple issues that may complicate the identification of a brain-related problem. Many factors need to be considered, including endocrine disorders, psychosomatic disorders, autoimmune diseases, and more. It is recommended that you first ...

[Read More] Understanding Autonomic Nervous System Disorders: When to Seek Brain Imaging?


Understanding Subtle Dizziness: Neurological Insights and Symptoms

To feel faint or not to feel faint? This condition has persisted for a week. There's no significant dizziness, but it feels somewhat like heat exhaustion. However, I am still able to move around, just not as energetically as usual. If I don't mention it, others wouldn&#...


Dr. Gao Chunde Reply:
It could be due to fatigue or lack of sleep, or it might be a mild cold. Generally, these conditions will gradually improve with rest. If the symptoms persist or worsen, it is advisable to visit a family medicine or general internal medicine clinic for further evaluation, particu...

[Read More] Understanding Subtle Dizziness: Neurological Insights and Symptoms


Head Injury, Insomnia, and Numbness: Understanding Neurological Symptoms

Head trauma + insomnia + numbness? Hello Doctor, last Thursday, September 1st, I accidentally bumped into a wooden cabinet at home (the cabinet is 137 cm tall and I am 177 cm tall). At the moment, I felt a little pain, but I was fully conscious. There was some redness and mild sw...


Dr. Hong Weibin Reply:
Hello: Based on your symptom description, it can be classified as post-concussive syndrome. Symptoms may persist for several weeks and will eventually resolve on their own. If you are still very concerned, you can visit a neurologist for an evaluation. The neurologist will likely...

[Read More] Head Injury, Insomnia, and Numbness: Understanding Neurological Symptoms


Chronic Fatigue and Brain Fog: Seeking Answers for Persistent Symptoms

Excessive sleepiness and mental fatigue? Hello Doctor... The patient's condition is as follows: They do not experience insomnia at night, fall asleep normally, sleep for 8 hours, but still wake up feeling very fatigued, with slight headaches and persistent brain fog througho...


Dr. Gao Chunde Reply:
It would be advisable to have a neurologist reassess whether the issue is related to intracranial pressure. If none of the neurologists can provide a reasonable explanation, chronic fatigue syndrome could be considered, which seems to be an area of expertise for family medicine p...

[Read More] Chronic Fatigue and Brain Fog: Seeking Answers for Persistent Symptoms


Understanding Nerve Issues: Persistent Numbness and Neck Stiffness

Numbness in the legs and stiffness in the neck? Hello Doctor, I would like to ask you about my condition. I have been experiencing mild numbness in both of my legs throughout the day for a long time. I often wake up at night with either my hands or feet feeling numb, and at times...


Dr. Gao Chunde Reply:
Symptoms such as poor blood circulation may indicate issues with the blood vessels or the composition of the blood itself. It is advisable to seek medical attention for further evaluation. Generally, you can consult a neurologist or a family medicine physician, and if necessary, ...

[Read More] Understanding Nerve Issues: Persistent Numbness and Neck Stiffness


Understanding Alcohol-Related Neurological Symptoms: A Guide

Alcohol-related issues I would like to ask about a symptom that occurs once every few years. Recently, after drinking alcohol, I experienced the same symptoms: my vision started to blur when I stood up, to the point where I couldn't see (not like myopia), along with tinnitus...


Dr. Gao Chunde Reply:
These symptoms are more indicative of severe hypotension, approaching shock. As for the cause, it is difficult to determine whether it is related to alcohol or other components within the alcohol, whether it is associated with anaphylactic shock, or simply due to vasodilation lea...

[Read More] Understanding Alcohol-Related Neurological Symptoms: A Guide


Feeling Dizzy and Nauseous: Which Specialist Should You See?

Dizziness and nausea? It's been almost a week, and I feel heavy-headed and light-footed, somewhat like being drunk or seasick. My head feels a bit foggy, but it's not very pronounced; I don't experience vertigo when looking at things, but I do feel a bit dizzy at t...


Dr. Gao Chunde Reply:
There are many causes of dizziness, and it is essential for a physician to carefully understand the patterns, characteristics of occurrence, and the patient's medical history, including factors such as colds, infections, medications, trauma, sleep, stress, and past medical h...

[Read More] Feeling Dizzy and Nauseous: Which Specialist Should You See?


Help! My Mental Health is Crumbling Due to Nerve Issues

I need help; I'm on the verge of a mental breakdown? Hello, doctor. I often experience itching and tingling sensations on the left side of my face (the affected area changes daily, and this has been going on for over three months). The condition fluctuates; sometimes I feel ...


Dr. Gao Chunde Reply:
If the neurologist finds no significant abnormalities and considering the high levels of stress and poor sleep, it may be advisable to consult a psychiatrist to evaluate whether your symptoms are related to psychological factors.

[Read More] Help! My Mental Health is Crumbling Due to Nerve Issues


Managing Neurological Symptoms and High Body Fat: A Guide

Unclear about which direction to take in handling the situation? On May 21, I experienced a tingling and heavy sensation around my nose, and my eyelids also felt heavy. After about a month, I detected that my body fat percentage was too high. I am 155 cm tall and weigh 53 kg. Wha...


Dr. Lan Shengxing Reply:
Dear White Cat, these symptoms are not obvious and cannot be consolidated into a single disease. Please visit a neurology or family medicine clinic for evaluation. Blue Saint Star.

[Read More] Managing Neurological Symptoms and High Body Fat: A Guide


Understanding Neck Pain, Headaches, and Fever: When to Seek Help

Head and neck pain with fever? Hello Doctor, my husband started experiencing neck pain, headaches, and fever two days ago. He went to the emergency department of a large hospital where the doctor tested for influenza and confirmed that he did not have it. The doctor then helped r...


Dr. Gao Chunde Reply:
Inability to rotate the neck to the left or right is more likely due to muscle inflammation. If there is difficulty bending the neck forward and backward, it may indicate neck stiffness, which could be associated with a central nervous system infection. It is advisable to consult...

[Read More] Understanding Neck Pain, Headaches, and Fever: When to Seek Help


Understanding Dizziness and Numbness: When to Seek Neurological Care

Symptoms such as dizziness and numbness in the hands? Hello Doctor: In the past week, I have often felt a sensation of pressure in my head after walking just a few steps. My eyes, temples, neck, and throat feel very tight, and my legs feel light while walking. This sensation last...


Dr. Yang Shenggong Reply:
Based on your description, your issue seems to be dizziness characterized by a sensation of heaviness in the head and lightness in the feet, accompanied by cold and numbness in the limbs. These symptoms have been intermittent over the past week. Possible causes include: 1. Anemia...

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


Understanding Headaches and Abdominal Pain: When to See a Neurologist

Diagnosis and Etiology I apologize for the inconvenience, and I sincerely seek your advice. My father recently experienced a headache (not the kind associated with a cold) after cleaning the water tank. Following that, he had difficulty urinating and experienced intermittent abdo...


Dr. Jiang Junyi Reply:
Hello, based on your description, it is unclear whether your father's cervical spine has degeneration causing nerve compression, which in turn could affect the autonomic nervous system, leading to symptoms such as bloating or urinary difficulties. Additionally, some muscle r...

[Read More] Understanding Headaches and Abdominal Pain: When to See a Neurologist


Understanding Persistent Dizziness: When to Seek Neurological Help

What is the problem? Hello, Doctor Gao. I have been experiencing dizziness for almost a month now. The symptom is that my forehead feels very hot, as if I have a fever, even when I sleep. However, I do not have a fever. I feel lethargic every day. My blood pressure is normal, and...


Dr. Gao Chunde Reply:
Sometimes, insufficient sleep or chronic stress and fatigue can lead to muscle tension in the head and neck, resulting in similar symptoms. However, when seeking medical attention, the physician will conduct a thorough evaluation to determine if there are other causes unrelated t...

[Read More] Understanding Persistent Dizziness: When to Seek Neurological Help


Neck Pain with Headaches: When to See a Neurologist?

Neck pain accompanied by headache? My girlfriend initially experienced sudden pain in her upper body along with chest tightness. Later, she developed sharp pain in the back of her neck accompanied by headaches. Despite visiting the hospital outpatient department, no clear diagnos...


Dr. Gao Chunde Reply:
If the rheumatology department confirms that there are no related issues, consideration should be given to neurological causes such as cervical spinal cord lesions, whether they are due to inflammation, hemorrhage, intervertebral disc problems, or other reasons. The on-site physi...

[Read More] Neck Pain with Headaches: When to See a Neurologist?


Understanding Left Shoulder Pain, Dizziness, and Heart Symptoms

Left shoulder, neck, and back pain, palpitations, and dizziness? Hello, Doctor: I have been experiencing intermittent pain in my left shoulder, neck, and back for about two years. My presbyopia has been worsening. Last year, I suddenly experienced dizziness and went to the emerge...


Dr. Lan Shengxing Reply:
Dear Victor, based on your symptoms, I recommend that you seek treatment from a neurologist and a rehabilitation specialist. There is a high chance that your condition is related to the cervical spine, and treatment may include medication and physical therapy, among other options...

[Read More] Understanding Left Shoulder Pain, Dizziness, and Heart Symptoms


Unexplained Dizziness: Seeking Answers for Persistent Discomfort

It's really distressing to experience discomfort and dizziness without being able to identify the underlying issue? I do not smoke or drink alcohol, but due to a shift work schedule, my sleep patterns are quite irregular. Since early 2015, I have experienced occasional dizzi...


Dr. Gao Chunde Reply:
Based on your description, the initial dizziness is likely related to inner ear dysfunction, but it gradually transformed into a feeling of lightheadedness with occasional swaying. This can sometimes be attributed to anxiety stemming from the brain's perception of an unsafe ...

[Read More] Unexplained Dizziness: Seeking Answers for Persistent Discomfort


Understanding Body Tingling and Tremors After Fever: A Neurology Perspective

About body numbness? Hello, doctor. A few days ago, I suddenly had a fever. After taking antipyretics, the fever subsided, but it returned later. However, I do not have any cold symptoms. For the past two days, I have been feeling slight tremors and numbness in all four limbs, in...


Dr. Lan Shengxing Reply:
I’m sorry, this description is not easy to interpret. However, intermittent fever itself needs to be properly addressed. Symptoms like shivering or numbness also require a hospital examination. It is advisable to consult a family medicine or infectious disease specialist.

[Read More] Understanding Body Tingling and Tremors After Fever: A Neurology Perspective


Understanding Unexplained Breast Itching: Is It a Nerve Issue?

Itchy breasts, is it a nerve issue? Dear Dr. Gao, I have been experiencing a sensitive itching sensation inside my right breast (not on the surface). I have undergone a breast ultrasound, but the doctor did not find any breast-related issues. I also consulted a dermatologist. Th...


Dr. Gao Chunde Reply:
Nerves are actually quite small, and magnetic resonance imaging (MRI) of the nervous system is mostly limited to the brain and spinal cord. Unless there is a specific mass compressing or invading peripheral nerves, or if there are particular formations such as neurofibromas or ne...

[Read More] Understanding Unexplained Breast Itching: Is It a Nerve Issue?


Persistent Tension in the Neck and Head: Causes and Solutions

Frequent tightness in the back of the head and neck, along with a feeling of fullness in the right ear? Your question: Hello Doctor, I have been experiencing tightness and discomfort from the back of my head down to the back of my neck for about six months. I consulted an orthope...


Dr. Lan Shengxing Reply:
Most of these conditions are attributed to tension-type headaches or cervical and shoulder syndrome. The source is muscle tension that cannot relax properly. It is recommended to use muscle relaxants, apply heat therapy, and engage in light exercise to manage the symptoms.

[Read More] Persistent Tension in the Neck and Head: Causes and Solutions


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