Understanding Transient Limb Weakness: Possible Causes and Next Steps
Recently, I have experienced occasional and noticeable weakness in my limbs over the past month? Hello Doctor: For the past month, I have been experiencing intermittent episodes of transient weakness in my limbs. During these episodes, my hands and feet feel light, and I occasion...
Dr. Jiang Junyi Reply:
Hello, your symptoms may suggest hyperventilation. Rapid or deep breathing can lead to excessive expulsion of carbon dioxide, resulting in respiratory alkalosis, which raises blood pH levels and affects the normal electrophysiological processes of the nervous system. Some patient...[Read More] Understanding Transient Limb Weakness: Possible Causes and Next Steps
Is It Panic Disorder or Autonomic Nervous System Dysfunction?
Am I experiencing panic disorder or autonomic nervous system dysregulation? Last week, after bingeing on spicy hot pot, I experienced dry mouth and throat, followed by two days of diarrhea. Concerned about my symptoms, I researched possible causes, and since then, my appetite has...
Dr. Hong Weibin Reply:
Your symptoms are quite complex; in addition to diarrhea, you also have numbness in your hands and feet. You should be cautious about the possibility of acute inflammatory demyelinating polyneuropathy (Guillain-Barré syndrome). It is advisable to seek medical assistance directly ...[Read More] Is It Panic Disorder or Autonomic Nervous System Dysfunction?
Unconscious Hand Tension: Understanding Neurological Causes
Unconscious exertion? I often find that my hands unconsciously exert force. For example, when I'm holding something, I only realize my hands are tense and fatigued after a while. If the object is soft, it becomes deformed; if I'm holding an EasyCard, there will be impri...
Dr. Jiang Junyi Reply:
Hello: The symptoms you mentioned may be due to increased muscle tension or reduced proprioceptive sensitivity. When the sympathetic nervous system is activated, it can lead to an increased heart rate, muscle tightness, rapid breathing, and increased sweating. It is recommended t...[Read More] Unconscious Hand Tension: Understanding Neurological Causes
Understanding Body Vibrations and Limb Numbness: Neurological Insights
There is a sensation of vibration throughout the body, and the limbs often experience feelings of numbness, tingling, and soreness? Hello, doctor~~~ Recently, I've been feeling a persistent vibration sensation in my body, like an urge to shake that I can't seem to relea...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms seem to resemble those of hyperventilation, especially if you are experiencing numbness in the face and fingertips. However, some individuals may also experience localized numbness due to cervical nerve root compression. Compression...[Read More] Understanding Body Vibrations and Limb Numbness: Neurological Insights
Understanding Dizziness and Cognitive Issues: When to See a Neurologist
Dizziness and difficulty concentrating? Doctor! I sometimes experience dizziness and a slight headache at the back of my head. I also feel a sensation of something stuck in my throat. Today, while writing, I found it very difficult to write smoothly, and my fingers felt quite unc...
Dr. Jiang Junyi Reply:
Hello: Regarding the discomfort in your neck and the numbness in your fingers, it is important to first consider cervical nerve root compression, which can present with pain, soreness, muscle stiffness, or a feeling of heaviness. Symptoms may worsen with changes in weather. I rec...[Read More] Understanding Dizziness and Cognitive Issues: When to See a Neurologist
Understanding Hand Stiffness and Weakness After Bed Rest: Causes and Solutions
Finger stiffness Hello, doctor. I was hospitalized for five months for bed rest (from September to January). During this period, I only got out of bed to use the restroom and spent all my time lying in bed. After my cesarean section on January 24, I have been experiencing weaknes...
Dr. Jiang Junyi Reply:
Based on your description: You mentioned symptoms of finger stiffness, and I'm unsure if there are any sensory abnormalities. Pregnancy can increase the likelihood of median nerve compression, commonly known as carpal tunnel syndrome. I recommend discussing examination and t...[Read More] Understanding Hand Stiffness and Weakness After Bed Rest: Causes and Solutions
Understanding Numbness in the Middle Toe: Causes and Diagnosis
Numbness in the middle toe? Hello, doctor... I noticed a tingling sensation in my left middle toe and its joint over ten years ago. Now, it has become very pronounced, with a feeling of numbness extending from my left middle toe to the entire toe, especially noticeable when I was...
Dr. Jiang Junyi Reply:
Hello, the lumbar nerve root compression you mentioned commonly presents with symptoms such as numbness and pain radiating to one side of the lower limb. If the numbness is limited to the middle finger, it may be necessary to consider peripheral nerve compression or inflammation ...[Read More] Understanding Numbness in the Middle Toe: Causes and Diagnosis
Understanding Neck and Shoulder Pain: Is It Nerve or Muscle Issues?
Stiffness in the shoulders and neck, numbness in the hands? I often feel tightness and soreness in my shoulders, neck, and upper back. The sides of my head, particularly around the temples, feel tense and swollen. My neck feels stiff, especially in the morning when I wake up and ...
Dr. Jiang Junyi Reply:
Hello, the most common cause of neck pain is cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscle in the back of the neck, resulting in neck and shoulder discomfort. Initially, resting may alleviate the pain, but over time it can...[Read More] Understanding Neck and Shoulder Pain: Is It Nerve or Muscle Issues?
Understanding Thumb Tremors: Causes and Concerns for Young Adults
The thumb is experiencing persistent twitching? Hello, I am a 27-year-old female. My right thumb has been twitching for about a month. Initially, the twitching lasted only a few seconds at a time, but now it can continue for three to four hours. Recently, I have also felt the twi...
Dr. Hong Weibin Reply:
Hello: Muscle twitching is often associated with lesions of the lower motor neurons; however, there are many diseases affecting the lower motor neurons, and they are not necessarily related to amyotrophic lateral sclerosis (ALS) or Parkinson's disease. Conditions such as ele...[Read More] Understanding Thumb Tremors: Causes and Concerns for Young Adults
Wrist Pain During Pull-Ups: Understanding Nerve and Ligament Issues
Experiencing intermittent pain in the wrist while doing pull-ups? Hello Dr. Jiang: I have a habit of weight training, and during my pull-up exercises, I experience an issue with my right wrist. While pulling up, I do not feel any tingling or pain in my right wrist (with both hand...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are very similar to carpal tunnel syndrome. This condition is caused by compression of the median nerve as it passes through the wrist, leading to numbness and tingling in the index finger, middle finger, and thumb. Clinically, a neurologist will arrange for ...[Read More] Wrist Pain During Pull-Ups: Understanding Nerve and Ligament Issues
Understanding Numbness in Hands and Feet: Causes and Concerns
Numbness in the palms and soles? About two weeks ago, I experienced numbness in my fingers and toes (both hands and feet). It was more pronounced when lying down or sitting, but not when standing. A few days later, the symptoms disappeared, but this week they have returned, exten...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to first consider hyperventilation syndrome. The typical symptoms include chest tightness, chest pain, palpitations, shortness of breath, and numbness in the hands and feet, as well as scalp tingling. Physical examination may ...[Read More] Understanding Numbness in Hands and Feet: Causes and Concerns
Understanding the Differences Between Bulging and Herniated Discs: A Guide
Herniated disc Hello, doctor. Recently, I underwent a self-paid full-body MRI, and in the spine section, it showed: 1. C4/5/6 central bulging disc with mild spinal cord compression. 2. L5/S1 herniated disc. Both conditions are referred to as disc herniation (HIVD) in Chinese. Cou...
Dr. Jiang Junyi Reply:
According to your description, the main difference between a bulging disc and a herniated disc lies in the severity. A herniated disc is typically more serious, as it has already caused compression of the surrounding tissues. If it compresses a nerve root, it can lead to symptoms...[Read More] Understanding the Differences Between Bulging and Herniated Discs: A Guide
Can Antibiotics Cause Peripheral Neuropathy? Symptoms and Treatment Options
Peripheral neuropathy? Doctor: Hello, may I ask if antibiotics (such as Levofloxacin) can potentially cause peripheral neuropathy? If it does occur, what relief and treatment options are available? I have experienced peripheral neuropathy after taking antibiotics for an extended ...
Dr. Jiang Junyi Reply:
Hello, based on your description, your report mentions polyneuropathy, but cervical radiculopathy cannot be ruled out. There are many potential causes, and in addition to medications, some internal diseases such as diabetes can also lead to neuropathy. I recommend that you consul...[Read More] Can Antibiotics Cause Peripheral Neuropathy? Symptoms and Treatment Options
Is Your Neck Discomfort a Sign of Stroke? Understanding the Symptoms
Is the risk of stroke high? Hello, Dr. Jiang: On October 14th, I felt a pressure in the left side of my neck below the ear, which was uncomfortable. On the morning of October 15th, when I woke up, my vision suddenly went black for about 20 seconds before turning white, and I felt...
Dr. Gao Chunde Reply:
Neck compression can be a sensation or the presence of a palpable mass. If there is an issue with the neck vessels, the most concerning condition is arterial dissection, such as carotid or vertebral artery dissection, which can occur due to external trauma or severe neck twisting...[Read More] Is Your Neck Discomfort a Sign of Stroke? Understanding the Symptoms
Should You Worry About Mild Hand Tremors? When to Seek Medical Advice
Mild tremors; I'm unsure whether I should seek medical evaluation? Hello, Dr. Gao. I have noticed that I have a tremor in my hands since my junior year in college, but it hasn't been severe. I can still perform some fine dissection experiments as long as I rest my wrist...
Dr. Gao Chunde Reply:
If the symptoms have not progressively worsened over the years or been accompanied by new neurological symptoms, many people with primary tremors can live peacefully with it for a lifetime without needing examinations or medication. However, if there are changes as I described ea...[Read More] Should You Worry About Mild Hand Tremors? When to Seek Medical Advice
Morning Hand Stiffness: When to See a Neurologist?
Stiffness in the right hand after waking up? Hello Dr. Lan, I am currently working as a bakery apprentice, and I have been on the job for a month and a half. Recently, for about the past week, I have been experiencing stiffness and numbness in my right palm upon waking up. If I m...
Dr. Lan Shengxing Reply:
Hello, if you frequently need to knead dough, you should consider whether you have carpal tunnel syndrome. Please consult a neurologist.[Read More] Morning Hand Stiffness: When to See a Neurologist?
Understanding Hand Tremors: Possible Causes and Solutions
Hand problems The hands tremble, often occurring when holding a pen, using chopsticks to eat, pouring drinks, or serving food. Sometimes there is intense shaking (usually in the right hand). Occasionally, there is sharp pain in the middle finger nerve, lasting about 2 to 3 minute...
Dr. Gao Chunde Reply:
It may be a central nervous system issue; you should schedule an appointment with a neurologist for evaluation and examination.[Read More] Understanding Hand Tremors: Possible Causes and Solutions
Could Muscle Pain and Weakness Indicate Parkinson's Disease?
Prolonged muscle soreness and weakness in the limbs could be symptoms of Parkinson's disease? Hello, Doctor Gao! I am 40 years old. Three months ago, after going out, I returned home feeling extremely fatigued. Since then, my condition has fluctuated, with a decline in physi...
Dr. Gao Chunde Reply:
It is recommended to visit a neurology clinic for further evaluation to determine if there is a motor neuron disease or other movement disorder issues. Parkinson's disease is also a possible cause, but a face-to-face neurological examination by a physician is necessary to id...[Read More] Could Muscle Pain and Weakness Indicate Parkinson's Disease?
Understanding Neurological Pain: Symptoms and Next Steps for Relief
Generalized pain and numbness? I am experiencing persistent pain and numbness on the left side of my body, starting from my left calf and thigh, extending to my left hand fingers, lower back, neck, and left side of my face. Now, the right side has also begun to show similar sympt...
Dr. Lan Shengxing Reply:
Hello, if all current tests are normal, you can still undergo evoked potential testing to determine if there are any issues with the central nervous system. If both the central and peripheral nervous systems show no abnormalities, it is recommended that you engage in appropriate ...[Read More] Understanding Neurological Pain: Symptoms and Next Steps for Relief
Understanding ALS Symptoms: When to Seek Medical Advice
Suspected amyotrophic lateral sclerosis (ALS)? I have been experiencing headaches since the beginning of last month. After the headaches subsided, I noticed weakness in my left hand, along with occasional soreness and numbness in my fingers, although it's not very pronounced...
Dr. Lan Shengxing Reply:
Hello, regarding the muscle twitching associated with amyotrophic lateral sclerosis (ALS), it's difficult to convey the actual sensation. In the clinic, visible muscle fasciculations can be observed, but the feelings of soreness and numbness are not characteristic of ALS. As...[Read More] Understanding ALS Symptoms: When to Seek Medical Advice