Is This Autonomic Nervous System Dysfunction? Understanding Symptoms and Care
Could this be autonomic nervous system dysfunction? Hello, Dr. Tsai! I am currently preparing for a retest, but my attention has decreased, and I often find myself overthinking and fearing disasters. I also have nightmares almost every day and have been experiencing diarrhea for ...
Dr. Cai Zongzhang Reply:
Hello! Based on the symptoms mentioned, it may be due to emotional factors causing autonomic nervous system dysfunction. It is recommended to visit a neurology outpatient clinic.[Read More] Is This Autonomic Nervous System Dysfunction? Understanding Symptoms and Care
Understanding Swallowing Issues: When to Consult a Neurologist
About swallowing? Hello, doctor. Last time I noticed a small indentation on the sole of my foot, and I was too worried to visit a neurologist during this critical time. The doctor told me it wasn't atrophy, and after listening to my medical history and performing a physical ...
Dr. Jiang Junyi Reply:
Hello: The possible causes of the symptoms you mentioned are considered normal physiological phenomena. The enhancement of sympathetic nervous system activity leads to decreased secretion from the salivary glands. When food lacks moisture, it cannot effectively form a bolus, maki...[Read More] Understanding Swallowing Issues: When to Consult a Neurologist
Understanding Foot Arch Issues: Neurological Concerns Explained
Regarding foot orthotics? Good evening, doctor. A few days ago, I was still too scared and went back for a follow-up regarding the muscles in my left arm. His response was similar to yours. Today, my left foot's sole started twitching again, so I went for an examination like...
Dr. Jiang Junyi Reply:
Hello: Muscle atrophy typically takes some time to develop. To promote muscle growth, it is recommended to engage in regular exercise and ensure adequate protein intake. However, due to the recent tight COVID-19 situation, it is advisable to wait until the pandemic stabilizes bef...[Read More] Understanding Foot Arch Issues: Neurological Concerns Explained
Understanding Nerve Pain: Causes of Numbness and Discomfort in Limbs
Numbness and stiffness in the hands and feet, pain in the shoulders and neck? Hello, Doctor. About a month ago, I started waking up at night to find my left hand completely numb and I couldn't feel my little finger. After a few minutes of movement, I regained sensation, but ...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "every night when I lie down, if my neck is compressed (by the bed or pillow), it gradually becomes numb and painful to the point of waking me up." This symptom may resemble cervical radiculopathy due to nerve root compression. "After abou...[Read More] Understanding Nerve Pain: Causes of Numbness and Discomfort in Limbs
Understanding Numbness in Limbs: When to Seek Medical Attention
Numbness in the limbs? Hello, I have been sitting for long periods while using the computer, and four days ago, when I sat at a 90-degree angle, I started to feel numbness in the upper left part of my back. However, when I stand up or lie back in a chair at about a 20-degree angl...
Dr. Jiang Junyi Reply:
Hello, based on your description—your right foot is experiencing numbness. The sensation of numbness in your right foot extends from the foot to the calf, but does not reach the thigh. It feels like the source is in the little toe and spreads to the calf. This level of numbness m...[Read More] Understanding Numbness in Limbs: When to Seek Medical Attention
Understanding Itchy Skin and Tingling Sensations: Possible Causes and Solutions
Tingling sensations in the body and itchy skin? Hello, doctor. On April 24th, I went for a ride in the mountains, and after returning, I started to feel itchy skin without a specific area. Initially, I suspected that I might have brought back some bugs (like fleas), but there are...
Dr. Hong Weibin Reply:
Hello: Generally speaking, the possible factors for skin itching can be categorized as follows: Dermatological factors: excessive dryness, eczema, psoriasis, scabies, parasites, burns, insect bites, allergic urticaria. Internal factors: liver disease, kidney disease, anemia, di...[Read More] Understanding Itchy Skin and Tingling Sensations: Possible Causes and Solutions
Understanding Leg Numbness and Back Pain: Possible Causes and Solutions
Leg numbness and lower back pain? Hello Doctor: About a month ago, I started experiencing a tingling sensation in my foot, but it would go away quickly. After receiving acupuncture treatment from a traditional Chinese medicine practitioner, the tingling became more persistent. Ab...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider symptoms related to a herniated disc compressing the nerves. A herniated disc can also occur due to sudden injuries, such as twisting the waist abruptly, bending to lift heavy objects, or experiencing sudden excess...[Read More] Understanding Leg Numbness and Back Pain: Possible Causes and Solutions
Understanding Involuntary Muscle Twitches in Children: Causes and Concerns
Involuntary muscle twitching? Hello Doctor: My son is now 10 years old. Since he was little, we have noticed that whenever he is a bit tired, or when he is about to get sick or is sick, he experiences muscle twitching for about 15-20 minutes. During a hand, foot, and mouth diseas...
Dr. Jiang Junyi Reply:
Hello: Your child's symptoms may suggest benign muscle twitching. Certain situations in daily life can lead to this issue, such as exercise, acute viral infections, anxiety, and medication use. Among these, prolonged exercise is one of the primary causes of muscle twitching....[Read More] Understanding Involuntary Muscle Twitches in Children: Causes and Concerns
Understanding Muscle Twitches: Insights on Neurological Concerns
Muscle regeneration inquiry (Please let the doctor review this, thank you.) If the doctor sees this, please just reply to this post. Recently, I've been experiencing some symptoms that remind me of my concerns about multiple sclerosis from six months ago: sometimes, my muscl...
Dr. Jiang Junyi Reply:
Hello: The differential diagnosis of multiple sclerosis is quite extensive, including factors such as genetics, infections, inflammation, metabolism, tumors, psychiatric conditions, toxins, and blood circulation issues. When spontaneous remission of neurological symptoms occurs, ...[Read More] Understanding Muscle Twitches: Insights on Neurological Concerns
Understanding Electric Sensations in the Right Cheekbone: A Neurological Concern
Electric sensation in the right zygomatic bone? This month, I have occasionally experienced an electric shock sensation in my right cheekbone. It's not frequent, and pressing on it provides some relief. About three days ago, I woke up with severe pain in my neck and the back...
Dr. Cai Zongzhang Reply:
Hello! It is recommended to visit the neurology outpatient clinic for an examination.[Read More] Understanding Electric Sensations in the Right Cheekbone: A Neurological Concern
Understanding Leg Numbness and Pain After a Knee Injury
Leg problems Recently, I fell and hit my right knee, and since then, I have been experiencing persistent numbness in my right leg. There is pain when I press on my calf, and it feels like there is a sensation even when I'm not directly touching it. After walking or standing ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest the possibility of peripheral nerve injury, particularly involving dysfunction of the common peroneal nerve. It is recommended that you visit a neurology or rehabilitation clinic for evaluation (such as nerve conduction studies and electromyograph...[Read More] Understanding Leg Numbness and Pain After a Knee Injury
Numbness and Pain Around the Achilles Tendon: What You Need to Know
The skin over the Achilles tendon at the back of the ankle is experiencing tingling sensations? Hello Doctor, about two weeks ago, I started experiencing pain in my left Achilles tendon area when performing certain positions or movements, such as stretching my knee straight and p...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest the possibility of peripheral nerve injury, particularly involving the sciatic nerve. Generally, nerve conduction studies and electromyography can assist in the diagnosis. I recommend consulting with a rehabilitation specialist or a neurologist/ne...[Read More] Numbness and Pain Around the Achilles Tendon: What You Need to Know
Understanding Nerve Issues: Left Thumb Sensation and Foot Pain Explained
Abnormal sensation in the left thumb and pain on the dorsum of the left foot? Hello, doctor. I would like to explain my main symptoms, which are twofold: 1. I have abnormal sensations in my left thumb (a tingling feeling, but not like an electric shock). The sensation is most p...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider symptoms of nerve compression due to a herniated disc. The numbness in your hands could be due to compression of the sixth cervical nerve root. The pain in your lower limbs may be related to compression of the fift...[Read More] Understanding Nerve Issues: Left Thumb Sensation and Foot Pain Explained
Why Do Muscle Cramps Recur in the Same Area? Expert Insights
Is it true that a place that has been previously strained is more likely to relapse? Hello, doctor. I usually enjoy outdoor activities and have frequently hiked up to a hundred peaks without ever experiencing cramps. However, last year I felt cramps for the first time in the inne...
Dr. Jiang Junyi Reply:
Hello: Based on your description, you recently experienced sensations of cramping in the outer side of your calves. Do you have any recommendations, Doctor? A: In addition to electrolyte solutions, you may need to supplement with vitamin D and calcium. Furthermore, the accumulati...[Read More] Why Do Muscle Cramps Recur in the Same Area? Expert Insights
Ankle Injury After Car Accident: Understanding Nerve Issues and Recovery
Ankle sprain after a car accident with numbness in the dorsum of the foot? Hello Doctor, I injured my ankle in a car accident when it was compressed by a motorcycle in an outward-turned position. At the emergency room, I was diagnosed with an ankle contusion and was unable to wal...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are more indicative of damage to the sensory nerves in the dorsal aspect of the foot. Due to nerve damage, there is an abnormal sensation of touch. If pain occurs when pressure is applied, it usually involves the transmission of proprioceptive signals. For ne...[Read More] Ankle Injury After Car Accident: Understanding Nerve Issues and Recovery
Understanding Weakness and Pain in Limbs: Possible Causes and Concerns
In the past few days, I've suddenly felt weakness in my right leg, left hand, and right hand due to soreness? Hello Doctor, a few days ago I started feeling a weakness and soreness in my right leg, specifically from about one-third down the inner thigh to the knee, and it sl...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest nerve root compression, specifically considering cervical and lumbar nerve root compression. The condition you are concerned about, commonly referred to as ALS (amyotrophic lateral sclerosis), primarily involves issues with motor neurons. Clinical...[Read More] Understanding Weakness and Pain in Limbs: Possible Causes and Concerns
Understanding Hand and Foot Numbness: When to Seek Neurology Help
The ring finger of the right hand cannot be straightened upon waking up in the morning? Hello Dr. Jiang, I have two questions I would like to ask: 1. My right ring finger is in a clenched position when I wake up in the morning and I cannot straighten it. I use my left hand to h...
Dr. Jiang Junyi Reply:
Hello: The first issue you raised concerns "trigger finger." It is generally believed that repetitive and forceful use of the fingers over a long period can lead to tendon and tendon sheath injuries, swelling, and poor blood circulation. If there is frequent exposure to...[Read More] Understanding Hand and Foot Numbness: When to Seek Neurology Help
Understanding Muscle Pain and Twitches: Causes and Solutions
Muscle pain and twitching? Hello Doctor, I have been experiencing soreness in my left hand and left foot for the past two months. A few days later, my right hand also started to hurt, and my fingers are painful as well. I have also noticed muscle twitches throughout my body (in m...
Dr. Jiang Junyi Reply:
Hello, based on your description of limb weakness and muscle twitching pain, the causes may include not only muscle and nerve issues but also some metabolic diseases such as thyroid dysfunction and sleep disorders. It is recommended that you first consult an internist for evaluat...[Read More] Understanding Muscle Pain and Twitches: Causes and Solutions
Understanding Toe Twitching: Causes and Treatment Options
Toe twitching I have been experiencing twitching in the index finger of my left foot for over a year, and recently the index finger of my right foot has also started twitching. The twitching appears as a side-to-side shaking and is not very frequent at times, but it tends to occu...
Dr. Cai Zongzhang Reply:
Hello: It is advisable to conduct hospitalization for further investigation of the cause, but if there are constraints regarding budget or time, outpatient follow-up examinations can be an alternative.[Read More] Understanding Toe Twitching: Causes and Treatment Options
Understanding the Sensation of Vibrations in the Sole of the Foot
There is a sensation of vibration in the soles of the feet, similar to that of a mobile phone vibrating? In the past two days, I have experienced a vibrating sensation in the sole of my right foot, similar to a phone vibrating. The sensation has a rhythmic quality, but when I tou...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to visit a neurology outpatient clinic for examination.[Read More] Understanding the Sensation of Vibrations in the Sole of the Foot