Midnight Stomach Cramps: Understanding Symptoms and When to Seek Help
Midnight stomach cramps and other symptoms? On June 17th, I suddenly felt nauseous in the early morning, accompanied by severe gastric cramps. After about five minutes, I started sweating profusely, and my hands and feet began to cramp (involuntary contractions, crossing towards ...
Dr. Jiang Junyi Reply:
Dear Ms. Lee, Your symptoms appear to be acute abdominal pain combined with hyperventilation. Acute gastritis may require identifying the underlying cause, such as medications, food, or peptic ulcers, among others. As for hyperventilation, it can lead to decreased carbon dioxide...[Read More] Midnight Stomach Cramps: Understanding Symptoms and When to Seek Help
Understanding Symptoms of Autonomic Nervous System Dysfunction
I feel like I have autonomic nervous system dysregulation? Since June, I have been experiencing nasal congestion and difficulty breathing. Initially, I was worried about being diagnosed with COVID-19, but I eventually realized that it was just nasal congestion that I hadn't ...
Dr. Jiang Junyi Reply:
Dear Miss Yang, Regarding your issue, we need to first consider the problem of syncope, particularly the experience of "seeing a black screen for over ten seconds before slowly recovering." The most common causes are reflex syncope, which can occur due to excessive sti...[Read More] Understanding Symptoms of Autonomic Nervous System Dysfunction
Understanding Sudden Numbness and Pain: Is It a Stroke Warning?
Experiencing numbness in the left side of the body, including the arms and legs, while sleeping? I am a person who often stays up late. Last night at 2 AM, I suddenly experienced swelling and pain on the right side of my face, near the cheek close to the ear. Before going to bed,...
Dr. Jiang Junyi Reply:
Hello, ma'am: Have you measured your blood pressure? "Stroke warning signs?" These are usually accompanied by elevated blood pressure. "Facial dysfunction?" Facial nerve paralysis only affects the area of the facial nerve and does not cause symptoms in th...[Read More] Understanding Sudden Numbness and Pain: Is It a Stroke Warning?
Understanding Right Hand Issues: Symptoms and Concerns in Neurology
My right hand feels strange? Hello, doctor. I'm sorry to bother you again. Since I had the electromyography (EMG) test on my right hand, it felt strange for a while, and recently I've noticed it feels a bit off again, like it’s not functioning properly when I try to gra...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may be related to poor posture. It is recommended to: 1. Change your position: Change your posture every 15 minutes to allow the neck tissues to rest. Maintaining any posture (including a normal one) for an extended period can lead to tissue fatigue and infla...[Read More] Understanding Right Hand Issues: Symptoms and Concerns in Neurology
Understanding Headaches After Nasal Swab Tests: When to Seek Help
Headache after rapid testing? Hello, doctor! After I performed a rapid test by swabbing my right nostril, I experienced a tingling sensation in the entire right side of my occipital region, extending to the top of my head and deep within my nostril. This sensation then evolves in...
Dr. Jiang Junyi Reply:
Dear Ms. Mei, Your symptoms may be a result of excessive neck extension during the screening process. It is recommended that you keep your eyes focused straight ahead, and the physician can adjust the angle of the screening. As long as you remain still, the difficulty of the exa...[Read More] Understanding Headaches After Nasal Swab Tests: When to Seek Help
Neck Pain After a Fall: When to Seek Medical Attention?
Neck pain Yesterday afternoon, I slipped and hit the back of my head after coming out of the bathroom. Since then, I've been feeling stiffness in my neck. Now, it's the next morning, and upon waking up, I feel even more stiffness in the muscles at the front of my neck. ...
Dr. Jiang Junyi Reply:
Dear Ms. Ali, Since you are in isolation, it is advisable to monitor your symptoms for 2-3 days to see if they worsen before considering medical attention. Based on your description, it may be necessary to consider cervical spine disorders, as the likelihood of intracranial hemo...[Read More] Neck Pain After a Fall: When to Seek Medical Attention?
Understanding Leg Cramps and Twitches: Causes and Solutions
Sharp pain in the foot followed by twitching? Sometimes, when I'm about to fall asleep but still conscious (whether at night or during a nap), I experience an uncomfortable sensation in my legs (mainly in the calves), followed by involuntary jerking movements (usually in one...
Dr. Jiang Junyi Reply:
Hello: You mentioned muscle twitches before falling asleep, known as hypnic jerks. When the breathing rate decreases significantly during sleep or when dreaming of falling, the brain's nervous system perceives the body as being in danger and responds by quickly tensing the m...[Read More] Understanding Leg Cramps and Twitches: Causes and Solutions
Differentiating Drug-Induced Parkinsonism from Primary Parkinson's Disease
Differentiating between drug-induced Parkinsonism and primary Parkinson's disease? Hello, Doctor. I apologize for bothering you. My father has been experiencing tremors at the corners of his mouth since February of this year. He has consulted several neurologists and undergo...
Dr. Jiang Junyi Reply:
Hello, You mentioned the occurrence of drug-induced parkinsonism, which we frequently observe in clinical practice. It's not only Flunarizine; other medications can also have similar side effects. It is advisable to consolidate medications within the same hospital. 1. Fl...[Read More] Differentiating Drug-Induced Parkinsonism from Primary Parkinson's Disease
Understanding Hand Tremors: Causes and When to Seek Medical Advice
Finger tremors Hello Doctor: In recent months, I have occasionally woken up at night due to numbness in my hands (90% of the time it's my left hand, sometimes the entire palm, and other times just the ring and little fingers). The common factor is that I notice my hand is po...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest ulnar nerve pathology, commonly caused by poor posture leading to compression. The sensory distribution of the ulnar nerve includes the little finger, half of the ring finger, and the corresponding area of the palm. Common symptoms include numbnes...[Read More] Understanding Hand Tremors: Causes and When to Seek Medical Advice
Is It Autonomic Dysfunction or Heart Issues? Understanding Your Symptoms
Is it an autonomic nervous system issue or a heart problem? Hello, doctor. About three years ago, I visited a psychosomatic specialist who diagnosed me with panic disorder. I experienced symptoms like numbness in my hands and head, discomfort throughout my body, and rapid heartbe...
Dr. Cai Zongzhang Reply:
Hello! It is recommended to visit a neurologist for an examination.[Read More] Is It Autonomic Dysfunction or Heart Issues? Understanding Your Symptoms
Is It Autonomic Dysfunction or Heart Issues? Understanding Your Symptoms
Is it an autonomic nervous system issue or a heart problem? Hello, doctor. About three years ago, I consulted a psychiatrist who diagnosed me with panic disorder. I experience symptoms like numbness in my hands and head, discomfort throughout my body, and increased heart rate in ...
Dr. Cai Zongzhang Reply:
Hello! It is recommended to see a neurologist for an examination.[Read More] Is It Autonomic Dysfunction or Heart Issues? Understanding Your Symptoms
Understanding Your EMG Results: Reassurance for Neurology Concerns
Regarding the previous question, please have the doctor respond briefly. Thank you? Hello, doctor. I am a college student who was previously worried about ALS. After completing the electromyography (EMG), the doctor told me that my nerves are normal and not to overthink or worry....
Dr. Hong Weibin Reply:
Hello: Based on your symptoms and examination, it does not appear to be amyotrophic lateral sclerosis (ALS), so there is no need to worry excessively.[Read More] Understanding Your EMG Results: Reassurance for Neurology Concerns
Understanding ALS Concerns: Insights from a Neurology Consultation
Hello, doctor, regarding the previous question? I have recently been worried about a college student with ALS. Today, I completed some tests (nerve conduction studies and electromyography). The doctor performed the electromyography (EMG) and mentioned something about "UP&quo...
Dr. Jiang Junyi Reply:
Hello: Amyotrophic lateral sclerosis (ALS) is a rare disease. Since the chances of developing it are low, it is better to focus on moderate exercise and balanced nutrition rather than worrying. Wishing you good health, peace, and joy. Dr. Jiang Junyi, Department of Neurology, Tao...[Read More] Understanding ALS Concerns: Insights from a Neurology Consultation
Understanding Neck and Trapezius Pain: Causes and When to Seek Help
Stiffness and pain in the neck and trapezius muscle? Hello, Doctor. In the past few days, I have been experiencing neck stiffness and a tingling sensation, along with pain in my trapezius muscle. I have taken muscle relaxants, but they only provide temporary relief, and the pain ...
Dr. Hong Weibin Reply:
Hello: Based on the symptoms you described, it may be due to stiffness and tension in the shoulder and neck muscles. It is advisable to seek treatment from a rehabilitation specialist. Wishing you a speedy recovery.[Read More] Understanding Neck and Trapezius Pain: Causes and When to Seek Help
Understanding the Causes of Goosebumps: A Neurological Perspective
Goosebumps all over the body? Hello, doctor! Thank you for taking the time to respond to our medical-related questions amidst your busy schedule of treating patients! Here’s my situation: since childhood, whenever my hands come into contact with slightly oily metal surfaces, swea...
Dr. Cai Zongzhang Reply:
Hello, Xiao Cheng! Based on the symptoms mentioned, it may be autonomic nervous system dysfunction. I recommend consulting a neurologist.[Read More] Understanding the Causes of Goosebumps: A Neurological Perspective
Dizziness and Trapezius Pain: When to See a Neurologist?
Dizziness and trapezius muscle pain? Hello, Dr. Jiang. Recently, I've been experiencing neck pain and discomfort in my trapezius muscles, and I've also had some pain in my forehead and head. Whenever I sit and use the computer (due to work), the discomfort worsens. Some...
Dr. Jiang Junyi Reply:
Hello: Based on your description, it may be necessary to consider cervical spine disorders, specifically cervical spondylosis, which can cause neck pain and stiffness. This condition may compress nearby nerve roots, leading to pain that can extend to the shoulders, arms, and hand...[Read More] Dizziness and Trapezius Pain: When to See a Neurologist?
Post-Car Accident Injuries: Should I See a Neurologist?
Injury issues due to a car accident? Hello, doctor. I was sent to the emergency room due to a car accident, and I experienced pain in multiple areas, including my head, lower back, hands, ankles, and toes. The hospital performed a CT scan on my head and lower back, and X-rays on ...
Dr. Cai Zongzhang Reply:
Hello, Xiao Fangkuai! The process of injury from a car accident can cause multiple contusions. The purpose of an X-ray is solely to check for fractures; contusions can only be assessed based on external signs such as redness, swelling, and pain, as X-rays cannot visualize contusi...[Read More] Post-Car Accident Injuries: Should I See a Neurologist?
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 Cervical Spine Issues and Their Impact on Brain Health
Cervical spine issues affecting the brain? Recently, I have been experiencing a significant feeling of pressure in the upper part of my head (crown area), along with frequent dizziness and difficulty focusing my vision. I also feel pain in the cervical spine area and a sensation ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest tension-type headache, which is caused by muscle tightness in the head. Additionally, discomfort can lead to hyperventilation. The symptoms of tension-type headache include a tightening pain in the forehead and temples, similar to wearing a tight ...[Read More] Understanding Cervical Spine Issues and Their Impact on Brain Health
Understanding Muscle Twitches: Concerns and Neurological Insights
Regarding muscle issues? Hello Doctor, I have recently been experiencing muscle twitching. The twitching occurs in specific areas after significant movements; for example, after sneezing, the muscles around my ribs twitch a few times. The twitching is more noticeable when I lie d...
Dr. Hong Weibin Reply:
Hello: There are many potential causes for muscle twitching. In addition to muscle fasciculation, there are muscle myokymia, muscle spasm, muscle myoclonus, and others that are difficult to translate. The causes are quite diverse, but the most common ones include stress, electrol...[Read More] Understanding Muscle Twitches: Concerns and Neurological Insights