Understanding Numbness and Tingling in Hands and Feet: Causes and Solutions
Numbness and occasional tingling in both hands and feet? I have been experiencing numbness in both my hands and feet for over a week now, with less sensation in my thighs and upper arms. Most of the numbness is in my palms and soles, with a larger area affected on the left side c...
Dr. Jiang Junyi Reply:
Based on your description, you mentioned sudden neurological deficits such as limb weakness and slurred speech. The first consideration should be cerebrovascular disease. As for the bilateral limb paresthesia you mentioned, it may be necessary to consider metabolic issues such as...[Read More] Understanding Numbness and Tingling in Hands and Feet: Causes and Solutions
Understanding Sudden Numbness in Hands, Feet, and Face: Causes and When to Seek Help
Numbness in both hands, both feet, and the face? About a week ago, I suddenly experienced numbness in the backs of both hands, the upper and lower arms, the backs of my feet and toes, the calves, the inner thigh of my left leg, and a tingling sensation in my lips and face. What c...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest hyperventilation syndrome. This condition is characterized by a decrease in carbon dioxide levels in the blood, leading to an increase in pH, medically referred to as "respiratory alkalosis." This can trigger systemic reactions and sympt...[Read More] Understanding Sudden Numbness in Hands, Feet, and Face: Causes and When to Seek Help
Understanding Leg Swelling: Possible Causes and Connections to Nerve Issues
Leg swelling sensation? Hello Doctor, for the past two weeks, I have been experiencing a feeling of heaviness and discomfort in both my thighs and calves. I feel uncomfortable whether sitting or standing, and I don't notice any particular time of day when the symptoms are wo...
Dr. Hong Weibin Reply:
Hello: The sensation of pain and swelling in the calves and thighs usually raises concerns about potential vascular obstruction or nerve compression issues. It is advisable to seek assistance from a neurologist directly.[Read More] Understanding Leg Swelling: Possible Causes and Connections to Nerve Issues
Understanding Chronic Headaches in Children: Causes and Solutions
My child frequently experiences headaches? I have a son who frequently experiences headaches, which are often accompanied by severe nausea, vomiting, and dizziness. He reports that his headaches initially cause some blurriness in his vision, followed by numbness in his hands and ...
Dr. Cai Zongzhang Reply:
Based on the symptom description, these symptoms are paroxysmal and not persistent, and the cause may not be identifiable upon examination. It is recommended to seek immediate medical attention (neurology) during the onset of symptoms.[Read More] Understanding Chronic Headaches in Children: Causes and Solutions
Understanding Central Nervous System Issues: When to See a Neurologist
Central nervous system issues? Hello, doctor. I have noticed since I was very young that one side of my body sweats a lot while the other side does not sweat at all. During winter, one side of my hands and feet feels cold while the other side is warm. I haven't seen a doctor...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest a autonomic nervous system disorder. Relevant tests can be conducted at a medical center. If the symptoms continue to progress, it may be necessary to consider abnormalities in brain structure, particularly with unilateral sweating. I recommend th...[Read More] Understanding Central Nervous System Issues: When to See a Neurologist
Understanding Involuntary Movements During Sleep: Possible Causes and Concerns
Involuntary movements during sleep? Hello Doctor, my father was recently diagnosed with prostate cancer and was hospitalized. During his hospital stay, he often experienced involuntary movements and shaking of his limbs while sleeping, occasionally talking in his sleep and waving...
Dr. Hong Weibin Reply:
Hello: I would suggest starting the investigation with paraneoplastic syndrome caused by prostate cancer, especially in patients with more severe conditions. Cancer often produces various autoimmune antibodies that may attack normal tissue cells in the body, leading to a range of...[Read More] Understanding Involuntary Movements During Sleep: Possible Causes and Concerns
Understanding Hand Tremors: Causes, Concerns, and Management Tips
I would like to inquire about the issue of hand tremors? Hello Dr. Jiang, I would like to ask you about my hand tremors. About 4-5 years ago, my family noticed that one of my fingers would shake when I used chopsticks, and it would also tremble slightly when I tried to straighten...
Dr. Jiang Junyi Reply:
Hello: The physician should examine the eyes to rule out Wilson's disease, which is an autosomal recessive genetic disorder. It results in a deficiency of ceruloplasmin, a copper-carrying protein in the plasma, leading to abnormal copper metabolism and excessive copper depos...[Read More] Understanding Hand Tremors: Causes, Concerns, and Management Tips
Understanding Numbness and Tingling: Causes and When to Seek Help
Numbness in the head and face? Hello, doctor! Recently, I have been experiencing a sensation of vibration near my chest. I'm not sure how to describe it; it feels very chaotic and uncomfortable, like a buzzing or tingling sensation. Upon closer examination, I notice that thi...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest hyperventilation syndrome. Hyperventilation leads to a decrease in carbon dioxide levels in the blood, resulting in an increased pH, a condition known medically as "respiratory alkalosis." This can cause systemic reactions and symptoms, ...[Read More] Understanding Numbness and Tingling: Causes and When to Seek Help
Understanding Symptoms of Autonomic Nervous System Disorders in Teens
Similar to autonomic nervous system dysfunction? My symptoms began in December 2019 when I experienced pain in my jaw and a clicking sound when opening my mouth. I thought it was nothing serious, so I ignored it. However, after catching a cold in January, my condition has worsene...
Dr. Cai Zongzhang Reply:
Based on the described symptoms, it is recommended to consult a neurologist for evaluation.[Read More] Understanding Symptoms of Autonomic Nervous System Disorders in Teens
Could Your Symptoms Indicate Autonomic Nervous System Dysfunction?
I am not sure if it is autonomic nervous system dysfunction? Hello doctor, I have been experiencing frequent dizziness and chest tightness lately. When I talk to others, I feel short of breath and very fatigued. Sometimes my hands and feet feel numb, and I have noticed that my me...
Dr. Cai Zongzhang Reply:
Hello: Based on the described symptoms, it is recommended to consult a neurologist for an examination.[Read More] Could Your Symptoms Indicate Autonomic Nervous System Dysfunction?
Understanding Occasional Numbness in the Back of the Head During Urination
Numbness in the scalp during urination? I would like to ask, I often experience numbness in the right back of my head when urinating, but there is no pain, and it goes away after I finish urinating. What could this situation be? Thank you.
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest cervical myofascial tightness. The primary concerns could be cervical disc degeneration, facet joint degeneration, and cervical disc herniation. Once there is pathology in the cervical spine joints, it can lead to neck pain and stiffness, as well ...[Read More] Understanding Occasional Numbness in the Back of the Head During Urination
Navigating Brain Tumor Diagnosis: MRI, CT, and PET/CT Options Explained
Brain tumor, brain cancer I have a history of type 2 diabetes for 8 years and depression for 15 years. I have been taking tricyclic antidepressants DOXEPIN 50MG, LYRICA 20MG, and sleeping pills for at least 15 years. I have suffered from insomnia for 15 years and I smoke. My medi...
Dr. Hong Weibin Reply:
1. It is recommended that you directly inquire with the hospital's health examination center for clearer information. The same type of examination can have different modalities, and the purpose and results may vary. 2. Generally, a CT scan or MRI with contrast agent should b...[Read More] Navigating Brain Tumor Diagnosis: MRI, CT, and PET/CT Options Explained
Does Holding Your Phone One-Handed Affect Triceps Size?
Triceps brachii Using one hand to hold a phone while lying down (with the phone approximately 35 cm from the eyes and the arm fully extended) can indeed engage the triceps brachii muscle. If you notice a size difference between your triceps on each side, it could be due to muscle...
Dr. Jiang Junyi Reply:
Hello: The triceps brachii is typically used when we lift a bucket of water. Muscle atrophy may be related to compression of the seventh cervical nerve. I recommend that you consult a neurologist to discuss examination and treatment options. Wishing you good health and peace. Dr....[Read More] Does Holding Your Phone One-Handed Affect Triceps Size?
Understanding Hand Tremors: Is Your Right Hand's Shake a Sign of Parkinson's?
Experiencing hand tremors while using chopsticks with the right hand? Hello doctor, I have a question. When I use chopsticks with my right hand, it shakes a bit (only the right hand). It's not to the extent that I can't eat, but it feels shaky. In Parkinson's disea...
Dr. Hong Weibin Reply:
Hello: There are many causes of tremors. In addition to Parkinson's disease, there are essential tremor, physiological tremor, tremors induced by substances or medications, and tremors due to cerebellar lesions. Since tremors are classified as movement disorders, it is best ...[Read More] Understanding Hand Tremors: Is Your Right Hand's Shake a Sign of Parkinson's?
Understanding Brain Tumors: Symptoms, Diagnosis, and MRI Options
Brain cancer brain tumor I have a history of type 2 diabetes for 8 years and depression for 15 years. I have been taking tricyclic antidepressants DOXEPIN 50MG, LYRICA 20MG, and sleeping pills for at least 15 years. I have suffered from insomnia for 15 years and have a smoking hi...
Dr. Jiang Junyi Reply:
Hello: Here is the answer to your question. It is recommended to first undergo a non-contrast MRI to assess the lesions. (Generally, cerebrovascular diseases and brain tumors can be initially differentiated. As for dental issues, after the MRI, we can evaluate whether they signif...[Read More] Understanding Brain Tumors: Symptoms, Diagnosis, and MRI Options
Should I See a Neurologist for My Sleep Disturbances and Panic Symptoms?
Hello, doctor. I'm not sure which specialty to see? Hello, doctor. On the night of September 25th, I suddenly felt numbness starting from my shoulder to my head, felt cold all over, and had a near-death sensation. I went to the emergency room, but after no treatment, I felt ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest "hyperventilation." During this condition, the level of carbon dioxide in the blood decreases, leading to an increase in pH, a medical condition known as "respiratory alkalosis." This can trigger systemic reactions and symptoms...[Read More] Should I See a Neurologist for My Sleep Disturbances and Panic Symptoms?
Understanding Muscle Twitches: Causes and Concerns in Neurology
Muscle twitching issue inquired again? Hello doctor, I am the one from <a href="https://adoctor.tw/article/160457">#160457</a>. My entire body experiences muscle twitching, including my thighs, buttocks, eyelids, and cheeks (though these are infrequent, occu...
Dr. Jiang Junyi Reply:
Hello: Based on your description. 1. Since muscle twitching can occur throughout the body (though less frequently in other areas), could this still be a symptom of peripheral nerve issues? A: This may warrant consideration of electrolyte imbalances or muscle tension. 2. Is it pos...[Read More] Understanding Muscle Twitches: Causes and Concerns in Neurology
Understanding Post-Epileptic State: Recovery and Rehabilitation Concerns
Loss of self-awareness after seizure control? Hello, Dr. Jiang. My father is 71 years old. During the Dragon Boat Festival, he felt unwell and rushed to the hospital for an emergency visit. The attending physician diagnosed him with a stroke warning and administered an anticoagul...
Dr. Jiang Junyi Reply:
Hello, based on your description, it is unclear whether your father's epilepsy is caused by cerebrovascular disease or other conditions. The tightness in his right hand and foot may indicate an issue in the left hemisphere of the brain, and there could also be a possibility ...[Read More] Understanding Post-Epileptic State: Recovery and Rehabilitation Concerns
Understanding Muscle Twitches: ALS Concerns and Neurological Insights
Amyotrophic Lateral Sclerosis (ALS) muscle twitching? I am Mr. Huang, referring to #159787. I have a few final questions for the doctor. I had an electromyography (EMG) test on August 19, which only involved needle insertions in my left forearm down to my palm and in my left calf...
Dr. Hong Weibin Reply:
Hello: The electromyography (EMG) examination for patients with amyotrophic lateral sclerosis (ALS) may vary in standard procedures from one hospital to another. If you feel that the examination is not thorough enough, you can seek opinions from other physicians. There are many t...[Read More] Understanding Muscle Twitches: ALS Concerns and Neurological Insights
Understanding Swallowing Difficulties: A Neurological Perspective
Dysphagia Hello, doctor. I have mitral valve prolapse and have been experiencing palpitations for the past six months (it became particularly uncomfortable on August 7, which led to an echocardiogram diagnosis). Recently, I have been having some difficulty swallowing while eating...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to visit the neurology outpatient clinic for a detailed examination.[Read More] Understanding Swallowing Difficulties: A Neurological Perspective