Understanding Scalp Tingling: Is It a Sign of Stroke or Neck Issues?
Scalp tingling? Hello doctor, I have recently been experiencing occasional tingling sensations in the right back of my head (similar to the feeling of goosebumps). The frequency is not very high, and each episode lasts only a few seconds, but it continues to occur. Additionally, ...
Dr. Jiang Junyi Reply:
Hello Mr. TIM: You mentioned, "Is the tingling in the scalp more related to cervical spine issues or is it more likely related to a stroke?" Your symptoms should first consider cervical spine-related nerve compression. Typical discomfort symptoms associated with cervica...[Read More] Understanding Scalp Tingling: Is It a Sign of Stroke or Neck Issues?
Understanding Numbness in Hands and Feet: Causes and Concerns
Numbness in the hands and feet? Hello, doctor. I often experience numbness in my hands (sometimes extending to my wrists) or feet (approximately up to my ankles) during the winter and spring seasons, but my hands and feet do not feel cold. I would like to know what might be the c...
Dr. Jiang Junyi Reply:
Hello Mr. Tuna: You mentioned that your hands (sometimes extending to the wrist) or feet (approximately up to the ankle) experience numbness, which may require ruling out peripheral nerve compression issues, such as carpal tunnel syndrome. Symptoms of peripheral nerve compression...[Read More] Understanding Numbness in Hands and Feet: Causes and Concerns
Post-Accident Symptoms: Cramps, Pain, and Dizziness Explained
After the car accident, I experienced spasms, tingling, and cramps in my limbs, along with dizziness? Hello Doctor: I was in a car accident on January 6, where I was lying face down on the ground and my lower body was pinned under a motorcycle. (Before the emergency room, I could...
Dr. Jiang Junyi Reply:
Dear Ms. Wu, You mentioned that you have a "humming" sound in your right ear (similar to a machine), followed by fluid discharge. Your symptoms may suggest ear leakage, potentially caused by a skull base fracture, particularly involving the petrous part of the temporal...[Read More] Post-Accident Symptoms: Cramps, Pain, and Dizziness Explained
Understanding Nerve Sensations: Addressing Tingling and Discomfort
Experiencing numbness in multiple areas? Hello Doctor: I often feel soreness and numbness in my neck and hip joints, as well as a tingling sensation in various joint areas, such as the inner elbows, popliteal fossa, thenar, second joint of the middle finger, and the dorsum of the...
Dr. Jiang Junyi Reply:
Hello Ms. QQ, You mentioned that "many joint areas feel itchy and numb." Your symptoms may suggest typical signs of neuropathy: numbness, tingling, and symptoms related to peripheral nerve compression. 1. The nature of the pain may include burning and electric sensat...[Read More] Understanding Nerve Sensations: Addressing Tingling and Discomfort
Is It a Stroke? Understanding Symptoms and When to Seek Help
Suspected stroke? Hello, doctor. This morning when I got up, I experienced a sudden cramp in my left calf muscle due to the significant temperature changes over the past two days. At that moment, I felt a sensation in my head similar to blood rushing to my brain, followed by dizz...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, I believe the likelihood of a stroke is low (generally, it would present as sudden vision loss, typically affecting one eye). I think it may be presyncope. I recommend that you see a cardiologist or neurologist for further evaluation. Thank you for ...[Read More] Is It a Stroke? Understanding Symptoms and When to Seek Help
Understanding Numbness and Tingling in Hands and Feet: When to Seek Help
Numbness and tingling in the hands and feet? Since Monday, I have been experiencing a tingling and numb sensation in my foot, particularly in the fourth toe of my right foot. This sensation occurs whether I am sitting or standing, but it is less noticeable when I walk. It is not ...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, there could be issues related to peripheral circulation or peripheral nerves. It is recommended that you consult a neurologist. Thank you for your inquiry.[Read More] Understanding Numbness and Tingling in Hands and Feet: When to Seek Help
Could My Symptoms Indicate Parkinson's Disease? A Patient's Journey
Parkinson's disease Hello Doctor, in July 2014, I experienced severe headaches from hot water while taking a shower, to the point where I felt like I wanted to hit my head against the wall. After that, my body started to change. In July 2015, my right index finger suddenly b...
Dr. Peng Shiwei Reply:
Based on your current age and symptoms, the likelihood of Parkinson's disease is indeed low. However, if you notice any changes or worsening of your symptoms, you should consider visiting a neurologist for further evaluation.[Read More] Could My Symptoms Indicate Parkinson's Disease? A Patient's Journey
Understanding Sensory Disturbances in Schizophrenia and Migraine Auras
Feeling troubled? I am a patient with schizophrenia, but sometimes I often feel a sense of foreignness or sometimes I dislike thinking of sweating as bleeding. Additionally, I would like to ask what a prodromal migraine is; I would like to understand it better.
Dr. Jiang Junyi Reply:
Hello: You mentioned "What is aura migraine?" The symptoms of aura migraine include visual disturbances such as seeing bright lights resembling stars and lightning, as well as blurred or distorted vision. These are all precursors to a migraine. A few minutes after the a...[Read More] Understanding Sensory Disturbances in Schizophrenia and Migraine Auras
Understanding Neck Pain: Causes, Symptoms, and Relief Strategies
Neck pain Hello Doctor, for the past month, I have been experiencing soreness when tilting my neck backward and downward to the left. When I touch the painful area, it is located on the left side of my neck, and while I can't pinpoint a specific spot on the back, there is a ...
Dr. Cai Zongzhang Reply:
Hello: The symptoms mentioned are related to prolonged poor posture of the neck and upper arms during work. It is recommended to visit a neurology clinic for examination and further treatment recommendations.[Read More] Understanding Neck Pain: Causes, Symptoms, and Relief Strategies
Understanding Cerebrospinal Fluid Leaks: Symptoms and Treatment Options
Suspected cerebrospinal fluid leak? Hello Doctor: I have been experiencing very severe headaches intermittently since childhood. Sometimes they occur due to excessive exertion or fatigue, while at other times the cause is unclear. The symptoms are generally very painful whether I...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "the location of the headache changes with different positions, and if I eat on one side, I feel nauseous (if not, I don't feel anything special).... I suspect it might be a cerebrospinal fluid leak." Your symptoms may need to be co...[Read More] Understanding Cerebrospinal Fluid Leaks: Symptoms and Treatment Options
Understanding Sleep Disorders: Involuntary Movements During Sleep
Sleep issues Hello, doctor. I would like to ask about a recent experience during sleep where I feel like my hands are moving on their own in a half-awake, half-asleep state. I am unable to control these movements, and sometimes when there are objects nearby, I feel as if I am pic...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to visit a neurologist to investigate the possible causes of the symptoms mentioned above.[Read More] Understanding Sleep Disorders: Involuntary Movements During Sleep
Managing Parkinson's Disease: Addressing Anxiety and Daily Challenges
Parkinson's disease Dear Dr. Jiang, My mother was diagnosed with Parkinson's disease last August at the age of 66. She has had long-standing insomnia issues and has a naturally introverted and anxious personality. It wasn't until last year that she experienced wea...
Dr. Jiang Junyi Reply:
Hello Ms. Chen, You mentioned, "Heavy metal testing, due to living in the countryside and working in hotel housekeeping for 25 years. If there has indeed been excessive exposure and treatment, would it improve symptoms, and would her mood improve?" For atypical Parkins...[Read More] Managing Parkinson's Disease: Addressing Anxiety and Daily Challenges
Managing Nerve Pain and Discomfort in Hands and Feet
Numbness and pain in the hands and feet? Hello Dr. Jiang, I previously underwent rehabilitation treatment for my cervical spine issues, during which the numbness and tingling in my fingers were not as severe. However, after moving, I have had less opportunity to continue rehabil...
Dr. Jiang Junyi Reply:
Dear Ms. Peng, You mentioned that "I must lie down to feel better, and lifting heavy objects or walking exacerbates the numbness and pain in my fingers, which has recently become unbearable." Your symptoms may suggest peripheral nerve compression, and there could also ...[Read More] Managing Nerve Pain and Discomfort in Hands and Feet
Post-COVID Weakness: Understanding Neurological Symptoms and Recovery
Weakness in the limbs after diagnosis? Dear Dr. Tsai, During my diagnosis on September 2, I experienced weakness in my limbs, which gradually evolved into weakness only when exerting force. I can normally pick up objects, but I have noticed that when performing fine motor tasks,...
Dr. Cai Zongzhang Reply:
Hello, Miss Jian: The symptoms mentioned above may be indicative of a peripheral neuropathy. It is recommended to consult a neurologist for further evaluation.[Read More] Post-COVID Weakness: Understanding Neurological Symptoms and Recovery
Understanding Heart Palpitations and Chest Pain After Vaccination
Chest pain and palpitations? In the past, I had a habit of exercising. After receiving my second dose of the Moderna vaccine in May of this year, I experienced palpitations (heart rate of 130-140) and had to visit the emergency room several times. However, all cardiac tests came ...
Dr. Peng Shiwei Reply:
Hello, it is indeed possible to experience palpitations after receiving the Moderna vaccine, but they typically do not last for an extended period. If your symptoms persist and other symptoms begin to appear, it is advisable to consult a cardiologist to rule out any heart-related...[Read More] Understanding Heart Palpitations and Chest Pain After Vaccination
Understanding Nerve Issues: Hand Numbness, Facial Tingling, and Tinnitus
Numbness in the hands and face accompanied by tinnitus? Previously, I visited a traditional Chinese medicine practitioner for a stiff neck, and after some time, my shoulder and neck pain improved. However, I suddenly started experiencing numbness in my hands, so I went to a nearb...
Dr. Jiang Junyi Reply:
Hello Mr. Hsu: You mentioned that "sometimes when I wake up, I find my hands completely numb, and it takes about a few seconds to recover. The rehabilitation doctor said that invasive tests are needed to understand the symptoms." It may be necessary to consider compress...[Read More] Understanding Nerve Issues: Hand Numbness, Facial Tingling, and Tinnitus
Understanding Hand Numbness and Memory Lapses in Seniors
Numbness in the hands and brief episodes of mental blankness? Hello, my father is 68 years old and has been experiencing insomnia and numbness in his hands for about six months. Recently, while playing Mahjong with friends at night, he found it difficult to arrange the tiles. He ...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "you found it difficult to arrange the Mahjong tiles... and your father is concerned whether it is dementia." This symptom is indeed indicative of cognitive dysfunction. Clinically, we would inquire about the patient's medical history and ...[Read More] Understanding Hand Numbness and Memory Lapses in Seniors
Understanding Polyneuropathy: Steroids vs. Immunoglobulin Treatment
Systemic neuropathy Dear Dr. Jiang, I visited a neurologist yesterday, and the doctor diagnosed me with "multiple neuritis." He prescribed corticosteroids for two weeks. I would like to ask whether it is more effective to receive intravenous immunoglobulin (IVIG) treatm...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "immunoglobulin" is clinically used in acute inflammatory demyelinating polyradiculoneuropathies (AIDP), also known as Guillain-Barré syndrome. The typical clinical symptoms include bilateral symmetric progressive weakness, limb pain, and tingl...[Read More] Understanding Polyneuropathy: Steroids vs. Immunoglobulin Treatment
Understanding Limb Weakness: Anxiety and Autonomic Nervous System Impact
There is a persistent issue of weakness in the limbs? Hello Doctor, I am a junior in college and I have anxiety disorder. I tend to become very anxious about physical symptoms. I take Diazepam in the morning and evening, and Clonazepam before bed. Recently, for more than two week...
Dr. Jiang Junyi Reply:
Hello, Student Chen: You mentioned that "for more than two weeks, there has been sudden weakness in the limbs and stiffness in the shoulders and neck, with shaking occurring when bending the arms and legs to a point of exertion." It may be necessary to first consider t...[Read More] Understanding Limb Weakness: Anxiety and Autonomic Nervous System Impact
Understanding Sleep Disturbances: Hallucinations and Breathing Issues
Hallucinations upon falling asleep, difficulty breathing, and a feeling of pressure? Hello Doctor: I am currently a senior high school student preparing for the university entrance exam, and I often feel a lot of pressure from studying, which leads to feelings of inexplicable sad...
Dr. Hong Weibin Reply:
Hello: Based on your description, it is recommended that you seek assistance from a sleep specialist at a hospital (such as a pediatric psychiatry or neurology department). It is important to consider whether there may be narcolepsy or depression involved. Additionally, your slee...[Read More] Understanding Sleep Disturbances: Hallucinations and Breathing Issues