Persistent Pain Between Toes: Seeking Solutions for Ongoing Discomfort
There is a sharp pain in the dorsum of the foot upon touch (which has persisted for six months)? Hello Doctor, I used to stand for long periods at work, which often caused my feet to be very sore. Most of the soreness and pain would return to normal after a period of rest, but th...
Dr. Jiang Junyi Reply:
Hello, Miss 0w0: Your symptoms are clinically referred to as "allodynia" and "hyperesthesia," which are manifestations of sensory hypersensitivity. Clinically, in addition to physical therapy, certain medications can also help alleviate the symptoms. Furthermo...[Read More] Persistent Pain Between Toes: Seeking Solutions for Ongoing Discomfort
Can You Get the COVID Vaccine with Frequent Headaches and Heart Issues?
If you frequently experience headaches, dizziness, numbness in your hands and feet, and a rapid heartbeat, it is important to consult with a healthcare professional before receiving the COVID-19 vaccine. They can evaluate your symptoms and medical history to determine if vaccinat...
Dr. Jiang Junyi Reply:
Hello, Miss: Propranolol works by reducing sympathetic nervous system activity and is commonly used clinically as a preventive medication for migraines. Your symptoms may need to be considered in the context of migraine attacks that can cause visual disturbances. Our autonomic ne...[Read More] Can You Get the COVID Vaccine with Frequent Headaches and Heart Issues?
Is Increased Hand Numbness After Electromyography Normal?
After the electromyography (EMG) test, the numbness in my hand has worsened? Hello doctor, recently an elder in my family has been experiencing numbness in the fingers and weakness in the lower limbs. The doctor recommended an electromyography (EMG) test. After the test, the numb...
Dr. Jiang Junyi Reply:
Hello: The symptoms of your elderly family member may need to be considered for carpal tunnel syndrome or symptoms caused by ulnar nerve compression. Carpal tunnel syndrome refers to the clinical symptoms caused by the median nerve being compressed as it passes through the "...[Read More] Is Increased Hand Numbness After Electromyography Normal?
Understanding Writing Spasms: Quick Self-Assessment and Relaxation Tips
Hand issues / How to relax the writing hand / Are there simple methods to self-assess for writer's cramp? Hello Doctor, I suffered from hydrocephalus due to a car accident in 2014. After rehabilitation, most of my functions have returned, but the nerve function in my right h...
Dr. Jiang Junyi Reply:
Hello: The writing spasm you mentioned is primarily a movement disorder related to genetic factors or abnormalities in neural connections. Clinically, it presents as sudden muscle tone abnormalities. Upper motor neuron symptoms that occur after a brain injury are usually differen...[Read More] Understanding Writing Spasms: Quick Self-Assessment and Relaxation Tips
Head Pain When Bending Down: Causes and Solutions
Headache when bending down? I have been experiencing persistent swelling and pain in the left side of my nasopharynx extending to the eye socket for the past couple of days. The symptoms become more pronounced when I bend down or lower my head, and I feel significant pressure thr...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest cluster headache. This type of headache is concentrated around one eye or the temporal region, most commonly occurring behind one eye socket, and is accompanied by ipsilateral conjunctival injection, rhinorrhea, tearing, forehead and facial swelli...[Read More] Head Pain When Bending Down: Causes and Solutions
Persistent Eye Twitching: Causes and Solutions for Lasting Discomfort
Eyelid issue: Right lower eyelid twitching for two and a half months? Doctor: My right lower eyelid has been twitching for two and a half months. I visited the ophthalmology department at Taipei Medical University Hospital, and they said everything is normal. The doctor mentioned...
Dr. Jiang Junyi Reply:
According to your description, eyelid movements are controlled by the facial nerve. If the eyelid is twitching continuously, the physician will first carefully observe the patient's facial muscles. If only the eyelid is affected and there are no involuntary movements in othe...[Read More] Persistent Eye Twitching: Causes and Solutions for Lasting Discomfort
Is Your IV Injection Causing Nerve Damage? Symptoms and Solutions
Experiencing sharp pain at the moment of intravenous (IV) insertion may not necessarily indicate nerve damage. It could be a result of the needle penetrating the skin and tissue, which can cause temporary discomfort. However, if the pain persists or is accompanied by other sympto...
Dr. Jiang Junyi Reply:
Hello: The numbness and pain in your thumb may indicate symptoms of nerve compression. This could be due to localized tissue inflammation or pressure from muscles and ligaments. Generally, inflammation tends to resolve within 2-3 weeks. It is recommended that you consult a neurol...[Read More] Is Your IV Injection Causing Nerve Damage? Symptoms and Solutions
Managing Insufficient Medication After a Stroke: Key Considerations
What should I do if the medication dosage is insufficient? On the morning of December 16, Grandpa returned home from exercising. On the bus, he slept the entire way, and when he got home, he was eating breakfast while still dozing off. The family noticed something unusual and tho...
Dr. Jiang Junyi Reply:
Hello, based on your description, it is recommended to seek treatment for cardiovascular disease at a hospital accessible by ambulance within your home area, integrating medical information. Clopidogrel (Plavix) functions similarly to aspirin as a preventive medication for stroke...[Read More] Managing Insufficient Medication After a Stroke: Key Considerations
Why Does My Eyelid Twitch After Hard Blinking? Understanding the Causes
After forcefully blinking, the tail end of the left eyelid twitches? Hello Doctor: About four days ago, I noticed that after I forcefully blinked and then opened my eyes, the outer part of my left upper eyelid would twitch slightly. It's not very noticeable in the mirror, bu...
Dr. Jiang Junyi Reply:
Your description of eyelid movement is controlled by the facial nerve. If the eyelid is twitching continuously, the physician will first carefully observe the patient's face. If, aside from the eyelid, there is no twitching in other facial muscles, it is considered simple ey...[Read More] Why Does My Eyelid Twitch After Hard Blinking? Understanding the Causes
Understanding PET Scans for Dementia Diagnosis: A Patient's Guide
Dementia Self-Paid PET Scan I have a history of type 2 diabetes for 8 years and have been taking tricyclic antidepressants (TCA) and Lyrica for depression for 15 years, but I still experience insomnia and do not achieve deep sleep. I have a history of smoking. My grandmother pass...
Dr. Hong Weibin Reply:
Hello: 1. There are many types of PET scans, and typically, the PET/CT scans performed at health check-up centers are used to detect suspected tumors throughout the body, not to assess for dementia. 2. You need to check if the hospital offers PET scans for dementia. Currently, th...[Read More] Understanding PET Scans for Dementia Diagnosis: A Patient's Guide
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 Lip Tremors: Causes and When to Seek Medical Advice
Trembling of the lower lip? Hello Dr. Jiang, my mother (65 years old) has been experiencing occasional tremors in her lower lip over the past two months, which she is not aware of. She has not had this issue before. In May of this year, she developed urticaria and was on corticos...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider essential tremor. If it does not affect your daily life, medication treatment is not required. The causes of tremors can be categorized into four types: physiological tremors, psychological tremors, essential tremo...[Read More] Understanding Lip Tremors: Causes and When to Seek Medical Advice
Understanding Involuntary Muscle Contractions at the Mouth Corner
Involuntary contraction of the corners of the mouth? Hello Dr. Jiang: I have noticed that the muscles at the corner of my right mouth are experiencing involuntary contractions (not twitching). A small area of muscle tightens continuously for about 2-3 seconds and then relaxes on ...
Dr. Jiang Junyi Reply:
Hello: The movement of the muscles at the corners of the mouth is controlled by the facial nerve. If you are experiencing twitching in other facial muscles in addition to the corners of your mouth, your symptoms may be indicative of facial nerve spasms. Current research suggests ...[Read More] Understanding Involuntary Muscle Contractions at the Mouth Corner
Understanding Facial Twitching: Causes and When to Seek Help
Facial spasms Hello, I would like to ask about a twitching sensation on the left side of my cheekbone or just above the corner of my mouth. It occurs a few times a day, about 3 to 4 times, each lasting around 3 seconds. Sometimes there is a slight twitching feeling, but it doesn&...
Dr. Jiang Junyi Reply:
Hello: Eyelid movement is controlled by the facial nerve. If the eyelid is twitching continuously, the physician will first carefully observe the patient's facial muscles. If only the eyelid is affected and other facial muscles are not twitching, it is considered simple eyel...[Read More] Understanding Facial Twitching: Causes and When to Seek Help
Understanding Fainting After Running: Causes and Next Steps
Fainting after running occurred again a year later? Hello Doctor: Last March, I fainted after running (I had already eaten dinner, ran about 5 km, and fainted while walking home; I had been running normally for about two months). I was taken to the emergency department of a hospi...
Dr. Jiang Junyi Reply:
Hello: Experiencing dizziness and nearly fainting, squatting down to rest, and seeing darkness in front of your eyes. These symptoms are more indicative of insufficient cerebral circulation due to fluid deficiency. Symptoms can be improved by replenishing fluids and electrolytes,...[Read More] Understanding Fainting After Running: Causes and Next Steps
Unexplained High Fever and Headache: Possible Neurological Issues?
Unexplained high fever and headache? Hello, Doctor. On the morning of September 6th, I experienced a sudden high fever reaching 40 degrees Celsius accompanied by severe headaches. After taking antipyretics, my temperature dropped to 38 degrees, but it did not return to normal. I ...
Dr. Jiang Junyi Reply:
Hello: I apologize for the late response to your question. You mentioned experiencing headaches, lower back pain, white discharge from the urethra, mild dizziness, occasional visual disturbances, and difficulty taking deep breaths. These symptoms may suggest an infection, particu...[Read More] Unexplained High Fever and Headache: Possible Neurological Issues?
Unexplained High Fever and Severe Headache: Possible Neurological Issues
Unexplained high fever and headache? Hello, Doctor. On the morning of September 6th, I experienced a sudden high fever reaching 40 degrees Celsius, accompanied by severe headaches. After taking antipyretics, my temperature dropped to 38 degrees but did not return to normal. I did...
Dr. Jiang Junyi Reply:
Hello, I apologize for the late response to your question. You mentioned experiencing headaches, lower back pain, white discharge from the urethra, mild dizziness, occasional visual disturbances, and difficulty taking deep breaths. These symptoms may suggest an infection, parti...[Read More] Unexplained High Fever and Severe Headache: Possible Neurological Issues
Unexplained High Fever and Headache: Possible Neurological Concerns
Unexplained high fever and headache? Hello, Doctor. On the morning of September 6th, I experienced a sudden high fever reaching 40 degrees Celsius accompanied by severe headaches. After taking antipyretics, my temperature dropped to 38 degrees but did not return to normal. I did ...
Dr. Jiang Junyi Reply:
Hello: I apologize for the late response to your question. You mentioned experiencing headaches, lower back pain, white discharge from the urethra, mild dizziness, occasional visual disturbances, and difficulty taking deep breaths. These symptoms may suggest an infection, particu...[Read More] Unexplained High Fever and Headache: Possible Neurological Concerns
Understanding Pituitary Abnormalities: Diagnosis and Treatment Options
Pituitary gland abnormalities Hello: I have epilepsy and have been on medication for over a year. A year ago, I underwent an MRI of the brain, which revealed abnormalities in the pituitary gland. Blood tests also indicated that my testosterone levels are too low. The urologist ha...
Dr. Cai Zongzhang Reply:
Hello, if you are currently receiving treatment from both neurology and urology specialists, the physicians should be able to continuously and accurately diagnose your symptoms. Although there are many treatment options for pituitary abnormalities, it is advisable to discuss the ...[Read More] Understanding Pituitary Abnormalities: Diagnosis and Treatment Options
Understanding Facial Nerve Paralysis: Steroid Use and Recovery Insights
Facial nerve paralysis Hello, doctor! My father-in-law has been diagnosed with facial nerve paralysis... but he only took steroids for one day and then stopped. The doctor said that the inflammation of the nerve does not require further steroid treatment and that we should wait f...
Dr. Jiang Junyi Reply:
Hello: Peripheral facial nerve palsy primarily affects the seventh cranial nerve. The clinical symptoms include sensations of numbness or stiffness in the face. Due to the inability to close the eyelids, tearing may also occur. Sometimes, patients may notice an increased sensitiv...[Read More] Understanding Facial Nerve Paralysis: Steroid Use and Recovery Insights