Understanding Memory Loss in Elderly: When to See a Neurologist
If a mother is experiencing episodes of depression, she should consult a psychiatrist or a psychologist for evaluation and treatment? Hello Doctor, My mother is currently 82 years old. She is generally healthy but has high blood pressure that is controlled with medication. Last ...
Dr. Gao Chunde Reply:
Transient global amnesia (TGA) currently lacks a well-understood etiology. Potential causes include transient discharges similar to those seen in epilepsy, migraine-related brain storms, transient cerebral ischemia, jugular venous reflux, or other factors. It is essential to cons...[Read More] Understanding Memory Loss in Elderly: When to See a Neurologist
Experiencing Electric Shock Sensation After Blood Draw: What to Do?
Experiencing pain or twitching in the arm after receiving an injection? Hello, during my recent blood test at the hospital, I felt a sudden electric shock sensation in my arm when the nurse inserted the needle. Now, I experience this electric shock feeling again when my arm is in...
Dr. Lan Shengxing Reply:
Dear Jacky, the likelihood of hitting a nerve during an injection is very low. Often, it is due to the pre-existing condition of the nerve, which may have been injured in a vulnerable position, leading to sensations of electric shock when touched. The fact that you are still expe...[Read More] Experiencing Electric Shock Sensation After Blood Draw: What to Do?
Understanding Right-Sided Muscle Inflammation Near the Coccyx: Causes and Treatments
Inflammation of the muscle on the right side near the coccyx and anus? Hello Doctor: Last year, I injured my tailbone, and it hurt for two days but then resolved. However, since I started exercising in April this year, the tendon mentioned in the title has been uncomfortable and ...
Dr. Lan Shengxing Reply:
Dear Icy, the symptoms you described indicate signs of nerve root traction. It is strongly recommended that you visit a neurology clinic for a more detailed examination. Best regards, Lan Shengxing.[Read More] Understanding Right-Sided Muscle Inflammation Near the Coccyx: Causes and Treatments
Understanding Tinnitus: Questions About Acoustic Neuroma and Diagnosis
Tinnitus Consultation I have been experiencing high-frequency tinnitus for over a year. Initially, I went to a large hospital for a pure tone audiometry test, which came back normal with no abnormalities. The ENT specialist advised me to relax and did not prescribe any medication...
Dr. Gao Chunde Reply:
Acoustic neuromas can indeed cause tinnitus, and otolaryngologists and neurologists have a more sensitive test than CT and MRI, which is the brainstem auditory evoked potentials (BAEP). If you still have concerns, these specialists should be able to address your worries using thi...[Read More] Understanding Tinnitus: Questions About Acoustic Neuroma and Diagnosis
Understanding Involuntary Muscle Twitches After Breast Surgery: Causes and Solutions
Involuntary twitching My mother experiences involuntary twitching in her right armpit and upper back after undergoing a mastectomy on her right breast. During severe episodes, she also experiences pain. Pain relief injections and anti-inflammatory medications have not been effect...
Dr. Lan Shengxing Reply:
Dear Nina, there are many causes of involuntary movements, and unfortunately, not all of them can be fully diagnosed. Sometimes, it requires a trial-and-error approach with medication. I recommend that you first consult a neurologist. Possible directions to explore include brain ...[Read More] Understanding Involuntary Muscle Twitches After Breast Surgery: Causes and Solutions
Is This Medical Treatment a Scam? Evaluating Stem Cell Therapy for Stroke Recovery
Is it medical fraud? Hello: A friend’s mother has suffered three strokes, resulting in multiple limb disabilities. This friend was introduced to a life sciences company and signed a medical cooperation agreement with them. The company claims that the entire treatment requires ten...
Dr. Huang Zixuan Reply:
1. Regarding "Life Sciences Co., Ltd.", it is important to inquire whether they have a medical practice registration. If not, their actions should not be considered medical practices. 2. Currently, stem cell therapy is still in the experimental research phase and cannot...[Read More] Is This Medical Treatment a Scam? Evaluating Stem Cell Therapy for Stroke Recovery
Understanding Severe Dizziness in Elderly Patients: Causes and Concerns
Dizziness in the elderly? Hello Doctor: My father has been experiencing severe dizziness frequently over the past month. When he lies down and closes his eyes, the whole room seems to spin intensely, and he often needs an injection to recover. He had similar dizziness episodes wh...
Dr. Gao Chunde Reply:
Vestibular dysfunction often presents as vertigo that is typically rotational in nature and may occur with certain specific postural changes. Symptoms can become severe but usually subside within a few seconds to a few minutes. Generally, with rest for about one to two weeks, the...[Read More] Understanding Severe Dizziness in Elderly Patients: Causes and Concerns
Understanding Dizziness and Fatigue After a Severe Cold
Dizziness from a cold? Teacher, I rarely exercise, and as a result, I caught a severe cold that lasted a week. I received an injection and took medication, but it seems I’m not completely better yet. I have a cough and inflammation. Why do I always feel dizzy and lack energy? At ...
Dr. Ye Boshou Reply:
Hello: Based on your concerns, there should be no major issues. Keep a positive mindset, and it's important to stay active; your ailments will naturally improve.[Read More] Understanding Dizziness and Fatigue After a Severe Cold
Dizziness and Hoarseness: Understanding Neurological Symptoms in Seniors
Dizziness and hoarseness? Hello Doctor, my father is 70 years old. A couple of days ago, he suddenly experienced severe dizziness and nausea, followed by a hoarse voice. Eventually, he felt some relief after receiving an injection. He usually sleeps well, but the night before the...
Dr. Lin Zijing Reply:
Non-benign dizziness accompanied by hoarseness may be indicative of an upper respiratory infection or diseases affecting the cerebellum or brainstem (such as tumors or strokes), and further examination is recommended. Pain upon pressing the muscles on both sides of the back of th...[Read More] Dizziness and Hoarseness: Understanding Neurological Symptoms in Seniors
Understanding Dizziness, Neck Stiffness, Headaches, and Arrhythmia
Dizziness, neck stiffness, headache, and arrhythmia? Hello Dr. Jiang, I have been experiencing dizziness, headaches, neck stiffness, and arrhythmia frequently over the past month or two. I have seen both a neurologist and a cardiologist, and it was determined that I have arrhyt...
Dr. Jiang Hezhou Reply:
Dizziness can manifest from various diseases or discomforts. If accompanied by headaches and neck stiffness, it is advisable to visit a healthcare provider in family medicine, neurology, general internal medicine, or infectious diseases for an initial differential diagnosis. If n...[Read More] Understanding Dizziness, Neck Stiffness, Headaches, and Arrhythmia
Managing Acute Relapses in Multiple Sclerosis: Steroid Treatment Insights
Acute treatment of multiple sclerosis? Hello, my sister's multiple sclerosis has relapsed again, and I'm very worried. I would like to ask you about something. Everyone online says that for acute episodes, high-dose steroids should be injected, so we went to the emergen...
Dr. Gao Chunde Reply:
The physician confirms the presence of objective evidence of symptoms with acute exacerbation and may administer high-dose intravenous corticosteroids for three to seven days.[Read More] Managing Acute Relapses in Multiple Sclerosis: Steroid Treatment Insights
Managing Multiple Sclerosis Relapses: Steroid Treatment Insights
Multiple Sclerosis Hello, my sister's multiple sclerosis has relapsed again, and I am very worried. I would like to ask you about something. Everyone online says that for acute episodes, high-dose steroids should be injected, so we went to the emergency room. After the injec...
Dr. Huang Yongquan Reply:
Hello: In response to your question, if a diagnosis of multiple sclerosis is confirmed, the standard treatment involves administering high-dose corticosteroids in the morning and evening, or using plasmapheresis to adjust the immune system. During the acute phase, continuous trea...[Read More] Managing Multiple Sclerosis Relapses: Steroid Treatment Insights
Unexplained Dizziness, Chills, and Nausea: What to Know
Unexplained dizziness, chills, and nausea? I apologize for the inconvenience, but I would like to ask about recent symptoms of unexplained dizziness, chills, and nausea without vomiting. I went to the emergency room because I wasn't sure which department to consult. However,...
Dr. Ye Boshou Reply:
Dizziness, chills, and nausea are symptoms that resemble a cold. Dizziness can refer to either lightheadedness or true vertigo. If it is true vertigo, it may be related to issues with the inner ear or cerebellum. If accompanied by double vision or ataxia, a neurological examinati...[Read More] Unexplained Dizziness, Chills, and Nausea: What to Know
Chronic Lower Back Pain: Which Specialist Should You Consult?
Lumbar pain Hello, Doctor. I would like to ask a question before describing my issue. I have lower back pain; seeing an orthopedic specialist hasn't helped. Should I see a neurologist (either internal or external) or a rehabilitation specialist? Here's my situation: Abo...
Dr. Ye Boshou Reply:
As you mentioned, it may be myositis. Please consult a rehabilitation specialist first.[Read More] Chronic Lower Back Pain: Which Specialist Should You Consult?
Understanding Neck Pain: Causes, Symptoms, and Treatment Options
Cervical spine pain Hello Doctor, the patient has the following conditions: 1. On June 19, there was localized pain in the left posterior thorax (the area around the scapula) that did not respond to corticosteroid injections. Subsequently, the patient experienced numbness in th...
Dr. Gao Chunde Reply:
According to Scenario 1, it truly resembles typical symptoms of cervical radiculopathy; however, I find it difficult to understand why the cervical MRI is normal. Additionally, traction has been ineffective. If this is indeed the case, one should consider isolated neuritis or neu...[Read More] Understanding Neck Pain: Causes, Symptoms, and Treatment Options
Misdiagnosing Jaw Muscle Spasms as Tinnitus: A Common Issue
Jaw muscle spasms can often be misdiagnosed as subjective tinnitus? Dear Dr. Huang, I came across a report online yesterday with a title similar to that of my email. My mother is experiencing a similar issue; she reports a buzzing sound in her left ear, which is often accompanie...
Dr. Huang Yongquan Reply:
Hello: The sound associated with jaw muscle spasms is often a fixed frequency ticking sound rather than the buzzing sound you mentioned. The buzzing in your left ear, accompanied by conjunctival injection (only on the lateral side) and dizziness, may warrant an investigation into...[Read More] Misdiagnosing Jaw Muscle Spasms as Tinnitus: A Common Issue
Can Botox Injections Alleviate Diabetic Peripheral Neuropathy Pain?
Diabetic peripheral neuropathy causing neuropathic pain? Hello Doctor: I previously learned from reports that Botox injections can alleviate neuropathic pain. Is this treatment suitable for diabetic peripheral neuropathy? I understand it may involve motor neurons and might not be...
Dr. Lin Zijing Reply:
Botulinum toxin is primarily used to treat pain, particularly migraines, and there have been no attempts to use it for treating diabetic peripheral neuropathy. This is because botulinum toxin must be injected into the muscle, which can lead to muscle weakness and atrophy. The mec...[Read More] Can Botox Injections Alleviate Diabetic Peripheral Neuropathy Pain?
Understanding Carpal Tunnel Syndrome: Treatment and Daily Care Tips
Carpal Tunnel Syndrome Hello Doctor: I would like to ask you about my mother (57 years old). She recently underwent a nerve conduction study at Cheng Kung University Hospital and was diagnosed with carpal tunnel syndrome. What further treatment options are available? What actions...
Dr. Gao Chunde Reply:
If the condition is not severe, you can first look for the causes of median nerve compression in the wrist and correct them, such as overuse, improper use, localized swelling and inflammation, or injuries near the wrist. You can perform wrist stretching exercises (which involve p...[Read More] Understanding Carpal Tunnel Syndrome: Treatment and Daily Care Tips
Persistent Pain in the Sole: When to See a Neurologist?
Pain in the sole of the foot (Yongquan point)? After the age of 30, I have experienced several episodes of sudden sharp pain in the sole of my foot (Yongquan point) after prolonged squatting or walking. The pain feels like being pierced by a sharp object, and as soon as my foot t...
Dr. Gao Chunde Reply:
The most common cause of foot pain is plantar fasciitis, which typically hurts the most when stepping down after resting. With attention to footwear and walking posture, it usually improves on its own over time. If the pain is due to nerve pain (Morton's neuroma), it tends t...[Read More] Persistent Pain in the Sole: When to See a Neurologist?
Comprehensive Evaluation for Persistent Nerve and Muscle Symptoms
May I ask about a single examination? Hello, Doctor: I am an office worker who spends most of the day sitting in front of a computer and rarely exercises. I've been experiencing symptoms for about a year, and since I haven't received treatment, my condition has worsened...
Dr. Lin Zijing Reply:
Normal lumbar spine X-rays and MRIs can differentiate between intervertebral disc and lumbar spine lesions. Therefore, it is important to consider lower pathologies such as piriformis syndrome, which may arise from piriformis injury, inflammation, overuse, or hemorrhage. Nearby t...[Read More] Comprehensive Evaluation for Persistent Nerve and Muscle Symptoms