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
Possible Causes of Sudden Leg Weakness Below the Knee: Next Steps for Diagnosis
Weakness in the legs (below the knees) If there is sudden weakness in the leg, what could be the possible causes? I have undergone nerve ultrasound and blood tests, and the results showed no issues. What other areas can I explore for further examination?
Dr. Jiang Junyi Reply:
Hello: Your symptoms may need to be evaluated starting from the instability of the knee ligaments. This can be assessed through your walking posture, and it is recommended to consult a rehabilitation or orthopedic physician for examination. If you experience accompanying symptoms...[Read More] Possible Causes of Sudden Leg Weakness Below the Knee: Next Steps for Diagnosis
Understanding Triceps Function: Muscle Engagement and Asymmetry Explained
Triceps brachii 1. When lifting a bucket, the triceps brachii may not feel tense if the weight is not heavy enough or if the movement does not require significant extension of the elbow. The triceps are primarily engaged during activities that involve pushing or extending the arm...
Dr. Jiang Junyi Reply:
Hello: Generally speaking, there are inherent differences between the muscle groups on the left and right sides of the body. If there is localized edema, it becomes even more challenging to make comparisons. For assessing muscle mass, it is recommended to use a body composition a...[Read More] Understanding Triceps Function: Muscle Engagement and Asymmetry Explained
Understanding EMG Results in Relation to Muscle Twitching and ALS
Electromyography and Amyotrophic Lateral Sclerosis (ALS) Hello, doctor. A few days ago, I experienced muscle twitching all over my body, so I went to the hospital for an electromyography (EMG) test. The doctor examined the following areas: the thenar eminence of my right hand, th...
Dr. Jiang Junyi Reply:
Hello: In the case of muscle diseases, there is usually not just one area of abnormality. The reasons for muscle twitching are primarily related to exercise, acute viral infections, anxiety, and medication use. Among these, prolonged exercise is one of the main causes of muscle t...[Read More] Understanding EMG Results in Relation to Muscle Twitching and ALS
Numbness Near the Left Calf Bone: Possible Causes and When to See a Doctor
Tingling near the bones of the left calf? Hello, after I woke up today, I noticed that the area next to the bone in my left calf feels strange, almost tingly. When I'm not touching it, there isn't a significant sensation, but when my pants brush against my skin, it feel...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may be due to nerve compression caused by crossing your legs. First, consider peroneal nerve palsy. The position of crossing your legs typically puts pressure on the lateral aspect of the calf, making it easy to compress the peroneal nerve located there, lead...[Read More] Numbness Near the Left Calf Bone: Possible Causes and When to See a Doctor
Understanding Numbness in Limbs: When to Seek Medical Attention
Numbness in the limbs? Hello Doctor, I felt a tingling sensation below my left knee tonight. After taking a hot bath, I noticed a slight tingling in all my limbs. (Earlier today, I experienced a feeling of tightness and pain in my chest.) The last time I had a similar situation w...
Dr. Jiang Junyi Reply:
Hello: You mentioned experiencing severe pain in your left foot. The next morning, you felt numbness from your left fingers to your wrist and in your left calf. There is also a feeling of pressure and pain in the left side of your chest (above the chest). It may be necessary to c...[Read More] Understanding Numbness in Limbs: When to Seek Medical Attention
Understanding Leg Numbness During Exercise: Causes and Solutions
Numbness in the legs during exercise? Hello, doctor. I exercise 3-4 days a week, and I am 183 cm tall and weigh 110 kg. I primarily do aerobic exercises on the elliptical machine, and I used to be able to work out for over 50 minutes without any issues. However, in the past two d...
Dr. Jiang Junyi Reply:
Hello: Your symptoms of paresthesia may need to first consider "hyperventilation syndrome." When it occurs, it leads to a decrease in carbon dioxide levels in the blood, resulting in an increase in pH, which triggers systemic reactions and symptoms. Commonly observed sy...[Read More] Understanding Leg Numbness During Exercise: Causes and Solutions
Managing Epilepsy: Sleep Requirements for Shift Workers
Epilepsy and Sleep Duration I graduated from university and am looking for a job, but due to my epilepsy, I cannot obtain a driver's license to drive or ride a motorcycle, and I also chose the wrong major in college, which significantly reduces my job options. Therefore, I d...
Dr. Jiang Junyi Reply:
Hello: Stress or shock, alcohol consumption, premenstrual and postmenstrual periods, lack of sleep, excessive hunger, and the use of certain medications (such as cold medications and antipsychotics) can trigger seizures. It is recommended that patients observe and record their se...[Read More] Managing Epilepsy: Sleep Requirements for Shift Workers
Understanding Calf Numbness: Causes and Solutions for Nighttime Discomfort
Calf soreness and numbness? Hello Doctor, recently whenever I lie in bed, my right calf feels numb and achy, regardless of whether it's straight or bent. It's also difficult for me to sleep, but I notice that lying on my left side feels less uncomfortable, while lying o...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest "piriformis syndrome." The piriformis muscle is located deep in the buttocks and spans between the spine and the hip joint. When the piriformis muscle becomes inflamed, it can compress the sciatic nerve, leading to symptoms of numbness a...[Read More] Understanding Calf Numbness: Causes and Solutions for Nighttime Discomfort
Understanding Neurological Symptoms: Seeking Solutions for Chronic Fatigue and Dizziness
Hello, Dr. Jiang? In April 2019, I received a combined measles vaccine and was taking medication for Helicobacter pylori. After 1-3 days, I experienced severe throat pain, persistent phlegm, general weakness, and fatigue. I consulted an otolaryngologist and underwent a neck ultra...
Dr. Jiang Junyi Reply:
Hello, based on your description, it is unclear whether you are experiencing overweight issues. It may also be necessary to consider sleep apnea: if you have this condition, it can lead to daytime concentration difficulties and frequent drowsiness. There are generally two types...[Read More] Understanding Neurological Symptoms: Seeking Solutions for Chronic Fatigue and Dizziness
Understanding Muscle Weakness and Pain: A Neurology Perspective
Hand pain with a sensation of weakness? Hello Doctor, I have been experiencing muscle twitching since the end of April, and it continues to this day. Initially, it was a persistent twitch in a fixed location, but after a while, it became random, with occasional twitches that vary...
Dr. Hong Weibin Reply:
Hello: If you have undergone multiple neurophysiological examinations that have all returned normal results, you generally do not need to worry excessively about the possibility of motor neuron disease and may want to consider other potential causes. I recommend discussing this f...[Read More] Understanding Muscle Weakness and Pain: A Neurology Perspective
Understanding Widespread Bone Pain: Possible Causes and When to Seek Help
Widespread bone pain throughout the body? Hello, doctor. Recently, for about one to two weeks, I have been experiencing bone pain in multiple areas of my body, specifically in my right arm, upper back around the scapulae, head, cheekbones, tibia in my legs, and the bones in my fi...
Dr. Jiang Junyi Reply:
Hello: If you are experiencing joint pain throughout your body, you may want to consider pseudogout as a potential cause of your polyarticular joint disease. It is advisable to consult a rheumatologist to discuss examination and treatment options. Wishing you good health and peac...[Read More] Understanding Widespread Bone Pain: Possible Causes and When to Seek Help
Understanding Back Pain: Insights for New Moms with SLE
Back problems Hello, doctor! I have systemic lupus erythematosus (SLE), and my levels are currently normal. I just gave birth 13 months ago! However, due to my child's significant weight, I find it challenging to carry and care for them, as my physical strength is quite limi...
Dr. Jiang Junyi Reply:
Hello: If your symptoms of pain persist, you may want to consider fibromyalgia syndrome. Statistically, individuals with systemic lupus erythematosus (SLE) have an increased risk of developing this condition. Although the pathogenic mechanisms remain unclear, it may be related to...[Read More] Understanding Back Pain: Insights for New Moms with SLE
Understanding and Managing Chronic Calf Pain: Causes and Solutions
Calf pain Hello doctor, I have had sudden calf pain since childhood. It used to occur mostly at night while I was sleeping, causing such intense pain that I couldn't sleep, or waking me up from sleep. The pain would last anywhere from half an hour to several hours. However, ...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider calf muscle cramps caused by lactic acid accumulation. Additionally, symptoms may arise from poor venous return in the lower extremities, with primary causes including slow blood flow and hematological disorders. I...[Read More] Understanding and Managing Chronic Calf Pain: Causes and Solutions
Understanding Heel Walking and Toe Lift Issues After a Motorcycle Accident
Walking on the heels (unable to lift the toes of the right foot)? Hello Doctor: Three years ago, I fell off my motorcycle and injured my lower back. Now, when I walk, I can lift the toes of my left foot, but I cannot lift the toes of my right foot. Could this be due to nerve comp...
Dr. Jiang Junyi Reply:
Hello, based on your description, there are many potential causes for leg weakness, such as muscle atrophy and lumbar nerve compression, which need to be evaluated. Your symptoms may suggest peroneal nerve dysfunction, one of the most common localized neuropathies in the lower ex...[Read More] Understanding Heel Walking and Toe Lift Issues After a Motorcycle Accident
Understanding Sleep Jerks: When to Seek Medical Advice for Your Partner
Sleep myoclonus My boyfriend often shakes his legs/body/hands while sleeping at night. It's not just a quick jolt like being startled; the shaking frequency is quite high (about 7-8 times within 5 minutes), and I can feel the movements even while lying next to him! He snores...
Dr. Cai Zongzhang Reply:
Hello: Based on the symptoms mentioned, there is a possibility of having sleep apnea. It is recommended to visit our sleep center for an evaluation.[Read More] Understanding Sleep Jerks: When to Seek Medical Advice for Your Partner
Sudden Numbness and Pain in Left Hand and Foot: Stroke Warning Signs?
Sudden numbness and pain in the left hand and foot? Today, while taking my child out for a meal, I suddenly experienced numbness and pain in the left side of my limbs. The pain is not unbearable, but the numbness has persisted without relief. There are no issues with my facial mu...
Dr. Cai Zongzhang Reply:
Hello: Numbness and pain in the limbs on the same side, aside from a stroke, could be indicative of other conditions. It is recommended to visit a neurology clinic for an examination to determine the underlying issue.[Read More] Sudden Numbness and Pain in Left Hand and Foot: Stroke Warning Signs?
Understanding Uncontrolled Muscle Contractions: A Neurological Perspective
The body may experience uncontrollable urges to exert force? I experience episodes infrequently, during which I am conscious and able to talk, but my body is uncontrollable. Sometimes it affects specific areas, while other times it is generalized. I feel my muscles tightening, wi...
Dr. Cai Zongzhang Reply:
Hello, it is recommended that you consult a neurologist or a rehabilitation physician for further evaluation and treatment.[Read More] Understanding Uncontrolled Muscle Contractions: A Neurological Perspective
Effective Recovery Strategies After a Head Injury from a Baseball Bat
Head struck by a baseball bat? Hello, doctor! A friend of mine, Peng, accidentally got hit in the head with a baseball bat nearly a year ago. The hospital has been administering glucose and mostly prescribing B12 and painkillers, but he says he hasn't improved. He still expe...
Dr. Jiang Junyi Reply:
Hello: Generally speaking, if there is no loss of consciousness, no use of anticoagulants, or obvious local hematomas, head injuries are mostly mild. However, the following situations should raise concerns for delayed bleeding, and you should seek emergency care: (1) Deterioratio...[Read More] Effective Recovery Strategies After a Head Injury from a Baseball Bat
Overcoming Epilepsy: A Student's Journey Through Challenges and Recovery
Epilepsy Issues and Solutions I am a law student preparing for the national examination. Several years ago, I was hospitalized in the intensive care unit due to encephalitis, and later developed postictal epilepsy, for which I was prescribed Sabril and Revotril for two years. Dur...
Dr. Jiang Junyi Reply:
Hello: Adjustments to epilepsy medication should be made under the guidance of a physician. The authority on epilepsy in Taiwan is at Taipei Veterans General Hospital. If you have concerns about your medication, you can consult with the epilepsy specialists at this medical center...[Read More] Overcoming Epilepsy: A Student's Journey Through Challenges and Recovery