Chronic Left Chest Pain and Persistent Cough: Possible Causes and Solutions
Pain below the left chest, sputum production, and difficulty breathing? I have a female friend who has been experiencing pain below her left chest for several years. She almost constantly produces phlegm, which is often yellow and sometimes white. She feels numbness, and deep bre...
Dr. Jiang Junyi Reply:
Hello: Your friend is suffering from a difficult-to-treat illness. It is advisable to avoid multiple hospital visits and instead find a single medical center to focus on. After all, the physicians at the same hospital will have access to the same diagnostic information, which can...[Read More] Chronic Left Chest Pain and Persistent Cough: Possible Causes and Solutions
Understanding Visual Hallucinations and Sleep Paralysis: A Medical Perspective
Yin-Yang Eyes and Sleep Paralysis Hello doctor, my girlfriend is 19 years old. She says she has been able to see spirits since her first year of high school. Now in her second year of college, she sometimes mentions seeing someone watching her from beside her bed while she sleeps...
Dr. Jiang Junyi Reply:
Hello: The symptoms you mentioned occurring during sleep may need to be considered as symptoms of REM sleep disorders (the phase when dreaming occurs). The hallucinations you described could be very realistic dreams. I recommend that you take your girlfriend to a sleep center at ...[Read More] Understanding Visual Hallucinations and Sleep Paralysis: A Medical Perspective
Understanding Dopamine Deficiency and Its Impact on Anxiety Medications
Dopamine deficiency and medications such as Levodopa and Clonazepam? In mid-August last year, I started experiencing noticeable symptoms where sometimes while walking, my left foot would suddenly start to twitch involuntarily (possibly due to anxiety or other reasons), or my left...
Dr. Hong Weibin Reply:
You are very diligent! You've done a lot of homework. Occasionally, you experience muscle twitching in your left leg, sometimes accompanied by a tingling sensation, followed by pain in your left thigh. My thought is that it may be due to lumbosacral radiculopathy. Lumbosacra...[Read More] Understanding Dopamine Deficiency and Its Impact on Anxiety Medications
Understanding Involuntary Body Twitches During Sleep: Causes and Solutions
Involuntary muscle contractions? Recently, I have been experiencing involuntary twitching on the left side of my body (arms and legs) while sleeping at night. Each episode lasts for 2-3 minutes, and this has been happening for a while. Last night was more severe, lasting for 2-3 ...
Dr. Jiang Junyi Reply:
Hello, based on your description, there are many potential causes for muscle twitching, such as muscle atrophy and lumbar nerve compression, which require examination. Regarding the tingling sensation in your legs, it may be worth considering the possibility of restless legs synd...[Read More] Understanding Involuntary Body Twitches During Sleep: Causes and Solutions
Left Leg Numbness: When to Seek Neurology Care?
Numbness in the left foot and left calf? Hello doctor, three days ago I noticed some mild numbness in my left foot and left calf. I just applied a pain relief patch that day and thought nothing of it, but over the next few days, I occasionally felt the numbness again. Sometimes i...
Dr. Jiang Junyi Reply:
Hello: The condition you are concerned about, commonly known as ALS, is formally referred to as amyotrophic lateral sclerosis (ALS) or motor neuron disease. It typically does not present with sensory abnormalities; the clinical symptoms include muscle atrophy and abnormal twitchi...[Read More] Left Leg Numbness: When to Seek Neurology Care?
Unexplained Right Groin Pain: Seeking Answers for Persistent Discomfort
Right groin pubic pain with no identifiable cause? Hello, doctor. I have been experiencing pain in my right pubic bone for three months. The pain worsens with exertion, stretching, or external pressure, and I feel a constant dull ache even when lying down. I tend to unconsciously...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest pelvic myofascial inflammation, which can manifest as pain, discomfort, and muscle stiffness. Symptoms may worsen with changes in weather and can be alleviated with stretching activities, often recurring. During acute episodes, there may be locali...[Read More] Unexplained Right Groin Pain: Seeking Answers for Persistent Discomfort
Understanding Left-Sided Body Discomfort: When to See a Neurologist
Discomfort on the left side of the body? Hello Doctor, I feel strange on the entire left side of my body. The muscles in my left neck feel very tight, and my left lower back also feels tight. It hurts when I bend to the right, and I experience soreness on the left side when I ben...
Dr. Cai Zongzhang Reply:
Hello, I recommend that you visit a neurologist for further evaluation and treatment.[Read More] Understanding Left-Sided Body Discomfort: When to See a Neurologist
Understanding Leg Numbness and Back Pain: When to Seek a Second Opinion
Numbness in the legs and lower back pain? Hello, doctor. Recently, I've been experiencing lower back pain and my legs feel sore and numb. I visited a neurologist, but the doctor only tapped my knee (the reflex test we learned in middle school) and concluded that my issues ar...
Dr. Jiang Junyi Reply:
Hello, based on your description, it is important to consider symptoms related to nerve compression due to a herniated disc, which may also occur as a result of sudden injuries, such as twisting the waist, bending to lift heavy objects, or experiencing excessive force, for exampl...[Read More] Understanding Leg Numbness and Back Pain: When to Seek a Second Opinion
Understanding Your Symptoms: Lower Back Pain, Numbness, and Neck Issues
Lower back pain, numbness on the left side of the body, and a growth on the left side of the neck? Hello Doctor, I am a desk worker who sits for long hours every day, and I have the symptoms mentioned above. First, regarding the lower back pain, I started experiencing soreness in...
Dr. Jiang Junyi Reply:
Hello: The numbness you described in your left foot and left arm may be due to nerve compression in the neck or lower back. First, consider the possibility of cervical or lumbosacral disc herniation compressing the nerves. Disc herniation can also occur due to sudden injuries, su...[Read More] Understanding Your Symptoms: Lower Back Pain, Numbness, and Neck Issues
Post-Car Accident Numbness in Feet: Seeking Medical Advice
Doctor, is it common to experience numbness in the soles of the feet after a car accident? Hello Dr. Jiang, I had a car accident in November of this year. At that time, I was taken to the emergency room, where X-rays were performed. The diagnosis indicated left anterior chest con...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest the possibility of compression of the plantar nerves. However, if the numbness affects both the legs and feet, it may indicate compression of the lumbar nerves. It is recommended that you consult a neurologist for discussion and treatment regardin...[Read More] Post-Car Accident Numbness in Feet: Seeking Medical Advice
Understanding Sudden Leg Numbness and Pain: Causes and Concerns
Sudden numbness and pain in the foot? Hello, I often experience collisions during my workouts, but since I'm on tatami mats, they are soft. Recently, over the past two to three weeks, I've had episodes of numbness and pain in my left foot three times. This seems to occu...
Dr. Jiang Junyi Reply:
Hello: The numbness occurring on the outer side of your left foot may be due to peripheral nerve compression, with the fibular nerve being the primary consideration, especially in individuals who frequently cross their legs or sit with their legs crossed. Additionally, it is impo...[Read More] Understanding Sudden Leg Numbness and Pain: Causes and Concerns
Post-Stroke Care: Essential Tips for Recovery After 6 Months
Stroke, Care Recommendations for Patients After 6 Months Dear Dr. Tsai, My father is 68 years old and suffered a hemorrhagic stroke in early May this year, resulting in hemiplegia. After three months in a PAC (Post-Acute Care) unit, he was discharged in August. During his treatm...
Dr. Cai Zongzhang Reply:
Hello, regarding your father's situation, for the medication aspect, it is recommended that you continue follow-up visits and discuss the physiological effects of the medication with the physician. The physician will assess the possibility of any adjustments. The decision to...[Read More] Post-Stroke Care: Essential Tips for Recovery After 6 Months
Understanding Dizziness and Visual Disturbances: When to Seek Help
Dizziness/headache with visual disturbances? Hello Doctor, last weekend I experienced a sudden sharp pain on the left side of my head, and since then I have felt as if a layer of bright glitter has been placed over my vision, which has persisted for about five days. (However, the...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider a migraine with aura. Symptoms include visual disturbances such as seeing stars and lightning-like flashes, as well as blurred or distorted vision, which are all common migraine auras. A few minutes after the aura ...[Read More] Understanding Dizziness and Visual Disturbances: When to Seek Help
Understanding Seizure Symptoms: Causes of Dizziness and Sleepiness
Symptoms of epilepsy? Doctor, during my previous visit, the doctor mentioned that my condition was stable, so they did not increase my medication dosage. However, I also told the doctor that I have experienced dizziness and drowsiness once or twice recently. If I continue to feel...
Dr. Cai Zongzhang Reply:
Hello, you may be aware that dizziness is one of the symptoms of epilepsy. Recurrent dizziness can be distressing, especially when it occurs frequently or when effective treatment is not achieved. Medication is one solution, but it should be adjusted appropriately by a physician ...[Read More] Understanding Seizure Symptoms: Causes of Dizziness and Sleepiness
Understanding Muscle Twitches: Could It Be ALS or Just Anxiety?
Fasciculation in amyotrophic lateral sclerosis (ALS)? I have been experiencing continuous muscle twitching all over my body for a month (in the soles and tops of my feet, backs of my hands, arms, elbows, shoulders, back, and face). A few days ago, my left calf twitched continuous...
Dr. Jiang Junyi Reply:
Hello: The condition you are concerned about, commonly known as amyotrophic lateral sclerosis (ALS), primarily involves issues with motor neurons, and most patients do not have a family history. Motor neurons control muscle movement; those in the brain are referred to as upper mo...[Read More] Understanding Muscle Twitches: Could It Be ALS or Just Anxiety?
Understanding Persistent Hip and IT Band Itching: Causes and Solutions
Deep itching in the hip area, along the iliotibial band? Hello, I am 35 years old and have been doing strength training for the past year and a half. Since a deep squat in January of this year, I have experienced a momentary pinching sensation in my hip, followed by a persistent ...
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 hip joint. When the piriformis muscle becomes inflamed, it can compress the nearby nerves, leading to tingling and pain. This co...[Read More] Understanding Persistent Hip and IT Band Itching: Causes and Solutions
Understanding Respiratory Issues and Intubation in Stroke Patients in ICU
Inquiries regarding respiratory issues caused by stroke and intubation in the intensive care unit? Hello, my father experienced weakness in his limbs and inability to speak (while conscious) on August 7 and went to the emergency room. After more than nine hours of waiting, he fin...
Dr. Hong Weibin Reply:
If the patient truly does not want to suffer excessively, and the family wishes to alleviate the patient's discomfort after discussion, it is advisable to request the attending physician to consult the hospital's palliative care team. Since September 1, 2009, the follow...[Read More] Understanding Respiratory Issues and Intubation in Stroke Patients in ICU
Understanding Nerve Damage Risks After Injections: What You Need to Know
Is there a possibility of nerve injury after receiving an injection? Hello Dr. Jiang, Last winter, I had a cold without a fever and visited a clinic. I was experiencing severe headaches that made me feel nauseous, so I asked the doctor for an injection. The doctor was an older m...
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 Nerve Damage Risks After Injections: What You Need to Know
Chiropractic Care: Is Neck Adjustment Causing My Symptoms?
Spinal adjustment and cervical spine adjustment? I have had scoliosis since I was in elementary school and have been undergoing rehabilitation. In my first year of high school, I switched to chiropractic treatment, which also involved adjustments to my neck. After about 6 or 7 se...
Dr. Jiang Junyi Reply:
Hello, based on your description, the neck stiffness may suggest cervical myofascial pain syndrome, which commonly presents with localized pain, discomfort, muscle tightness, or a sensation of pressure. Sometimes, palpable myofascial trigger points can be felt under the skin. As ...[Read More] Chiropractic Care: Is Neck Adjustment Causing My Symptoms?
Understanding Left-Sided Numbness and Weakness: Possible Causes and Next Steps
Numbness and weakness in the left hand and foot? Hello Doctor: For the past two weeks, I have been experiencing numbness in my left hand and foot, particularly in my fingers. Additionally, my left hand has been shaking uncontrollably. The numbness is persistent and spreads quickl...
Dr. Jiang Junyi Reply:
Hello, based on your description, the medication Micobalamin is Vitamin B12, while Baclofen is a muscle relaxant that may cause muscle weakness. A common cause of neck pain is cervical myofascial pain: prolonged periods of looking down can lead to overuse of the trapezius muscle ...[Read More] Understanding Left-Sided Numbness and Weakness: Possible Causes and Next Steps