Managing Neuropathy: Concerns About B12 and Vitamin Overdose
Myasthenia Gravis, medication issues? Hello Doctor: I previously experienced lumbar disc protrusion with lower back pain and ankle numbness. The doctor prescribed Methylcobalamin (B12) for nerve maintenance, but it doesn't seem to be effective. Is this considered a high-dose...
Dr. Peng Shiwei Reply:
Hello, in response to your inquiry, I can address it in two parts: 1. Can vitamin B complex be taken in excess? It is true that doctors often prescribe high doses of B12, but vitamins B and C are water-soluble vitamins. If the body takes in excess amounts, they are usually excr...[Read More] Managing Neuropathy: Concerns About B12 and Vitamin Overdose
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
Persistent Numbness in Foot and Leg: Seeking Medical Guidance
Numbness in the dorsum of the foot for over four months, and now there is also some numbness in the calf? Hello Doctor, I really don't know what to do now and would like to ask for your opinion. I am currently a senior in college and have recently been exercising, walking br...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, if they are gradually worsening, I recommend visiting a neurology outpatient clinic at a major hospital. To rule out nerve compression, more advanced imaging studies are necessary, so I suggest you start with regular follow-up for a while.[Read More] Persistent Numbness in Foot and Leg: Seeking Medical Guidance
Understanding Electromyography Results: Insights on Chronic Denervation and Neuropathy
Electromyography Interpretation I'm sorry, doctor. Due to symptoms of a herniated disc in the early stages, I underwent a month of treatment, including various tests such as MRI of the spine, X-rays, and electromyography (EMG). The EMG doctor mentioned that aside from some a...
Dr. Jiang Junyi Reply:
Hello Mr. Shang: You mentioned that the "Needle EMG study showed chronic denervation changes in the right tibialis anterior," which suggests chronic localized peroneal nerve pathology. This is not a typical finding for motor neuron disease. I recommend discussing this w...[Read More] Understanding Electromyography Results: Insights on Chronic Denervation and Neuropathy
Understanding Right-Sided Numbness: Stroke Warning Signs Explained
Numbness starting from the right leg? Hello: Last night I noticed numbness on the outer side of my right foot, and this afternoon the outer side of my right leg and the outer side of my hand and arm also started to feel numb. Just now, I also felt slight numbness on the right sid...
Dr. Jiang Junyi Reply:
Hello Ms. Huang, You mentioned that "the right side of my face and neck feel slightly numb; could this be a sign of a stroke?" The presence of unilateral neurological symptoms may warrant consideration of lesions along the sensory pathways from the brain to the spinal ...[Read More] Understanding Right-Sided Numbness: Stroke Warning Signs Explained
Understanding Paresthesia and Skin Bumps in the Right Leg: Causes and Concerns
Sometimes, there are goosebumps on the right foot? Why does my right foot sometimes have goosebumps and a tingling sensation? I have also experienced occasional sharp pain in my right chest; could this indicate a nerve issue or a potential stroke? Previously, I never experienced ...
Dr. Jiang Junyi Reply:
Dear Ms. Hui, You mentioned that "sometimes there are goosebumps and a tingling sensation in your right foot." Your symptoms may suggest that the lumbar nerve roots are being compressed. Peripheral nerve issues are typically evaluated using electrophysiological tests t...[Read More] Understanding Paresthesia and Skin Bumps in the Right Leg: Causes and Concerns
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 Tremors: Head and Body Shaking Symptoms Explained
Tremors in the head and torso? I have had a problem with hand tremors in the past, occurring both at rest and during movement. However, in the past few months, I have noticed that my head and torso tremble before sleep, and sometimes this occurs right after waking up (I do not ha...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, it is recommended to seek consultation with a neurologist specializing in movement disorders as soon as possible.[Read More] Understanding Tremors: Head and Body Shaking Symptoms Explained
Managing Peripheral Neuropathy: Medications and Symptoms Explained
Systemic neuropathy Hello Dr. Jiang: I would like to ask, if this is a peripheral nerve issue, what medications should be used for management? After receiving the vaccine last year, the burning sensation in my palms disappeared after about a month, while the burning in my soles l...
Dr. Jiang Junyi Reply:
Hello: You mentioned, "Is taking medications like Lyrica and Topamax, as well as Rivotril, helpful?" Based on clinical experience, the recommendation for neurological disorders is to "start low and go slow." You can begin with a low dose and try one medication...[Read More] Managing Peripheral Neuropathy: Medications and Symptoms Explained
Understanding Unilateral Tinnitus: Possible Neurological Causes and Insights
Hello, doctor. I would like to ask about some unusual phenomena related to tinnitus? Hello Dr. Jiang, I have been experiencing unilateral tinnitus with a buzzing sound in my left ear for about two weeks. I have already undergone hearing and tympanometry tests at other large hosp...
Dr. Jiang Junyi Reply:
Hello HJK: You mentioned that "when chewing food or yawning, the tinnitus becomes louder..." This could potentially be related to issues with the nerves or muscles around the ear. One possible cause is related to the Eustachian tube, as yawning and chewing help to equal...[Read More] Understanding Unilateral Tinnitus: Possible Neurological Causes and Insights
Understanding Systemic Neuropathy: Symptoms, Diagnosis, and Next Steps
Systemic neuropathy Hello Doctor, I received the AZ vaccine on August 9th last year and experienced redness, swelling, heat, and pain in my knee. Then on September 8th, I had a burning sensation in my palms and soles, followed by numbness and electric sensations in my hands. This...
Dr. Jiang Junyi Reply:
Hello: You mentioned symptoms of "burning in the feet, sometimes extending to the thighs, or sensations that fluctuate between warmth and coolness." These symptoms may indicate peripheral nerve issues. Common characteristics of peripheral nerve symptoms include: 1. Pain...[Read More] Understanding Systemic Neuropathy: Symptoms, Diagnosis, and Next Steps
Understanding Paresthesia and Skin Bumps in the Right Leg: Causes and Concerns
Sometimes there are goosebumps on the right foot? Why does my right foot sometimes have goosebumps and a tingling sensation? I have also experienced occasional sharp pain in my right chest; could this indicate a nerve issue or a sign of a potential stroke? Previously, I never exp...
Dr. Jiang Junyi Reply:
Dear Ms. Hui, You mentioned that "after the activity, there was a persistent soreness in the entire right arm until the next day," which may warrant consideration of cervical nerve or peripheral nerve compression issues. Peripheral neuropathy caused by nerve compressio...[Read More] Understanding Paresthesia and Skin Bumps in the Right Leg: Causes and Concerns
Understanding Muscle Cramps: Fibromyalgia and Dryness Symptoms Explained
Back muscle cramps Hello doctor, I have suddenly started experiencing muscle cramps that feel like someone is squeezing my fascia, and my arm and leg muscles are also twitching involuntarily. Three doctors have diagnosed me with fibromyalgia, and I have a dry mouth, raising suspi...
Dr. Cai Zongzhang Reply:
Hello Ms. Liu: It is recommended to consult with the Neurology and Rheumatology departments.[Read More] Understanding Muscle Cramps: Fibromyalgia and Dryness Symptoms Explained
Understanding Paresthesia and Skin Bumps in the Right Leg: Causes and Concerns
Sometimes, there are goosebumps on the right foot? Why does my right foot sometimes have goosebumps and a tingling sensation? I have also experienced occasional sharp pain in my right chest; could this indicate a nerve issue or a potential stroke? Previously, I never experienced ...
Dr. Jiang Junyi Reply:
Dear Ms. Hui, You mentioned that "after the activity, my entire right hand felt sore until the next day," which may indicate a potential issue with cervical nerve compression. Peripheral neuropathy caused by nerve compression may present with the following characterist...[Read More] Understanding Paresthesia and Skin Bumps in the Right Leg: Causes and Concerns
Understanding Muscle Twitches: Neurological Insights and Concerns
Muscle twitching In the past few weeks, I have been experiencing muscle twitching, so I underwent nerve conduction studies and electromyography (EMG). 1. I would like to ask if it is sufficient to perform the EMG on just one side? 2. I have noticed that my left big toe does not l...
Dr. Hong Weibin Reply:
1. So I would like to ask, is it sufficient to perform an electromyography (EMG) test on just one side? Since EMG involves inserting needles into the muscles to measure physiological electrical activity, it can cause discomfort to the subject. Therefore, it is usually performed o...[Read More] Understanding Muscle Twitches: Neurological Insights and Concerns
Understanding Lower Leg Pain: When to See a Neurologist
Painful tingling below the calf? Today, the temperature is 20 degrees Celsius, and the tingling sensation is mild, only slightly felt on the dorsum of my feet. A few days ago, when the weather was hot and the air conditioning was set to 27 degrees, the tingling became severe and ...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned that "the tingling has severely spread to the calves, and it also occurs while sleeping." This symptom may indicate that the lumbar nerve roots are being compressed. Typical discomfort associated with lumbar nerve root pathology includes pain r...[Read More] Understanding Lower Leg Pain: When to See a Neurologist
Understanding Muscle Fasciculations: Causes, Symptoms, and Diagnosis
Fasciculation Hello doctor, I started experiencing muscle fasciculations on the outer side of my left thigh around October 3rd, which lasted continuously for half an hour. After that, it would occur every few days for a few minutes at a time, several times a day. I suspect this s...
Dr. Jiang Junyi Reply:
Dear Mr. Shang, You mentioned that you are "very anxious and worried whether it is ALS..." Your symptoms should still consider lumbar spine issues. ALS is a motor neuron disease, and your mention of "easily feeling numb" does not align with the characteristic...[Read More] Understanding Muscle Fasciculations: Causes, Symptoms, and Diagnosis
Understanding Nerve Pain and Weakness in Hands and Feet: A Patient's Journey
Numbness and tingling in both hands, weakness in both legs? Since March of last year, I started feeling a foreign sensation behind my occiput upon waking up one day. I consulted a doctor and took medication, but it did not improve. Later, the foreign sensation suddenly disappeare...
Dr. Jiang Junyi Reply:
Dear Miss Vicky, You mentioned "Multiple sclerosis? Neuritis? Autoimmune diseases? Diabetes? Herniated disc? Amyotrophic lateral sclerosis? CIDP?... Which specialty should I consult to thoroughly identify and resolve the issue?" You also noted that "the discomfort...[Read More] Understanding Nerve Pain and Weakness in Hands and Feet: A Patient's Journey
Managing Leg Jerks Before Sleep During Pregnancy: Tips and Solutions
Legs twitching before falling asleep? Hello Doctor, I am currently four months pregnant. Recently (over the past month), I have been experiencing involuntary leg movements just before falling asleep at night, which wakes me up and makes it difficult to fall back asleep. I am genu...
Dr. Cai Zongzhang Reply:
Hello Wendy: The symptoms mentioned above are suspected to be related to Restless Legs Syndrome. The underlying cause needs to be confirmed through examination, but it is not advisable to conduct tests during pregnancy. It is recommended to initially alleviate the symptoms throug...[Read More] Managing Leg Jerks Before Sleep During Pregnancy: Tips and Solutions
Understanding Long-Term Dizziness: Possible Signs of Cerebellar Dysfunction
Persistent sensation of shaking? Hello, Dr. Jiang. Last July, I went to the ENT department to check for ear stones, but no results were found. At that time, the ENT specialist asked me to perform the following tests related to cerebellar function and body movement. The public can...
Dr. Jiang Junyi Reply:
Dear Mr. Awei, You mentioned your concern about "signs of cerebellar atrophy." In fact, cerebellar atrophy is not primarily characterized by dizziness. The main symptoms of patients with spinocerebellar ataxia typically include: 1. Tremors, slowed movements, and decrea...[Read More] Understanding Long-Term Dizziness: Possible Signs of Cerebellar Dysfunction