Can Piracetam Help Improve Brain Development in Adults?
Piracetam medication consultation? I am 27 years old and have attention deficit disorder. I have been taking Strattera and Piracetam. I have experienced slower cerebellar development compared to my peers, which has led to poor learning and comprehension abilities, affecting my wo...
Dr. Peng Shiwei Reply:
Hello, based on your question, I searched the medical literature. Although I may not be able to fully answer your question, here are some references for your consideration: 1. It is generally believed that "Nootropics" are cognitive enhancers. While they may not direct...[Read More] Can Piracetam Help Improve Brain Development in Adults?
Understanding Abnormal Sensations in Feet: Causes and Solutions
Abnormal sensation Hello Doctor, I have recently been experiencing a strange sensation in my feet, where they often feel cold (or hot? It's a peculiar feeling that starts from my toes and extends upwards). Although my feet feel cold, their actual temperature seems normal. I&...
Dr. Jiang Junyi Reply:
Hello Student H: You mentioned that "the neurologist said an MRI was not necessary, and only advised me to exercise more, maintain a regular sleep schedule, and eat more B vitamins, without prescribing any medication. At that time, I did not have the unusual symptom of coldn...[Read More] Understanding Abnormal Sensations in Feet: Causes and Solutions
Postpartum Hand Tremors: Understanding Causes and Treatment Options
Postpartum tremors Hello Doctor: In mid-February of this year, I had a natural delivery without epidural anesthesia. About ten days after being discharged, I occasionally experienced tremors in my right thumb, which later progressed to my entire arm shaking. Before the tremors st...
Dr. Wu Mukhan Reply:
Your symptoms may indicate a movement disorder, and a personal evaluation by a physician is necessary for further assessment. It is recommended to visit a medical center where a neurologist with expertise in movement disorders can arrange for subsequent examinations and treatment...[Read More] Postpartum Hand Tremors: Understanding Causes and Treatment Options
Addressing Soft Palate Dysfunction After Stroke: Seeking Solutions
My dad's soft palate is not moving? Hello, Doctor. My father suffered a stroke affecting the left and right corona radiata, which has resulted in very unclear speech, significant nasal voice, excessive drooling, inability to elevate his tongue, and weakness in elevating the ...
Dr. Peng Shiwei Reply:
Hello, from a neurology perspective, both limb weakness and soft palate weakness can be caused by a stroke. Therefore, it is recommended to focus on rehabilitation. I am not sure if your father is undergoing speech therapy. Generally, the first 3 to 6 months after a stroke is con...[Read More] Addressing Soft Palate Dysfunction After Stroke: Seeking Solutions
Understanding Leg Neuropathic Pain: Causes and Management Strategies
Leg neuropathy, polyneuropathy? Hello Doctor, I have consulted multiple physicians (in rehabilitation, orthopedics, neurosurgery, and neurology), but I still cannot identify the problem... I am 32 years old and work as a software engineer. My symptoms seem quite variable, and I h...
Dr. Jiang Junyi Reply:
Hello Mr. Zac, You mentioned that "when walking, the outer side of my left ankle feels like it's being electrified, and after this pain sensation appeared, my outer calf and the sole of my foot began to feel numb and tingly (which may indicate nerve damage)." This...[Read More] Understanding Leg Neuropathic Pain: Causes and Management Strategies
Understanding Your Neck Ultrasound Results: A Guide to Carotid Atherosclerosis
Neck ultrasound examination Hello, doctor. In 2020, I had a neck ultrasound examination, and the doctor said everything was normal, did not prescribe any medication, and did not mention the need for follow-up tests. However, I found on Google Translate that there might be issues ...
Dr. Jiang Junyi Reply:
Dear Ms. Heifetz, You mentioned, "Neck ultrasound report: Conclusion Mild carotid atherosclerosis without significant hemodynamic change." Essentially, this examination report indicates that the level of atherosclerosis is within the normal range. Common risk factors f...[Read More] Understanding Your Neck Ultrasound Results: A Guide to Carotid Atherosclerosis
Can Epilepsy Patients Safely Dye or Perm Their Hair?
Can patients with epilepsy dye or perm their hair? The child had seizures during infancy and has been stable on medication for two years, with no further episodes after discontinuation. They have undergone three consecutive normal EEG tests since then. Now at 12 years old, is the...
Dr. Peng Shiwei Reply:
Hello, theoretically, dyeing and perming hair should not have a significant impact. If you are concerned, you may want to consult the physician who originally treated you. Thank you for your question.[Read More] Can Epilepsy Patients Safely Dye or Perm Their Hair?
Understanding Numbness in Hands and Feet: Possible Causes and Solutions
Numbness in the hands and feet? Hello doctor, I started feeling a slight numbness in the area of my little fingers on both hands and little toes on both feet a couple of days ago. 1. Could you please tell me what this might be? 2. Or could the hands and feet be different issues t...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "numbness in the little fingers and toes" is commonly caused by peripheral nerve compression. The numbness is associated with the ulnar nerve, which innervates the little finger and half of the ring finger, as well as the corresponding are...[Read More] Understanding Numbness in Hands and Feet: Possible Causes and Solutions
Understanding Blood Pressure Issues: Insights on Medication and Autonomic Dysfunction
Inquiry Consultation Dear Dr. Tsai, My mother is 68 years old and has been experiencing blood pressure issues since last year. Initially, she would feel palpitations, with her blood pressure rising to 200/100 mmHg, accompanied by symptoms such as shortness of breath, instability...
Dr. Cai Zongzhang Reply:
Hello: Blood pressure measurements are the basis for hypertension treatment, so it is very important to measure blood pressure correctly. Blood pressure should be measured after a period of rest, and one should not become anxious about high blood pressure, as this can affect the ...[Read More] Understanding Blood Pressure Issues: Insights on Medication and Autonomic Dysfunction
Can Daytime Sleepiness and Nighttime Delirium Improve in Parkinson's Patients?
Can daytime sleepiness and nighttime delirium in a patient with stage II Parkinson's disease be improved? Three months ago, my mother was diagnosed with stage II Parkinson's disease (due to multiple small strokes). Currently, she requires a walker for mobility and moves...
Dr. Peng Shiwei Reply:
Hello, I believe your mother's delirium symptoms are not related to the chronic course of Parkinson's disease, but are more likely associated with her previous infection and hospitalization. Generally, this type of acute delirium tends to improve gradually over time, an...[Read More] Can Daytime Sleepiness and Nighttime Delirium Improve in Parkinson's Patients?
Could Weakness and Pain in Your Legs Signal ALS Symptoms?
Weakness and pain in the legs could be a precursor to amyotrophic lateral sclerosis (ALS)? In 2021, I was diagnosed with possible sciatica (only through X-rays). After continuous rehabilitation, I improved for a while, but occasionally my lower back would still feel sore, allowin...
Dr. Jiang Junyi Reply:
Dear Miss Xiao: You mentioned that "when walking, if the feeling underfoot is not right, there will be a sudden pain, and then the legs feel weak and powerless." These are not symptoms of amyotrophic lateral sclerosis (ALS). The ALS you are concerned about primarily re...[Read More] Could Weakness and Pain in Your Legs Signal ALS Symptoms?
Understanding Sudden, Short-lived Head Pain: Possible Causes and Next Steps
Unpredictable, short-duration headaches that feel similar to a stabbing pain? Hello, doctor. I occasionally experience sudden head pain. This symptom has persisted for quite some time (around 3 to 4 years) and occurs unexpectedly (for example, while blow-drying my hair, sitting s...
Dr. Jiang Junyi Reply:
Dear Ms. Zoe, You mentioned "the area from the upper neck to the ear. The pain occurs suddenly each time, with a very intense sensation that lasts for about 3 to 5 minutes before returning to normal." This symptom may suggest muscle spasms in the cervical spine. There ...[Read More] Understanding Sudden, Short-lived Head Pain: Possible Causes and Next Steps
Understanding Unexplained Body Tremors: A Neurological Perspective
Involuntary body shaking? Hello doctor, about a week ago while I was at work, I suddenly started feeling dizzy and unsteady. It’s not a spinning sensation, nor do I see objects moving; I don’t experience double vision. Occasionally, I feel a bit nauseous and uncomfortable, and so...
Dr. Jiang Junyi Reply:
Hello Ms. Joyce, Could you please clarify whether the "tingling sensation in the fingers of your right hand and the toes of your right foot" occurs simultaneously with the dizziness, or has this symptom been present for a long time? If they occur at the same time, we m...[Read More] Understanding Unexplained Body Tremors: A Neurological Perspective
Understanding Persistent Ear Congestion and Hearing Loss: Insights from Neurology
Ear fullness and difficulty hearing? Hello Dr. Jiang, In February 2022, I woke up one morning to find that I was experiencing ear fullness. I went to an otolaryngologist, and after a week of treatment, the ear fullness resolved. However, a week later, the ear fullness returned, ...
Dr. Jiang Junyi Reply:
Dear Mr. Hsiao Cheng, You mentioned experiencing symptoms such as "ear fullness, difficulty hearing, and dizziness... and that your brain MRI results were normal." Your symptoms may suggest Eustachian tube dysfunction. This issue can often present normal results in var...[Read More] Understanding Persistent Ear Congestion and Hearing Loss: Insights from Neurology
Understanding Throat Sensation and Nausea: When to Seek Medical Help
Sensation of a foreign body in the throat with dry heaving? Hello Doctor: About two weeks ago, I started experiencing headaches... The sensation is a tightness in the forehead between the eyebrows, with pain on both sides of the head. Sometimes I feel dizzy and nauseous. After vi...
Dr. Jiang Junyi Reply:
Dear Mr. Johnny, You mentioned that you feel tightness in your forehead and between your eyebrows, experience pain on both sides of your head, and sometimes feel dizzy and nauseous. After visiting the clinic and receiving pain medication, you noticed some improvement. You also m...[Read More] Understanding Throat Sensation and Nausea: When to Seek Medical Help
Understanding Cerebral Leukoaraiosis: Symptoms, Treatment, and Lifestyle Tips
Cerebral hemispheric ischemic lesions Hello Dr. Jiang, About three years ago, I started experiencing occasional headaches that are so severe I can't concentrate and feel very uncomfortable. Sometimes, these headaches are accompanied by nosebleeds. I have a history of severe...
Dr. Jiang Junyi Reply:
Dear Ms. Ni, Your report mentions "scattered hyperintensity in the periventricular and deep white matter with mild juxtacortical involvement." These lesions are commonly referred to as white matter lesions, indicating that the cells along the brain's conduction pa...[Read More] Understanding Cerebral Leukoaraiosis: Symptoms, Treatment, and Lifestyle Tips
Understanding Pain After Taking Acetaminophen: Causes and Concerns
Feeling unwell after taking Panadol? Hello doctor, I experienced severe pain during my menstrual period that prompted me to buy medication from the pharmacy. The pain reliever I took contained acetaminophen. When I took the first pill, it didn't provide much relief. After ab...
Dr. Jiang Junyi Reply:
Hello, miss: I'm not sure which medication you are taking and what additional ingredients it contains. Allergic reactions to acetaminophen are rare; most cases are caused by other combination medications. 1. Cold medications: These may contain multiple ingredients, and it&#x...[Read More] Understanding Pain After Taking Acetaminophen: Causes and Concerns
Understanding MRI Results: Implications of Cerebral Leukoaraiosis and Ischemic Changes
The MRI findings suggest suspected ischemic lesions in both cerebral hemispheres? Hello Dr. Tsai: I have been experiencing severe headaches intermittently since the year before last, with varying frequency. Most of the time, I manage the pain with acetaminophen. Earlier this year...
Dr. Cai Zongzhang Reply:
Hello, Aikes: The aforementioned MRI report indicates that small vessel degeneration in the brain has led to ischemic changes, which are lesions caused by reduced blood flow resulting in localized brain tissue ischemia. The common causes of small vessel diseases in the brain are ...[Read More] Understanding MRI Results: Implications of Cerebral Leukoaraiosis and Ischemic Changes
Understanding Body Tingling and Vibrations: When to See a Neurologist
Feeling slight numbness and mild vibrations in the body? Hello, doctor. A few days ago, I experienced some palpitations, and occasionally felt a slight vibration and mild numbness in my lower back (especially around the coccyx), legs, and chest while sitting, standing, or lying d...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, I believe it would be advisable to monitor the situation for a while longer. However, if you find it very concerning, you may also consider consulting a neurologist. Thank you.[Read More] Understanding Body Tingling and Vibrations: When to See a Neurologist
Understanding Vestibular Migraine: Symptoms, Treatment, and Medication Use
Migraine-associated vertigo Hello, Doctor. I am the person who asked question #195192. Thank you for your response. It seems that the symptoms you mentioned related to vestibular migraine did occur, and I sought medical attention in February of this year. The doctor prescribed Fl...
Dr. Jiang Junyi Reply:
Hello: Naoqing tablets belong to the class of calcium channel blockers. They are effective for both acute use and maintenance. They can be used for maintenance, and it is advisable to continue taking them for about two more weeks after symptoms have resolved. However, the symptom...[Read More] Understanding Vestibular Migraine: Symptoms, Treatment, and Medication Use