Chronic Lower Back Pain After Gynecological Surgery: Possible Nerve Issues?
Long-term lower back pain after gynecological surgery? Hello Doctor, I have undergone about five surgeries due to gynecological issues including chocolate cysts, fibroids, endometriosis, and uterine fibrosis. The last surgery was approximately 5-6 years ago when I had a laparosco...
Dr. Peng Shiwei Reply:
Hello, while it may be related to the surgery, it is difficult to provide a definitive assessment based solely on the information provided. I recommend that you consult with the physician who performed your examination for a detailed inquiry. If you wish to seek assistance from a...[Read More] Chronic Lower Back Pain After Gynecological Surgery: Possible Nerve Issues?
Managing Anxiety and PVCs: A Patient's Journey to Heart Health
Anxiety issues Hello Dr. Jiang, thank you for allowing me to have an extra appointment the other day; it was very helpful. However, I have been worried about the issue of ventricular tachycardia (VT) since then. You mentioned that three consecutive ventricular premature contracti...
Dr. Jiang Junyi Reply:
Hello: Essentially, three ventricular premature contractions (VPCs) and ventricular tachycardia are two different issues, but the risk is increased. It is recommended to use a smart wristband for monitoring. If there is a sudden decrease in heart contractions or an abrupt drop in...[Read More] Managing Anxiety and PVCs: A Patient's Journey to Heart Health
Post-Surgery Nerve Pain: Understanding Ankle Fracture Complications
Seven months after undergoing surgery for a fracture above the left ankle with the placement of a metal plate, there is still persistent numbness and tingling below the ankle? Hello Doctor, I am writing on behalf of my father. He is 56 years old. Last September, he had an acciden...
Dr. Jiang Junyi Reply:
Hello: You mentioned that your father is experiencing peripheral nerve damage. If the peripheral neuropathy is caused by nerve compression, it may exhibit the following characteristics: 1. The pain is described as burning or electric-like. 2. Symptoms have a specific dermatomal d...[Read More] Post-Surgery Nerve Pain: Understanding Ankle Fracture Complications
Understanding PPPD: Managing Dizziness After Ear Stone Displacement
I have been experiencing dizziness for over four months? Hello, after the displacement of my otoliths, I have been experiencing persistent dizziness. The doctor diagnosed me with PPPD (Persistent Postural-Perceptual Dizziness) and advised me to undergo some rehabilitation and tak...
Dr. Peng Shiwei Reply:
Hello, I recommend that you continue with your rehabilitation. However, you can hold each position for a bit longer and transition between positions more slowly. This will allow your body to gradually adapt to the sensations of dizziness, and I believe you will see improvement ov...[Read More] Understanding PPPD: Managing Dizziness After Ear Stone Displacement
Understanding Scalp Numbness: Causes and When to Seek Help
Scalp tingling? Recently, I have been experiencing a tingling sensation throughout my head and feeling a bit lightheaded. In the past, I would occasionally have episodes where I couldn't think clearly, but these would typically last about an hour to a day. However, these sym...
Dr. Peng Shiwei Reply:
Hello, your symptoms require an in-person consultation and physical examination for an accurate assessment. I recommend that you visit a neurology outpatient clinic. Thank you for your inquiry.[Read More] Understanding Scalp Numbness: Causes and When to Seek Help
Understanding Weather-Related Symptoms: Dizziness and Discomfort Explained
When the weather gets cold, I feel uncomfortable all over? Hello, doctor. I do not have a thyroid condition, anemia, or any chronic diseases. I underwent a comprehensive health check last year, and aside from mild gastroesophageal reflux, everything was normal. I have never exper...
Dr. Jiang Junyi Reply:
Hello, You mentioned that "headache-related dizziness" may need to consider migraine-associated vertigo (MAV), which is a type of dizziness associated with migraines. Migraine is a common neurological disorder characterized by severe headaches and other symptoms. In s...[Read More] Understanding Weather-Related Symptoms: Dizziness and Discomfort Explained
Understanding Body Tremors: Causes and Treatment Options
Body tremors I would like to consult a physician regarding a persistent shaking sensation I've been experiencing in my upper body while lying down at night over the past week. It feels like a rapid, fine tremor, similar to an electric current, although it is not visibly noti...
Dr. Jiang Junyi Reply:
Hello Mr. Shi: You mentioned that you have refrained from drinking alcohol this week due to taking antibiotics for pharyngitis. You also brought up the issue of tremors, which have only recently occurred, and we should first consider whether they are medication-related. Are you t...[Read More] Understanding Body Tremors: Causes and Treatment Options
Understanding Syncope: Causes and Concerns in Elderly Patients
Conscious syncope Hello doctor, my mother is 65 years old and has a history of low blood pressure, chronic moderate insomnia, autonomic nervous system dysfunction, and headaches. She often relies on sleeping pills to fall asleep and takes acetaminophen to alleviate her headaches....
Dr. Wu Mukhan Reply:
Hello, your mother's symptoms may possibly be caused by seizures or syncope related to cardiac issues. It is advisable to arrange for further examinations at a hospital's neurology department.[Read More] Understanding Syncope: Causes and Concerns in Elderly Patients
Managing Low Blood Pressure Issues from Heart Health Medication
The issue of hypotension caused by heart health supplements? I have a history of low blood pressure, but it is not low enough to be classified as hypotension. However, I was prescribed "Heart Care Tablets" for migraine treatment, taking half a tablet in the morning and ...
Dr. Wu Mukhan Reply:
Hello, it appears that your blood pressure is indeed too low. It is recommended to discontinue the use of XinKangLe and to return to the outpatient clinic as soon as possible to discuss medication options with your physician. There are various other medications available for the ...[Read More] Managing Low Blood Pressure Issues from Heart Health Medication
Understanding Finger Numbness: Causes and When to Seek Help
Numbness in the fingers? Hello, doctor. A few days ago, I felt numbness in my hand, and it felt like I was being electrocuted. Now, only my fingertips are numb. I went to see a neurologist, and after a preliminary examination, he asked if I felt an electric shock sensation. I sai...
Dr. Jiang Junyi Reply:
Dear Mr. Jayen, You mentioned "finger numbness... MRI examination," which clinically may suggest cervical nerve compression. Typical discomfort symptoms associated with cervical radiculopathy include pain in the shoulder or arm, as well as numbness, tingling, and weakn...[Read More] Understanding Finger Numbness: Causes and When to Seek Help
Struggling with Sleep: Breathing Issues and Unexplained Pain
Difficulty breathing during sleep? I have trouble falling asleep and when I do, it feels like I can't breathe, which wakes me up. I have a slight pain on the left side of my head, not very severe. I also experience chest tightness, lower back pain, and a dull ache in my back...
Dr. Cai Zongzhang Reply:
Hello, Xuan: Based on the symptoms mentioned above, it is recommended to visit the neurology and pulmonology outpatient clinics.[Read More] Struggling with Sleep: Breathing Issues and Unexplained Pain
Managing Post-Surgery Seizures: A Patient's Journey with Neurology
Hello, Dr. Tsai? Hello Dr. Tsai, I am doing well after my arteriovenous malformation surgery, but I occasionally experience seizures. Previously, I was taking 6 capsules of Levetiracetam and 2 capsules of Vimpat (total daily dosage). However, I still had a seizure last Monday and...
Dr. Cai Zongzhang Reply:
Hello Ms. Hsieh: After surgery for brain disorders, it is common to experience residual symptoms of epilepsy. Even with regular medication adherence, it can be challenging to achieve complete seizure control. The treatment goal is to reduce the frequency of seizures. It is recomm...[Read More] Managing Post-Surgery Seizures: A Patient's Journey with Neurology
Understanding Unexplained Pain in the Cheekbone Area
Pain on the left side? Hello, doctor: May I ask why the pain is so severe when the zygomatic bone and masseter muscle are not swollen, there are no bruises, and anti-inflammatory medication has not been effective?
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, it is quite difficult to determine the issue. I recommend that you visit a medical facility for further evaluation. Thank you for your inquiry.[Read More] Understanding Unexplained Pain in the Cheekbone Area
Neck Issues Impacting Brain and Vision: A Neurology Consultation Guide
Consultation for Brain and Eye Issues Related to Cervical Spine Problems The elderly patient has been taking dementia medication since last year and has recently experienced discomfort in the head and blurred vision. A cervical spine X-ray was performed, and the report indicates ...
Dr. Peng Shiwei Reply:
Hello, based on your cervical X-ray, I would also recommend focusing on rehabilitation therapy. Cervical degeneration typically does not cause dizziness. If you are concerned about inadequate blood flow from the carotid or vertebral arteries, you may consult a neurologist to eval...[Read More] Neck Issues Impacting Brain and Vision: A Neurology Consultation Guide
Understanding Unilateral Numbness and Headaches: When to Seek Medical Help
Unilateral limb numbness and headache? Hello Dr. Wu, on March 18th around 5 PM, I suddenly experienced numbness in my right calf extending to the sole of my foot, which lasted until about 9 PM. After taking a hot shower, it slightly improved. At 10 PM, I then felt numbness in my ...
Dr. Wu Mukhan Reply:
Hello, if there is sudden unilateral numbness or weakness in the limbs, it is important to be cautious about potential cerebrovascular issues (such as a stroke). If the symptoms have resolved, it is advisable to visit a neurology outpatient clinic as soon as possible; however, if...[Read More] Understanding Unilateral Numbness and Headaches: When to Seek Medical Help
Sudden Numbness in One Side: Possible Causes and When to Seek Help
Unilateral limb numbness? At 5:30 PM, I suddenly experienced numbness in my right calf extending to the sole of my foot. After soaking it in hot water, it felt somewhat better. However, by 9:30 PM, I started to feel numbness on the outer side of my right palm and the outer side o...
Dr. Wu Mukhan Reply:
Hello, if there is sudden unilateral numbness or weakness in the limbs, it is important to be cautious about potential cerebrovascular issues (such as a stroke). If the symptoms have already resolved, it is advisable to visit a neurology outpatient clinic as soon as possible. How...[Read More] Sudden Numbness in One Side: Possible Causes and When to Seek Help
Post-Cold Dizziness: Understanding Symptoms and When to Seek Help
After catching a cold, I occasionally feel dizzy when lying down, experiencing sudden bouts of vertigo? Hello, doctor. I apologize for bothering you! About a week ago, I started experiencing a cold, and I have just recovered from it. While lying down, I occasionally feel a "...
Dr. Jiang Junyi Reply:
Hello Ms. L: You mentioned, "I gradually experience a type of headache similar to what occurs after taking a nap... it's quite bothersome. Should I see a doctor? If so, which specialty?" The headache you described may need to be considered as tension-type headache....[Read More] Post-Cold Dizziness: Understanding Symptoms and When to Seek Help
Why Mixing Medications Can Lead to Severe Headaches
Taking medications together can cause headaches? Hello, doctor. I have previously taken both Tylenol and antibiotics without any issues, but whenever I take two or more medications together, I experience headaches. It doesn't matter if they are pain relievers or antibiotics;...
Dr. Jiang Junyi Reply:
Dear Miss Yoda, You mentioned "antibiotics... headaches, orbital pain, tongue pain, pain inside the ears, and pain on almost half of the face." I am unsure of the specific antibiotic you are referring to. If it is a fluoroquinolone, headaches can indeed occur as a side...[Read More] Why Mixing Medications Can Lead to Severe Headaches
Understanding Cognitive Impairment: Navigating Neurology and Psychiatry
Cognitive impairment Hello doctor, I was diagnosed with affective psychosis and discharged from the hospital in Tucheng last October. At that time, the attending physician provided me with a diagnosis certificate stating depression. During my hospitalization, I had blood tests th...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "my mental reactions have become very unusual, my personality has also changed strangely, and I only know that my head has been uncomfortable and my left eye has been hurting for a long time." Your symptoms may suggest a migraine. Migrain...[Read More] Understanding Cognitive Impairment: Navigating Neurology and Psychiatry
Understanding Facial Twitching: Causes, Concerns, and Solutions
Facial twitching? Hello, doctor. I've been troubled by facial twitching for several years. The twitching mainly occurs on both sides of my cheeks. It used to happen primarily when I was nervous about going on stage, but now it occurs even during casual interactions like chat...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned that "nervousness occurs when going on stage." When the body is under stress, excessive fatigue, mental tension, and psychological anxiety, it may lead to involuntary muscle twitching. Muscle tremors while awake may warrant consideration of cer...[Read More] Understanding Facial Twitching: Causes, Concerns, and Solutions