Managing Medication for Diabetic Neuropathy: Key Considerations
Regarding the issue of discontinuing medication for neuropathy? Hello Dr. Tsai, I would like to ask about my father who has diabetes. About a month ago, he experienced discomfort with symptoms such as pain and cramps in his limbs, as well as headaches, and he visited a neurologis...
Dr. Cai Zongzhang Reply:
Hello Ms. Lin: If there is no pain, the anticonvulsant medication can be discontinued, and Methycobal, which is a high-dose vitamin B12, can be continued.[Read More] Managing Medication for Diabetic Neuropathy: Key Considerations
Understanding Persistent Dizziness: Causes, Treatments, and Next Steps
Dizziness for two months, with fluctuations in severity? Hello Doctor: My condition began when I developed a stiff neck (twisted to the right) from sleeping while sitting, which caused dizziness with a spinning sensation and eye twitching when I moved. I could only lie flat in be...
Dr. Cai Zongzhang Reply:
Hello: Dizziness has not improved for two months; it is recommended to see a neurologist for a detailed examination.[Read More] Understanding Persistent Dizziness: Causes, Treatments, and Next Steps
Understanding Your Facial Pain: Possible Neurological Issues Explained
Could you please specify which symptoms you are referring to in order to determine which aspect of the nervous system may be involved? Hello Doctor, for the past few months, I have been experiencing pain in the gums of the last tooth on the left side at the back. Sometimes the pa...
Dr. Jiang Junyi Reply:
Dear Ms. Lee, You mentioned that "the acidic pain in the mouth can extend to the cheeks and then to the ears, and it can also radiate to the muscles of the tongue and the upper and lower jaws," which suggests trigeminal neuralgia. The diagnostic criteria for trigeminal...[Read More] Understanding Your Facial Pain: Possible Neurological Issues Explained
Should You Wake Someone Who Talks in Their Sleep? Expert Insights
Is it necessary to wake someone who is talking in their sleep? My brother (40 years old) talks in his sleep (very excitedly); should I wake him up? Is it correct that I shouldn't disturb his brain activity, as I've read online? Sometimes he also screams in his sleep (no...
Dr. Hong Weibin Reply:
Talking in one's sleep or exhibiting bodily movements during sleep does not require waking the individual if there is no risk to their own safety or that of their bed partner. Consultation with a sleep medicine specialist is recommended for further discussion. Generally, mel...[Read More] Should You Wake Someone Who Talks in Their Sleep? Expert Insights
Persistent Headaches After Head Injury: When to Seek Help?
Intermittent headaches following a head contusion? Hello, doctor. I was diagnosed with a head contusion after a car accident, and over a month later, I am still experiencing headaches. Recently, the frequency has increased, and I have pain about five days a week, all in the same ...
Dr. Jiang Junyi Reply:
Hello, Miss Xiaoshan. You mentioned, "I experience severe headaches during these exercises. What should I do? Which specialist should I see?" Your symptoms may suggest cervical spine disorders. External factors such as traffic accidents, falls, head impacts against hard...[Read More] Persistent Headaches After Head Injury: When to Seek Help?
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
Improving Memory Issues After Aneurysmal Subarachnoid Hemorrhage
Memory issues after a cerebral aneurysm rupture? I have undergone surgery for a cerebral aneurysm rupture and it has been three months since the operation. I am currently hospitalized for rehabilitation, and my limbs have regained about 60% of their function. I do not feel any ph...
Dr. Jiang Junyi Reply:
Hello Mr. Wang: You mentioned whether "Suliqing" is helpful. May I ask the location of your cerebral hemorrhage? Is it in the left basal ganglia? If financially feasible, I recommend administering it for 1-3 weeks to supplement amino acids for the brain. Clinical experi...[Read More] Improving Memory Issues After Aneurysmal Subarachnoid Hemorrhage
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
Understanding Dizziness and Nausea: Possible Neurological Causes
Dizziness and nausea? Hello Doctor: I have been experiencing dizziness for about a week now, and sometimes I even feel a bit nauseous (though I haven't actually vomited). I also have some diarrhea, but I'm not sure if it's related to the dizziness. The dizziness us...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "you feel dizzy when sitting or lying down, and there seems to be a slight swaying sensation." This symptom may suggest Benign Paroxysmal Positional Vertigo (BPPV), where dizziness occurs when turning the head, tilting the head back, or rising ...[Read More] Understanding Dizziness and Nausea: Possible Neurological Causes
Understanding Post-Earthquake Dizziness: Neurological Insights
Regarding shaking? Hello, Dr. Jiang. Since the earthquake on September 19, I have been experiencing a sensation similar to swaying. I notice it more when sitting on a chair without a backrest, and it occurs less when standing. Riding a motorcycle does not trigger this sensation a...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "only sitting on a chair without a backrest tends to make you feel unsteady." This symptom may suggest Benign Paroxysmal Positional Vertigo (BPPV), which occurs when turning the head, tilting the head back, or rising from a lying position. Dizz...[Read More] Understanding Post-Earthquake Dizziness: Neurological Insights
Understanding Persistent Head Sensations: Dizziness, Pressure, and Sleep Issues
Sensation of swaying, feeling of an earthquake, heaviness in the back left side of the head? Hello Doctor, for the past two weeks, I have been experiencing a sensation of my head shaking throughout the day, whether I am sitting or standing. Sometimes, I feel like there is an eart...
Dr. Cai Zongzhang Reply:
Hello, Ruid: The symptoms mentioned above are suggestive of balance dysfunction. If appropriate rest and sleep do not improve the symptoms, it is recommended to visit a neurology outpatient clinic for evaluation.[Read More] Understanding Persistent Head Sensations: Dizziness, Pressure, and Sleep Issues
Do Brain Health Medications Affect Blood Thinning During Checkups?
Chronic dizziness Dear Doctor, I have been experiencing long-term dizziness, and a doctor prescribed me a medication called Naoqing. Recently, I am considering undergoing a comprehensive health check-up, and I was advised not to take any anticoagulant medications. Could you pleas...
Dr. Jiang Junyi Reply:
Hello Ms. Lychee, You mentioned experiencing "long-term dizziness, and a doctor prescribed me medication for brain clarity. Recently, I want to undergo a full health check-up, and I was advised not to take any anticoagulant medications. Could you please tell me if Flunarizi...[Read More] Do Brain Health Medications Affect Blood Thinning During Checkups?
Neck Issues and Migraines: Understanding the Connection for Relief
It seems that the neck is causing the migraine? My symptoms have persisted for 4-5 years. I experience migraines when I wake up at night, and the frequency has increased in recent years. I don't take medication, and the pain usually subsides after noon. Taking pain relievers...
Dr. Jiang Junyi Reply:
Hello Mr. Bob, It seems you may have misunderstood the diagnosis of "migraine." The symptoms of a migraine typically last from 4 to 72 hours. The characteristics of the headache include unilateral pain, which can be throbbing or pulsating, often accompanied by nausea a...[Read More] Neck Issues and Migraines: Understanding the Connection for Relief
Can Medication Cure Essential Tremor? Understanding Hand Tremors
The issue of hand tremors? It seems that my dad also has tremors. I had hand tremors when I was a child. I would like to know if medication can help treat hand tremors. Can primary hand tremors be treated with medication?
Dr. Jiang Junyi Reply:
Hello, Mr. Ke: You mentioned, "Can medication cure hand tremors?" Primary tremors are those where the exact cause of the tremors cannot be identified; they may be due to a specific constitution or hereditary factors, and they typically become more pronounced when holdi...[Read More] Can Medication Cure Essential Tremor? Understanding Hand Tremors
Can Medication Cure Essential Tremor? Understanding Hand Tremors
The issue of hand tremors? It seems that my dad also has tremors. I had hand tremors when I was a child. I would like to ask if medication can help treat hand tremors. Can primary tremors be treated with medication?
Dr. Jiang Junyi Reply:
Hello, Mr. Ke: You asked, "Can medication cure hand tremors?" Primary tremors are those for which a specific cause cannot be identified; they may be due to a unique constitution or hereditary factors. Typically, tremors are more pronounced when holding objects. Physiol...[Read More] Can Medication Cure Essential Tremor? Understanding Hand Tremors
Concerns About Neurology Medications: Risks, Dependency, and Diagnosis Clarity
Medications..? Due to discomfort in my head and poor sleep quality, my previous doctors prescribed medications such as Lyrica, Mirtazapine, and Zolpidem, claiming they could help with sleep. I have a few questions for the physician: 1. Will these medications alter my brain or p...
Dr. Jiang Junyi Reply:
Hello Mr. Hsiao-Chih, You mentioned, "Do these medications change the brain and personality, causing any irreversible conditions?" The medications you referred to, including Fuquan, Muxing, and Lianduomian, are all classified as benzodiazepines, which are Schedule IV c...[Read More] Concerns About Neurology Medications: Risks, Dependency, and Diagnosis Clarity
Can Medication Cure Essential Tremor? Understanding Hand Tremors
The issue of hand tremors? It seems that my dad also has tremors. I had shaky hands when I was a child. I would like to know if medication can help treat hand tremors. Can primary tremors be treated with medication?
Dr. Jiang Junyi Reply:
Hello, Mr. Ke: You asked, "Can medication cure hand tremors?" Primary tremors are those where the exact cause of the tremors cannot be identified; they may be due to a specific constitution or hereditary factors. Typically, tremors are more pronounced when holding obje...[Read More] Can Medication Cure Essential Tremor? Understanding Hand Tremors
Understanding Chronic Dizziness: Seeking Answers Beyond Blood Pressure
Chronic dizziness with no identifiable cause? Hello Doctor, I am the person who previously asked about <a href="https://adoctor.tw/article/186643">#186643</a>. You mentioned orthostatic hypotension, but I don’t feel particularly dizzy when I first get up or ...
Dr. Jiang Junyi Reply:
You mentioned, "I have had my autonomic nervous system tested and found to have dysregulation. The medication prescribed by my doctor hasn't been effective, and I thought about exercising, but it made me feel even more dizzy, so I can't really exercise properly now...[Read More] Understanding Chronic Dizziness: Seeking Answers Beyond Blood Pressure
Understanding Chronic Dizziness: Seeking Answers Beyond Low Blood Pressure
Chronic dizziness with no identifiable cause? Hello Doctor, I am the person who previously asked question #186643. You mentioned orthostatic hypotension, but I don’t feel particularly dizzy when I first get up or get out of bed; instead, I feel dizzy while walking, accompanied by...
Dr. Jiang Junyi Reply:
You mentioned, "I have tested my autonomic nervous system and found that there is a dysfunction. The medication prescribed by the doctor hasn't been effective, and I thought about doing some exercise, but it made me feel even more dizzy, so I can't exercise properl...[Read More] Understanding Chronic Dizziness: Seeking Answers Beyond Low Blood Pressure
Understanding Parkinson's Disease: Managing Symptoms and Lifestyle Changes
Parkinson's disease Hello Doctor, I would like to ask about my mother's condition. She has been experiencing this for several years. Initially, she only had slight tremors in her hand, but it has progressively worsened to the point where she can no longer care for her r...
Dr. Hong Weibin Reply:
Hello: Parkinson's disease is a type of neurodegenerative disorder. Neurodegenerative disorders imply that the disease will progressively worsen over time. Both pharmacological treatment and non-pharmacological interventions can only slow the progression of the disease; they...[Read More] Understanding Parkinson's Disease: Managing Symptoms and Lifestyle Changes