Understanding Persistent Dizziness: Causes and Next Steps
Chronic dizziness with no identifiable cause? I would like to ask the doctor, I have been experiencing dizziness for almost two years. It mainly occurs when I walk; I do not feel dizzy when sitting or lying down. There is no sensation of spinning, but I feel unsteady and have a s...
Dr. Jiang Junyi Reply:
Dear Ms. Lin, You mentioned that "I mainly feel fine when sitting or lying down, but I feel dizzy when walking. There is no sensation of spinning, but I do feel unsteady and a sense of falling, along with a feeling of pressure around my eyes and visual disturbances." T...[Read More] Understanding Persistent Dizziness: Causes and Next Steps
Understanding Saddle Area Sensory Loss: Causes and Concerns
Saddle area sensory loss or numbness? Hello, doctor. A few months ago, I strained my lower back, and since then, I've been experiencing pain in my lower back when sitting. About a month ago, I suddenly noticed a decrease in the urge to urinate and defecate, and my ability to...
Dr. Jiang Junyi Reply:
Hello Mr. Cheng, You mentioned that "lying on my right side for a few minutes causes numbness and loss of sensation in my buttocks, perineum, genitals, and adjacent thigh, with no pain even when pinched, while lying on my left side feels more normal." This may indicate...[Read More] Understanding Saddle Area Sensory Loss: Causes and Concerns
Understanding Restless Legs Syndrome: Symptoms and Causes Explained
Restless Legs Syndrome (RLS) The doctor would like to ask: I have been experiencing a cold for the past two days and visited a doctor who diagnosed it as a bacterial infection. My throat is very red, and I was prescribed antibiotics along with some other medications. However, I h...
Dr. Jiang Junyi Reply:
Hello: You mentioned that you have a severe sore throat due to a bacterial infection, and you were prescribed antibiotics along with some other medications. You also mentioned experiencing generalized itching, difficulty finding a comfortable sleeping position, and sensations of ...[Read More] Understanding Restless Legs Syndrome: Symptoms and Causes Explained
Understanding Eye Bleeding: Neurological Causes and Recommended Tests
Eye problems and medical information? Doctor, my father has experienced bleeding in his eyes and has seen a doctor who advised him to take medication first, and if that doesn't work, surgery may be necessary. He has diabetes and has previously undergone laser treatment for c...
Dr. Jiang Junyi Reply:
Hello, Clock Miss: You mentioned, "In addition to eye diseases, could it also be caused by cerebrovascular issues? Are there any recommended tests? Can both the brain and eyes be evaluated?" Regarding the eye bleeding you mentioned, are you referring to subconjunctival ...[Read More] Understanding Eye Bleeding: Neurological Causes and Recommended Tests
Understanding Dementia: Discrepancies in PET and SPECT Imaging Results
Is it dementia? Hello Doctor: I have been experiencing sleep disturbances since November of last year, along with afternoon dizziness and brain fog. Despite consulting various doctors, no cause has been identified. In January of this year, I started taking psychiatric medication,...
Dr. Hong Weibin Reply:
Hello: FDG-PET and ECD-SPECT are both functional imaging tests that provide information about the current metabolic state of the brain. The image quality can vary significantly between different machines, and there may also be differences in interpretation among various physician...[Read More] Understanding Dementia: Discrepancies in PET and SPECT Imaging Results
Post-Root Canal Pain: Understanding Possible Nerve Issues
New deep pain begins after root canal treatment? Hello Doctor, I just completed a microscopic root canal treatment on my lower left second molar last week. During the procedure, I felt a spot (under the root) that repeatedly became inflamed and painful, but it would alleviate whe...
Dr. Jiang Junyi Reply:
Hello Mr. Zhang, From an epidemiological perspective, the annual incidence of trigeminal neuralgia is approximately 4 to 13 per 100,000 people. It is more common in females than in males and occurs more frequently in adults than in children. The incidence increases with age, com...[Read More] Post-Root Canal Pain: Understanding Possible Nerve Issues
Understanding Headaches: Pain from Temples to Neck in Older Adults
Dull pain in the temples radiating to both sides of the neck? Hello Doctor: My mother is 59 years old and has recently been experiencing headaches in the afternoon to evening. The pain is felt from the temples to both sides of the neck, occasionally with a throbbing sensation. Th...
Dr. Jiang Junyi Reply:
Dear Ms. Yu, You mentioned your mother's symptoms of "experiencing a dull headache from the afternoon to evening, with pain extending from the temples to both sides of the neck, occasionally accompanied by throbbing pain, and the headache sometimes being unilateral and...[Read More] Understanding Headaches: Pain from Temples to Neck in Older Adults
Understanding Medication Side Effects: When to Consult Your Doctor
Drug side effects Hello Doctor: I have migraines and have seen a doctor who prescribed me an anticonvulsant medication (Topiramate). The doctor informed me that it might cause hand numbness. I have been taking it for about a week and only experienced hand numbness, but today I su...
Dr. Jiang Junyi Reply:
Dear Ms. Liu, You mentioned, "Is this a normal side effect of the medication, or should I inform my doctor immediately or stop taking it? Am I at risk of having a stroke?" If you do not smoke, use birth control pills, or have a history of hypertension, diabetes, or oth...[Read More] Understanding Medication Side Effects: When to Consult Your Doctor
Managing Symptoms of Autonomic Nervous System Dysfunction
Physical discomfort? A few days ago, I visited a doctor. After reviewing my medical records and conducting an interview, the doctor diagnosed me with autonomic nervous system dysregulation. The doctor prescribed medications to help alleviate my symptoms and assist with sleep. How...
Dr. Jiang Junyi Reply:
Dear Ms. A-Zhu, You mentioned "as well as medications that help with sleep, but once the effects wear off, uncomfortable feelings return, such as waking up in the middle of the night or feelings of restlessness." In addition to autonomic nervous system issues, conditio...[Read More] Managing Symptoms of Autonomic Nervous System Dysfunction
Managing Dizziness and Numbness: Insights on Medication Withdrawal Effects
Dizziness and a feeling of pressure or pain in the head, along with numbness in the hands and feet? Hello Doctor: I have been taking sleeping pills for a long time and am currently tapering off. Recently, I have been experiencing poor sleep, but I have returned to my normal dosag...
Dr. Cai Zongzhang Reply:
Hello, Xuan: Numbness and tremors in the hands and feet may be related to peripheral nerve diseases. It is recommended to visit a neurology clinic for examination.[Read More] Managing Dizziness and Numbness: Insights on Medication Withdrawal Effects
Understanding the Connection Between Chronic Migraines and Eye Twitching
Chronic migraines and eyelid twitching issues? Hello, Doctor! I was previously diagnosed with aura migraines at a small clinic, and it has been nine years since my first episode, occurring approximately every four months. Before an attack, I experience photophobia, blurred vision...
Dr. Jiang Junyi Reply:
Hello Mr. Lin: You mentioned that "the upper right eyelid keeps twitching, occurring every few minutes, and has been happening for four to five days." Your symptoms are more indicative of migraine-related symptoms. You also noted experiencing some visual disturbances wh...[Read More] Understanding the Connection Between Chronic Migraines and Eye Twitching
Understanding Muscle Twitches: Causes and Concerns for Young Adults
Muscle twitching Hello Doctor, 1. My muscles used to twitch occasionally, and I didn't think much of it at the time, but recently I've been experiencing frequent twitching in my legs. I can feel it while lying in bed or sitting, about every few seconds, and it seems t...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: You mentioned that the "almost fixed places take turns twitching" is more like benign muscle twitching. This is mainly related to several factors: exercise, acute viral infections, anxiety, and medication use. Among these, prolonged exercise is one of th...[Read More] Understanding Muscle Twitches: Causes and Concerns for Young Adults
Understanding Fainting from Abdominal Pain: Causes and Concerns
Severe abdominal pain leading to fainting? Hello Doctor, I experienced my first episode of severe abdominal pain leading to fainting when I was 21 years old. Now at 23, this has happened five times, approximately every 8-9 months. Before fainting, I only feel intense abdominal pa...
Dr. Jiang Junyi Reply:
Dear Ms. Wenwen, You mentioned experiencing "abdominal pain to the point of fainting." Your symptoms may suggest a consideration of syncope, particularly reflex syncope. The causes experienced by your mother and uncle may differ from yours. The more common causes of re...[Read More] Understanding Fainting from Abdominal Pain: Causes and Concerns
Understanding the Differences Between Brain MRI and Head MRI: A Comprehensive Guide
The difference between a brain MRI and a head MRI lies primarily in the focus of the imaging. A brain MRI specifically targets the brain tissue, providing detailed images of the brain's structure, including the cerebral cortex, cerebellum, and The first time I sought medical...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned "dizziness, vertigo, unilateral tinnitus, and wanting to check for Alzheimer's atrophy, whether there is a stroke, acoustic neuroma, or brain tumor; what kind of imaging should be done for a comprehensive evaluation?" These issues can gen...[Read More] Understanding the Differences Between Brain MRI and Head MRI: A Comprehensive Guide
Understanding Arm Pain and Weakness: When to Seek Neurology Help
When my mother’s arm hangs down, she experiences pain in her upper arm? Hello, Dr. Tsai! My mother previously experienced neck and shoulder pain, which was suspected to be due to a stiff neck. After receiving treatment from a massage therapist, she developed pain in her right upp...
Dr. Cai Zongzhang Reply:
Hello, Miss Jiang: It is recommended to see an orthopedic specialist or a rehabilitation physician.[Read More] Understanding Arm Pain and Weakness: When to Seek Neurology Help
Understanding Hand Tremors: Causes, Diagnosis, and Management
The issue of hand tremors? Hello Doctor, I would like to ask about my condition. Since high school, I have often experienced tremors in my right hand. When I eat and try to pick up food, my hand shakes; sometimes it also shakes when I write. If I am nervous while carrying dishes,...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "after high school, my right hand often shakes, especially when I'm eating and trying to pick up food, sometimes it shakes when I write, and it shakes even more when I'm nervous while carrying dishes." This should be evaluated by a ne...[Read More] Understanding Hand Tremors: Causes, Diagnosis, and Management
Persistent Fatigue: Understanding Causes of Constant Sleepiness
Feeling sleepy all day? Recently, I lost weight, but then my weight returned to what it was! I feel sleepy all day and lack energy. I don’t have a habit of staying up late; I usually sleep from around 11 PM to just after 6 AM. I had my liver checked, and it’s fine; my lungs are a...
Dr. Cai Zongzhang Reply:
Hello, Hsin-Yi: The symptoms mentioned above are suspected to be caused by insufficient cerebral blood flow. It is recommended to continue treatment for hyperlipidemia to reduce the risk of stroke.[Read More] Persistent Fatigue: Understanding Causes of Constant Sleepiness
Understanding Nerve Issues: Upper Back and Limb Numbness Explained
Frequent numbness in the upper left back and numbness in the limbs while sleeping? Hello, doctor. I have the following main symptoms and I'm not sure if they are related: 1. I frequently experience numbness in the upper left back, which started about three years ago. X-ray...
Dr. Jiang Junyi Reply:
Dear Mr. Wu, You mentioned that "your long-standing habit of resting your left elbow on the desk causes numbness, which can be slightly relieved by rolling a fascia ball over the affected area." This may indicate symptoms of ulnar nerve injury. Additionally, you noted ...[Read More] Understanding Nerve Issues: Upper Back and Limb Numbness Explained
Understanding Muscle Twitches: Causes and Concerns in Neurology
Muscle twitching Hello, doctor. Since April of last year, I have been experiencing muscle twitching, primarily located just below the left arch of my foot (I have flat feet and a collapsed arch; additionally, I had a severe ankle sprain in high school that resulted in tightness i...
Dr. Hong Weibin Reply:
Hello: The body's muscles are controlled by nerves, which function like electrical wires, transmitting currents to control muscle movements. However, these wires can occasionally be affected by external factors such as temperature and humidity, leading to electrical leakage....[Read More] Understanding Muscle Twitches: Causes and Concerns in Neurology
Medication Consultation for Neurological Recovery After Brain Surgery
Medication consultation Hello Dr. Jiang, after my brain surgery last year, I have developed various neurological sequelae on my face and facial area. The surgeon only prescribed B12 and folic acid for "treatment" during follow-up visits. I would like to know if the bloo...
Dr. Jiang Junyi Reply:
Dear Mr. Zolt, You mentioned whether the "blood-brain barrier" might also reduce the absorption and efficacy of water-soluble vitamins. Vitamins need to bind to proteins to cross the blood-brain barrier, and it seems that Vitamin B12 can pass through. To enhance absorp...[Read More] Medication Consultation for Neurological Recovery After Brain Surgery