Managing Cervical Dystonia in a 70-Year-Old: Treatment Options and Recommendations
Cervical dystonia in a 70-year-old adult? Hello Doctor, my mother is 70 years old and has been suffering from cervical dystonia for the past two years. Her neck often moves involuntarily to one side. She has tried various treatment options, such as Botox injections, medications, ...
Dr. Hong Weibin Reply:
Hello: Cervical dystonia can cause muscle pain and significantly impact the quality of life. Currently, the most effective treatment remains muscle injection of botulinum toxin. This method involves injecting botulinum toxin into the muscles responsible for cervical dystonia, all...[Read More] Managing Cervical Dystonia in a 70-Year-Old: Treatment Options and Recommendations
Right Eye Focusing Issues and Partial Eyelid Droop: Possible Causes
Inability of the right eye to focus and the eyelid being partially open? Hello, for the past week, I have been unable to focus with my right eye. After seeing an ophthalmologist, both eyes showed no abnormalities, and my vision is normal at 1.0. The ophthalmologist suggested that...
Dr. Jiang Junyi Reply:
Dear Mr. Jack, You mentioned that "your right eye has been unable to focus for the past week." You have a history of hypertension, and I wonder if you also have metabolic syndrome (issues such as increased waist circumference, elevated fasting blood glucose, or abnorma...[Read More] Right Eye Focusing Issues and Partial Eyelid Droop: Possible Causes
Understanding Persistent Headaches: Causes and When to Seek Help
Headache issues Hello Doctor: I have been experiencing headaches for about a month now, without interruption. Initially, over-the-counter pain relievers were ineffective. The pain is located between the back of my head and the top, generally towards the upper left side, and it fe...
Dr. Jiang Junyi Reply:
Dear Ms. Hsin, You mentioned that "the headache has been persistent for about a month without interruption." Your symptoms may suggest chronic migraine, characterized by experiencing migraine on more than 15 days per month, with varying severity. This condition can eas...[Read More] Understanding Persistent Headaches: Causes and When to Seek Help
Understanding Sudden Headaches: When to Seek Further Evaluation
A few days ago, I experienced an unexplained headache right before going to bed at midnight? As described in the title, there is a sudden pain sensation that occurs approximately every few seconds, but it is not particularly intense and does not last long. In the following days, ...
Dr. Cai Zongzhang Reply:
Hello Mr. Wang: Headache is not the most common symptom of a brain tumor. It is recommended that if the headache persists and does not improve with medication, further evaluation should be conducted.[Read More] Understanding Sudden Headaches: When to Seek Further Evaluation
Can Epilepsy Patients Safely Undergo Cosmetic Surgery?
Can patients with epilepsy undergo cosmetic surgery? Hello doctor, I have epilepsy, and my condition has been well-controlled with medication for about five years without any seizures. I am considering undergoing cosmetic surgery for under-eye bags, which requires local anesthesi...
Dr. Cai Zongzhang Reply:
Hello CHU: It is recommended to discuss medication and assess risks with your physician before proceeding with surgery.[Read More] Can Epilepsy Patients Safely Undergo Cosmetic Surgery?
Managing Facial Pain After Incomplete Recovery from Bell's Palsy
Incomplete recovery from facial nerve paralysis has resulted in facial pain? Hello Doctor, I would like to ask for your advice: My wife has developed facial nerve paralysis. Due to a delay in seeking medical attention, her recovery has not been complete. The doctor has diagnosed ...
Dr. Jiang Junyi Reply:
Dear Mr. San Ge, You mentioned that "the facial nerve paralysis has not healed due to the delay in seeking medical attention, and in the afternoon, the facial nerve becomes tense and painful, as if the nerve is about to snap, requiring pain medication." This symptom ma...[Read More] Managing Facial Pain After Incomplete Recovery from Bell's Palsy
Understanding Headaches: Potential Causes and When to Seek Help
Headache issues Hello Doctor: I would like to consult you about a friend who has depression and has been experiencing severe headaches recently. Sometimes, they need to take a considerable amount of painkillers in a day to manage the pain. Recently, they went out to eat at an all...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to visit the neurology outpatient clinic to investigate potential causes.[Read More] Understanding Headaches: Potential Causes and When to Seek Help
Managing Epilepsy in Autistic Children: Medication Concerns and Solutions
Antiepileptic drugs Dear Dr. Tsai, I have a child with autism who suffers from epilepsy. He has been taking Apo-Divalproex (250mg & 500mg) for two years and seven months without any recurrence of seizures. However, since starting this medication, he has changed significantly...
Dr. Cai Zongzhang Reply:
Hello Mr. Yeh: It is recommended to discuss medication with the prescribing physician and not to discontinue the medication on your own.[Read More] Managing Epilepsy in Autistic Children: Medication Concerns and Solutions
Understanding Unpredictable Head Pain: Causes and Solutions
Intermittent head pain? Hello Doctor, about two weeks ago, I started experiencing a mild pain at the top of my head. The next day, I began to feel intermittent pain throughout my entire head, even extending to the eye sockets, and I also had a stiff sensation in my neck. I later ...
Dr. Jiang Junyi Reply:
Hello Mr. Huang: You mentioned that "the symptoms in the forehead and brow ridge are more pronounced" and also noted that "exercising more and massaging the neck, along with the topical medication you prescribed, have provided some improvement." It may be nece...[Read More] Understanding Unpredictable Head Pain: Causes and Solutions
Experiencing Dizziness While Sitting and Lying Down: Possible Causes and Solutions
Experiencing dizziness when lying down and a sensation of swaying while sitting? Hello doctor, starting from a certain day, I suddenly feel very dizzy while sitting, and it often occurs. However, it doesn't happen when I walk or exercise, and I experience vertigo when lying ...
Dr. Jiang Junyi Reply:
Dear Mr. YY, You mentioned that "one day I suddenly felt very dizzy while sitting, and it often occurs, but not when walking or exercising, and I experience vertigo when lying down." Benign Paroxysmal Positional Vertigo (BPPV) should be considered first. The characteri...[Read More] Experiencing Dizziness While Sitting and Lying Down: Possible Causes and Solutions
Unresolved Neurological Symptoms: Seeking Answers After Multiple Hospital Visits
Consulting various hospitals and clinics has been ineffective? In recent months, I have been feeling unwell and have visited multiple hospitals seeking medical attention, but the answers I received were inconclusive. X-rays showed no issues, and my heart and lungs were in good co...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "seeking treatment at various hospitals and clinics has been ineffective" because your symptoms are atypical. It may be necessary to first consider cervical myofascial inflammation and electrolyte issues. The recommended principle for seeking m...[Read More] Unresolved Neurological Symptoms: Seeking Answers After Multiple Hospital Visits
Understanding Tongue Tremors: Causes and Anxiety Connections
Tongue twitching Hello Doctor: My tongue cannot relax and feels very tense; it keeps wanting to twitch. Sometimes I also feel a tightness in my throat. I would like to know what the cause of this might be. I have a history of anxiety disorder; could this be related to my anxiety?
Dr. Cai Zongzhang Reply:
Hello Wan-Ting: If the symptoms mentioned above appeared after starting psychiatric medication, please discuss with your physician whether the medication may be the cause. If you have not taken any medication, it is recommended to visit a neurology clinic.[Read More] Understanding Tongue Tremors: Causes and Anxiety Connections
Understanding Visual Disturbances After Traumatic Experiences in Teens
After seeing or thinking about bloody and nauseating images, the visual field becomes narrowed? Hello Doctor, my son is 19 years old. Since he was about 11, he has experienced episodes where his vision narrows after seeing graphic images (such as corpses or dissection scenes), bu...
Dr. Hong Weibin Reply:
Hello: 1. I have not heard of cases where visual field narrowing occurs intermittently. 2. Most issues related to the brain or eyes that cause changes in the visual field tend to be persistent. 3. It is unlikely that if a fall causes injury to the brain or eyes, nerve damage woul...[Read More] Understanding Visual Disturbances After Traumatic Experiences in Teens
Understanding Long-Term Dizziness and Occasional Hand Tremors
Chronic dizziness with occasional hand tremors? Hello Doctor, I am currently abroad, so it's a bit inconvenient for me to seek medical attention. I would like your help in assessing how serious my condition is and how I might improve it. I have been experiencing sudden episo...
Dr. Hong Weibin Reply:
Hello: Based on your description, it may be due to vestibular dysfunction in the inner ear causing dizziness, such as Meniere's disease. It is advisable to schedule an appointment for examination. There is a type of shaking known as enhanced physiologic tremor, which can be ...[Read More] Understanding Long-Term Dizziness and Occasional Hand Tremors
Severe Pain in Left Thumb: Possible Nerve Issues After Injury
Severe pain in the webbing of the left thumb? Hello Doctor, a few days ago while using the computer, my left thumb accidentally got caught between two keys on the keyboard, resulting in a small laceration in the webbing of my left thumb, but there was no bleeding. However, the wo...
Dr. Jiang Junyi Reply:
Dear Mr. Chen, You mentioned, "I have pain in the spaces between my left fingers. If medication does not improve the condition, can it be treated with surgery?" Generally, surgical intervention primarily aims to remove potential lesions. In cases of nerve injury, we ty...[Read More] Severe Pain in Left Thumb: Possible Nerve Issues After Injury
Involuntary Muscle Twitches in the Inner Left Foot: When to Seek Help?
Involuntary muscle twitching on the inner side of the left foot? The inner side of my left foot has been twitching involuntarily, and sometimes the big toe also twitches along with it. This condition persisted for an entire day the day before yesterday, and since then it has not ...
Dr. Hong Weibin Reply:
Hello: The muscles in the body are controlled by nerves, which function like electrical wires, transmitting signals to control muscle movements. However, just as electrical wires can occasionally experience leakage due to external factors like temperature and humidity, muscles ma...[Read More] Involuntary Muscle Twitches in the Inner Left Foot: When to Seek Help?
Understanding Muscle Cramps in Fingers During Daily Activities
The issue of experiencing cramps in the fingers while working with them in a bent position? In the past month, I have experienced muscle cramps in my fingers when using a toothbrush to brush my teeth, and also while washing dishes. Using dental floss causes even more severe cramp...
Dr. Jiang Junyi Reply:
Hello Mr. Kuo, You mentioned that your toes sometimes cramp during movement, and that most of the time, cramps occur when your fingers are bent or in use. Recently, you have been taking Prednisolone 5 mg for asthma treatment for about a month. Cramps are typically caused by musc...[Read More] Understanding Muscle Cramps in Fingers During Daily Activities
Should You Seek Medical Attention After a Head Injury?
Head trauma A few days ago, I bumped the front right side of my forehead against the corner of a car trunk. Since then, I've been waking up with a tingling pain in the back left side of my head, which isn't particularly severe, but I feel a bit dizzy overall. My neck is...
Dr. Jiang Junyi Reply:
Dear Miss Chiao, You mentioned that "the left back of my head feels numb and painful, but it's not particularly severe, and overall I feel a bit dizzy, with some stiffness in the back of my neck." Your symptoms may suggest cervical myofascial inflammation, possibl...[Read More] Should You Seek Medical Attention After a Head Injury?
Understanding Perceptual Disturbances in Children After Gastroenteritis
Surrounding speed increases? The child is currently 10 years old. On June 12, he was diagnosed with gastroenteritis due to fever and vomiting. During the week of rest and medication for the fever, he experienced sensations of others speaking faster or moving more quickly, as well...
Dr. Jiang Junyi Reply:
Hello Emily: You mentioned that "during the week of fever and vomiting confirming gastroenteritis, there were 1-2 instances where I felt that others were speaking faster." This may need to be considered as drug-induced extrapyramidal symptoms, specifically Akathisia, wh...[Read More] Understanding Perceptual Disturbances in Children After Gastroenteritis
Seeking Medical Guidance for Involuntary Movement Disorders
Please advise on the medical approach for involuntary movements? Hello Doctor, my mother is 69 years old and has been experiencing involuntary movements in her left leg since around July of last year. Initially, she would only have a few shakes during specific times in the evenin...
Dr. Jiang Junyi Reply:
Hello: You mentioned "significant weight loss and muscle fat reduction (about 52 kg last July, now approximately 46 kg), which have been ongoing issues that have not truly improved despite intermittent consultations." The decrease in mobility has led to a vicious cycle ...[Read More] Seeking Medical Guidance for Involuntary Movement Disorders