Understanding Autonomic Nervous System Disorders and Heart Issues
Autonomic nervous system dysfunction? Hello doctor, a few days ago I experienced heart pain and chest tightness, which felt very constricting. I went to the clinic and it seems to be due to arrhythmia. I had arrhythmia when I was younger, and at first, I thought medication would ...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned, "I don't know if it's because of the heart medication I took, or if it's due to autonomic nervous system dysfunction, or if there are other reasons." Could you please provide the ingredients and dosage of the medication you are...[Read More] Understanding Autonomic Nervous System Disorders and Heart Issues
Understanding Weakness in the Left Middle Finger: Possible Neurological Causes
Possible neurological disorders associated with weakness in the left middle finger? Hello Doctor: My mother has myasthenia gravis and hyperthyroidism (which has been surgically removed, and she is currently taking medication to supplement potassium). Recently, she woke up one mor...
Dr. Jiang Junyi Reply:
Dear Ms. Kuo, Regarding your mother's condition, we may first need to consider the common issue of trigger finger. Q1: If there is no improvement in symptoms after two weeks, is it true that there are no tests that can identify or rule out the cause? I have read that when...[Read More] Understanding Weakness in the Left Middle Finger: Possible Neurological Causes
Understanding Urological and Spinal Nerve Issues: A Patient's Journey
Uro-neurology or spinal nerves Hello, about 3-4 years ago, I had an incident while exercising where I twisted my ankle and fell, resulting in a skin tear on my foreskin. The next day, I experienced pain while urinating and was diagnosed with a urinary tract infection. During urin...
Dr. Cai Zongzhang Reply:
Hello Mr. Hong: Based on the symptoms mentioned, the most common cause of groin and thigh pain is lumbar nerve compression. An MRI scan is arranged to help confirm the diagnosis.[Read More] Understanding Urological and Spinal Nerve Issues: A Patient's Journey
Facial Swelling, Headaches, and Nausea: Understanding Neurological Symptoms
Facial issues, headaches, dizziness, and nausea? Hello, doctor. This week, I've started experiencing some strange symptoms. Initially, my left cheek felt heavy and reddened, but I didn't think much of it. This week, my left cheek has begun to swell, although the redness...
Dr. Jiang Junyi Reply:
Dear Miss Wang, You mentioned that "the area of heat extends from the left temple down to the lower part of the face near the ear, feeling warm and stuffy." The area of heat you described primarily corresponds to the distribution of the mandibular branch of the trigemi...[Read More] Facial Swelling, Headaches, and Nausea: Understanding Neurological Symptoms
Uncontrollable Limb Movements: When to See a Neurologist?
Involuntary limb movements? Hello Dr. Jiang, on the morning of May 23rd, I experienced uncontrollable, forceful movements of my limbs while in a semi-conscious state. I struggled to stay awake but could not control the movements of my limbs, and my fingers felt weak. After much e...
Dr. Jiang Junyi Reply:
Dear Ms. Enid, You mentioned experiencing "uncontrollable vigorous movements of the limbs while in a semi-conscious state." Your symptoms may warrant consideration of extrapyramidal syndrome or focal epilepsy. Extrapyramidal syndrome is typically caused by medication a...[Read More] Uncontrollable Limb Movements: When to See a Neurologist?
Understanding Muscle Twitches: Is It ALS or Something Else?
I'm very afraid it might be amyotrophic lateral sclerosis (ALS)..? Hello doctor, three months ago I started experiencing muscle twitching all over my body. Some areas are more fixed while others vary in intensity. I also have a feeling of weakness in my left hand; when I exe...
Dr. Chen Weida Reply:
Note: The same consultation <a href="https://adoctor.tw/article/208460">#208460</a> was responded to on May 17. Hello! The early symptoms of motor neuron disease primarily include mild weakness in the limbs or enhanced reflexes, and some patients may experie...[Read More] Understanding Muscle Twitches: Is It ALS or Something Else?
Effective Strategies for Tapering Off Sleep Medications Safely
Withdrawal from sleeping pills? Hello Doctor: I have been taking Rifapentine 0.5 mg for a year and a half, and later I reduced the dosage to half a pill, which I have been taking for the past three months. During these three months, I have experienced difficulty sleeping for abou...
Dr. Cai Zongzhang Reply:
Hello, Xiao P: Improving insomnia cannot rely solely on medication. Avoid napping during the day, engage in moderate exercise, and combine these with medication before gradually tapering off.[Read More] Effective Strategies for Tapering Off Sleep Medications Safely
Understanding Myoclonic Jerks in Children with EMAS Epilepsy
Involuntary muscle spasms? Hello Doctor: My child is currently 3 years old and was diagnosed with EMAS epilepsy at the age of 2. However, physical examinations (EEG, MRI) and genetic blood tests have not revealed any underlying cause. He is currently taking Depakine and Keppra fo...
Dr. Jiang Junyi Reply:
Dear Ms. Yang, You mentioned that "the attending physician discussed that the muscle twitching while awake is not considered an epileptic seizure... Does muscle twitching while awake count as a focal seizure in epilepsy?" Caring for a child can be very stressful and ch...[Read More] Understanding Myoclonic Jerks in Children with EMAS Epilepsy
Understanding One-Sided Headaches: Causes and Solutions for Neurological Symptoms
Unilateral ear fullness, unilateral eye pressure and swelling, unilateral neck tightness, and headache? Hello, I have been experiencing headaches for a long time, which are usually relieved by painkillers. Two years ago, I started having episodes of persistent headaches that are ...
Dr. Jiang Junyi Reply:
Dear Ms. Y: You mentioned experiencing "unilateral tightness and discomfort, always on the same side... with a sensation of 'unilateral ear fullness and unilateral eye pressure' (notably tightness when moving the eyeball)." This may warrant consideration of c...[Read More] Understanding One-Sided Headaches: Causes and Solutions for Neurological Symptoms
Understanding Lingual Numbness and Jaw Pain: A Neurological Perspective
Numbness at the base of the tongue and pain in the lower jaw? Hello Doctor, about three days ago I woke up with pain in the right lower jaw (around the area of the second/first molar). When I press on my cheek, it hurts slightly. I have also been experiencing persistent numbness ...
Dr. Jiang Junyi Reply:
Dear Ms. Si, You mentioned that "the right side of my tongue root has been numb continuously, and sometimes the right corner of my mouth also feels numb." Your symptoms may suggest the possibility of trigeminal neuralgia affecting the mandibular branch of the trigemina...[Read More] Understanding Lingual Numbness and Jaw Pain: A Neurological Perspective
Understanding Post-Rest Symptoms: Causes and Solutions for Neurological Issues
Neurological issues related to the head? I’m not sure when it started, but sometimes when I feel more tired, I lie down on the table or bed to rest for about 15 to 30 minutes. After waking up, I experience a slight tremor at the back of my head, my heartbeat feels stronger, and s...
Dr. Jiang Junyi Reply:
Hello, sir: Your symptoms may indicate peripheral nerve compression. 1. The nature of the pain is characterized by burning and tingling sensations. 2. The symptoms have a specific dermatomal distribution, and can be triggered by touch or pressure. 3. There is also accompanying mu...[Read More] Understanding Post-Rest Symptoms: Causes and Solutions for Neurological Issues
Understanding Unexplained Body Pain: A Neurological Perspective
Physical changes in the past three months? Hello, Doctor. I have been experiencing various health issues over the past three months. Initially, I had pain throughout my body (I'm unsure if it's muscle pain or bone pain). The pain is difficult to describe; sometimes it f...
Dr. Huang Hongling Reply:
Fibromyalgia is diagnosed based on clinical symptoms, and some medications used for it also serve as treatments for anxiety or depression. As for amyotrophic lateral sclerosis (ALS), pain is rarely a symptom. It is recommended that you return to your original neurologist for a co...[Read More] Understanding Unexplained Body Pain: A Neurological Perspective
Understanding Left Hand Finger Pain: Possible Neurological Issues
Pain in the fingers of the left hand? Hello Doctor, I can make a fist and extend my left hand, but I always experience pain in my middle finger when I try to grip tightly or hold something. Additionally, when I gently tap the junction of my left palm and middle finger with my rig...
Dr. Jiang Junyi Reply:
Hello Mr. Lee: You mentioned that "tapping the junction of your left palm and left middle finger is painful." Is this at the joint? Are there any symptoms of redness or heat? Your description seems to indicate inflammation of a single joint. Common causes of pain in the...[Read More] Understanding Left Hand Finger Pain: Possible Neurological Issues
Sneezing and Numbness: Understanding Neurological Symptoms
Experiencing a tingling sensation on the scalp when sneezing? Recently, whenever I sneeze, I experience a tingling sensation in the back of my head that extends down to my neck and upper back. What could be causing this?
Dr. Jiang Junyi Reply:
Dear Ms. Ling, You mentioned that "after sneezing, I start to feel numbness in the back of my head extending to my neck and upper back." This temporary numbness may be caused by compression of the cervical nerves at the C4-C5 levels due to abnormal cervical posture. I ...[Read More] Sneezing and Numbness: Understanding Neurological Symptoms
Uncontrollable Tongue Movement While Speaking: Possible Causes Explained
The tongue may uncontrollably protrude while speaking? A few days ago, I suddenly experienced an inability to control my tongue while speaking, resulting in a lisping effect. I have undergone a CT scan, and there are no issues with my brain. The oral and maxillofacial surgeon als...
Dr. Jiang Junyi Reply:
Hello Mr. Xiao Hei, You mentioned that "your tongue tends to uncontrollably stick out while speaking, leading to a lisping phenomenon." Your symptoms may indicate an abnormality in tongue muscle tone, resulting in a specific posture. This is primarily due to the impact...[Read More] Uncontrollable Tongue Movement While Speaking: Possible Causes Explained
Knee Pain When Touched: Causes, Recovery, and Treatment Options
Knee pain occurs upon impact? Hello, Doctor. I started experiencing mild pain in my knee about a week ago. I've noticed that it doesn't affect my daily activities, but it hurts when I lightly touch the outer side of my kneecap, while pressing firmly doesn't cause a...
Dr. Jiang Junyi Reply:
Hello Miss Hsiao-Hsiang, You mentioned that "light touch causes pain (on the outer side of the kneecap)," which may indicate "patellofemoral pain syndrome." The role of the patella is to increase the mechanical angle of the tendons and enhance muscle contract...[Read More] Knee Pain When Touched: Causes, Recovery, and Treatment Options
Understanding Neuromyelitis Optica: Treatment Options and Risks
Neuromyelitis optica Hello, Dr. Huang! Thank you very much for your previous guidance! After following your advice, I immediately went to the emergency room for treatment. Due to the rapid deterioration of my condition and the resident physician's concern that the situation ...
Dr. Huang Hongling Reply:
Hello: Neuromyelitis optica is a condition in which the body produces antibodies that attack its own nervous system, thus requiring immunosuppressants for treatment. Both corticosteroids and mycophenolate mofetil are immunosuppressants that can lead to decreased immunity. Long-te...[Read More] Understanding Neuromyelitis Optica: Treatment Options and Risks
Understanding Chronic Fatigue and Pain: Neurological Symptoms Explained
Severe fatigue, body aches, brain fog, eye pain, dizziness, and a feeling of head pressure? I have already undergone blood tests in the neurology department and the rheumatology and immunology department, and there were no significant issues. During the visits, I only emphasized ...
Dr. Chen Weida Reply:
Hello, Wu! In response to your inquiry regarding symptoms such as severe fatigue, widespread pain, brain fog, eye pain, dizziness, and head pressure, a preliminary assessment suggests that it may be fibromyalgia. It is recommended that you consult a neurologist or a rheumatologis...[Read More] Understanding Chronic Fatigue and Pain: Neurological Symptoms Explained
Understanding Autonomic Nervous System Disorders: A Patient's Inquiry
Inquiry for clarification? Hello Dr. Tsai, I would like to discuss my mother's condition. For the past 2 to 3 years, she has experienced symptoms such as elevated blood pressure, palpitations, and increased heart rate during times of labor, fatigue, or anxiety. Sometimes, r...
Dr. Cai Zongzhang Reply:
Hello Kris: Fatigue or anxiety can stimulate the sympathetic nervous system, affecting heart rate and blood pressure. This is a normal response of the sympathetic nervous system to stress. Treatment should focus on avoiding excessive fatigue and reducing anxiety. Additionally, in...[Read More] Understanding Autonomic Nervous System Disorders: A Patient's Inquiry
Impact of Alcohol on Autonomic Nervous System Disorders: A Medical Perspective
Drinking alcohol with autonomic nervous system dysfunction? Hello doctor, I would like to ask you about my husband who has been suffering from autonomic nervous system dysfunction for many years. He takes sedatives before bed, but he has a bad habit of being unable to quit drinki...
Dr. Cai Zongzhang Reply:
Hello, A-Zhu: Long-term excessive alcohol consumption has many sequelae, including brain and peripheral nerve degeneration, as well as liver cirrhosis. It is advisable to moderate alcohol intake. If you need assistance from a physician to quit drinking, you can visit the psychiat...[Read More] Impact of Alcohol on Autonomic Nervous System Disorders: A Medical Perspective