Understanding Pulsatile Tinnitus: Causes, Symptoms, and Treatment Options
Pulsatile tinnitus I experience pulsatile tinnitus in my right ear every night. I had an EEG done, which showed no issues, and the medication prescribed has not improved my condition. My hearing is fine. I am scheduled for an MRI on the 24th, but due to the peak of the pandemic a...
Dr. Jiang Junyi Reply:
Dear Miss Lin, You asked, "Can a metal dental implant undergo MRI?" The imaging from an MRI may be affected by metal, potentially causing artifacts. However, the physician will interpret the results based on the available data. You also mentioned, "Straining durin...[Read More] Understanding Pulsatile Tinnitus: Causes, Symptoms, and Treatment Options
Why Lying Down Worsens Your Headache: Understanding Neurological Pain
Headache worsens when lying down? Hello: I have a condition where there is a mild herniation at the C4-C5 cervical vertebrae, and I am undergoing rehabilitation. Previously, I experienced pain in multiple areas (only once), and a neurologist diagnosed it as fibromyalgia. However,...
Dr. Jiang Junyi Reply:
Dear Ms. Tsai, You mentioned that "I have been experiencing headaches every day for the past two months." Your symptoms may suggest chronic migraine. If you have migraine on more than 15 days in a month, with varying severity, it can easily be confused with tension-typ...[Read More] Why Lying Down Worsens Your Headache: Understanding Neurological Pain
Understanding Post-Nuchal Muscle Pain and Its Recovery Timeline
Suboccipital muscles Hello, Dr. Jiang. I apologize for bothering you with another question. I have been experiencing discomfort in the muscles at the back of my neck (the area around the occipital nerve) due to acute inflammation during my rehabilitation period. It has been nearl...
Dr. Jiang Junyi Reply:
Hello Mr. Wu: You asked, "Can an MRI detect inflammation of muscles or nerves?" Typically, muscle inflammation can be observed after the administration of contrast agents. Without contrast, it is usually only identifiable in more severe cases where there is infiltration...[Read More] Understanding Post-Nuchal Muscle Pain and Its Recovery Timeline
Managing Blood Pressure After Brain Hemorrhage: Key Concerns
Questions Regarding Discharge After Cerebral Hemorrhage Hello Doctor, my mother underwent successful surgery for a hemorrhagic stroke (left hemisphere) in early March of this year and is currently undergoing active rehabilitation (her recovery is going well). She is also taking t...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to continuously record your morning and evening blood pressure readings and discuss the dosage and timing of antihypertensive medications with your physician.[Read More] Managing Blood Pressure After Brain Hemorrhage: Key Concerns
Understanding Retrograde Amnesia in Bipolar Disorder Patients
Retrograde amnesia Hello, doctor. I am a psychiatric patient diagnosed with bipolar disorder. My symptoms have been ongoing for two months and are becoming increasingly severe. At first, when I woke up, I would think I was still in the days two or three days prior. Now, when I wa...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to discuss the above symptoms with a psychiatrist to determine if they are related to the medication.[Read More] Understanding Retrograde Amnesia in Bipolar Disorder Patients
Understanding the Duration of Drug Side Effects: A Neurology Perspective
Widespread acupuncture-related issues? Hello Dr. Jiang, I have listened to your concerns about the potential complications from too many medications. I have stopped taking the medication for one day, but I still experience a tingling sensation throughout my body. How long do comp...
Dr. Jiang Junyi Reply:
Dear Mr. Wu, You mentioned, "I have stopped taking my medication for one day." I am unsure which medication was discontinued based on your doctor's assessment. My recommendation is to consolidate your care at the same hospital. ===== It is crucial not to discont...[Read More] Understanding the Duration of Drug Side Effects: A Neurology Perspective
Unexplained Health Issues: Seeking Answers for Persistent Dizziness and Pain
Many health issues with no identifiable cause? Hello Dr. Jiang: I would like to ask about my condition. About a year or two ago, I underwent tooth extraction for orthodontic treatment and had bone grafting done at the same time. The next day, I experienced severe dizziness and ne...
Dr. Jiang Junyi Reply:
Dear Mr. Hsiao-Kang, You mentioned that "lying down and changing positions causes dizziness," which may initially suggest benign paroxysmal positional vertigo (BPPV). The symptoms are characterized by brief episodes of vertigo related to changes in head position, such ...[Read More] Unexplained Health Issues: Seeking Answers for Persistent Dizziness and Pain
Managing Mild Dementia: Strategies for Caregivers and Health Concerns
Could you please clarify the relationship between dementia and occasional shortness of breath along with feelings of weakness? Hello Doctor, recently my father took my mother to the hospital for a neurology examination, and the doctor informed us that my mother has mild dementia....
Dr. Hong Weibin Reply:
Hello: In addition to pharmacological treatment for dementia, there are non-pharmacological interventions, including occupational therapy, cognitive training, reminiscence therapy, art therapy, and social activities, among others. You can contact the dementia care centers or long...[Read More] Managing Mild Dementia: Strategies for Caregivers and Health Concerns
Understanding Electrical Sensations in the Upper Buttocks: Causes and Insights
It feels like there is an electric current passing through my buttocks? There is a prickling and tingling sensation in the upper left buttock, similar to an electric current, lasting for several seconds each time. It is neither painful nor sore, and daily activities are normal. T...
Dr. Jiang Junyi Reply:
Dear Ms. Yang, You mentioned experiencing a tingling sensation in the upper left buttock, similar to an electric current, lasting for several seconds each time. It is neither painful nor uncomfortable, and your daily life remains normal. Your symptoms may suggest peripheral neur...[Read More] Understanding Electrical Sensations in the Upper Buttocks: Causes and Insights
Understanding Systemic Tingling: Possible Causes and Next Steps
Generalized tingling and numbness? Hello Dr. Jiang, this is Mr. Wu, who inquired about multiple sclerosis last time. I had a follow-up appointment on May 6th, and the cervical MRI report showed normal results. I informed the physician about the tingling sensation in the soles of ...
Dr. Jiang Junyi Reply:
Hello: You are currently on too many medications, and many gastrointestinal drugs can actually be adjusted. For example, the side effects of EPILON may include dry mouth, vomiting, constipation, urinary retention, blurred vision, headache, fatigue, and skin flushing, among others...[Read More] Understanding Systemic Tingling: Possible Causes and Next Steps
Unexplained Tingling: Understanding Nerve Issues and Symptoms
Unexplained numbness? On a certain Saturday evening while sitting and watching TV, I felt numbness in the soles of my feet. I got up to move around and noticed that my ring finger and little finger on both hands were also numb. I thought it was due to poor posture and would impro...
Dr. Jiang Junyi Reply:
Dear Ms. Chi, You mentioned that "the location of the numbness changed after taking the medication, and now the entire abdomen feels numb." If you are only experiencing tingling sensations without any weakness, it may be worth considering hyperventilation. However, if ...[Read More] Unexplained Tingling: Understanding Nerve Issues and Symptoms
Is Nerve Biopsy Necessary for Diagnosing Diabetic Neuropathy?
Is a biopsy necessary for the diagnosis of neuropathy? Hello Doctor: I have a history of diabetes for 5 years and hypertension for 15 years. Over the past year, my hemoglobin A1c level has been around 6.5. A year ago, I noticed a tingling and painful sensation in my legs, which l...
Dr. Jiang Junyi Reply:
Dear Mr. Tong, You mentioned "early neuropathy caused by diabetes." Diabetic neuropathy is a common condition that can initially be treated with medication. Nerve biopsies are typically used to diagnose some rare neuropathies. Can the nerves regenerate after a biopsy? ...[Read More] Is Nerve Biopsy Necessary for Diagnosing Diabetic Neuropathy?
Understanding Neurological Symptoms: Seeking Answers for Persistent Discomfort
Struggling for nearly six months? Hello Dr. Jiang, I started experiencing chest tightness and pain in my pectoral muscles last October, accompanied by weakness, shoulder pain, and numbness in my back during certain movements, with a sensation like electric shocks. When I raise my...
Dr. Jiang Junyi Reply:
Dear Mr. Wu, You mentioned "multiple sclerosis," which affects fewer than 5 people per 100,000 in Taiwan, making it a rare disease. The diagnosis of multiple sclerosis is based on clinical history and examinations that reveal multiple lesions in the nervous system. A d...[Read More] Understanding Neurological Symptoms: Seeking Answers for Persistent Discomfort
Can I Get Vaccinated with Cervical Nerve Compression and Mitral Valve Prolapse?
Cervical nerve compression Hello, I am 42 years old and have recently discovered that cervical spine compression is causing numbness and tingling in my hands and feet. I am currently taking medication (B12 and a nerve stabilizer) and undergoing rehabilitation (heat therapy, elect...
Dr. Jiang Junyi Reply:
Dear Ms. Hsiao-Chen, You mentioned cervical nerve root compression and mitral valve insufficiency. Neither of these conditions is a contraindication for receiving the COVID-19 vaccine. The reactions that may occur after vaccination are mostly mild and include pain and swelling a...[Read More] Can I Get Vaccinated with Cervical Nerve Compression and Mitral Valve Prolapse?
Unbalanced Dizziness: Exploring Treatment Options for Seniors
Dizziness characterized by unsteadiness while walking? Hello: My family member is 70 years old and had shingles in the left ear last April. After recovery, they have experienced issues with imbalance and dizziness while walking, but these symptoms do not occur when stationary. Th...
Dr. Hong Weibin Reply:
Hello: Currently, there are limited treatment options for dizziness. Besides pharmacological treatment, physical therapy such as balance training can be beneficial. Additionally, cognitive behavioral therapy, which is a form of psychological treatment, can also help.[Read More] Unbalanced Dizziness: Exploring Treatment Options for Seniors
Understanding Inner Thigh Muscle Twitches: Causes and Management Tips
Medial pulsation of the vastus medialis muscle? Thank you, Doctor, for taking the time to respond despite your busy schedule. I would like to ask a follow-up question regarding your previous response. You mentioned that the cause of my muscle twitching is primarily related to inf...
Dr. Jiang Junyi Reply:
You mentioned that the side effects listed in the medication leaflet for "Flupentixol 0.5mg/Melitracen 10mg" are very common: drowsiness and akathisia. Common side effects include dizziness accompanied by or without orthostatic hypotension and tremors. Less common side ...[Read More] Understanding Inner Thigh Muscle Twitches: Causes and Management Tips
Muscle vs. Nerve Twitching: Understanding Your Thigh Symptoms
Muscle or nerve twitching persists? Hello Doctor, I have been experiencing an increasing frequency of twitching on the inner side of my left thigh. I have sent two short videos for your preliminary assessment. https://youtu.be/avo45DGnfH0 https://youtu.be/csDjJ8YggPs Could you pl...
Dr. Jiang Junyi Reply:
Hello Mr. Ben: Your YouTube video shows twitching of the vastus medialis muscle in the quadriceps. This muscle twitching is primarily related to inflammation, which can be caused by exercise, acute viral infections, anxiety, and medication use. Among these, prolonged exercise is ...[Read More] Muscle vs. Nerve Twitching: Understanding Your Thigh Symptoms
Understanding Dizziness After Cold: Possible Causes and Solutions
Consultation regarding dizziness issues? Hello, Doctor. About six weeks ago, I had a cold (nasal congestion and runny nose). After recovering, I started experiencing two new symptoms: a cough and dizziness. Both symptoms have not improved since then. The dizziness feels like a ge...
Dr. Jiang Junyi Reply:
Hello Mr. Tsai, You mentioned feeling "dizzy and somewhat pressure in your ears... due to poor sleep, the imbalance in your inner ear has persisted for a long time, and it was only after seeing a psychiatrist and taking medication that you recovered. Perhaps this is related...[Read More] Understanding Dizziness After Cold: Possible Causes and Solutions
Understanding Right-Sided Numbness: When to Seek Further Medical Evaluation
Numbness in the right hand and right side of the body? Hello doctor, last week I started experiencing mild numbness in the tips of my fingers. I visited a neurologist who prescribed medication, but a few days later the numbness worsened, and soon my entire palm began to feel numb...
Dr. Jiang Junyi Reply:
Dear Mr. Jame, You mentioned that after visiting the neurology department and receiving medication, you experienced increasing numbness over the following days. The doctor indicated that the cervical spine X-ray showed no abnormalities, but by the weekend, you even felt slight n...[Read More] Understanding Right-Sided Numbness: When to Seek Further Medical Evaluation
Understanding Recent Memory Decline: Causes and Concerns
Recent memory decline? For the past 2 to 3 months, I have frequently experienced a situation where I think about what information I need to look up one moment, and then the next moment I forget it. It takes about 20 seconds for me to remember. This happens very often, every day, ...
Dr. Jiang Junyi Reply:
Hello Mr. Sean, You mentioned, "I was thinking about what information I wanted to look up one second, and then the next second I forgot, and it takes about 20 seconds for me to remember." Your symptoms are indicative of short-term memory dysfunction. Short-term memory ...[Read More] Understanding Recent Memory Decline: Causes and Concerns