Understanding Neurological Symptoms: Chest Tightness, Numbness, and More
Chest tightness, numbness in hands and feet, mouth sores, palpitations, insomnia? Hello, doctor. I have the following questions regarding possible causes and which specialty I should consult. Thank you. 1. I experience numbness, tingling, and a burning sensation in the joints of...
Dr. Jiang Junyi Reply:
Dear Ms. Vivian, You mentioned experiencing symptoms such as numbness, tingling, and a burning sensation around the finger joints, the back and palm of the hands up to the elbows, as well as around the knees, the tops of the feet, the ankles, and the toes. These symptoms do not ...[Read More] Understanding Neurological Symptoms: Chest Tightness, Numbness, and More
Understanding Eye Pain and Neck Discomfort: A Neurological Perspective
Deep pain in the left eye (radiating to the left shoulder and neck)? Hello, Dr. Jiang. Three months ago, I experienced eye pain and visited an ophthalmologist. The doctor diagnosed my intraocular pressure at the critical value of 21. I continued to use the prescribed eye drops re...
Dr. Jiang Junyi Reply:
Hello Mr. Bai: You mentioned that "the assessment indicated a neurological issue, and I was referred to the neurology department, where the neurologist suggested the possibility of migraine?" The symptoms you described may need to consider Trigeminal Autonomic Cephalalg...[Read More] Understanding Eye Pain and Neck Discomfort: A Neurological Perspective
Understanding Occipital Headaches: Causes, Symptoms, and Relief Strategies
Headache - Occipital Pain Hello, starting this Tuesday around noon to afternoon, I have been experiencing a feeling of pressure and pain in the back of my head, but it does not occur in the morning, evening, or before bed. During the episodes of pressure and pain, it sometimes af...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "the back of your head feels swollen and painful, but it goes away in the morning, evening, or before sleep. During the period of swelling and pain, it can sometimes be unilateral or bilateral, and bending over makes it more pronounced." If you...[Read More] Understanding Occipital Headaches: Causes, Symptoms, and Relief Strategies
Managing Medication Side Effects and Dosage Reduction in Neurology
Drug side effects and dosage reduction issues? Hello Doctor: I previously inquired about my mother's condition, and you suggested that the tremors in her throat might be a side effect of her medications. Therefore, we have started to taper her current medications: Entacapone...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "after reducing the dosage for just one week, the aforementioned symptoms appeared. I wonder if the reduction time was too short or if the reduction caused the symptoms to recur." In clinical practice, medication adjustments should be accompani...[Read More] Managing Medication Side Effects and Dosage Reduction in Neurology
Understanding the Impact of Gastritis on Sleep and Insomnia Management
Gastritis can affect sleep and lead to insomnia? Hello Doctor, I have been experiencing discomfort all day due to gastric antritis, which has made it difficult for me to sleep at night. I have been unable to sleep for 2-3 weeks and feel very tired throughout the day. I then visit...
Dr. Cai Zongzhang Reply:
Hello: Medications for sleep should not be used long-term. It is recommended to visit an outpatient clinic to check for any health issues that may be affecting sleep.[Read More] Understanding the Impact of Gastritis on Sleep and Insomnia Management
Managing Insomnia Due to Gastritis: Safe Use of Stilnox and Imovane
Gastritis, insomnia at night? Hello Doctor, I have been experiencing discomfort throughout the day due to gastric antritis, which has made it difficult for me to sleep at night. I have been unable to sleep for the past 2-3 weeks and feel very tired all day. I then consulted a doc...
Dr. Cai Zongzhang Reply:
Hello: Sleep medications should not be used long-term. It is recommended to visit an outpatient clinic to check for any health issues that may be affecting sleep.[Read More] Managing Insomnia Due to Gastritis: Safe Use of Stilnox and Imovane
Understanding Carpal Tunnel Syndrome: Symptoms, Diagnosis, and Treatment Options
Carpal Tunnel Syndrome Hello, Doctor. Recently, I've been experiencing numbness in my left hand for over a month, specifically in my palm and fingers, which feel swollen and tingly. My mobility is generally fine, but I notice the symptoms more when I'm at rest. Occasion...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "the electromyography (EMG) examination requires inserting a needle into the muscles of the hand." May I ask if your needle sensation is in the index, middle, and part of the ring finger? This would correspond to the area of the median ne...[Read More] Understanding Carpal Tunnel Syndrome: Symptoms, Diagnosis, and Treatment Options
Understanding Nerve Disorders: Is Your Condition Related to ALS?
Neuropathy About ten years ago, my father underwent surgery on his right arm due to nerve compression, which caused atrophy and weakness in the entire arm. After the surgery, he did not experience further atrophy or weakness. Recently, however, he suddenly started to feel weaknes...
Dr. Jiang Junyi Reply:
Dear Ms. Hong, The condition you are concerned about, commonly referred to as "Lou Gehrig's disease," is known as amyotrophic lateral sclerosis (ALS), which is a type of motor neuron disease. Generally, the motor neurons in the brain are referred to as upper motor...[Read More] Understanding Nerve Disorders: Is Your Condition Related to ALS?
Understanding Neuropathic Pain: Which Specialist Should You See?
Suspected neuropathic pain - unsure which specialty to consult? Hello, Dr. Jiang. I apologize for bothering you. My mother and grandmother have both reported experiencing "neuropathic pain" after reaching a certain age. They have occasional episodes, a few times a year,...
Dr. Jiang Junyi Reply:
Dear Miss Peng, You mentioned that "the pain usually starts at night when falling asleep and continues into the next day, occurring in episodes, and typically resolves within two days." Your symptoms may suggest Restless Legs Syndrome (RLS). The etiology of RLS is rela...[Read More] Understanding Neuropathic Pain: Which Specialist Should You See?
Can Neck Tension Cause Tinnitus? Exploring Neurological Connections
Can neck tension cause tinnitus? Hello doctor, since mid-December last year (2021/12), I have been experiencing persistent tinnitus in my right ear, along with occasional difficulty opening my mouth. After visiting both a clinic and a major hospital, I underwent a hearing test, w...
Dr. Jiang Junyi Reply:
Hello Mr. Wang: You mentioned that "your right ear is constantly ringing, and occasionally you have difficulty opening your mouth," which may indicate temporomandibular joint disorder (TMJ). The symptoms that may occur include: 1. Difficulty and pain when opening the mo...[Read More] Can Neck Tension Cause Tinnitus? Exploring Neurological Connections
Is It Dangerous If You Hit Your Head and Bleed Without Pain?
Is there a risk if I hit my head and there is bleeding but no pain? A family member (around 50 years old with no history of cardiovascular disease) accidentally fell this morning and hit their head against a sharp object. At the time, there was approximately enough blood to soak ...
Dr. Jiang Junyi Reply:
Dear Ms. Ida, You mentioned that a family member (around 50 years old, with no history of cardiovascular disease) accidentally fell this morning and hit their head against a sharp object, resulting in approximately the amount of blood that would fill two tissues, but it stopped ...[Read More] Is It Dangerous If You Hit Your Head and Bleed Without Pain?
Understanding Autonomic Nervous System Disorders and Their Impact on Health
Autonomic nervous system dysfunction Hello, doctor. I have developed a habit of masturbation over the past nine months. Initially, I would do it once or twice a day, but during one instance when I reached orgasm, my hands started to shake intensely. After about ten minutes, the s...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to visit a neurology outpatient clinic to check for any underlying conditions that may be causing the aforementioned symptoms.[Read More] Understanding Autonomic Nervous System Disorders and Their Impact on Health
Should I Seek Further Medical Attention for Neck Pain and Dizziness?
Please consult about neck pain and seeking medical attention? Hello, I would like to ask whether I should continue seeking medical attention regarding my situation. Two weeks ago, I experienced dizziness in the evening, and when I got home from work, my steps felt slightly unstea...
Dr. Jiang Junyi Reply:
Dear Mr. Mason, You mentioned that "the physician suggested going to a large hospital to check for other diseases related to the tonsils and thyroid." These examinations can be arranged by relevant physicians at regional hospitals, and you do not necessarily have to wa...[Read More] Should I Seek Further Medical Attention for Neck Pain and Dizziness?
Understanding the Causes of Front-to-Back Swaying Sensation
Sensation of swaying back and forth? Hello, doctor. I have a concern. Suddenly, one day, I started to feel a swaying sensation back and forth while standing, especially when walking normally; the feeling of swaying back and forth is very pronounced (not side to side!). This has b...
Dr. Jiang Junyi Reply:
Dear Mr. Dong-Chen, You mentioned that "the most noticeable sensation during walking is a forward and backward swaying... my mind feels tight. Is this due to autonomic nervous system dysfunction or hyperthyroidism?" Hyperthyroidism should be considered. Typically, auto...[Read More] Understanding the Causes of Front-to-Back Swaying Sensation
Understanding Leg Numbness: Causes and Treatment Options for Your Family
I would like to inquire for a family member who is experiencing numbness in the calves and thighs? My father is unable to walk far; after just a block, his legs become very numb, and he needs to sit down to rest before he can walk a short distance again. However, the numbness ret...
Dr. Jiang Junyi Reply:
Hello Mr. Liang, You mentioned that "walking too far, perhaps just a block, can cause my legs to feel very numb, making it difficult to move, and I need to sit down to rest before I can walk a little further." Clinically, this is referred to as "intermittent claud...[Read More] Understanding Leg Numbness: Causes and Treatment Options for Your Family
Understanding Persistent Numbness in the Left Back: Causes and Solutions
Numbness in the left side of the back when squatting or sitting? Hello, doctor. At the end of last year, after carrying a heavy bag of books with one hand, I started experiencing numbness on the left side of my back the next day. This condition has persisted until now without imp...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "the left side of my back started to feel numb the next day, and this condition has persisted without improvement... there is a numb sensation extending from the inner side of my left scapula to my arm... sitting up straight helps alleviate the...[Read More] Understanding Persistent Numbness in the Left Back: Causes and Solutions
Managing Seizures During Antiepileptic Drug Transition: What to Expect
Seizures during the transition period of antiepileptic drug replacement? I have epilepsy, with no history of brain injury or family history of the condition, and the cause is unknown. I have been treated with Depakote for nearly two years. Recently, my liver enzymes have shown an...
Dr. Cai Zongzhang Reply:
Hello: There are many types of seizure patterns in epilepsy. It is recommended to record the frequency and types of seizures, and discuss appropriate adjustments with your physician during follow-up visits.[Read More] Managing Seizures During Antiepileptic Drug Transition: What to Expect
Why Do Bloody Images Cause Narrow Vision and Dizziness?
Why does seeing bloody scenes cause a narrowing of vision and dizziness? Hello Doctor, my son is 19 years old. Since he was around 11, he has experienced episodes where, after seeing graphic images, his vision narrows (he can only see clearly in the center while the periphery bec...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned that your son is experiencing intermittent neurological deficits. If the brain injury is caused by a hemorrhage, the symptoms are usually persistent. It may be necessary to first consider the symptoms of vascular headaches (migraines) or abnormal electri...[Read More] Why Do Bloody Images Cause Narrow Vision and Dizziness?
Which Specialist to See for Migraine with Nausea and Vomiting?
If you are experiencing migraines accompanied by nausea and vomiting, you should consult a neurologist? Hello Dr. Jiang, I used to experience migraines frequently, but they would usually improve after a day or two of rest. However, two weeks ago, I started having migraines again,...
Dr. Jiang Junyi Reply:
Dear Ms. Ru, You mentioned that you started experiencing migraines two weeks ago, accompanied by some swelling and mild dizziness, and you have vomited twice since then. I would like to know if you have a history of migraines. If this is a new onset of symptoms, it may be advisa...[Read More] Which Specialist to See for Migraine with Nausea and Vomiting?
Understanding Cerebellar Infarction: Symptoms, Treatment, and Recovery Tips
On March 25, the MRI of my mother's brain showed a white area on the right side behind the ear. The doctor said it was a cerebellar embolism? On March 11, the third dose of Moderna was administered. On March 18, daily living difficulties appeared: (1) constantly wearing adul...
Dr. Hong Weibin Reply:
Hello: Based on your description, your mother may be experiencing apraxia, which could be caused by an acute stroke affecting the posterior circulation of the brain. It is recommended that you take her to the hospital for evaluation. Typically, hospitalization for examination wil...[Read More] Understanding Cerebellar Infarction: Symptoms, Treatment, and Recovery Tips