Understanding Involuntary Muscle Twitches: Causes and Treatment Options
Involuntary muscle twitching? My muscles randomly twitch, including my eyelids, abdomen, arms, and legs. Sometimes the twitching frequency is very high and can last for more than a day. This started in March 2021, and since then, I have undergone numerous tests at various medical...
Dr. Jiang Junyi Reply:
Hello Mr. Chris: You mentioned that you have a regular routine, do not smoke or drink alcohol, exercise regularly each week, take vitamin B complex and fish oil supplements, control your diet, and mostly drink plain water without coffee or tea. If your muscle twitching persists, ...[Read More] Understanding Involuntary Muscle Twitches: Causes and Treatment Options
Understanding Trigeminal Neuralgia: Symptoms, Treatments, and Relief Strategies
Trigeminal neuralgia Hello doctor, two nights ago I experienced severe pain in the area behind my right ear, but it subsided quickly. However, yesterday the pain suddenly intensified, accompanied by severe pain in my upper right teeth and cheek. Between midnight and 9 AM, I took ...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "the doctor said the pain in my cheek is trigeminal neuralgia, and one of the medications prescribed to me is 'Shunao.' After taking it, I still experienced pain about half an hour later. Is Shunao effective for trigeminal neuralgia?...[Read More] Understanding Trigeminal Neuralgia: Symptoms, Treatments, and Relief Strategies
Understanding Dizziness and Neck Issues: When to Seek Further Evaluation
Cervical spine, dizziness Hello Doctor, I started experiencing dizziness and hand numbness on January 17. I initially went to a general clinic where my blood pressure and heart rate were normal. After taking medication, my dizziness improved slightly, but I still occasionally fee...
Dr. Cai Zongzhang Reply:
Hello, cervical spine pain can cause nerve or vascular compression, leading to the symptoms mentioned above. It is recommended to consult a neurologist for evaluation and examination.[Read More] Understanding Dizziness and Neck Issues: When to Seek Further Evaluation
Understanding Nerve Issues: Numbness and Urinary Problems After Vaccination
Numbness in the feet and urinary issues? Hello Dr. Jiang, Recently, I have been experiencing numbness in my left foot and difficulty urinating. After undergoing several tests at the hospital, I was informed that my health is generally good. An MRI revealed inflammation near the ...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "MRI showed inflammation near the 11th and 12th vertebrae, and tests indicated low levels of B12 and folate. You informed your physician that you received the third dose of the Moderna vaccine on February 18, and the hospital indicated that vaccine ...[Read More] Understanding Nerve Issues: Numbness and Urinary Problems After Vaccination
Understanding Hand Numbness and Arm Pain: When to See a Neurologist
Numbness in the hands and arm pain? I'm not sure if it's due to nerve compression in the wrist from exercising or prolonged computer use, but my fingers are numb, and my wrist cannot extend back to 90 degrees like it used to. I visited a clinic where I was prescribed an...
Dr. Jiang Junyi Reply:
Dear Mr. August, You mentioned that "after prolonged computer use, my fingers feel numb," which may indicate common median nerve injury or ulnar nerve injury. Median nerve injury, also known as carpal tunnel syndrome, typically occurs in individuals who perform repetit...[Read More] Understanding Hand Numbness and Arm Pain: When to See a Neurologist
Managing Muscle Tremors in ALS: Effective Treatments and Solutions
Muscle twitching Someone around me has been diagnosed with amyotrophic lateral sclerosis (ALS) and is currently experiencing tremors in both lower limbs that affect sleep. Although the doctor has prescribed muscle relaxants, they have not been effective. I would like to ask the d...
Dr. Jiang Junyi Reply:
Hello, Ms. Shu: You mentioned that "your lower limbs tremble/shake to the extent that it affects your sleep, and although the doctor has prescribed muscle relaxants." In addition to medication, sometimes stretching exercises are necessary to alleviate muscle tightness....[Read More] Managing Muscle Tremors in ALS: Effective Treatments and Solutions
Understanding Post-Anesthesia Dizziness: Causes and Concerns
Questions about dizziness for my mother? Mother underwent general anesthesia for a bladder endoscopy and resection surgery from February 23 to February 25. After the anesthesia, she experienced mild headache for one night, which resolved the next morning upon discharge. However, ...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: You mentioned "lacunar infarct at the left lentiform nucleus," which refers to a small infarct in the left lentiform nucleus. This may be related to motor function. However, it is still necessary to assess the relevant neurological functions. Regarding...[Read More] Understanding Post-Anesthesia Dizziness: Causes and Concerns
Understanding Persistent Tinnitus: Insights from a Neurology Perspective
Tinnitus Hello Dr. Jiang: I have been experiencing high-frequency tinnitus for 11 years, which started suddenly a few weeks after my military discharge. I served as a private in the artillery (not sure if it's related to stress or the sound of artillery?). The tinnitus is on...
Dr. Jiang Junyi Reply:
Hello Allen: You mentioned "right ear tinnitus at 3000-8000 Hz, high at 52 dB and low at 12 dB, left ear at 250-8000 Hz, high at 17 dB and low at 13 dB," which may indicate a loss of auditory nerve cells in the right ear due to the high decibel levels. The "closed ...[Read More] Understanding Persistent Tinnitus: Insights from a Neurology Perspective
Understanding Dizziness and Pressure: Neurological Insights and Solutions
Dizziness and a feeling of heaviness in the head? Hello Doctor: I have been experiencing dizziness, a feeling of pressure in my head, and nausea for almost three weeks. After visiting an ENT specialist and taking medication, I haven't vomited in the past few days, but I stil...
Dr. Jiang Junyi Reply:
Dear Miss Ling, You mentioned that "my head still feels a bit dizzy and swollen, with pain on both sides, and my ears also hurt a little. I feel heavy-headed and light-bodied, and looking at my phone causes some dizziness... After visiting the ENT and taking medication, I h...[Read More] Understanding Dizziness and Pressure: Neurological Insights and Solutions
Understanding Post-Impact Head Discomfort: Causes and Concerns
Head trauma Hello, doctor. In the first half of 2020, I had two upper molars extracted, and since then, I have experienced discomfort in my head. I started seeing doctors, but they all said it was unrelated to the tooth extraction, attributing it to anxiety and sleep issues. I ha...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned, "Has the impact to the head caused internal bleeding or delayed bleeding? It has been a year and a half; could it last this long? Additionally, could the earlier tooth extraction have affected the brain? After all, I have been experiencing discomfo...[Read More] Understanding Post-Impact Head Discomfort: Causes and Concerns
Understanding Eyelid Twitching: Causes and Remedies Explained
Eyelid muscle twitching Hello Doctor: My eyelid has been twitching for nearly a month, specifically in the upper left eyelid. It twitches intermittently several times a day, although it is not very noticeable externally, I can clearly feel it. The twitching seems to occur more fr...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned that your eyelid twitches "when you hit your head and when you are more tired; what could be the problem?" Eyelid movement is controlled by the facial nerve. If the eyelid is twitching continuously, the physician will first carefully observe th...[Read More] Understanding Eyelid Twitching: Causes and Remedies Explained
Misdiagnosed: When Neurological Issues Mimic Mental Health Disorders
Could it be a misdiagnosis by a psychiatrist? I have been suffering from severe insomnia since I was around 16 years old, accompanied by cognitive dysfunction. At that time, I suddenly found it difficult to understand what I was reading in vocational school and could not comprehe...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned, "I would like to ask if the lack of effectiveness of medication for seemingly psychiatric symptoms could be a neurological issue, and whether I need to undergo a CT scan or MRI..." When diagnosing neuropsychiatric disorders, it is common to ar...[Read More] Misdiagnosed: When Neurological Issues Mimic Mental Health Disorders
Managing Severe Headaches During Pregnancy: Tips and Solutions
Headaches in Pregnant Women I have often experienced migraines even before pregnancy, especially when I go out and don't sleep well; they usually occur about twice a month. A single pain reliever or Eve (a brand of pain medication) typically resolves the issue quickly. Howev...
Dr. Jiang Junyi Reply:
Hello Miss QQ: You mentioned that you often experience migraines, especially when traveling or not sleeping well, and that usually one painkiller or Eve resolves it quickly. Eve contains the active ingredient ibuprofen, along with Anhydrous Caffeine - 80 mg and Allylisopropylacet...[Read More] Managing Severe Headaches During Pregnancy: Tips and Solutions
Understanding Lip Numbness: Possible Causes and Treatments
Numbness of the lips? Hello, doctor. I would like to ask some questions. My father started taking heart medication about six months ago, and since then, his lips have been almost constantly numb, sometimes feeling like they are going to crack. The cardiologist prescribed a topica...
Dr. Jiang Junyi Reply:
Dear Miss Hsiao-Chuan, You mentioned that your lips feel numb almost all day and sometimes have a sensation of cracking. However, you find that applying Nincort oral gel alleviates the numbness for several hours. The active ingredients in Nincort oral gel are steroids and some m...[Read More] Understanding Lip Numbness: Possible Causes and Treatments
Understanding Facial Nerve Paralysis: Symptoms, Steroid Side Effects, and Concerns
Facial nerve paralysis Hello Doctor, my daughter (15 years old) noticed on the afternoon of February 13 that she could not fully close her lips when drinking water, and her right face felt stiff when she opened her mouth wide. She visited the doctor on February 14 and was prescri...
Dr. Jiang Junyi Reply:
Hello, You Ma: You mentioned that "when drinking water, your lips cannot fully close, and your right face feels stiff when your mouth is wide open." You have been taking steroids and gastric medication for a week. Clinically, this may suggest facial nerve paralysis. In...[Read More] Understanding Facial Nerve Paralysis: Symptoms, Steroid Side Effects, and Concerns
Understanding Muscle Pain and Fasciculations: Possible Neurological Causes
Muscle fasciculations and muscle soreness with weakness? Since 2019, I have experienced occasional muscle soreness in my limbs (about once every 3 to 6 months, lasting approximately 1.5 weeks). My hand strength has decreased, and when I go shopping and lift items weighing 2 to 5 ...
Dr. Hong Weibin Reply:
Hello: Based on your symptoms, it is recommended that you seek assistance from a neurologist specializing in neuromuscular diseases at a major hospital. They may arrange for blood tests, electromyography (EMG), and other evaluations. Cervical spine compression or myasthenia gravi...[Read More] Understanding Muscle Pain and Fasciculations: Possible Neurological Causes
Understanding Serotonin Syndrome: Symptoms and Specialist Guidance
Serotonin syndrome inquiry? Hello Dr. Jiang, I have stopped taking the medication prescribed by the psychiatric clinic (Leeyo) because I need to undergo other related tests at the hospital. Initially, I was on a low dose (2.5 mg daily for about two weeks). It has been about a m...
Dr. Jiang Junyi Reply:
Hello Ben: You mentioned "serotonin storm syndrome," which refers to serotonin syndrome that typically occurs when two or more medications that increase serotonin activity in the brain are combined, potentially leading to the onset of serotonin syndrome. Recovery usuall...[Read More] Understanding Serotonin Syndrome: Symptoms and Specialist Guidance
Impact of Mirena IUD on the Efficacy of Long-term Medication
Drug interactions Hello, doctor! I have been taking Yu Hsien for 7 years, and I would like to know if using the Mirena IUD will affect the efficacy of Yu Hsien or the effectiveness of the IUD itself? Thank you!
Dr. Cai Zongzhang Reply:
Hello, Shen: Antiepileptic medications may affect the effectiveness of hormonal contraceptives, so it is advisable to discuss this with your physician.[Read More] Impact of Mirena IUD on the Efficacy of Long-term Medication
Understanding Inner Elbow Nerve Pain After Surgery: Causes and Recovery
Numbness and pain on the inner side of the hand? Doctor, I underwent surgery for axillary hyperhidrosis last October, using a spiral curette technique. After the surgery, my right arm is normal, but the entire inner side of my left elbow has been experiencing numbness and pain. D...
Dr. Jiang Junyi Reply:
Hello Mr. Alan, You mentioned that after the surgery with a spiral curette, my right hand is normal, but the entire inner side of my left elbow experiences numbness and pain. This may indicate ulnar nerve compression injury, particularly cubital tunnel syndrome. Frequent bending...[Read More] Understanding Inner Elbow Nerve Pain After Surgery: Causes and Recovery
Feeling Exhausted and Anxious: Understanding Autonomic Nervous System Disorders
I feel exhausted every day and I feel like I'm about to die! Last night, I suddenly felt unwell in the latter half of my sleep. I got up to check my blood pressure, which was 91/56. I felt like crying; I wanted to sleep but couldn't. At first, I experienced hand tremors...
Dr. Jiang Junyi Reply:
Hello: You mentioned symptoms such as "feeling sleepy but unable to sleep well, initially experiencing hand tremors and numbness in the legs... switching positions while sleeping, rapid internal shaking, left-sided numbness, and a fast heartbeat." These symptoms may sug...[Read More] Feeling Exhausted and Anxious: Understanding Autonomic Nervous System Disorders