Understanding Muscle Tremors: Possible Causes and Next Steps
Muscle twitching for three weeks? Hello, doctor. At the end of 2021, I discovered that my prolactin levels were elevated (29.6), so my obstetrician prescribed cabergoline 0.5 mg, 1 tablet orally once a week, and Yasmin, 1 tablet orally daily. I started taking the medication on De...
Dr. Jiang Junyi Reply:
Hello Ms. Li: You mentioned that "the tremor sensation in the left chest almost never stops, and even when I wake up and open my eyes, I start shaking. If I shake my body and legs vigorously, there is a temporary improvement, and it feels like the tremor disappears, but it q...[Read More] Understanding Muscle Tremors: Possible Causes and Next Steps
Understanding Anxiety and Discomfort: A Neurology Perspective
Anxiety and multiple discomforts? I have mitral valve prolapse, and my doctor prescribed medication for palpitations, which helped a lot. The doctor didn't mention the need for a follow-up appointment, so I stopped taking the medication after finishing it. However, about a m...
Dr. Cai Zongzhang Reply:
Hello, Ms. Jan: It is recommended to visit the neurology and psychiatry outpatient clinics for examination and treatment.[Read More] Understanding Anxiety and Discomfort: A Neurology Perspective
Understanding Unilateral Tinnitus: Causes and Treatments
Unilateral tinnitus in the right ear? Hello, doctor. I have unilateral tinnitus in my right ear that is synchronized with my heartbeat. I also feel a sensation of airflow in my right ear, but when I went to the clinic to measure my ear pressure, it was normal. The clinic physicia...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to consult a neurologist for an evaluation of the underlying cause.[Read More] Understanding Unilateral Tinnitus: Causes and Treatments
Understanding Hand Tremors: Insights on Parkinsonism in Young Adults
Regarding hand tremors and juvenile Parkinson's disease? Hello, pharmacist. About three years ago, during my sophomore year, I visited Datong Hospital due to movement disorders (PKD) and restless legs syndrome. The restless legs syndrome has been an issue since I became awar...
Dr. Hong Weibin Reply:
Hello: Based on your description, "the tremor does not occur when the hand is completely relaxed with the palm facing up on the thigh, but it does tremble when the fingers slowly make a fist or when clenching and then slowly relaxing," this type of tremor is more indica...[Read More] Understanding Hand Tremors: Insights on Parkinsonism in Young Adults
Understanding Persistent Numbness: Causes and Treatments for Limb and Abdominal Symptoms
Numbness in the limbs, numbness in the abdomen and back? Hello Doctor: Starting from January 1st of this year, I experienced a progressive numbness in both legs, beginning from the soles and extending up to the waist over a span of five days. The numbness persisted 24 hours a day...
Dr. Jiang Junyi Reply:
Dear Mr. Lai, You mentioned that "the numbness gradually spread from the soles of both feet to the waist over five days." I wonder if you have been exposed to nitrous oxide? If the numbness is rapidly ascending, we may consider acute demyelinating polyneuropathy. Las...[Read More] Understanding Persistent Numbness: Causes and Treatments for Limb and Abdominal Symptoms
Understanding Nerve Compression: Left Upper Back and Limb Numbness Issues
Frequent numbness in the upper left back and numbness in the limbs while sleeping? Hello, doctor. I have the following main symptoms and I'm unsure if they are related: 1. I frequently experience numbness in the upper left back (around the scapula) that started about three...
Dr. Jiang Junyi Reply:
Hello Mr. Wu: You mentioned, "Could the physician determine if it is due to thoracic nerve compression or a brain issue?" The symptoms include "involuntary muscle twitching in small, localized areas throughout the body, visible to the naked eye, which has persisted...[Read More] Understanding Nerve Compression: Left Upper Back and Limb Numbness Issues
Managing Muscle Cramps in Myasthenia Gravis Patients: Solutions and Medications
Medication issues Hello, doctor. I have been diagnosed with myasthenia gravis, and after starting medication, I have been experiencing cramps in the soles of my feet. The frequency of these cramps is higher than with the previous medication I was taking, and they are quite painfu...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned that "after being diagnosed with myasthenia gravis and starting medication, I experienced cramps in the soles of my feet, and the frequency is higher than with the previous medication." In cases of myasthenia gravis, the use of muscle relaxants...[Read More] Managing Muscle Cramps in Myasthenia Gravis Patients: Solutions and Medications
How Long After Starting Epilepsy Medication Will Seizure Frequency Decrease?
How long after starting medication for epilepsy does it typically take to reduce the frequency of seizures? Hello Doctor: My family member is currently 54 years old and began experiencing absence seizures about four to five years ago. In the past one to two years, they have had a...
Dr. Jiang Junyi Reply:
Dear Ms. Ling, You mentioned that "my family member started treatment last year and currently takes one dose of Levetiracetam in the morning and evening. They have been taking Zolpidem at night due to sleep issues for about six months, but still experience one to two comple...[Read More] How Long After Starting Epilepsy Medication Will Seizure Frequency Decrease?
Can Circulating Medications Improve Dizziness from Vertebral Artery Dysplasia?
Can a congenital hypoplasia of the vertebral artery be improved by taking Xunli Ning to enhance cerebral blood circulation? I currently have symptoms due to cervical spondylosis affecting the C3, C4, and C5 vertebrae, which has led to related symptoms, one of which is dizziness. ...
Dr. Cai Zongzhang Reply:
Hello: There are many factors that can affect cerebral circulation. It is recommended to visit a neurology clinic for relevant examinations and to discuss treatment options with a physician. Please do not self-medicate.[Read More] Can Circulating Medications Improve Dizziness from Vertebral Artery Dysplasia?
Understanding Nerve Issues: Frequent Left Upper Back and Limb Numbness
Frequent numbness in the upper left back and numbness in the limbs while sleeping? Hello, doctor. I have the following main symptoms and I'm not sure if they are related: 1. I have frequent numbness in the upper left back area, which started about three years ago. X-rays a...
Dr. Jiang Junyi Reply:
Hello Mr. Wu, You mentioned, "Could the physician determine if the issue is due to thoracic nerve compression or a brain problem?" The symptoms include "involuntary muscle twitching in small, non-fixed areas of the body, visible to the naked eye, which has persist...[Read More] Understanding Nerve Issues: Frequent Left Upper Back and Limb Numbness
Optimal Medication Timing for Neurology Patients: A Guide
Medication intervals Hello, doctor. Recently, I have been taking the following two medications: 1. MOSAPIN F.C. TABLETS 2. SURIN TABLETS 200MG. The prescription indicates to take them once after breakfast and once after dinner. However, since I usually wake up close to noon, my f...
Dr. Hong Weibin Reply:
Hello: If medication needs to be taken in the morning and evening, the interval between doses should be approximately 8-10 hours.[Read More] Optimal Medication Timing for Neurology Patients: A Guide
Understanding Unexplained Cool Sensation at the Corner of the Mouth
Occasionally, there is a "cool sensation at the corners of the mouth" (without saliva)? Dear Dr. Jiang, Thank you very much for taking the time to respond to my concerns. Recently, I have been experiencing a "cool sensation at the corners of my mouth" (withou...
Dr. Jiang Junyi Reply:
Dear Mr. Chen, You mentioned that you have recently experienced a "cool sensation at the corners of your mouth" (without saliva), particularly noticeable after meals. You are currently on the 14th day of treatment for prostatitis with levofloxacin. First, we should con...[Read More] Understanding Unexplained Cool Sensation at the Corner of the Mouth
Understanding Symptoms: Multiple Sclerosis vs. Autonomic Nervous System Disorders
Multiple Sclerosis or Autonomic Nervous System Dysfunction Hello Dr. Jiang, I have been experiencing a tingling and numbness in my hands and feet since early September. I visited a neurology clinic, and they suggested it could be either cervical spine inflammation or autonomic ne...
Dr. Jiang Junyi Reply:
Dear Miss Li, You mentioned that "the symptoms really seem very similar to those of multiple sclerosis, and considering that I am 21 years old, which is the age when this condition is more likely to occur..." I believe the chances are low, as multiple sclerosis is clas...[Read More] Understanding Symptoms: Multiple Sclerosis vs. Autonomic Nervous System Disorders
Understanding Muscle Twitches Below the Pinky: Causes and Insights
Twitching of the muscles below the little finger? Hello doctor, I would like to ask about a situation I've been experiencing since last week. There is a twitching sensation in the area just below my palm (specifically the area below my little finger). It doesn't last lo...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that there is a pulsating sensation in the area below the palm (approximately under the little finger). The nerves in that area are primarily innervated by the ulnar nerve. Regarding muscle twitching, current research mainly relates to several factors: e...[Read More] Understanding Muscle Twitches Below the Pinky: Causes and Insights
Can I Take Mosapin and Probiotics Together After Meals?
Medication Consultation (MOSAPIN with Probiotics) Hello, doctor. I would like to ask about my recent use of MOSAPIN F.C. TABLET 5MG STANDARD for my irritable bowel syndrome. I am also considering taking a commercially available probiotic (like X tablets). Can I take both after me...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that you are taking MOSAPIN F.C. TABLET 5MG STANDARD for irritable bowel syndrome, but you also want to take over-the-counter probiotics (such as X tablets)... Generally speaking, probiotics are dietary supplements and do not have significant interaction...[Read More] Can I Take Mosapin and Probiotics Together After Meals?
Repeated Concussions: Concerns About Future Cognitive Decline
Multiple concussions: Fear of future dementia? Hello doctor, I have experienced five mild concussions within the past two years, the most recent one occurring in mid-November. However, since my third concussion in March, I have been experiencing ongoing issues with attention, jud...
Dr. Jiang Junyi Reply:
Dear Mr. Liu, You mentioned that "the third concussion started at the end of March, with ongoing issues related to attention, judgment, and memory, and the CT scan showed no problems, so the physician believes it is a psychological issue..." Dementia is usually caused ...[Read More] Repeated Concussions: Concerns About Future Cognitive Decline
Understanding Facial Twitching: Causes and Solutions for Smile Control
Facial twitching? Hello, doctor. When I take pictures, the left corner of my mouth suddenly starts to twitch, but this doesn't happen normally. To prevent this from occurring, I practice smiling frequently, and during those times, I can control the corner of my mouth well. H...
Dr. Jiang Junyi Reply:
Hello Miss An An: You mentioned, "I practice smiling from time to time, and I can control the corners of my mouth well, but when taking a photo, my left mouth corner still twitches uncontrollably..." This may be indicative of common muscle fasciculation. Prolonged physi...[Read More] Understanding Facial Twitching: Causes and Solutions for Smile Control
Understanding Facial Twitching: Causes and Solutions for Your Smile
Facial twitching? Hello, Doctor. When I take pictures, the left corner of my mouth suddenly starts to twitch, but this doesn’t happen normally. To prevent this from occurring, I practice smiling frequently, and during those times, I can control the corner of my mouth well. Howeve...
Dr. Jiang Junyi Reply:
Hello Miss An: You mentioned, "I practice smiling often, and I can control the corners of my mouth well, but when taking a photo, my left mouth corner still twitches uncontrollably..." This may be indicative of common muscle fasciculations. Prolonged physical activity i...[Read More] Understanding Facial Twitching: Causes and Solutions for Your Smile
Understanding Nighttime Tremors: Causes and Solutions for Sleep Disturbances
Experiencing continuous internal tremors while sleeping at night? Doctor: I want to know why my body shakes all over every night when I sleep. I can't stop trembling and I'm really afraid of dying suddenly; it feels like I'm close to death. I've seen a neurolo...
Dr. Cai Zongzhang Reply:
Hello, Hsin-Yi: It is recommended to seek a second opinion from a neurologist to check for any neurological disorders.[Read More] Understanding Nighttime Tremors: Causes and Solutions for Sleep Disturbances
Understanding Gums and Jaw Numbness: When to Seek Medical Help
Numbness and tingling in the gums and chin? A month ago, I had a tooth in my lower jaw that hurt when biting down on things. I immediately went to see a dentist, who cleaned my teeth and then sent me home. After that, the pain in that tooth decreased, but my entire lower gum star...
Dr. Hong Weibin Reply:
Hello: Since you have already scheduled the examination, please be patient while you wait. If you experience any pain or discomfort during the waiting period, you can ask your doctor to prescribe pain relief medication to alleviate your symptoms.[Read More] Understanding Gums and Jaw Numbness: When to Seek Medical Help