Left Upper Abdominal Pain: Is It Autonomic Nervous System Disorder?
Left upper abdominal pain? Autonomic nervous system dysfunction? Hello Doctor: I started experiencing occasional mild pain in the upper left abdomen near the rib cage around the end of July. The pain lasts about one second and occurs about 2 to 3 times a day, with no other sympto...
Dr. Cai Zongzhang Reply:
Hello: There are many causes of autonomic nervous system dysfunction. If there is no improvement after rest and medication, it is recommended to visit a neurology clinic for evaluation.[Read More] Left Upper Abdominal Pain: Is It Autonomic Nervous System Disorder?
Understanding Tension in the Temples: Causes and Solutions
Tightness in the temples? Hello Dr. Jiang, I have not experienced similar symptoms before (tightness in the temples, nausea, and a sense of imbalance). Here is a record of the process: On October 15, 2021, during a company health check (gastrointestinal endoscopy): a. Duodenal ...
Dr. Jiang Junyi Reply:
Dear Mr. William, You mentioned experiencing "headaches / slight imbalance / feelings of nausea... currently feeling tightness in the temples / forehead / between the eyebrows / back of the head" and that "lying on the sofa while using your phone" may indicat...[Read More] Understanding Tension in the Temples: Causes and Solutions
Understanding Your Body's Tension: Insights on Fibromyalgia and Beyond
The body feels as if it is bound by a rope, similar to Dongpo pork? Hello, doctor. Since March of last year, I have felt as if my body is bound by a rope, similar to Dongpo pork. The thickness of this rope feels about the same as the wire of earphones (the thinner ones for the le...
Dr. Jiang Junyi Reply:
Hello Mr. Franky, You mentioned that "the sensation travels from the left side up through the neck, passing through the left ear and splitting into two paths around the left eye, then running down the right side of the back to the right palm. Although there is no obvious fe...[Read More] Understanding Your Body's Tension: Insights on Fibromyalgia and Beyond
Can You Get Vaccinated After Facial Nerve Paralysis? Expert Insights
Can a person who has had facial nerve paralysis receive a vaccine? In early 2019, I experienced stiffness on the right side of my face, could not close my right eye, and my mouth was slightly crooked. After receiving injections, medication, heat therapy, and facial exercises, my ...
Dr. Jiang Junyi Reply:
Dear Ms. Hsiao-Mi, You mentioned, "Given my current situation, can I get vaccinated? Which vaccine should I choose? How should I decide? If I cannot get vaccinated, are there any other protective injections I can receive? I am hesitant to get vaccinated due to the side effe...[Read More] Can You Get Vaccinated After Facial Nerve Paralysis? Expert Insights
Can You Get Vaccinated After Facial Nerve Paralysis? Expert Insights
Can a person who has had facial nerve paralysis receive a vaccine? In early 2019, I experienced stiffness on the right side of my face, with my eye unable to close and my mouth slightly drooping. After receiving injections, medication, heat therapy, and facial exercises, my condi...
Dr. Jiang Junyi Reply:
Dear Ms. Hsiao Mi, In light of the recent surge in COVID-19 cases, please ensure to implement self-protection measures, including cleaning and disinfection, before and after seeking medical care, and adhere to the new preventive lifestyle. It is recommended to complete the two ...[Read More] Can You Get Vaccinated After Facial Nerve Paralysis? Expert Insights
Understanding Dizziness and Eye Twitching: Neurological Concerns Explained
Dizziness and right eye (globe) twitching? I started experiencing dizziness at the beginning of last year, which is not vertigo. I consulted an ENT specialist who diagnosed me with vestibular neuritis. I took medication for three months, but there was not much improvement. Recent...
Dr. Jiang Junyi Reply:
Dear Miss May, You mentioned that your right eye occasionally twitches and wondered if it could be a brain issue or a sign of a stroke. Typically, a stroke is accompanied by other symptoms, and there is often an increase in blood pressure. I would like to know if you have experi...[Read More] Understanding Dizziness and Eye Twitching: Neurological Concerns Explained
Can You Get Vaccinated After Facial Nerve Paralysis? Expert Insights
Can someone who has had facial nerve paralysis receive a vaccine? In early 2019, I experienced stiffness on the right side of my face, which made it difficult to close my eye and caused my mouth to appear slightly crooked. After receiving injections, medication, heat therapy, and...
Dr. Jiang Junyi Reply:
Hello, Ms. Hsiao-Mi: "Having a history of facial nerve palsy" is not a contraindication for vaccination. In the outpatient clinic, many patients with this condition have already received two doses of the vaccine (including AZ, BNT, and Medigen), and none have reported a...[Read More] Can You Get Vaccinated After Facial Nerve Paralysis? Expert Insights
Understanding Nerve Issues: What to Do When Your Finger Feels Numb
Finger issues Hello Doctor, due to my work, I have developed a sensation in my left index finger where the distal phalanx feels like it is covered by a glove. I have difficulty feeling what I touch, while the other half feels normal. I visited a neurologist yesterday, and the doc...
Dr. Hong Weibin Reply:
Hello: This phenomenon is referred to as hypesthesia or sensory loss, which is often caused by damage to sensory nerves. Common causes may include: trauma (such as burns, exposure to corrosive substances, insect bites...), carpal tunnel syndrome or cubital tunnel syndrome, diabet...[Read More] Understanding Nerve Issues: What to Do When Your Finger Feels Numb
Understanding Nerve Compression: Questions on Symptoms and Recovery
Follow-up questions regarding nerve compression..? Hello Doctor, I previously inquired about ulnar nerve compression, and I subsequently went to a neurologist for nerve conduction studies and X-rays. However, the doctor informed me that the nerve conduction in both of my median n...
Dr. Jiang Junyi Reply:
Hello Mr. JAM: 1. The doctor prescribed me a 30-day supply of B vitamins and medication to improve peripheral nerves, stating that it is for health maintenance. Additionally, he suggested wearing a wrist brace. Is this considered serious? 2. I found online that severe cases o...[Read More] Understanding Nerve Compression: Questions on Symptoms and Recovery
Understanding Lip Twitching: Possible Causes and Neurological Insights
Lip twitching? On December 24th, I noticed twitching in my upper right lip while sleeping. During the day, my upper right lip twitches intermittently, stopping for a few moments before starting again. When I look in the mirror, I don't see any visible movement, but it feels ...
Dr. Cai Zongzhang Reply:
Hello, Su Wen: The above symptoms respond well to medication treatment, indicating that these symptoms may be caused by anxiety. If the symptoms persist, it is recommended to visit a neurology clinic for further evaluation.[Read More] Understanding Lip Twitching: Possible Causes and Neurological Insights
Understanding Upper Right Abdominal Discomfort: When to See a Neurologist
Sensation of stabbing heat in the right upper abdomen? Recently, I have been experiencing a tight sensation in the upper right abdomen (approximately from just above the navel to just below the lower edge of the ribs). Sometimes, it feels warm, and this has persisted for about a ...
Dr. Hong Weibin Reply:
Hello: If there are no structural abnormalities and the ultrasound shows no issues, and there is no significant impact on daily activities, it is generally recommended to observe temporarily to see if the symptoms change, which could provide more clues regarding potential causes.[Read More] Understanding Upper Right Abdominal Discomfort: When to See a Neurologist
Can I Take Anxiety and Depression Medications with Brain Relaxants at Night?
Can sedative medications be taken with antidepressants before bedtime? Due to my autonomic nervous system disorder, the neurologist prescribed me anxiety medication, antidepressants, and a brain relaxant to be taken together before bedtime. What effects might this cause? Today is...
Dr. Hong Weibin Reply:
Hello: Taking them together should not cause any drug interactions, so it is safe to use. However, if the effects are too strong and you experience general weakness, you may reduce the dosage.[Read More] Can I Take Anxiety and Depression Medications with Brain Relaxants at Night?
Understanding Eyelid Twitching: Causes and Concerns for Neurological Health
Eyelid twitching for three to four days, with the eyelid appearing double-layered; the left eye feels different from the right eye? In the past few days, I have experienced an unexplained twitching in my left upper eyelid, which occurs even when I close my eyes before sleeping or...
Dr. Hong Weibin Reply:
Hello: There are many potential causes for eyelid muscle twitching. The most common causes include stress, electrolyte imbalances, lack of sleep, dehydration, excessive caffeine or stimulant intake, certain medications, fatigue, kidney disease, and diabetic neuropathy, among othe...[Read More] Understanding Eyelid Twitching: Causes and Concerns for Neurological Health
Managing Insomnia After Discontinuing Lorazepam: What to Expect
I was prescribed Lexotan for my gastrointestinal pain caused by autonomic nervous system dysfunction. However, after stopping the medication, I still have insomnia and haven't improved. What should I do? I previously took Lorazepam for over three months at a dosage of 0.5 mg...
Dr. Hong Weibin Reply:
Hello: If you have been taking "Lunesta" for a period of time and experience rebound insomnia after discontinuation, it is recommended to try a gradual tapering method. For example: take one pill today, half a pill tomorrow, one pill the day after, and half a pill the d...[Read More] Managing Insomnia After Discontinuing Lorazepam: What to Expect
Involuntary Foot Muscle Twitches: Causes and Treatment Options
There is involuntary twitching between the arch of the right foot and the big toe? Last night, before going to bed, I started experiencing involuntary twitching in the arch of my right foot, extending to the area between my big toe and the arch. The twitching occurs approximately...
Dr. Jiang Junyi Reply:
Dear Mr. A-Yan, You mentioned that "there is involuntary twitching between the arch of the right foot and the big toe, occurring approximately every ten seconds, and it has been ongoing. The sensation is more pronounced when sitting or lying down, making it difficult to sle...[Read More] Involuntary Foot Muscle Twitches: Causes and Treatment Options
Understanding Unilateral Eye Closure Issues: Causes and Next Steps
Issues with Eye Closure Hello Doctor, currently I am experiencing symptoms where I cannot close my left eye independently, but I can close both eyes simultaneously and also close my right eye alone. When I smile, my left side of the face appears significantly weaker. Additionally...
Dr. Jiang Junyi Reply:
Hello Mr. Sun: You mentioned that "the left side of your face is noticeably weaker when you smile, and there is also tinnitus in your left ear." This may indicate a left-sided facial nerve injury. Facial nerve paralysis is quite similar, primarily affecting the seventh ...[Read More] Understanding Unilateral Eye Closure Issues: Causes and Next Steps
Managing Insomnia After Discontinuing Lorazepam: Seeking Solutions
I have been prescribed Lexotan for gastrointestinal pain caused by autonomic nervous system dysfunction. However, after stopping the medication, I still have insomnia and haven't improved. What should I do? I previously took Lorazepam for over three months, and stopping the ...
Dr. Jiang Junyi Reply:
Dear Mr. Hao, You mentioned the issue of dependence after taking "Lorazepam." Generally, Lorazepam is easily absorbed when taken orally, reaching peak plasma concentration approximately 2 hours after administration. The half-life in human plasma is about 12 to 18 hours...[Read More] Managing Insomnia After Discontinuing Lorazepam: Seeking Solutions
Can Treating Sympathetic Nervous System Disorders Help Allergic Rhinitis?
Can treating sympathetic nervous system abnormalities help in the treatment of allergic rhinitis? I believe I have vasomotor rhinitis, which has not improved. Medical reports indicate that the pathogenesis of chronic rhinitis is related to the autonomic nervous system. Both "...
Dr. Cai Zongzhang Reply:
Hello, Mr. Li: It is recommended to undergo desensitization therapy and to minimize external stimuli in daily life. You may consider visiting a neurology or otolaryngology clinic for treatment.[Read More] Can Treating Sympathetic Nervous System Disorders Help Allergic Rhinitis?
Can My Mother Restart Madopar for Parkinson's Symptoms?
Parkinson's disease Hello Dr. Hong, my mother is 78 years old and has been diagnosed with Parkinson's disease and dementia for 5 years. Initially, she was prescribed Madopar 250, taking one tablet three times a day, but she only took it for about a month. After that, sh...
Dr. Hong Weibin Reply:
Hello: It is advisable to continue the medication, starting with a low dose, such as 0.25 to 0.5 pills three times a day, and then observe if there is any improvement in gait. Additionally, it may be necessary to clarify the reasons why your mother was previously reluctant to tak...[Read More] Can My Mother Restart Madopar for Parkinson's Symptoms?
Understanding Nerve Sensations After Injections: Causes and Concerns
Numbness in the leg after an injection? Hello, doctor. A neurosurgeon administered glucose prolotherapy to me, injecting it into the back of my knee. During the injection, it stimulated a nerve, causing my calf to go numb all the way to the sole of my foot. I reported this to the...
Dr. Jiang Junyi Reply:
Hello Ms. Mi: You mentioned that "it only takes about 30 seconds to trim my toenails while bending my knees, and when I stretch my legs, I feel a tingling sensation in the soles of my feet." Your symptoms seem to be posture-related, and it may be worth considering perip...[Read More] Understanding Nerve Sensations After Injections: Causes and Concerns