Understanding MRI White Matter Lesions: MS and Neurological Symptoms
Brain MRI white matter lesions / Multiple sclerosis Hello Dr. Jiang, due to long-term headaches and sudden changes in my symptoms, I paid out of pocket for a brain MRI. (1) The attending physician said that my images showed no issues, and I even asked her to review them again, bu...
Dr. Jiang Junyi Reply:
Dear Ms. Amy, You mentioned that the MRI showed numerous white matter lesions. It may be necessary to consider some central nervous system inflammation and myelin injury. Myelin is an insulating substance that surrounds nerves, and if it is damaged, the inflammatory process (pat...[Read More] Understanding MRI White Matter Lesions: MS and Neurological Symptoms
Understanding Post-Surgery Pain: Is It Related to Cyst Removal?
I feel pain in a specific area of my head, and it also hurts when I touch it? Hello, at the end of April this year, I had a subcutaneous cyst (sebaceous cyst) excised from the left side of my scalp. By the end of May, after washing my hair, I started to feel significant pain and ...
Dr. Jiang Junyi Reply:
Dear Ms. Kelly, You mentioned that "the area above the left side where the resection was performed is very painful, with a stabbing sensation, and it hurts even when touched." This may indicate localized nerve hyperactivity. It is generally recommended to ensure adequa...[Read More] Understanding Post-Surgery Pain: Is It Related to Cyst Removal?
Understanding Infantile Epilepsy: Diagnosis, Treatment, and Developmental Concerns
I would like to inquire about the diagnosis and medication for epilepsy in infants and young children? Hello Doctor: My daughter was born in mid-June this year, with good development in utero, weighing nearly 3800 grams, head circumference at 40 weeks, and delivered via cesarean ...
Dr. Jiang Junyi Reply:
Dear Ms. Sherry, First of all, I want to acknowledge that the process of providing support is truly not easy. Regarding pediatric epilepsy, I recommend consulting a pediatric neurologist, as they have more extensive experience in this area. Generally, the common treatment princi...[Read More] Understanding Infantile Epilepsy: Diagnosis, Treatment, and Developmental Concerns
Understanding Neurological Symptoms: Left Head Pain and Hand Numbness
Mild pain in the left occipital region and slight numbness in the left hand? Hello Doctor: My irregular sleep schedule has been ongoing for about six years, compounded by significant stress from university exams. In mid-May of this year, I suddenly experienced a ringing in my lef...
Dr. Jiang Junyi Reply:
Dear Ms. Irene, The description you provided, "lying on your side using your left hand to use your phone, and then experiencing numbness in your entire left arm the following morning that has not improved," may suggest symptoms related to cervical spine issues. Additio...[Read More] Understanding Neurological Symptoms: Left Head Pain and Hand Numbness
Understanding Limb Numbness and Pain: Vaccine Concerns and Treatment Options
Numbness, tingling, and weakness in the limbs? Hello Dr. Jiang, this is Ms. Li. On September 17, I inquired about symptoms of transient and recurrent cramping, numbness, tingling, and weakness in my limbs, as well as occasional burning sensations in the soles of my feet. I apprec...
Dr. Jiang Junyi Reply:
Dear Ms. Li, I apologize for the delay in my response. You mentioned that you received the first dose of the AZ vaccine on September 22, and today, September 23, is likely when you are feeling the most uncomfortable. I recommend that you drink plenty of water and get ample rest....[Read More] Understanding Limb Numbness and Pain: Vaccine Concerns and Treatment Options
Understanding Brief Occipital Pain: When to Seek Neurological Care
Transient headache? Whenever I lie down, even if I haven't fallen asleep, I experience a brief dull pain at the back of my head that lasts for about 5 seconds. This has been occurring for over a week without improvement. What could this be related to, and should I seek medic...
Dr. Jiang Junyi Reply:
Dear Ms. Li, You mentioned experiencing a symptom of "brief dull pain in the back of the head lasting less than 5 seconds," which may indicate cervicogenic headache. This is primarily due to instability in the fascia surrounding the cervical spine, as some small muscle...[Read More] Understanding Brief Occipital Pain: When to Seek Neurological Care
Understanding Limb Nerve Pain: Causes, Symptoms, and Treatment Options
Intermittent neuropathic pain in the limbs? Hello Dr. Jiang: Since early September this year, one night I suddenly experienced sharp pain in my thigh nerves while sleeping. A few days later, the frequency of these sharp pains increased, but they only last for a few seconds. The...
Dr. Jiang Junyi Reply:
Hello Ms. Li, You mentioned symptoms such as "a sensation of heat, pain in the limbs, numbness, tingling, and weakness," which are less characteristic of myofascial inflammation. It may be more appropriate to consider symptoms related to nerve inflammation. I recommend...[Read More] Understanding Limb Nerve Pain: Causes, Symptoms, and Treatment Options
Understanding Dizziness, Blurred Vision, and Nausea: When to Seek Help
Dizziness, blurred vision, and vomiting? Hello Doctor, I need your help! Last month, while waiting for my meal, my vision started to blur and darken, and I began to feel dizzy. After about five minutes, I started to vomit! I experienced weakness in my limbs, and the right side of...
Dr. Jiang Junyi Reply:
Hello, Miss Ke: The symptoms you mentioned may initially suggest syncope. The most common causes to consider are reflex syncope, which can occur due to excessive stimulation of the vagus nerve, leading to bradycardia and decreased cardiac output. Other triggers include transitio...[Read More] Understanding Dizziness, Blurred Vision, and Nausea: When to Seek Help
Understanding Eyelid Twitching: Causes, Treatments, and Concerns
Right eyelid twitching? Doctor, my right upper or lower eyelid has been twitching for about three weeks (the upper eyelid twitches several times a day, while the lower eyelid twitches continuously for a few hours and then stops). 1. The twitching is only in my right eyelid; there...
Dr. Jiang Junyi Reply:
Dear Miss Xiao Fen, You mentioned eyelid twitching, which is typically related to peripheral nerve issues. If it were a brain tumor, there would generally be additional symptoms related to dysfunction in nearby brain tissue. Eyelid movement is controlled by the facial nerve; if ...[Read More] Understanding Eyelid Twitching: Causes, Treatments, and Concerns
Managing UTI Prevention with Cranberry After Stroke Medication
Medication and Cranberry Use After Stroke After my mother had a stroke, she has been taking aspirin and clopidogrel. Recently, she has been experiencing frequent urinary tract infections and has seen a doctor for medication during these episodes. I would like to know if she can t...
Dr. Hong Weibin Reply:
Hello Ms. Yang, 1. Currently, there are no reported drug interactions between cranberry and aspirin (antiplatelet medication) or statins (lipid-lowering medications). Therefore, it is feasible to take them separately. However, when cranberry is taken with other anticoagulants (s...[Read More] Managing UTI Prevention with Cranberry After Stroke Medication
Understanding Numbness and Neck Pain in Seniors: A Guide
Numbness in the mouth and pain in the shoulders and neck? Hello Doctor: My grandmother is 66 years old and recently she has been experiencing some numbness in her mouth, along with shoulder and neck pain. She suddenly feels very uncomfortable for a period of time. I would like to...
Dr. Jiang Junyi Reply:
Dear Ms. Wen, Your grandmother is experiencing a sensation of "tingling in her mouth." I would like to know if there are similar symptoms in other parts of her body. If she is experiencing a bitter taste in her mouth, it may be worth considering that medication could b...[Read More] Understanding Numbness and Neck Pain in Seniors: A Guide
Understanding Electric Shock Sensations in the Back of the Head
Head electrocuted? In the past two months, I have occasionally experienced a sensation in the back of my head that feels like an electric shock, which startles me, but it is not painful. I only feel a bit dizzy afterward, and when I wake up the next day, it feels better. I have s...
Dr. Jiang Junyi Reply:
Dear Ms. Liu, The primary causes of vertigo are issues within the balance sensory system, such as otoliths in the inner ear or vestibular neuritis. The sensation you mentioned of feeling like an electric shock in the head is not closely related. This symptom may be due to periph...[Read More] Understanding Electric Shock Sensations in the Back of the Head
Understanding Seizures After Brain Hypoxia: Treatment and Recovery Insights
Due to brain hypoxia-related lesions, the doctor stated that there is abnormal electrical discharge in the brain, resulting in epilepsy? Dear Doctor, The abnormal electrical discharges in the brain following hypoxia are quite mild. The patient experienced cardiac arrest due to ...
Dr. Cai Zongzhang Reply:
Hello, A-Zhou! The symptoms described above are all sequelae caused by cerebral hypoxia injury. If the shaking severely affects caregiving, then medication should be considered to avoid the patient becoming drowsy due to the medication.[Read More] Understanding Seizures After Brain Hypoxia: Treatment and Recovery Insights
Understanding Recent Headaches and Dizziness: Possible Causes and Concerns
Recently, I've been experiencing sudden dizziness, and I woke up this morning with a headache and a fever? Recently, I have been experiencing sudden dizziness. This morning, I woke up with a headache and a fever. I have a history of headaches since childhood, which are a pec...
Dr. Jiang Junyi Reply:
Hello, Miss: In addition to considering common migraines, your symptoms may also suggest tension-type headaches. The characteristics of tension-type headaches include: (1) Typically bilateral, located in the occipital and parietal regions, sometimes with widespread pain. The natu...[Read More] Understanding Recent Headaches and Dizziness: Possible Causes and Concerns
Should You See a Doctor for Persistent Injection Pain?
The injection site may be painful? Hello doctor, two weeks ago I received an endoscopy and was given medication to prevent gastric spasms in my left arm. However, I still experience some pain occasionally. Should I see a doctor? If so, which specialist would be best to consult? T...
Dr. Jiang Junyi Reply:
Hello, Miss: If your pain is at the injection site, it may be necessary to consider the possibility of local inflammation. If it has been more than a week, you can apply local heat to increase tissue circulation. If you are concerned about a potential local infection, you may wan...[Read More] Should You See a Doctor for Persistent Injection Pain?
Understanding Symptoms: Could Your Headaches Indicate a Brain Tumor?
Brain tumor Hello, doctor! I have been experiencing symptoms of migraine, trigeminal neuralgia, pulsating sensations in the back of my head, tightness in my right shoulder and neck, and stiffness in the back of my neck for many years, with daily occurrences. If I sleep too little...
Dr. Jiang Junyi Reply:
Dear Ms. Amy, I would like to inquire if you experience snoring, as waking up suddenly at night may indicate the possibility of sleep apnea. Additionally, if you are experiencing vascular headaches, it might be beneficial to seek assistance from a neurologist. You may need to co...[Read More] Understanding Symptoms: Could Your Headaches Indicate a Brain Tumor?
Understanding Back Pain: Causes of Numbness and Discomfort
Back numbness and shooting pain? Hello doctor: I have a patch of skin on my upper back (near the shoulder blade) that feels unusual to the touch. It hurts when I press on it, and I often feel a tingling sensation along with occasional sharp pain. Sometimes, there is also a burnin...
Dr. Jiang Junyi Reply:
Dear Mr. Anderson, You mentioned that "a patch of skin feels strange... it often feels numb and occasionally has a burning sensation." This is more likely indicative of nerve root compression at the C7-C8 or T1 levels. Typically, this occurs due to prolonged poor postu...[Read More] Understanding Back Pain: Causes of Numbness and Discomfort
Understanding Mysterious Headaches: Causes and Concerns
Unexplained headache Dr. Jiang: Hello! A couple of days ago at work, I experienced a sharp, electric-like pain located about 2 to 3 centimeters above my left eyebrow. The pain comes and goes, and it has persisted for two and a half days. The location of the pain has shifted from ...
Dr. Jiang Junyi Reply:
Dear Mr. Wu, Regarding the symptoms you mentioned, if dental issues are ruled out, it may be necessary to consider trigeminal neuralgia. According to the International Classification of Headache Disorders, Third Edition (ICHD-3), the diagnostic criteria for trigeminal neuralgia ...[Read More] Understanding Mysterious Headaches: Causes and Concerns
Understanding Throat and Oral Symptoms: A Guide to Neurological Concerns
Oral and throat issues? Hello Doctor, I would like to consult you. I have difficulty describing the exact location of my symptoms, but I will try to explain. For the past few months, the area around my uvula and the posterior pharyngeal wall (below the nasopharynx) has been in a ...
Dr. Jiang Junyi Reply:
Dear Ms. Lin, You have many symptoms that seem to be related to gastroesophageal reflux disease (GERD) or sleep apnea. I wonder if you have any issues with metabolic syndrome? From a neurological perspective, I recommend improving autonomic nervous system function to regulate ga...[Read More] Understanding Throat and Oral Symptoms: A Guide to Neurological Concerns
Understanding Eye Twitching: Causes and When to Seek Help
Left eyelid twitching or spasms? Hello Dr. Jiang, Since July of last year, I have been experiencing twitching in my left lower eyelid. Initially, it was just the eyelid twitching, but it later developed into a pulling sensation in the skin around my left eye. I have consulted th...
Dr. Jiang Junyi Reply:
Hello Mr. Chang: Your symptoms may suggest blepharospasm. The majority of cases have unknown causes, and it is more common in females, approximately three times more than in males. Common causes include dry eye syndrome, high levels of stress, eye inflammation, light sensitivity,...[Read More] Understanding Eye Twitching: Causes and When to Seek Help