Unexplained Head Tremors: When to See a Neurologist for Evaluation
Involuntary head shaking? Hello Doctor, I’m not sure when it started (maybe two or three years ago), but I’ve noticed that my mother (62 years old) has been experiencing slight involuntary head shaking, a very subtle side-to-side movement that is visible to the naked eye. I’m won...
Dr. Cai Zongzhang Reply:
Hello Heidi! It is recommended to visit the neurology outpatient clinic for an examination.[Read More] Unexplained Head Tremors: When to See a Neurologist for Evaluation
Understanding Neuropathic Pain Treatment: Comparing Medications and Risks
Treatment of neuropathic pain Hello Doctor: I recently visited a urologist due to penile pain, but after taking multiple antibiotics without improvement and experiencing severe pain, the urologist believes I may have neuropathic pain. A neurologist also mentioned that this condit...
Dr. Jiang Junyi Reply:
Hello Peter, Rivotril, Neurontin, and Lyrica have different mechanisms of action and different criteria for insurance coverage. Rivotril does not have a significant analgesic effect but can reduce muscle tension and alleviate emotional distress; it is commonly used for restless ...[Read More] Understanding Neuropathic Pain Treatment: Comparing Medications and Risks
Understanding Upper Back Numbness and Burning Sensation: Possible Causes and Next Steps
Numbness, tingling, and a burning sensation in the back? Hello, Doctor. Since the end of June, I have been experiencing a tingling sensation in my upper left back (around the area of the "Gao Huang" point), similar to a mild electric current. Gradually, by the evening, ...
Dr. Jiang Junyi Reply:
Dear Ms. Cherry, Your symptoms may suggest cervical radiculopathy. Prolonged periods of looking down can lead to overuse of the trapezius muscles in the neck, resulting in neck and shoulder pain. Initially, resting may alleviate the pain, but over time it can worsen and affect y...[Read More] Understanding Upper Back Numbness and Burning Sensation: Possible Causes and Next Steps
Chronic Pain in Left Second Toe: Seeking Answers and Solutions
Pain in the second toe of the left foot? Hello Dr. Jiang, I have been experiencing pain in my toe for nearly ten years (the exact duration is hard to remember). I have been seeing a neurologist at the hospital and have been taking medication intermittently for four years (the pai...
Dr. Jiang Junyi Reply:
Dear Ms. Chang, In your description, you mentioned, "The pain starts again once the medication is stopped, and it varies in intensity, coming and going, which affects my sleep and makes it difficult to fall asleep." This provides clues to potential underlying causes, w...[Read More] Chronic Pain in Left Second Toe: Seeking Answers and Solutions
Understanding Parkinson's Disease: Treatment, Symptoms, and Future Insights
Parkinson's disease issues? Dear Dr. Jiang, I previously consulted you regarding my father's hand tremors. After he underwent examinations at the hospital, the doctor diagnosed him with early-stage Parkinson's disease. The dopamine transporter scan revealed an ora...
Dr. Jiang Junyi Reply:
Dear Ms. Hsiao-Hui, Regarding your concerns about your father's future, it is indeed difficult to address each question individually. However, the key point is to avoid the apoptosis of dopamine neurons. In addition to medication, certain neuroprotective dietary options can...[Read More] Understanding Parkinson's Disease: Treatment, Symptoms, and Future Insights
Understanding Body Tremors When Rising: Causes and Concerns
Whole-body tremors when rising from a sitting or lying position? The frequency of episodes is very low, occurring about two to three times a year. I often experience dizziness and blackouts after squatting or sitting, but I can still manage to stand steadily until the blackout en...
Dr. Jiang Junyi Reply:
Hello, Ms. Jiu: Your symptoms may suggest a concern regarding syncope. The most common causes are reflex syncope, which can occur due to excessive stimulation of the vagus nerve, leading to bradycardia and decreased cardiac output. Other triggers include transitioning from a supi...[Read More] Understanding Body Tremors When Rising: Causes and Concerns
Understanding Dizziness and Headaches: Insights into Neurological Disorders
Headache and dizziness? About a year ago, I started experiencing dizziness, but a few months ago, the dizziness began to be accompanied by severe shaking in my arms. However, the shaking stops as soon as the dizziness subsides. Sometimes, when I feel dizzy, my vision suddenly goe...
Dr. Jiang Junyi Reply:
Dear Ms. Hsu, Your symptoms may suggest a consideration of syncope. The most common causes include reflex syncope, which can occur due to excessive stimulation of the vagus nerve, leading to bradycardia and decreased cardiac output. This can also happen when transitioning from a...[Read More] Understanding Dizziness and Headaches: Insights into Neurological Disorders
Managing Dizziness While Sitting or Lying Down: Tips and Insights
Feeling dizzy when sitting or lying down? Hello Doctor: I experience dizziness when sitting or lying down (feeling like I'm swaying but without nausea), while standing feels more comfortable. I went to a clinic and took medication (Diphenidol, Cinnazine, Valium) but it didn&...
Dr. Jiang Junyi Reply:
Dear Ms. Rita, Your symptoms may warrant consideration of vestibular disorders and hypnic jerks. Benign paroxysmal positional vertigo (BPPV) should be prioritized, characterized by episodes of dizziness lasting a few seconds, related to changes in head position, such as bending ...[Read More] Managing Dizziness While Sitting or Lying Down: Tips and Insights
Understanding ICH: Recovery Insights for a 65-Year-Old with High Blood Pressure
Intracerebral hemorrhage (ICH) with bleeding on the left side? Hello, my mother is 65 years old and has a history of hypertension. She secretly stopped taking her medication. One night, she reported numbness in her hand, and on the evening of July 30, she was urgently taken to th...
Dr. Jiang Junyi Reply:
Dear Ms. Hanna, 1. I would like to ask, given my mother's condition, is a blood clot larger than 30mm in the left basal ganglia considered severe in the context of cerebral hemorrhage? A: The severity depends not only on the size of the clot but also on its location. If the...[Read More] Understanding ICH: Recovery Insights for a 65-Year-Old with High Blood Pressure
Understanding Parkinson's Disease: Treatment, Symptoms, and Future Research
Parkinson's disease issues? Dear Dr. Jiang, I previously consulted you about the issue of hand tremors. After my father underwent examination at the hospital, the doctor diagnosed him with early-stage Parkinson's disease. The dopamine transporter scan revealed an orang...
Dr. Jiang Junyi Reply:
Hello, Regarding the treatment of Parkinson's disease, it is usually related to the patient's lifestyle needs, and many patients in clinical practice do not achieve complete symptom relief. It is recommended to focus on your father's health information to reduce ...[Read More] Understanding Parkinson's Disease: Treatment, Symptoms, and Future Research
Morning Hand Pain: Understanding Stiffness and Discomfort in Pinky Joints
In the morning upon waking, there is pain, stiffness, and tightness in the joints where the little fingers connect to the palms? Hello, Doctor. Since mid-June of this year, I have been experiencing tightness and pain in the joints connecting the little fingers to the palms of bot...
Dr. Jiang Junyi Reply:
Hello, Miss: Your symptoms may suggest bilateral ulnar nerve compression. It could also be caused by thoracic nerve root compression. If the nerve compression leads to peripheral neuropathy, the following characteristics may be present: 1. Pain with a burning or electric shock-li...[Read More] Morning Hand Pain: Understanding Stiffness and Discomfort in Pinky Joints
Understanding Muscle Twitches: Causes and Concerns Beyond Parkinson's
Muscle twitching Hello Doctor, I asked about muscle twitching last week, and you mentioned it is not Parkinson's disease. After the holiday break, the intensity of the muscle twitching has decreased a bit, but it still occurs. Additionally, when I click the mouse, I sometime...
Dr. Hong Weibin Reply:
Hello: The body's muscles are controlled by nerves, which act like electrical wires, transmitting signals to control muscle movements. However, just like wires can deteriorate over time and be affected by external factors such as temperature and humidity, leading to electric...[Read More] Understanding Muscle Twitches: Causes and Concerns Beyond Parkinson's
Understanding Early Parkinson's Disease: Treatment Options and Prognosis
Parkinson's disease Hello Doctor, my father is nearly 50 years old and recently started experiencing tremors in his right hand. He also walks with his body close to his side and does not swing his arms much. Last month, he visited the China Medical University Hospital, where...
Dr. Cai Zongzhang Reply:
Hello, A-Liang! Delaying the use of levodopa and reducing the dosage can postpone the onset of dyskinesia. It is recommended to discuss medication options with your physician.[Read More] Understanding Early Parkinson's Disease: Treatment Options and Prognosis
Understanding Early Parkinson's Disease: Treatment Options and Prognosis
Parkinson's disease Hello Doctor, my father is nearly 50 years old and recently began experiencing tremors in his right hand. He also walks with his body close to his side and doesn't swing his arms much. Last month, he visited China Medical University Hospital, where t...
Dr. Cai Zongzhang Reply:
Hello, A-Liang! Delaying the use of levodopa and reducing the dosage can postpone the onset of dyskinesia. It is recommended to discuss medication options with your physician.[Read More] Understanding Early Parkinson's Disease: Treatment Options and Prognosis
Post-Surgery Numbness in Hand: Causes and Solutions Explained
Numbness in the hand after removal of wrist internal fixation plate? Hello Doctor: At the end of March, I dislocated my right wrist due to a fall. The doctor initially said surgery wasn't necessary, but since I arrived too late and the dislocation was significant, I underwen...
Dr. Jiang Junyi Reply:
Hello, Miss: Your symptoms may suggest compression of the median nerve in your right hand. The median nerve passes through the wrist, traversing the "carpal tunnel" formed by the carpal bones and ligaments, and is subjected to pressure from the ligament located above th...[Read More] Post-Surgery Numbness in Hand: Causes and Solutions Explained
Understanding Nerve Pain and Tingling: Causes and Concerns
Numbness issues? The left hand fingers (ring finger and pinky) started to feel numb and painful suddenly two days ago, and then the numbness extended from the elbow to the shoulder. After 3-4 hours, the elbow and shoulder felt much better, but the fingers continued to feel numb. ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may initially suggest cervical nerve root compression, which is often related to tightness in the cervical muscles and fascia, as well as cervical degeneration. These issues should not affect the administration of the vaccine. It is recommended to drink plent...[Read More] Understanding Nerve Pain and Tingling: Causes and Concerns
Persistent Pain Between Toes: Seeking Solutions for Ongoing Discomfort
There is a sharp pain in the dorsum of the foot upon touch (which has persisted for six months)? Hello Doctor, I used to stand for long periods at work, which often caused my feet to be very sore. Most of the soreness and pain would return to normal after a period of rest, but th...
Dr. Jiang Junyi Reply:
Hello, Miss 0w0: Your symptoms are clinically referred to as "allodynia" and "hyperesthesia," which are manifestations of sensory hypersensitivity. Clinically, in addition to physical therapy, certain medications can also help alleviate the symptoms. Furthermo...[Read More] Persistent Pain Between Toes: Seeking Solutions for Ongoing Discomfort
Understanding Muscle Tremors: Causes and Solutions for Neurological Concerns
Muscle twitching Hello, I have noticed that my arms and thighs experience slight tremors when they are suspended, exerted, or extended at certain angles, similar to the shaking sensation when stretching. Essentially, I can feel the tremors while exerting force and when my limbs a...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: Your symptoms may need to be considered as physiological tremors. 1. Physiological tremors: These do not occur under normal circumstances but only in certain situations such as stress, anxiety, or anger. Some medications, such as bronchodilators, as well as the co...[Read More] Understanding Muscle Tremors: Causes and Solutions for Neurological Concerns
Can You Take Brain-Soothing and Cold Medications Together?
Can cold medicine and brain relaxants be taken together? Hello, doctor. I previously experienced symptoms of orthostatic intolerance, and you prescribed me Sumin Capsule, advising that I could take it when I feel dizzy. Today, I felt a slight dizziness, so I took one capsule. How...
Dr. Jiang Junyi Reply:
Hello Ms. Ting, Regarding the Da Zheng Bai Bao cold medicine you mentioned, each package contains: - Acetaminophen ................. 300 mg - Dextromethorphan HBr ........... 15 mg - dl-Methylephedrine HCl ............... 10 mg - Potassium Guaiacol Sulfonate ......................[Read More] Can You Take Brain-Soothing and Cold Medications Together?
Persistent Dizziness: When to Seek Further Medical Evaluation
Persistent dizziness Hello Doctor: One night while I was using the computer, I suddenly experienced a bout of dizziness. I had similar episodes before, but they usually lasted only a few seconds and then went away. This time, however, the dizziness persisted for a long time, so I...
Dr. Jiang Junyi Reply:
Hello, Miss: Based on your description of experiencing dizziness, it may be necessary to first consider symptoms caused by inner ear imbalance. However, conditions such as anemia and autonomic nervous system dysfunction could also contribute to your symptoms. It is essential to r...[Read More] Persistent Dizziness: When to Seek Further Medical Evaluation