Unexplained Dizziness and Tinnitus: Seeking Answers and Treatment Options
Dizziness and tinnitus with no identifiable cause? Hello Doctor: I started experiencing dizziness about a month ago. It's not a spinning sensation but rather a feeling of heaviness in my head and lightness in my legs. Occasionally, I feel a tingling sensation on my scalp, an...
Dr. Jiang Junyi Reply:
Hello Mr. Zhang, You mentioned: "1. Is the dizziness symptom caused by autonomic nervous system dysfunction the same as the continuous dizziness I am currently experiencing? 2. Could dizziness caused by cervical nerve compression present as my current persistent dizziness? ...[Read More] Unexplained Dizziness and Tinnitus: Seeking Answers and Treatment Options
Loss of Sensation in Fingers: Causes and Solutions for Nerve Issues
There is no sensation in the area of the back of the hand from the index finger to the middle finger? Hello Doctor, due to poor sleeping posture and a habit of sleeping on my stomach, I often experience numbness in my hands. On the morning of April 8th, I noticed that the area on...
Dr. Jiang Junyi Reply:
Dear Ms. Chen, You mentioned that there is a lack of sensation in the area from the index finger to the middle finger on the back of your right hand, which may be due to compression of the radial nerve while sleeping on your stomach. The diagnostic tool for radial nerve injury i...[Read More] Loss of Sensation in Fingers: Causes and Solutions for Nerve Issues
Understanding Brain Fog: Symptoms, Causes, and Treatment Options
I have been feeling dizzy and forgetful for the past one to two months? Hello Doctor, I have been experiencing symptoms similar to brain fog for the past month or two, but I have not been diagnosed with COVID-19. My symptoms include dizziness, lack of energy, forgetfulness affect...
Dr. Jiang Junyi Reply:
Dear Mr. Ding, You mentioned that you have been experiencing symptoms similar to brain fog for the past month or two, along with difficulty sleeping and autonomic nervous system dysregulation (with a significant shift from the parasympathetic to the sympathetic nervous system). ...[Read More] Understanding Brain Fog: Symptoms, Causes, and Treatment Options
Unexplained Body Pain and Muscle Twitching: Seeking Neurological Insights
Widespread pain that is not fixed in time, muscle twitching for one month, and numbness in the hands? Hello Doctor, I started experiencing headaches around January 2024, and after visiting the hospital, the doctor conducted a preliminary assessment and diagnosed me with tension-t...
Dr. Jiang Junyi Reply:
Hello Ms. Hone, You mentioned that you were "initially diagnosed with tension-type headache... and prescribed antiarrhythmic medication (without relevant examinations), but you feel that the pain and muscle twitching have not improved with the medication." Typically, n...[Read More] Unexplained Body Pain and Muscle Twitching: Seeking Neurological Insights
Understanding Prolonged Dizziness: Causes and Concerns in Neurology
I have been experiencing dizziness for over two weeks, and I have had similar episodes in the past? Hello Doctor: I have been suffering from severe anxiety disorder for nearly four months. I have consulted with a psychiatrist and am taking medications including - Sertraline / Esc...
Dr. Jiang Junyi Reply:
Hello Mr. Zhang, You mentioned wanting to confirm whether your symptoms could clinically indicate lung cancer metastasizing to the brain. Lung cancer with brain metastasis can present with different clinical manifestations depending on the location of the metastasis, and dizzine...[Read More] Understanding Prolonged Dizziness: Causes and Concerns in Neurology
How Long Does It Take for Keppra to Control Seizures?
Questions regarding the leisure use of Keppra? Hello Doctor: I have already learned some information about Keppra from the Q&A, but I haven't seen anyone ask how long it typically takes for this medication to achieve the effect of suppressing abnormal discharges (I am cu...
Dr. Cai Zongzhang Reply:
Hello: There is a certain degree of variability in how each individual absorbs this medication, making it difficult to determine exactly how long it will take to achieve its effects. Generally, initial use requires several weeks of dosage adjustments and observation. Any antiepil...[Read More] How Long Does It Take for Keppra to Control Seizures?
Understanding Cervical Spine Disorders: Neck Pain and Swallowing Difficulties
Cervical spine dysfunction I have been experiencing shoulder and neck pain for a long time. Since the end of September last year, I started having some difficulty swallowing. I went to an otolaryngologist who confirmed that there were no growths in my throat. I was then referred ...
Dr. Jiang Junyi Reply:
Dear Mr. Tso, You mentioned that "swallowing is still difficult, and I have recently noticed that the pain in my shoulders, neck, and back has become more severe... Could this be related to my cervical spine?" I suggest considering the symptoms related to the cervical ...[Read More] Understanding Cervical Spine Disorders: Neck Pain and Swallowing Difficulties
Managing Urinary Tract Infections While on Anticoagulants: A Guide
How to supplement with cranberry and related nutrients while taking Lisinopril? Hello, doctor. My family member had a stroke three years ago and is currently taking anticoagulant medication, Rivaroxaban. However, they have been experiencing recurrent urinary tract infections over...
Dr. Jiang Junyi Reply:
Hello: You mentioned "Rivaroxaban anticoagulant medication, but there have been recurrent urinary tract infections over the past few years..." Anticoagulants can interact with cranberry: newer generation anticoagulants, such as Rivaroxaban, typically do not have signifi...[Read More] Managing Urinary Tract Infections While on Anticoagulants: A Guide
Understanding Dizziness and Dry Mouth: Possible Causes and Solutions
Dizziness and dry mouth? Recently, I visited a clinic due to symptoms such as loss of appetite, bloating, and nausea, and was diagnosed with gastritis. I also mentioned to the physician that I have been experiencing dizziness, which the doctor believes may be caused by allergic r...
Dr. Jiang Junyi Reply:
Dear Ms. Liang, You mentioned experiencing dizziness along with symptoms such as a cold, dermatitis, urethritis, gastritis, and menstrual irregularities, which may indicate a deficiency in qi and blood. You asked whether this could be related to anemia or if a neurology consulta...[Read More] Understanding Dizziness and Dry Mouth: Possible Causes and Solutions
Understanding Syncope: What to Do When Someone Faints While Sitting
Syncope while sitting? Hello Doctor: A few days ago, my father fainted, which has caused me a lot of worry. I was originally going to the hospital to pick up a relative who was being discharged, but the discharge process took longer than expected. My father had been walking in th...
Dr. Jiang Junyi Reply:
Dear Mr. Hsiao, You mentioned that your father exhibited "chest rise and fall with noticeable and somewhat rapid breathing, and then hurriedly called the nursing staff, who first called out and then moved him to the adjacent bed, with the entire process taking less than 30 ...[Read More] Understanding Syncope: What to Do When Someone Faints While Sitting
Finding Treatment for Syringomyelia: Hospitals and Specialists in Northern Taiwan
Syringomyelia I have symptoms of syringomyelia, including pain in my right neck, right shoulder, the area below the right shoulder, and pain in the right hand's thenar eminence, along with numbness in my left foot. Are there hospitals or doctors in the northern region that c...
Dr. Jiang Junyi Reply:
Dear Mr. A-Shan, You mentioned "the pain associated with syringomyelia..." The cause of syringomyelia is the accumulation of fluid within the spinal cord, which compresses the nerves and leads to symptoms such as sensory abnormalities, urinary and fecal incontinence, h...[Read More] Finding Treatment for Syringomyelia: Hospitals and Specialists in Northern Taiwan
Understanding Muscle Twitches: Causes, Concerns, and When to Seek Help
Muscle twitching Hello Doctor, I asked you the same question about three years ago. I am very concerned about frequent muscle twitching, and I fear a serious illness may be affecting me. The situation is as follows: my muscles occasionally twitch (some areas are particularly freq...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned "frequent muscle twitching... electromyography... frequent twitching in the left hand's thenar eminence." If you are concerned about a muscle disease, it typically presents with significant atrophy, and the electromyography would show abno...[Read More] Understanding Muscle Twitches: Causes, Concerns, and When to Seek Help
Understanding Mild Cognitive Impairment: Treatment Options and Insights
Dementia Issues - Mild Cognitive Impairment Hello, doctor. I would like to ask about my mother, who is currently 82 years old. Her memory has significantly declined over the past few years. Recently, she underwent a series of tests at the neurology department, where blood test re...
Dr. Jiang Junyi Reply:
Dear Ms. Ivy, You mentioned that "there are significant cavities in the gray matter... with an MMSE score of 22... indicating mild cognitive impairment." Regarding health insurance coverage, it is suggested that patients with an MMSE score between 10 and 26 or those cl...[Read More] Understanding Mild Cognitive Impairment: Treatment Options and Insights
Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Suspected autonomic nervous system dysfunction? Hello Doctor, I have been experiencing episodes of physical agitation about 1 to 2 times a month. Even though I feel like I’m not thinking about anything in particular and don’t feel anxious, my body becomes agitated involuntarily. ...
Dr. Cai Zongzhang Reply:
Hello Mr. Cheng: Based on the symptoms mentioned, it is recommended to visit a neurology clinic for an examination to determine if there is a neurological disorder.[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Understanding Head and Chest Discomfort: Possible Neurological Concerns
Occasionally experiencing tingling on both sides of the head? A few weeks ago, I started experiencing chest tightness, difficulty breathing, and a tingling sensation in the area of my left shoulder blade. After a chest X-ray and listening to my heartbeat, the doctor said there we...
Dr. Jiang Junyi Reply:
Hello Mr. Leon, You mentioned that you feel numbness in the area of your left shoulder and occasionally experience a heavy, numb sensation on both sides of your head (around the temples and the top of your head). These symptoms are less indicative of a stroke, which typically pr...[Read More] Understanding Head and Chest Discomfort: Possible Neurological Concerns
Understanding Abnormal Brain Discharges: Causes and Treatment Options
Abnormal electrical discharge in the brain? Recently, it feels like there is abnormal electrical activity in my brain. I have been consistently taking my epilepsy medication (morning and evening), but my face feels numb. Why is that?
Dr. Huang Hongling Reply:
Hello, there are many causes of facial numbness, and it is not necessarily due to abnormal electrical activity in the brain. It is recommended to visit a neurology clinic for further evaluation![Read More] Understanding Abnormal Brain Discharges: Causes and Treatment Options
Understanding Trigeminal Neuralgia: Insights from TMJ Disorders
Temporomandibular joint disorder causing trigeminal neuralgia? Hello, my symptoms began four years ago when I bit down on a hard object, resulting in a sudden electric shock-like pain in the left side of my face. Over the past few years, I have consulted with neurosurgeons, denti...
Dr. Jiang Junyi Reply:
Dear Mr. Kenny, You mentioned "trigeminal neuralgia." The cause of trigeminal neuralgia is primarily due to abnormal transmission of sensory signals by the trigeminal nerve. Approximately 80% of cases are caused by vascular compression of the trigeminal nerve at its en...[Read More] Understanding Trigeminal Neuralgia: Insights from TMJ Disorders
Understanding Wandering Involuntary Muscle Spasms and Pain
Wandering involuntary muscle spasms pain Hello, two years ago I experienced wandering involuntary movements that were not painful. Later, these movements became painful. Sometimes they occur in my calves, sometimes on both sides of my neck, sometimes near my temples or the Fengch...
Dr. Jiang Junyi Reply:
Dear Miss Lingling, You mentioned that "I had a cold with fever, body aches, and twitching, but now the fever has subsided and the body aches are gone. However, the migratory twitching pain has increased in frequency." This may warrant consideration of polymyositis. Th...[Read More] Understanding Wandering Involuntary Muscle Spasms and Pain
Understanding Cervical Nerve Compression and TMJ Disorders
Cervical nerve compression and temporomandibular joint arthritis? Hello, doctor. Starting from October 2023, I began experiencing hand numbness, which later progressed to spasms in my hands and feet. After undergoing X-rays at the neurology, orthopedics, and rehabilitation depart...
Dr. Chen Weida Reply:
Hello, Pain Patient: Your current pain may be due to chronic myofascial pain syndrome. Since the pain has spread from the upper back to affect the temporomandibular joint, it is recommended that you consult a neurologist for further evaluation and early treatment of the chronic p...[Read More] Understanding Cervical Nerve Compression and TMJ Disorders
Understanding Possible Symptoms of Tourette Syndrome in Adults
Symptoms of suspected Tourette syndrome? Hello, doctor. I have a friend who is 26 years old, and after spending a long time together, I've noticed several symptoms that seem to suggest Tourette syndrome. 1. He often makes a light coughing sound or clears his throat when he i...
Dr. Jiang Junyi Reply:
Hello Mr. Tim, You mentioned that one shoulder tends to shrug habitually, which may suggest Tourette syndrome. However, if it does not affect your daily life, you can coexist with this condition peacefully. It is generally recommended to maintain a regular lifestyle, with early ...[Read More] Understanding Possible Symptoms of Tourette Syndrome in Adults