Understanding Anxiety in Elderly Patients with Constipation: Causes and Solutions
Elderly individuals experience high anxiety regarding "not having a regular daily bowel movement." My father is 82 years old and has been experiencing significant anxiety about bowel movements for the past year. If he does not have a bowel movement early in the morning,...
Dr. Jiang Junyi Reply:
Dear Ms. Zoe, You mentioned, "What could be the possible causes of anxiety related to 'constipation' (pseudoconstipation)? Is it related to dementia? How can family members assist? Which specialty should we consult?" Anxiety can activate the sympathetic nervo...[Read More] Understanding Anxiety in Elderly Patients with Constipation: Causes and Solutions
Understanding Mild Numbness in the Feet: Causes and Concerns
Slight tingling in the soles of the feet? Hello, doctor. Recently (about two weeks ago), I suddenly noticed a slight tingling sensation in the soles of my feet while sitting at work. However, I had not experienced this phenomenon before while sitting in the same chair and positio...
Dr. Jiang Junyi Reply:
Hello Mr. Hou, You mentioned experiencing slight numbness in your feet, which may be a symptom of plantar fasciitis and indicates peripheral nerve compression. Prolonged fixed positions, repetitive motions, and overtraining can lead to peripheral nerve compression. Activities su...[Read More] Understanding Mild Numbness in the Feet: Causes and Concerns
Understanding Sports Injuries: When to See a Neurologist or Orthopedist?
Doctor, please help me? Hello, doctor. Back in August, I strained my lower back and hips while exercising. I felt a warm, painful sensation in my lower back and hips, and my legs would tingle and feel numb when walking. I had an X-ray done, and the doctor said there was damage to...
Dr. Jiang Junyi Reply:
Hello Mr. Ah-Ming, You mentioned that "your back, waist, and hips feel hot and painful, and your legs feel tingling and numb while walking." Your symptoms may suggest possible sciatic nerve compression. A common cause is a herniated disc leading to localized inflammato...[Read More] Understanding Sports Injuries: When to See a Neurologist or Orthopedist?
Understanding Sports Injuries: When to See a Neurologist or Orthopedist
Doctor, please help me? Hello doctor, back in August, I strained my lower back and hips while exercising. I have been feeling a warm, painful sensation in my lower back and hips, and my legs have been experiencing tingling and numbness when I walk. I had an X-ray done, and the do...
Dr. Jiang Junyi Reply:
Hello Mr. Amin, You mentioned experiencing "heat and pain in your back, waist, and hips, along with tingling and numbness in your legs while walking." Your symptoms may suggest possible sciatic nerve compression. A common cause is a herniated disc, which can lead to lo...[Read More] Understanding Sports Injuries: When to See a Neurologist or Orthopedist
Understanding Back and Hip Pain: When to See a Neurologist or Orthopedist
Doctor, please help me? Hello, doctor. Back in August, I strained my lower back and hips while exercising. I felt a warm, painful sensation in my lower back and hips, and my legs would tingle and feel numb when walking. I had an X-ray done, and the doctor said there was damage to...
Dr. Jiang Junyi Reply:
Hello Mr. Ah Ming, You mentioned experiencing "heat and pain in your back, waist, and hips, along with tingling and numbness in your legs while walking." Your symptoms may suggest possible sciatic nerve compression. A common cause of this is a herniated disc, which can...[Read More] Understanding Back and Hip Pain: When to See a Neurologist or Orthopedist
Understanding Knee Pain: When to Seek Neurological Evaluation
Knee pain Hello, Dr. Jiang... My mother has been experiencing knee pain for the past three months, with symptoms fluctuating. However, in the last two weeks, not only has the knee pain worsened, but she is also experiencing pain throughout her entire leg, making it difficult for ...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "knee pain" may need to consider knee joint inflammation. Pain or swelling in the joint, especially during excessive activity or when going up and down stairs, or when standing up after prolonged sitting, can be more pronounced. In the m...[Read More] Understanding Knee Pain: When to Seek Neurological Evaluation
Persistent Pain After Facelift Surgery: Is It a Long-Term Side Effect?
It has been a year since the facelift surgery, but the head still feels tight and numb, causing unbearable pain? In November 2022, I underwent a facelift surgery. Starting in February 2023, I experienced tightness and electric shock-like sensations in my head, along with recurren...
Dr. Jiang Junyi Reply:
Dear Ms. Cheng, You mentioned that the "tightness and electric sensation in your head" may indicate peripheral sensory nerve compression. These symptoms could be exacerbated by tightness in the cervical myofascia. It would be beneficial for you to supplement with B vit...[Read More] Persistent Pain After Facelift Surgery: Is It a Long-Term Side Effect?
Post-Stroke Numbness and Tingling: Causes and Treatment Options
After recovering from a stroke, there may be a tingling or numb sensation on one side of the body? Hello, Dr. Jiang! My father is 72 years old and had a stroke six months ago. After lying in the hospital for two weeks, he was able to walk slowly with support, and two months later...
Dr. Jiang Junyi Reply:
Dear Mr. Uber, You mentioned that your father has been experiencing a persistent tingling sensation on one side of his body (including his hand and foot), accompanied by a warm feeling and dulled temperature perception, which has intensified in recent days. These symptoms may su...[Read More] Post-Stroke Numbness and Tingling: Causes and Treatment Options
Understanding Foot Numbness: Causes and Solutions for Walking Discomfort
The tingling sensation in the soles of the feet becomes more pronounced the longer I walk? Occasionally, there is numbness in the soles of my feet, especially after walking for more than 20 minutes, where the numbness becomes more pronounced and can extend to halfway up my calves...
Dr. Jiang Junyi Reply:
Dear Miss Lin, You mentioned that "the numbness in the soles of your feet becomes more pronounced, and it extends to half of your calves, improving only after resting for a while, but there is still a slight numbness in your feet." Your symptoms may suggest possible sc...[Read More] Understanding Foot Numbness: Causes and Solutions for Walking Discomfort
Understanding Autonomic Nervous System Dysregulation After Surgery
Autonomic nervous system dysfunction Hello Dr. Tsai, I have a question to ask you. In 2015, I was diagnosed with left coronary artery atherosclerosis. Since the narrowing was less than 25%, I was prescribed medication for control. In July and October of 2020, I underwent catheter...
Dr. Cai Zongzhang Reply:
Hello Albert: The cardiovascular system gradually deteriorates with age and becomes sensitive to temperature changes. It is recommended to keep warm before going out on cold days. This symptom is unrelated to the surgery.[Read More] Understanding Autonomic Nervous System Dysregulation After Surgery
Unexplained Severe Body Pain: A 71-Year-Old's Medical Mystery
Intermittent generalized bone pain? Hello Doctor, my father is 71 years old. He has seen several specialists in the hospital, but we have not been able to find the cause of his condition, which has left our family and the patient feeling helpless and discouraged. He has been rece...
Dr. Cai Zongzhang Reply:
Hello Mr. Dong: Based on the symptoms mentioned, it is recommended to consult with an immunology and rheumatology specialist. If the cause is still not identified, please seek a detailed examination from a neurologist.[Read More] Unexplained Severe Body Pain: A 71-Year-Old's Medical Mystery
Understanding Dizziness: Causes, Triggers, and Relief Strategies
Dizziness caused by high blood pressure or multiple factors? Process Review: Last Monday: I sought medical attention for a hand strain caused by exercise, which severely disrupted my sleep at night. The physician prescribed pain relief medication sulindac (200 mg) and muscle rela...
Dr. Jiang Junyi Reply:
Dear Ms. Li, You mentioned, "prescribing the pain reliever sulindac (200 mg) and the muscle relaxant phenprobamate (400 mg)... the episodes often occur during times of stress and fatigue." The dizziness you are experiencing may be related to your menstrual cycle, which...[Read More] Understanding Dizziness: Causes, Triggers, and Relief Strategies
Understanding Autonomic Nervous System Disorders: A Case Study
Inquiry Consultation Dear Dr. Jiang, I would like to inquire about my mother's medical condition. Here is a detailed description: In February and March of last year (2022), my mother suddenly experienced rapid heartbeat, shortness of breath, cold hands, and shaking. She we...
Dr. Jiang Junyi Reply:
Dear Mr. Kris, The treatment for hypertension is usually multifaceted. If there is a tendency for sympathetic nervous system overactivity, a beta-blocker may be added. If a single antihypertensive medication is insufficient to control blood pressure, a combination therapy (such ...[Read More] Understanding Autonomic Nervous System Disorders: A Case Study
Understanding Neurological Changes After Influenza: Anxiety and Brain Health
Brain issues Hello, I would like to ask a question. Five years ago during the winter break, I contracted influenza A and had a high fever. After seeing a doctor, I felt somewhat better, but since that illness, I have felt strange. Sometimes I wake up very excited and chatty in th...
Dr. Jiang Junyi Reply:
Hello Mr. Jason: You mentioned, "I laugh when I laugh and get angry when I get angry," and you also asked if head injuries always lead to dizziness and vomiting. You previously had an MRI, and the doctor said everything was fine. You are concerned whether you might have...[Read More] Understanding Neurological Changes After Influenza: Anxiety and Brain Health
Understanding Dizziness After Head Injury: When to Seek Further Evaluation
Slipping in the bathroom, head injury? Hello Doctor, I accidentally slipped and hit my head (upper right side of the occipital region) in the bathroom on November 28, 2023. I went to the emergency room and received six stitches. However, starting on December 6, 2023, I began to...
Dr. Jiang Junyi Reply:
Hello Mr. A-Lung, You mentioned, "On 2023/12/12, I have been feeling slightly dizzy all day. I wonder if it could be a concussion or a brain hemorrhage?" Generally speaking, if there is no loss of consciousness, no anticoagulant use, or significant local hematoma, head...[Read More] Understanding Dizziness After Head Injury: When to Seek Further Evaluation
Understanding Vibratory Sensations and Balance Issues: A Neurology Perspective
Head movement with a sensation of tremors in the legs? Hello doctor, my symptoms are as follows: Since November of last year, I have felt tremors while sitting. When I brush my teeth or wash my hair (sitting on a small stool facing down) or while doing dishes, I feel my calves vi...
Dr. Peng Shiwei Reply:
It is recommended that you visit a neurology outpatient clinic for evaluation and treatment by a specialist to determine if further examinations are necessary. Thank you.[Read More] Understanding Vibratory Sensations and Balance Issues: A Neurology Perspective
Managing Parkinsonism and Orofacial Dyskinesia in Elderly Stroke Patients
Parkinson's disease, oromandibular dystonia? Dear Doctor, My father has been living with the effects of a stroke for 12 years now. Approximately 9 years ago, he became reliant on others for care. Initially, he was able to communicate and eat without issues, but as he aged ...
Dr. Peng Shiwei Reply:
Parkinson's disease is a degenerative disorder that can be managed with medication to slow the progression, but it cannot be cured. The cause of oromandibular dystonia also requires evaluation by a neurologist. Due to the inconvenience of going out for medical care, it is re...[Read More] Managing Parkinsonism and Orofacial Dyskinesia in Elderly Stroke Patients
Understanding Persistent Dizziness: Causes and Next Steps for Relief
Feeling dizzy all day? Hello Doctor, I have been experiencing dizziness since early May (not a spinning sensation, just feeling lightheaded all day). Initially, I had symptoms of heat and dizziness, thinking it was heatstroke; I also had two episodes of gout at that time, but it ...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned, "1. Is it okay if the C-reactive protein is normal? 2. Is it possible that the feeling of pressure and dizziness in the head is actually a headache rather than vertigo? 3. I'm unsure what else I should get checked." How has the medication...[Read More] Understanding Persistent Dizziness: Causes and Next Steps for Relief
Understanding Tourettes: Managing Bone Itching and Discomfort
Tourette syndrome and bone itching? Hello Doctor, I have visited the hospital several times regarding my bone itching issue. I have undergone neurological examinations, EEG, ultrasound, and dopamine tests, and every doctor has said there is no problem. However, my bones are very ...
Dr. Peng Shiwei Reply:
You should consult your attending physician regarding your concerns. If Tourette syndrome is confirmed, maintaining a regular daily routine, a balanced diet, and engaging in appropriate exercise can be beneficial. For dietary advice, you may consider consulting a nutritionist. Th...[Read More] Understanding Tourettes: Managing Bone Itching and Discomfort
Chronic Cough and Chest Discomfort: When to See a Neurologist?
Chronic cough with occasional chest tightness and chest (back) pain? Hello, doctor. I have been experiencing related symptoms for about two years. The frequency of my cough is relatively high but not severe. My main concerns are "chest tightness and chest (back) pain," ...
Dr. Wu Mukhan Reply:
Hello, palpitations may be related to autonomic nervous system dysfunction causing an increased heart rate, or they may be associated with psychological factors such as anxiety and stress. If no cause is found in cardiology, further evaluation can be sought in neurology or psychi...[Read More] Chronic Cough and Chest Discomfort: When to See a Neurologist?