Facial Surgery Complications: Inability to Smile and Eye Closure Issues
After the facelift surgery, the left side of the face is unable to express emotions? I underwent a three-layer facelift surgery on September 19, and now the left side of my face cannot lift the corner of my mouth, causing my smile to be lopsided. The lower eyelid cannot close pro...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned the symptoms of "a crooked smile and the inability to close the lower eyelid," which may indicate inflammation of the facial nerve. During the acute phase, due to nerve damage, improvement of symptoms may take some time. The use of corticoster...[Read More] Facial Surgery Complications: Inability to Smile and Eye Closure Issues
Understanding Groin Pain and Iron Deficiency: Insights on Restless Legs
Groin discomfort, iron deficiency, restless legs syndrome, and tightness of the cremaster muscle? Hello, doctor. About 4-5 years ago, I underwent laparoscopic surgery for bilateral varicocele. Approximately 1-2 years post-surgery, I started experiencing a dull pain in the right g...
Dr. Jiang Junyi Reply:
Hello Mr. Chen, You mentioned that "the pain has spread to the inner side of the right thigh, the outer side of the right calf, and the right testicle experiences spasms and sometimes involuntary twitching." These symptoms may suggest a neuropathy related to the sacral...[Read More] Understanding Groin Pain and Iron Deficiency: Insights on Restless Legs
Understanding Groin Pain and Iron Deficiency: Insights on Restless Legs
Groin discomfort, iron deficiency, restless legs syndrome, and tightness of the cremaster muscle? Hello, doctor. About 4-5 years ago, I underwent laparoscopic surgery for bilateral varicocele. Approximately 1-2 years post-surgery, I began experiencing a vague, dull pain in the ri...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: You mentioned that "the pain has spread to the inner thigh, posterior lateral side of the right calf, and the right testicle experiences spasms and sometimes involuntary twitching." These symptoms may suggest a neuropathy of the sacral plexus. Symptoms o...[Read More] Understanding Groin Pain and Iron Deficiency: Insights on Restless Legs
Managing Post-COVID Symptoms: When to Seek Medical Help
Areas for improvement Hello, doctor. I previously asked about experiencing tinnitus and hearing my heartbeat when turning my head after my initial COVID-19 infection. Fortunately, after about two months, the symptoms improved significantly. At that time, you advised me to focus o...
Dr. Peng Shiwei Reply:
Hello, I believe that given your current condition, you have recovered quite well. B vitamins, regular exercise, maintaining a normal routine, and consuming plenty of fruits and vegetables can be beneficial. If you continue to feel depressed, experience insomnia, or have unrelent...[Read More] Managing Post-COVID Symptoms: When to Seek Medical Help
Understanding Myofascial Pain Syndrome: Symptoms and Treatment Options
Suspected myofascial pain syndrome Hello, doctor. My husband was fine when he rode me out on his motorcycle yesterday, but suddenly he experienced chest pain upon returning. Since my late father-in-law had a history of myocardial infarction, my husband thought he might be having ...
Dr. Cai Zongzhang Reply:
Hello, based on the symptoms mentioned, it is suspected to be either cranial fasciitis or cranial nerve root compression. If the symptoms do not improve with adequate rest, it is recommended to visit a neurology clinic for examination to determine the underlying cause and treatme...[Read More] Understanding Myofascial Pain Syndrome: Symptoms and Treatment Options
Understanding Involuntary Muscle Twitches: Medication Consultation Insights
Muscle spasms or involuntary muscle twitching - Medication consultation? Hello, doctor. My neck shakes involuntarily, and I was informed about it by others; it has been happening for over ten years. I haven't actively sought treatment because I couldn't find the cause. ...
Dr. Peng Shiwei Reply:
Hello, Lyrica (pregabalin) is classified as a general sedative medication, which is somewhat different from typical addictive substances. However, it can still potentially lead to dependence. Your current dosage is considered mild. If you have concerns about addiction, dependence...[Read More] Understanding Involuntary Muscle Twitches: Medication Consultation Insights
Persistent Dizziness: Understanding Neurological Causes and Next Steps
Feeling dizzy all day long? Hello doctor, I have been experiencing dizziness since early May (it's not a spinning sensation, but I feel lightheaded all day). Initially, I thought it was heat exhaustion due to the combination of feeling hot and dizzy, but now I only have dizz...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "the ENT examination includes hearing tests, balance assessments, inner ear temperature differentials, eye movement tests, and brainstem response, while the neurology examination includes awake EEG, brainstem auditory evoked potentials, and carotid ...[Read More] Persistent Dizziness: Understanding Neurological Causes and Next Steps
Sudden Loss of Consciousness and Fever After Head Injury: What to Do?
Sudden loss of consciousness leading to a fall, with the head striking the floor, followed by persistent fever? Hello Doctor, last night I stood up from a chair and suddenly felt dizzy, then lost consciousness and fell to the ground, hitting my head on the floor. When I regained ...
Dr. Wu Mukhan Reply:
Hello, sudden dizziness accompanied by altered consciousness can be dangerous, as it may be caused by conditions such as cerebrovascular disease, epilepsy, encephalitis, or central nervous system infections, all of which require thorough examination. If symptoms persist, it is ad...[Read More] Sudden Loss of Consciousness and Fever After Head Injury: What to Do?
Understanding Side Effects of Rydan Tablets in Elderly Patients
Medication Issue - Rydapt (Midostaurin) My grandmother originally lived in Changhua, but she temporarily moved to Taoyuan to stay with us in July because she needed to get dentures. Since she has a long-standing issue with hand tremors, we took her to the hospital for an examinat...
Dr. Peng Shiwei Reply:
Hello, there are many medications available for treating tremors and Parkinson's disease. Since there is a possibility of duplicate prescriptions or drug interactions, it is recommended that your grandmother see the same physician for diagnosis and medication management. Tha...[Read More] Understanding Side Effects of Rydan Tablets in Elderly Patients
Persistent Dizziness for Two Weeks: Possible Causes and Next Steps
Persistent dizziness throughout the day for half a month without improvement? On August 25, I suddenly started experiencing dizziness, headaches, pain around my right eye, vomiting, and difficulty focusing on the computer screen, especially with text, which made me feel nauseous....
Dr. Peng Shiwei Reply:
Hello, whether you need to undergo a CT scan should be discussed with your attending physician. Thank you for your question.[Read More] Persistent Dizziness for Two Weeks: Possible Causes and Next Steps
Understanding Inner Thigh Pain: Causes and Treatment Options
Inner thigh pain Hello Doctor, my father does not experience any pain in his legs while sitting, and there are no pain points upon touch or pressure. However, when he stands up and walks, he experiences pain and weakness in the inner side of his left thigh. The pain point is not ...
Dr. Jiang Junyi Reply:
Dear Ms. Shen, You mentioned that your father experiences "no pain points upon touch or pressure, but has pain and weakness in the inner left thigh when standing or walking." This may suggest compression of the lumbar nerve roots, particularly at the second lumbar vert...[Read More] Understanding Inner Thigh Pain: Causes and Treatment Options
Chronic Lower Back Pain After Childbirth: Seeking Solutions and Diagnosis
Lumbar pain I have been experiencing lower back pain for over two years after giving birth. I have undergone traditional rehabilitation and paid for shockwave therapy, but despite continuous rehabilitation, I still wake up at night due to pain. Recently, when pressing on the post...
Dr. Jiang Junyi Reply:
Hello Ms. Siro: You mentioned that "the posterior pelvic region and right hip are very painful," which may still suggest an issue with the lumbar spine structure, such as lumbar spondylolisthesis, among others. In addition to pain relief medications, I recommend strengt...[Read More] Chronic Lower Back Pain After Childbirth: Seeking Solutions and Diagnosis
Managing Epilepsy: Navigating Medication Side Effects and Emotional Health
Antiepileptic drugs I had surgery on my head due to a car accident during high school. I was fine for many years, but after 20 years, I developed post-traumatic epilepsy, which occurs occasionally when I am very tired. Initially, I was only taking one medication, but after experi...
Dr. Cai Zongzhang Reply:
Hello, regarding post-traumatic brain injury sequelae, seizures are quite common. Physicians often choose to use antiepileptic drugs; however, there are various medications available. It is advisable to discuss with your doctor whether the seizures are a side effect of the medica...[Read More] Managing Epilepsy: Navigating Medication Side Effects and Emotional Health
Understanding Skin Itching and Back Pain: Neurological Insights
Skin itching and lower back pain? Hello, doctor. A few months ago, I suddenly felt a tingling sensation in my mouth, and then I started experiencing itchy skin all over my body (like a prickling feeling). I visited a dermatologist, but the medication did not improve my condition;...
Dr. Cai Zongzhang Reply:
Hello Joanne: Based on the symptoms described, the tingling sensation in the mouth and the itchy feeling in the skin may be abnormal sensations caused by a neurological disorder. These symptoms are not exclusive to multiple sclerosis; brain tumors could also cause the aforementio...[Read More] Understanding Skin Itching and Back Pain: Neurological Insights
Understanding Symptoms: Excessive Sweating, Pain, and Fatigue Explained
It seems like I'm feeling unwell - sweating at the back of the neck, skin tingling, fatigue, and so on? Hello, Doctor. Since this summer, I have been sweating excessively. On August 7, I visited a rehabilitation specialist due to pain in my lower left back (near the lumbar v...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "there is a very noticeable tingling sensation from the base of the ring finger, along the side of the little finger, on both the front and back sides of the palm, extending to the back of the forearm." This symptom may suggest ulnar nerv...[Read More] Understanding Symptoms: Excessive Sweating, Pain, and Fatigue Explained
Understanding Dementia: The Impact of Chronic Pain and Head Injuries
Dementia issues Hello Doctor, I am inquiring on behalf of my 73-year-old grandfather who was diagnosed with "mild dementia" by a neurologist within the past five months. On February 6, 2023, he fell and hit his head, experiencing a moment of altered consciousness. Subse...
Dr. Peng Shiwei Reply:
Hello, thank you for your concern about grandpa. However, since I am unable to diagnose patients online, I cannot provide you with an appropriate answer regarding whether grandpa's cognitive decline is due to long-term pain or a combination of various factors. It would be mo...[Read More] Understanding Dementia: The Impact of Chronic Pain and Head Injuries
Managing Parkinson's Disease: Can Medication Adjustments Reverse Decline?
Questions about Parkinson's disease? Hello Doctor: My mother, who is 72 years old, has been diagnosed with Parkinson's disease for about 10 years. Three months ago, her medication was adjusted, and she experienced severe dizziness. A month ago, her medication was adjust...
Dr. Peng Shiwei Reply:
Hello, regarding your question, I believe it would be more appropriate to discuss it with your mother's neurologist. Thank you.[Read More] Managing Parkinson's Disease: Can Medication Adjustments Reverse Decline?
Understanding Tightness in the Right Calf: Is It a Disc Issue or Muscle Imbalance?
Tightness in the right calf? Hello Doctor, since mid-June, I have been experiencing tightness in the back of my right calf (without pain). After that, I started to have numbness in my foot, which lasted for over a month. I then visited a neurologist who arranged for an X-ray and ...
Dr. Jiang Junyi Reply:
Dear Ms. N, You mentioned that "nerve testing revealed that the area innervated by L5 is associated with the left foot... muscle imbalance." Your symptoms may still need to consider underlying structural abnormalities, along with the possibility that emotional fluctuat...[Read More] Understanding Tightness in the Right Calf: Is It a Disc Issue or Muscle Imbalance?
Mild Forehead and Temple Pain: When to Seek Further Medical Advice
Mild pain in the head and forehead? Hello, doctor. I have been experiencing some pain in my head for about a week now. The pain is located from my forehead to my temples and feels tight and dull. It’s not severe enough to affect my daily life, and it doesn’t worsen with coughing ...
Dr. Jiang Junyi Reply:
Hello Mr. Hsiao-Chien: You mentioned that "the location is approximately from the forehead to the temples." Your symptoms may suggest tension-type headache. This is caused by muscle tightness in the head. Common manifestations include tight, constricting pain in the for...[Read More] Mild Forehead and Temple Pain: When to Seek Further Medical Advice
Understanding Sleep Disorders: Causes, Symptoms, and Solutions
Sleep disorders Hello Doctor, I usually have a habit of staying up late and drinking red tea and milk tea from aluminum foil packages. Recently, I have experienced insomnia for three consecutive days, poor appetite, constipation, occasional heart pain, and shortness of breath. I ...
Dr. Cai Zongzhang Reply:
Hello: Adequate sleep is related to health, and tea and coffee beverages can worsen insomnia. It is recommended to reduce tea consumption and avoid drinking tea in the evening to improve sleep duration. If symptoms do not improve, please visit a neurology clinic.[Read More] Understanding Sleep Disorders: Causes, Symptoms, and Solutions