Unexplained Tremors and Anxiety: Understanding Neurological Symptoms
Head tremors + unexplained anxiety, rapid heartbeat? I experience unexplained anxiety and symptoms such as rapid heartbeat and head tremors in certain situations where I don't understand the reason for my nervousness. For example, during a routine vision test when I have to ...
Dr. Cai Zongzhang Reply:
Hello Melody: Based on the symptoms mentioned, it is recommended to first visit a neurology outpatient clinic for an examination.[Read More] Unexplained Tremors and Anxiety: Understanding Neurological Symptoms
Understanding Nerve Sensations and Blood Flow Issues During Movement
Inquiry about issues related to blood flow in the brain during turning over, along with numbness in the hands, feet, shoulders, neck, and back? Hello Doctor: From November 27 to 29, I often felt tingling in my fingers, palms, and soles, mostly very mild and almost unnoticeable, w...
Dr. Cai Zongzhang Reply:
Good morning: Based on the symptoms mentioned, the cause cannot be determined. It is recommended to visit a neurology outpatient clinic.[Read More] Understanding Nerve Sensations and Blood Flow Issues During Movement
Should You See a Neurologist After a Fall and Head Impact?
Did you fall backward and hit the back of your head? On my way to work in the morning, I accidentally slipped on a slippery road and fell backward, hitting the back of my head. At the moment, I didn't feel any discomfort, so I continued to work as usual. However, by the afte...
Dr. Peng Shiwei Reply:
You can self-monitor for three days; if you experience symptoms such as altered consciousness, shortness of breath, persistent vomiting, or severe headache, it is recommended to seek medical attention from a neurosurgeon as soon as possible. Thank you.[Read More] Should You See a Neurologist After a Fall and Head Impact?
Understanding Nerve Damage: Recovery and Treatment After a Dog Bite
Abnormal sensation Last month, I was bitten by a dog on the second phalanx of my index finger. The wound is somewhat deep, and my current symptoms include an abnormal sensation on the back of my finger from the second phalanx to the base of the nail (it feels like I'm touchi...
Dr. Peng Shiwei Reply:
After being scratched or bitten by an animal, in addition to cleaning the wound, it is important to have a physician assess the risk of rabies virus infection and receive appropriate medical recommendations. It is advised that you seek medical attention at a family medicine or su...[Read More] Understanding Nerve Damage: Recovery and Treatment After a Dog Bite
Head Injury Concerns: Understanding Symptoms and Risks After a Fall
Hit the back of the head on the right side? Hello Doctor, I am the lady who bumped into the rolling iron door last time. Yesterday, I discovered that I might have hit the back of my head, but at that moment, my head retracted a bit, causing my neck to be somewhat immobile, and I ...
Dr. Jiang Junyi Reply:
Hello: You mentioned "cerebral hemorrhage, intracranial hemorrhage" if the symptoms persist or worsen. It is recommended to undergo imaging studies, such as a CT scan of the brain. It is advisable to visit a neurology outpatient clinic for further evaluation and follow-...[Read More] Head Injury Concerns: Understanding Symptoms and Risks After a Fall
Understanding Persistent Headaches: Causes and Concerns After One Month
Headache persisting for over a month? Hello, doctor. I have been experiencing headaches for over a month now. My head feels uncomfortable every day, sometimes I feel dizzy and at other times I experience pain. There is a tight sensation on both sides of my temples, which radiates...
Dr. Jiang Junyi Reply:
Hello Mr. Eric, You mentioned that you feel a tight sensation on both sides of your temples and that your mind is not clear. Your symptoms are more indicative of tension-type headache. Tension-type headaches are caused by muscle tightness in the head. Common manifestations inclu...[Read More] Understanding Persistent Headaches: Causes and Concerns After One Month
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?
Understanding Numbness and Blood Flow Issues in Neck and Limbs
Numbness in the hands, feet, back, and neck, as well as concerns related to blood flow during turning? Hello Doctor: From November 27 to 29, I often felt tingling in my fingers, palms, and soles, mostly very mild and barely noticeable, without affecting my activities. Additionall...
Dr. Jiang Junyi Reply:
Good morning, Miss. You mentioned experiencing "numbness and tingling, particularly in the shoulders and back, which is quite pronounced and frequent... and feeling a significant rush of blood to the head when turning over." This may warrant consideration of dynamic cha...[Read More] Understanding Numbness and Blood Flow Issues in Neck and Limbs
Is Your Facial Pain Trigeminal Neuralgia? Understanding the Symptoms
It feels like trigeminal neuralgia? The painful area is located on the left cheek, approximately around the focal point between the eyes and nose, and the region opposite the ear near the zygomatic bone. The pain feels dull and achy. I have braces and frequently undergo X-rays, s...
Dr. Jiang Junyi Reply:
Dear Ms. Liu, You mentioned that you feel a dull pain near the focal point between your eyes and nose, as well as in the area of the cheekbone opposite your ears. This distribution of pain is associated with abnormalities of the second branch of the trigeminal nerve (maxillary b...[Read More] Is Your Facial Pain Trigeminal Neuralgia? Understanding the Symptoms
Head Injury from Rolling Door: Symptoms and Next Steps
Hit the top of the head against a rolling metal door? Hello, doctor. Yesterday, I accidentally bumped into a rolling shutter door that was just about to rise while I was bending down. At the moment of impact, I felt nauseous once and experienced a temporary loss of vision twice. ...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "I can't really turn my head, and washing my hair while bending over causes severe pain. The right side also hurts a lot while sleeping, but it feels a bit better after waking up." Your symptoms may suggest inflammation of the cervic...[Read More] Head Injury from Rolling Door: Symptoms and Next Steps
Understanding Neck and Transcranial Ultrasound Results: What Do Noises and High Flow Speeds Mean?
Cervical ultrasound and cranial ultrasound? The physician who performed the neck and transcranial ultrasound indicated that there is turbulence in the blood flow on both sides of the neck and transcranial areas, with the ultrasound showing a mixture of red and blue colors. The ma...
Dr. Cai Zongzhang Reply:
Hello Sunny: The presence of bruit or increased blood flow velocity may be caused by atherosclerosis or stenosis. It is advisable to discuss with your physician whether treatment is necessary.[Read More] Understanding Neck and Transcranial Ultrasound Results: What Do Noises and High Flow Speeds Mean?
Common Neurology Questions: Head Injury, Nausea, and Dizziness Explained
Hello, doctor. I would like to ask you some questions? Hello, doctor. I have three questions to ask: 1. When I was 20 years old, I slipped down the stairs and hit the back of my head, resulting in continuous bleeding. At that moment, I felt dizzy and had a loss of consciousness...
Dr. Cai Zongzhang Reply:
Hello Mr. Chen: 1. If you experience persistent headaches after a head injury, accompanied by unilateral numbness or weakness, please seek medical attention immediately. 2. The three symptoms are indicative of a temporary dysfunction of the vestibular nerve, which is not a cause ...[Read More] Common Neurology Questions: Head Injury, Nausea, and Dizziness Explained
Understanding the Causes and Concerns of ALS: A Patient's Journey
The causes of amyotrophic lateral sclerosis (ALS)? Hello, doctor. I apologize for the interruption. On November 21, I visited a clinic due to static tremors in my hands and feet, where I underwent four X-rays—two of my cervical spine and two of my lumbar spine. It was found that ...
Dr. Cai Zongzhang Reply:
Hello, Xiao Bo: There are various possible causes for involuntary muscle twitching, and it cannot be directly attributed to amyotrophic lateral sclerosis (ALS). If the symptoms do not improve after adequate rest, it is recommended to visit a neurology clinic for evaluation.[Read More] Understanding the Causes and Concerns of ALS: A Patient's Journey
Should You See a Doctor After a Mild Head Injury?
Head injury? Last night, I stood up and bumped into the door handle of the dryer. At the moment, I didn't experience severe head pain, but when I woke up the next day, I noticed some dizziness and a slight tenderness when I touch my head. I would like to know if I need to se...
Dr. Cai Zongzhang Reply:
Hello, Jie: If the headache persists or if you experience numbness or weakness on one side of the body, please seek medical attention immediately.[Read More] Should You See a Doctor After a Mild Head Injury?
Understanding Pituitary Tumors: Risks, Symptoms, and Treatment Options
Pituitary gland Dear Dr. Jiang, I am Xin from case 202879. First of all, I would like to thank you for your prompt response despite your busy schedule. I would like to ask you again: what do you mean by saying that there are many uncertainties regarding the surgery? Are these un...
Dr. Jiang Junyi Reply:
Dear Mr. Xin, If your finances allow, would you consider undergoing another MRI of the brain on a self-pay basis in a month? Thank you for your inquiry, and if you have any related questions, feel free to discuss further! Wishing you and your wife good health, safety, and happi...[Read More] Understanding Pituitary Tumors: Risks, Symptoms, and Treatment Options
Understanding Muscle Pain and Weakness After Pregnancy: A Neurological Perspective
Muscle fasciculations, soreness, weakness..? Hello, Doctor. I apologize for bothering you, but I would like to ask a question. I gave birth around mid-May this year. Due to a short cervical length, I had to undergo bed rest for about three months. After giving birth, I experience...
Dr. Jiang Junyi Reply:
Hello Miss Hsuan-er: You mentioned that "my whole body feels like it's getting thinner and I don't feel like I have any muscle left; is it all atrophying?" Muscle atrophy may first require consideration of insufficient protein intake. Your concerns might also ...[Read More] Understanding Muscle Pain and Weakness After Pregnancy: A Neurological Perspective
Muscle Twitches and Weakness: Are They Early Signs of ALS?
Muscle twitching has persisted for four days, and there is a sensation of soreness in the limbs. There is concern that it may be amyotrophic lateral sclerosis (ALS)? Hello Dr. Jiang, I am 43 years old. In the early morning of November 25th, I noticed that all my muscles were twit...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: You mentioned experiencing "high-frequency twitching in all your muscles," which may require consideration of more common issues, as amyotrophic lateral sclerosis (ALS) is a rare disease. Typically, muscle atrophy is observed in such cases. Your symptoms...[Read More] Muscle Twitches and Weakness: Are They Early Signs of ALS?
Understanding Head Pain and Body Tremors: When to Seek Neurological Help
Body shaking and headache? Hello, doctor! Sometimes I suddenly feel a pressure in my head (on both sides of my temples) accompanied by a headache, and my body also shakes! Sometimes even when I am still, my body shakes. Additionally, I have some difficulty breathing! What kind of...
Dr. Jiang Junyi Reply:
Hello Mr. Dzz: You mentioned that you are experiencing "pressure on both temples" accompanied by headaches and body shaking. Your symptoms may suggest tension-type headaches, which are caused by muscle tightness in the head. Common manifestations include tight, constric...[Read More] Understanding Head Pain and Body Tremors: When to Seek Neurological Help