Managing Pituitary Prolactinoma: When to Consider Surgery?
Pituitary prolactinoma stroke Hello Doctor: My wife has a 0.3 cm prolactinoma that has been managed with medication for a long time. In August of this year, her blood test showed a PRL level of 68, and a follow-up MRI revealed a hemorrhagic stroke with a fluid level measuring 1.5...
Dr. Jiang Junyi Reply:
Dear Mr. Xin, You mentioned, "Is it possible that the tumor bleeding will slow down and be absorbed on its own if we continue to observe without surgery? (Three years ago, there was a bleeding episode when it was 0.9 cm, and it later resolved)." Essentially, pituitary ...[Read More] Managing Pituitary Prolactinoma: When to Consider Surgery?
Managing Withdrawal Symptoms After Steroid Treatment: What to Expect
Withdrawal side effects Hello, doctor. In April 2023, I was diagnosed with edema at the seventh cervical vertebra and was treated with corticosteroids. I stopped taking corticosteroids at the end of October and have been prescribed B vitamins and B12 to continue. Currently, I am ...
Dr. Wu Mukhan Reply:
Hello, it is unclear from the article what caused your cervical spine edema (inflammation, infection, or injury are all possibilities), making it difficult to determine whether it is related to your current symptoms. I recommend consulting your original physician to clarify the c...[Read More] Managing Withdrawal Symptoms After Steroid Treatment: What to Expect
Post-Hospitalization: Managing Blurry Vision and Dizziness After a Car Accident
One month after hospitalization? When I wake up in the hospital, I often experience blurred vision and dizziness. I was discharged because I was involved in a car accident.
Dr. Jiang Junyi Reply:
Dear Mr. Df, You mentioned that you often experience blurred vision and dizziness upon waking up, particularly after the car accident. I would like to know how long you experienced loss of consciousness, as this could indicate potential post-concussion syndrome. Additionally, we...[Read More] Post-Hospitalization: Managing Blurry Vision and Dizziness After a Car Accident
Understanding Head and Neck Discomfort: Possible Neurological Issues
Head issues Hello doctor, I am 26 years old. Recently, for the past 5-6 days, I have been feeling a heaviness in my head and neck, and occasionally I feel a bit lightheaded (not severe dizziness). I also feel easily fatigued and tired, and there is occasionally a slight tightness...
Dr. Peng Shiwei Reply:
If there is no improvement after rest, please seek evaluation from a neurologist. Thank you.[Read More] Understanding Head and Neck Discomfort: Possible Neurological Issues
Exploring Atypical Cases of Guillain-Barré Syndrome in Neurology
Suspected Guillain-Barré Syndrome? Hello Dr. Tsai, thank you for your previous response despite your busy schedule. My mother's test results show that her inflammatory markers have not decreased, and her liver enzymes are slightly elevated. She is currently experiencing stom...
Dr. Cai Zongzhang Reply:
Hello: In patients with Guillain-Barré syndrome, cerebrospinal fluid analysis may not necessarily show abnormal protein levels. The diagnosis primarily relies on clinical symptoms and nerve conduction studies, and it is essential to rule out other similar conditions.[Read More] Exploring Atypical Cases of Guillain-Barré Syndrome in Neurology
Chronic Anemia-Like Symptoms Without Anemia: What Could It Be?
Feeling chronically anemic without actually being anemic? To summarize the usual symptoms: I experience dizziness after prolonged sitting, after eating, and when standing up from a squatting position. I also feel dizzy and have headaches when I fall asleep while sitting. It feels...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned experiencing dizziness when squatting and standing up, which may indicate insufficient cerebral blood flow due to changes in posture. If the symptoms are more severe, fainting may occur. "Fainting" is defined as a sudden, temporary loss of co...[Read More] Chronic Anemia-Like Symptoms Without Anemia: What Could It Be?
Assessing Potential Concussion Symptoms After a Head Injury
The right occipital region was hit by a ball? Hello, Doctor. On November 9th, during gym class at 10 AM, a pickleball (about the size of a baseball, hollow plastic, and quite light) suddenly hit me on the back of my right head. It came from about 4 or 5 meters away. At the mome...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned, "At the moment, I don't feel it will be very painful and I think it will get better soon, so I didn't go to the health room... The pain seems to radiate to my forehead." This symptom is more indicative of cervical myofascial inflamm...[Read More] Assessing Potential Concussion Symptoms After a Head Injury
Breathing Difficulties and Numbness: Understanding Neurological Symptoms
Feeling short of breath, with numbness and dizziness? Hello, Dr. Jiang. Recently, when I go to work, I feel like I can't get enough air, my breathing speeds up (over 20 breaths per minute), and I experience numbness in my hands, feet, and face, as well as chest numbness. Dee...
Dr. Jiang Junyi Reply:
Hello Mr. You: You mentioned experiencing numbness in your hands, feet, and face, as well as chest numbness, and that deep breathing does not help... Your symptoms may need to be considered in the context of autonomic nervous system dysfunction. Hyperventilation can lead to decre...[Read More] Breathing Difficulties and Numbness: Understanding Neurological Symptoms
Understanding Migraine, Breathing Issues, and Digestive Problems
Migraine, respiratory issues, abdominal problems, constipation? Hello, doctor. I would like to inquire about my friend's long-term migraine issues (experiencing pain almost every day). Sometimes, they also suddenly have difficulty breathing, needing to take deep breaths to f...
Dr. Jiang Junyi Reply:
Dear Mr. Yan, You mentioned the issue of "chronic migraines (almost experiencing pain every day... stomach pain and nausea after eating)." Your friend's symptoms may need to consider the side effects of medications, especially pain relievers. Regarding chronic mig...[Read More] Understanding Migraine, Breathing Issues, and Digestive Problems
Understanding Facial Nerve Issues: Symptoms, Causes, and Treatment Options
Facial nerve Hello, doctors! I am 28 years old, and in March of this year, I noticed weakness on the right side of my face, with difficulty closing my right eye. I have noticeable asymmetry in my eyes, and when I drink, water leaks from the right side of my mouth. When I try to m...
Dr. Jiang Junyi Reply:
Hello Dr. De: You mentioned that "some doctors said I have both facial nerve paralysis and spasms... (I am completely confused)." Generally speaking, facial nerve paralysis occurs due to inflammation, which prevents the muscle tissue it innervates from contracting adequ...[Read More] Understanding Facial Nerve Issues: Symptoms, Causes, and Treatment Options
Understanding Guillain-Barré Syndrome: Symptoms, Diagnosis, and Treatment Options
Guillain-Barré Syndrome Hello Dr. Tsai, my mother is currently 74 years old and was previously an active person. Last year's blood test results were normal except for high cholesterol. On October 20, she had a mild cold with a runny nose and slight cough. Starting October 23...
Dr. Cai Zongzhang Reply:
Hello, Ms. Wu: Based on the symptoms mentioned, your mother is suspected to have a severe infection causing a significant increase in the inflammatory marker CRP. Many superficial infections may not provide immediate diagnostic reports and require various tests for confirmation. ...[Read More] Understanding Guillain-Barré Syndrome: Symptoms, Diagnosis, and Treatment Options
Can Numbness in Your Pinky Finger Be Self-Treated?
Numbness in the little finger? About a month ago, I started experiencing numbness in my left pinky finger. I work a sedentary job and suspect that it may be due to prolonged smartphone use and other factors. Doctor, can this condition improve on its own, or should I seek medical ...
Dr. Jiang Junyi Reply:
Dear Ms. YoYo, You mentioned that "the little finger on your left hand has started to feel numb," which may indicate ulnar nerve compression. The ulnar nerve innervates part of the little finger and half of the ring finger, as well as the palm beneath these fingers, le...[Read More] Can Numbness in Your Pinky Finger Be Self-Treated?
Managing Heartbeat Issues, High Blood Pressure Medications, and Pulsatile Tinnitus
Heart rate issues, hypertension medication concerns, pulsatile tinnitus? Hello, doctor. I have been taking 5mg of Metoprolol for almost a year now. Recently, I have been experiencing mild chest pain and a sensation of pressure in my head, as if it is being squeezed. It feels like...
Dr. Cai Zongzhang Reply:
Hello: For the symptoms mentioned above, it is recommended to schedule a cerebrovascular ultrasound examination with a neurologist.[Read More] Managing Heartbeat Issues, High Blood Pressure Medications, and Pulsatile Tinnitus
Why Hitting the Back of Your Head Can Cause Dizziness Without Pain
A bump on the back of the head may not be painful but can cause dizziness? On the evening of November 1st, I accidentally hit the back of my head against the wooden board of the bunk bed while getting up. For the first three days, there was no pain, and even when I touched or pre...
Dr. Peng Shiwei Reply:
Hello, if your symptoms persist, it is recommended to visit a hospital for an examination. Thank you for your inquiry.[Read More] Why Hitting the Back of Your Head Can Cause Dizziness Without Pain
Sudden Dizziness and Flushed Face: Understanding Neurological Symptoms
Suddenly feeling faint after dispersing, with a flushed face? Hello, doctor. Today, while I was walking home with my father (60 years old), he suddenly leaned on my shoulder in the elevator, saying he felt faint. I noticed that his ears and face turned red, but after a moment, he...
Dr. Peng Shiwei Reply:
Hello, if your father experienced chest discomfort before nearly fainting, it is advisable to see a cardiologist for an evaluation, especially considering his history of diabetes. This could potentially be related to cardiovascular issues. Thank you for your inquiry.[Read More] Sudden Dizziness and Flushed Face: Understanding Neurological Symptoms
Understanding Involuntary Muscle Twitches: Causes and Solutions
Hello doctor, I would like to inquire about the issue of involuntary muscle twitching? Hello Doctor: About two years ago, I started experiencing involuntary leg jerks before going to bed and upon waking up. Sometimes it's severe, and other times it's mild. I also notice...
Dr. Peng Shiwei Reply:
It is recommended to schedule a follow-up appointment and discuss with your attending physician whether any additional tests are necessary. Thank you.[Read More] Understanding Involuntary Muscle Twitches: Causes and Solutions
Understanding the Link Between Sleep Disorders and Stroke Symptoms
Autonomic nervous system dysfunction, insomnia, stroke? Hello, Doctor. I would like to ask some questions. My mother has been suffering from chronic insomnia and has been taking medication prescribed by a doctor, but her insomnia remains severe. Recently, she has experienced dry ...
Dr. Wu Mukhan Reply:
Hello: There are many causes of insomnia, including psychological factors, medications, lifestyle habits, degenerative diseases, sleep apnea, and other sleep disorders. Sudden unilateral body paralysis or weakness may indeed be related to cerebrovascular diseases. It is advisable...[Read More] Understanding the Link Between Sleep Disorders and Stroke Symptoms
Understanding Facial Numbness: Possible Causes and Concerns
Numbness in the face? Hello Doctor, during dinner (eating out) last night, I suddenly felt a tingling and tightness below my cheekbones, but I was still able to eat without any pain. A minute later, I also felt a tingling sensation throughout my body. The tingling sensation in my...
Dr. Wu Mukhan Reply:
Hello, the sensation of numbness is usually related to the nervous system and may be caused by neurological disorders, nerve inflammation, or other issues that can lead to abnormal nerve sensations. If the symptoms persist or recur, it is advisable to consult a neurologist at a h...[Read More] Understanding Facial Numbness: Possible Causes and Concerns
Understanding Involuntary Muscle Twitches: When to See a Neurologist
Involuntary muscle twitching? Hello doctor, I have had this issue since middle school. Usually, whenever I relax or lie down for a while, I start to feel discomfort around my right elbow. I have to move it to alleviate that uncomfortable sensation, but after a while, it returns. ...
Dr. Wu Mukhan Reply:
Hello: Your symptoms may be caused by nerve compression. It is recommended that you visit a hospital's neurology department to arrange for nerve conduction studies or electromyography for further evaluation.[Read More] Understanding Involuntary Muscle Twitches: When to See a Neurologist
Exploring Causes of Slow Brain Waves with Normal MRI and Blood Tests
Slow wave in EEG (electroencephalogram) examination? The EEG shows slow waves, but blood tests and MRI are normal. However, there is a slight decline in attention, comprehension, and memory, not experienced throughout the entire day, with periods of clarity. After evaluations at ...
Dr. Wu Mukhan Reply:
Hello, the presence of slow waves in brain activity can have many causes, including drowsiness during the examination, cortical dysfunction, and neurological diseases (such as tumors or strokes). If you have already undergone an MRI and no significant lesions were found, that can...[Read More] Exploring Causes of Slow Brain Waves with Normal MRI and Blood Tests