Can Neuromyelitis Optica Be Transmitted Through Bodily Fluids?
Neuromyelitis optica (NMO) is not transmitted through bodily fluids and does not pose a risk of infection affecting health in this manner? Hello, I have read about the causes of neuromyelitis optica and understand that it may be related to genetic factors or viral triggers. Howev...
Dr. Jiang Junyi Reply:
Dear Ms. R: You mentioned that "neuromyelitis optica" is usually the result of various factors leading to autoimmune responses in the body. The concern you have regarding fluid transmission does not occur with normal sexual activity. If a patient requires long-term ste...[Read More] Can Neuromyelitis Optica Be Transmitted Through Bodily Fluids?
Understanding Nerve Pain: When Hand and Foot Numbness Occurs
Numbness in the hands followed by numbness in the feet? In May, I experienced a stiff neck and accidentally strained my back while lifting heavy objects. I applied heat therapy, which helped somewhat. However, starting in mid-June, I began to experience unexplained pain in my arm...
Dr. Jiang Junyi Reply:
Hello Ms. HARU: You mentioned that "the joints in your fingers hurt and your shoulders are stiff." If your issue involves multiple joints, it may be related to a multi-joint disease. You might also want to consider autoimmune-related arthritis. Thank you for your inquir...[Read More] Understanding Nerve Pain: When Hand and Foot Numbness Occurs
Understanding Sharp, Lightning-Like Pain in the Ankle: Causes and Solutions
Sharp, lightning-like needle sensations? Hello Dr. Jiang: In the past week, I have been experiencing intermittent sharp, lightning-like pain on the inner side of my left ankle. The frequency is irregular, and if it occurs while I am sleeping, it wakes me up. I also feel a crawlin...
Dr. Jiang Junyi Reply:
Dear Ms. Yen, Based on your description of experiencing a crawling sensation in your limbs and a lightning-like prickling feeling on the inner side of your right ankle, it is important to consider the possibility of lumbar nerve root compression. Symptoms of peripheral nerve com...[Read More] Understanding Sharp, Lightning-Like Pain in the Ankle: Causes and Solutions
Severe Morning Headaches: Understanding Nocturnal Pain and Its Causes
Severe headache on one side at a specific time during sleep? Since last week, I have been waking up in severe pain around five or six in the morning. The pain starts from my left temple and radiates to the entire left side of my face, lasting about five minutes before subsiding f...
Dr. Jiang Junyi Reply:
Dear Ms. Qianyu, You mentioned that "you are often awakened by severe pain around five or six in the morning, starting from the left temple." Your symptoms may suggest a consideration of sinus headache. Typically, there is a feeling of pressure or fullness around the e...[Read More] Severe Morning Headaches: Understanding Nocturnal Pain and Its Causes
Understanding Left Back and Thigh Discomfort: A Neurological Perspective
When sitting and lying flat, there is something unusual in the left back area and the left thigh? Hello, doctor! This issue has been troubling me for two years, but it has become particularly severe in the past few months. When I sit upright (with my back relatively straight) and...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, it cannot be ruled out that they are related to deep muscle issues. If you are feeling very troubled, you may consider going to a major hospital to check your muscle enzymes, or consult with your physician about whether an MRI is necessary. Thank yo...[Read More] Understanding Left Back and Thigh Discomfort: A Neurological Perspective
Headaches Triggered by Strong Smells: Understanding the Connection
Headache and Taste Sensation Hello, doctor. After quitting smoking for a year or two, I have been experiencing headaches triggered by the smell of smoke or strong food aromas. The pain can be so intense that it only improves the next day after I wake up. For example, I have stron...
Dr. Jiang Junyi Reply:
Dear Ms. Jun, You mentioned that "smelling smoke or food odors can trigger headaches," which may warrant consideration of migraine issues. The diagnosis of migraine includes the following criteria: 5: Headaches occurring more than 5 times. 4: Headaches lasting more th...[Read More] Headaches Triggered by Strong Smells: Understanding the Connection
Is It Autonomic Nervous System Disorder? Understanding Your Symptoms
Could this be classified as autonomic nervous system dysfunction? Hello, doctor. I am 23 years old, with a height of 157 cm and a weight of 65 kg. (Personal experience: I have had nasal allergies since childhood, but the condition has not been severe as I grew up, experiencing oc...
Dr. Cai Zongzhang Reply:
Hello J: Based on the symptoms mentioned, it is recommended to visit an otolaryngologist to check if nasal issues are causing difficulty in ventilation. The symptoms described are not caused by autonomic nervous system disorders, and regular exercise may help improve the conditio...[Read More] Is It Autonomic Nervous System Disorder? Understanding Your Symptoms
Understanding Chronic Fatigue: Causes and Solutions for Brain Fog
Feeling fatigued no matter what you do? Doctor, I sleep at least 8 hours every day. Usually, when I wake up in the morning, I don't feel refreshed. Sometimes on my days off, even after sleeping for 8 or 9 hours, I still feel very sleepy and can't go back to sleep. In th...
Dr. Cai Zongzhang Reply:
Hello Junjun: Based on the symptoms mentioned, it is recommended to first visit a family medicine clinic to check for any thyroid disorders. If none are found, it is advised to continue exercising to strengthen cardiovascular function, which can enhance physical stamina.[Read More] Understanding Chronic Fatigue: Causes and Solutions for Brain Fog
Understanding Chest Discomfort: Causes and Concerns for Nighttime Symptoms
Chest tightness and a feeling of pressure, with sudden episodes of anxiety, rapid heartbeat, and shortness of breath occurring before sleep in the early morning or at midnight, leading to awakening? Two years ago, I visited a cardiologist and underwent X-rays and an electrocardio...
Dr. Cai Zongzhang Reply:
Hello Mr. Wei: The symptoms mentioned may be indicative of a autonomic nervous system disorder. It is recommended that you visit a neurology outpatient clinic for an examination.[Read More] Understanding Chest Discomfort: Causes and Concerns for Nighttime Symptoms
Understanding Body Tremors: When to Seek Medical Attention
Body tremors Hello doctor, yesterday while I was sleeping, I suddenly noticed that the left side of my body and my left hand were trembling. I was abruptly awakened by the shaking, and the symptoms lasted for several seconds. After waking up, I found that the entire left upper ha...
Dr. Cai Zongzhang Reply:
Hello, Song: The symptoms mentioned above may indicate a neurological disorder. It is recommended to visit a neurology outpatient clinic for examination.[Read More] Understanding Body Tremors: When to Seek Medical Attention
Understanding Limb Weakness: When to Seek Neurological Care
Weakness in the limbs? Last Thursday, after watching a movie about amyotrophic lateral sclerosis (ALS), I gained a preliminary understanding of this disease but also found myself becoming anxious about the possibility of developing it. Coincidentally, since that day, I have been ...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms and age, it is more likely that you are experiencing chronic muscle fatigue. Amyotrophic lateral sclerosis (ALS) typically occurs in middle age and is characterized by noticeable weakness, muscle atrophy, and muscle twitching. Therefore, you may want...[Read More] Understanding Limb Weakness: When to Seek Neurological Care
Understanding Sensory Loss: Possible Causes and Solutions
Numbness sensation Hello Doctor: About three days ago, I noticed a reduction of approximately 80% in the sensation of cold and heat in my left hand's ring and little fingers, along with a slight decrease in strength, but there is no significant numbness or pain. In addition ...
Dr. Jiang Junyi Reply:
Dear Ms. K: You mentioned that you have decreased sensitivity to temperature in your left ring and little fingers. Your symptoms may suggest an abnormality in ulnar nerve function. The ulnar nerve innervates part of the little finger, half of the ring finger, and the correspondi...[Read More] Understanding Sensory Loss: Possible Causes and Solutions
Understanding Lower Back Pain and Leg Numbness: Causes and Solutions
Lower back pain with leg numbness? Hello, doctor. I originally had pain on the left side of my lower back near the iliac bone, but it was only occasional. Today, when my back hurt, I experienced numbness above my left knee and in my thigh. Although the numbness in my thigh has be...
Dr. Jiang Junyi Reply:
Hello, You mentioned that "when experiencing lower back pain, there is numbness in the upper side of the left knee and thigh." Your symptoms may suggest compression of the lumbar nerve roots. Typical discomfort associated with lumbar nerve root pathology includes pain...[Read More] Understanding Lower Back Pain and Leg Numbness: Causes and Solutions
Understanding Facial Pain: When to See a Neurologist
My cheeks feel a bit strange? Hello, doctor: I am experiencing intermittent pain in the muscles of both my upper and lower cheeks, along with pain in my cheekbones. There is also a tingling, prickling sensation, and itching. The pain persists even with pressure, and my cheeks fee...
Dr. Wu Mukhan Reply:
Hello! Based on your description, your symptoms, including facial numbness, tingling, and abnormal sensations, may be related to a trigeminal nerve issue. It is recommended that you visit a hospital's neurology department for evaluation and to determine if further testing is...[Read More] Understanding Facial Pain: When to See a Neurologist
Understanding Dizziness and Blurred Vision: Causes and Solutions
Dizziness/Blurred vision Hello Doctor: I have been feeling normal before going out these past few days, but after being outside for a while, I started to feel unwell (cold sweats, rapid breathing, dizziness, blurred vision, gastrointestinal discomfort, dry mouth, tinnitus, etc.)....
Dr. Jiang Junyi Reply:
Hello Ms. Wu, You mentioned that "standing for a long time makes you feel dizzy." Given the recent high temperatures, we should first consider mild heat syncope as a possible cause. The primary reason is that in high-temperature outdoor environments, the microvasculatu...[Read More] Understanding Dizziness and Blurred Vision: Causes and Solutions
Weight Gain from Medication: Struggling to Lose After Switching Drugs
Medication-induced weight gain can be a concern, and even after switching medications, some individuals may struggle to lose weight? Due to schizophrenia, I have been on medication for a year now. Initially, I gained 25 kilograms because of the side effects. In the middle of my t...
Dr. Cai Zongzhang Reply:
Hello, Youyou: The symptoms mentioned above are not caused by a neurological disorder. It is recommended that you discuss medication with the psychiatrist who is treating you for schizophrenia.[Read More] Weight Gain from Medication: Struggling to Lose After Switching Drugs
High Frequency Muscle Twitches and Fatigue in a 14-Year-Old: Possible Causes
Frequent muscle twitching throughout the body and a feeling of weakness? Muscle twitching occurs frequently, with some localized spasms. It intensifies when I feel restless. I experience a tingling sensation similar to being electrocuted when sitting or lying down. I feel fatigue...
Dr. Jiang Junyi Reply:
Hello Mr. Pao, You mentioned experiencing a sensation similar to being electrocuted when sitting or lying down, which is a symptom of peripheral nerve compression. This is not indicative of amyotrophic lateral sclerosis (ALS), which is a type of motor neuron disease. ALS present...[Read More] High Frequency Muscle Twitches and Fatigue in a 14-Year-Old: Possible Causes
Feeling Dizzy and Disconnected: Understanding Neurological Symptoms
Feeling lightheaded and disoriented? Hello, doctor. Recently, while traveling in Japan, I have been experiencing difficulty concentrating, feeling spaced out, and a sense of lightheadedness. I also have persistent muscle twitches, both localized and generalized, and I feel comple...
Dr. Peng Shiwei Reply:
Hello, online consultations are limited in scope and cannot replace an in-person examination, making it difficult to fully understand your issue. If your symptoms are causing you significant distress, please schedule an appointment for a proper evaluation by a physician. Thank yo...[Read More] Feeling Dizzy and Disconnected: Understanding Neurological Symptoms
Understanding Muscle Twitching: Causes, Symptoms, and When to Seek Help
Involuntary muscle twitching? Hello doctor, over the past month, my muscles (not limited to any specific area, but mostly in my thighs and right shoulder) have been twitching involuntarily. The symptoms worsen during times of anxiety, tension, or panic. In the past few days, I...
Dr. Jiang Junyi Reply:
Hello, Guo: You mentioned feeling "weakness in breathing, shallow breaths, and a sense of bodily weakness." Your concern about amyotrophic lateral sclerosis (ALS) primarily relates to issues with motor neurons. Motor neurons control muscle movement; generally, the moto...[Read More] Understanding Muscle Twitching: Causes, Symptoms, and When to Seek Help
Dizziness After Exercise or Work: Understanding Your Symptoms
Dizziness or lightheadedness after exercise or work? Hello, recently I have been experiencing dizziness after intense exercise or during activities that involve holding my breath. I often feel dizzy when there is significant movement or shaking of my head and neck, especially aft...
Dr. Jiang Junyi Reply:
Hello Ms. Alex, You mentioned that you often feel dizzy after intense exercise or breath-holding activities, and after exertion (or standing up too quickly after bending down for a long time). This may indicate symptoms similar to syncope. When cerebral blood flow drops below 30...[Read More] Dizziness After Exercise or Work: Understanding Your Symptoms