Could My Symptoms Indicate ALS? Understanding the Risks and Next Steps
Is it amyotrophic lateral sclerosis (ALS)? Hello Doctor, last month a family elder was diagnosed with ALS, and blood tests are currently being analyzed to determine if there is a genetic mutation or hereditary cause. Since then, I have started to feel weakness in my right hand an...
Dr. Jiang Junyi Reply:
Dear Mr. Yu, You are concerned about ALS, which is a chronic muscle-wasting disease that can lead to muscle atrophy. If upper motor neurons die, abnormal signal transmission may cause muscle twitching. In the early stages, it is actually difficult to diagnose. Approximately only...[Read More] Could My Symptoms Indicate ALS? Understanding the Risks and Next Steps
Understanding Sudden Heat in the Right Ankle: Possible Causes and Concerns
Heat in the right ankle? Hello, doctor. Recently, I've been experiencing sudden warmth in my right ankle that goes away quickly, but then returns after a while. I would like to know what could be causing this. Is it possible that it could be due to a brain tumor pressing on ...
Dr. Jiang Junyi Reply:
Hello Mr. Long: You mentioned that the area around your right ankle suddenly feels warm. I wonder if you are experiencing any abnormal sensations such as tingling or numbness? Are there any other neurological symptoms? We may need to consider peripheral tissue issues, particularl...[Read More] Understanding Sudden Heat in the Right Ankle: Possible Causes and Concerns
Understanding Involuntary Muscle Twitches: Causes and Concerns
Involuntary muscle twitching? I am a 35-year-old male, non-smoker, non-drinker, and I do not consume betel nut or coffee. I am 180 cm tall and weigh 55 kg. I have a regular exercise routine that includes both strength training and aerobic exercises. Over two years ago, I suddenly...
Dr. Jiang Junyi Reply:
Hello Mr. Hsuan, You mentioned experiencing "twitching in your toes, similar to after finishing a hike, a jog, walking a long distance, or sitting on a specific sofa..." The muscle twitching you are experiencing may be related to several factors: exercise, acute viral ...[Read More] Understanding Involuntary Muscle Twitches: Causes and Concerns
Understanding Language Expression Difficulties: When Thoughts and Words Diverge
Language expression difficulties? Dear Dr. Peng, Thank you for taking the time to read and respond to my questions. Recently, I have noticed that while I have no difficulty in expressing sentences or maintaining fluency while speaking, there are instances where the words I say d...
Dr. Peng Shiwei Reply:
Hello, your symptoms are consistent with a speech disorder. It is recommended that you seek a consultation with a neurologist as soon as possible to rule out any brain lesions. Thank you for your inquiry.[Read More] Understanding Language Expression Difficulties: When Thoughts and Words Diverge
Understanding Persistent Pulsations in the Lower Abdomen: When to Worry
Lower abdominal issues? Hello doctor, I would like to ask about a pulsating sensation in the lower abdomen near the uterus that has been ongoing for over a week without any pain. Is this a serious concern? Thank you.
Dr. Jiang Junyi Reply:
Hello Ms. Yun: You mentioned that there is a continuous pulsation in the middle of your uterus but no pain. It may be necessary to first consider the pulsation of the abdominal aorta. Diagnosis and differentiation can be performed using abdominal ultrasound combined with vascular...[Read More] Understanding Persistent Pulsations in the Lower Abdomen: When to Worry
Understanding the Reality of Neurological Sensations and Hallucinations
The sensation of a burning feeling in the brain? Recently, I have been considered to have a dissociative disorder and I wonder if it is caused by hallucinations, but they feel very real. I experience sensations of spinning, a line, and an inability to think; it feels like there a...
Dr. Jiang Junyi Reply:
Dear Mr. Hsueh, You mentioned "dissociative disorder, wondering if it is caused by hallucinations." Your symptoms may need to first rule out structural issues in the brain, as abnormal electrical discharges can sometimes present similar symptoms. I recommend that you v...[Read More] Understanding the Reality of Neurological Sensations and Hallucinations
Understanding Neurofibromatosis: When to Seek Further Testing for Your Child
The necessity of examination for neurofibromas? Hello Dr. Jiang, my child was not diagnosed with café-au-lait spots at birth, but we discovered more than six café-au-lait spots of various sizes when he turned one month old. There appear to be about a dozen spots visually. I have ...
Dr. Jiang Junyi Reply:
Hello, Ms. Jun: You mentioned, "Are the symptoms related to neurofibromatosis hereditary?" This can be assessed through genetic testing. Below is information from the Pediatric Neurology Department of Kaohsiung Veterans General Hospital. For infants and young children...[Read More] Understanding Neurofibromatosis: When to Seek Further Testing for Your Child
Understanding Unexplained Tremors and Fatigue: When to Seek Help
Feeling extremely fatigued and on the verge of fainting, with involuntary body tremors? I would like to consult a doctor. Recently, I have been experiencing involuntary body tremors at night before sleep. I am unsure if this is due to excessive tension. My eyelids also twitch int...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, there are currently no specific findings and no neurological localization. Additionally, since the symptoms occur at specific times, the likelihood of a stroke is low. Furthermore, smoking is detrimental to your health, so please quit smoking immedi...[Read More] Understanding Unexplained Tremors and Fatigue: When to Seek Help
Understanding Muscle Twitches: Causes and Concerns in Strength Training
I would like to inquire about muscle twitching issues? A few days ago, I experienced muscle twitching in my shoulder that occurs intermittently. I have been weight training, and although my performance has not declined or changed, the twitching in my left shoulder gives me a slig...
Dr. Jiang Junyi Reply:
Hello Mr. CC: You mentioned that you have a slight feeling of weakness in your left hand, describing it as "soft and sore." This symptom may suggest cervical radiculopathy. This is a type of peripheral nerve abnormality that often presents with: 1. Pain characterized by...[Read More] Understanding Muscle Twitches: Causes and Concerns in Strength Training
Muscle Twitches and Crawling Sensation in Legs: Possible ALS Concerns
Muscle twitching and a sensation of ants crawling in the legs? In the past month, I have experienced muscle twitching, and while sitting or lying down, my legs feel tingly as if ants are crawling on them. After researching online, I found that it could possibly be amyotrophic lat...
Dr. Peng Shiwei Reply:
Based on the symptoms you described, the likelihood of amyotrophic lateral sclerosis (ALS) is extremely low. If you are still concerned, it is advisable to seek consultation at an outpatient clinic. Thank you for your inquiry.[Read More] Muscle Twitches and Crawling Sensation in Legs: Possible ALS Concerns
Understanding Sudden Vision Changes: Possible Causes and Concerns
Vision problems I would like to ask the doctor under what circumstances symptoms of optic nerve compression could cause a sudden increase in my eye prescription. I primarily have issues with my eyes, but the ophthalmologist has not found any abnormalities. Here are my symptoms: ...
Dr. Peng Shiwei Reply:
Hello, regarding your question: 1. Generally, there are two types of brain lesions associated with the optic nerve. The first type involves brain lesions that cause compression of the optic nerve, with symptoms primarily manifesting as visual field defects, such as loss of peri...[Read More] Understanding Sudden Vision Changes: Possible Causes and Concerns
Understanding Groin Pain: Causes and Treatment Options for Nerve Issues
Inguinal pain accompanied by burning and weakness in the inner thigh and spermatic cord? Hello, Doctor. About 2-3 years ago, I started experiencing dull pain in the right inguinal region, which radiates to the right side of the scrotum and causes a burning sensation on the inner ...
Dr. Cai Zongzhang Reply:
Hello Mr. Chen: The symptoms mentioned may be indicative of neuropathic pain. It is recommended that you visit a neurology outpatient clinic for further evaluation to determine the cause.[Read More] Understanding Groin Pain: Causes and Treatment Options for Nerve Issues
Understanding Dizziness and Confusion: Possible Neurological Causes
Dizziness and altered consciousness? Hello, doctor. Since February of last year, I've been experiencing a heavy, dizzy sensation in my forehead and around my eyes. This feeling has significantly impacted my daily life. When I look at things, everything used to be clear, but ...
Dr. Jiang Junyi Reply:
Dear Mr. Yu, You mentioned that "the area between the eyebrows feels very heavy, and my vision is gradually becoming blurry, but it gets a bit better after resting." These symptoms may suggest autonomic nervous system dysfunction leading to decreased cerebral circulati...[Read More] Understanding Dizziness and Confusion: Possible Neurological Causes
Understanding CT Scan Results for Brain Issues: Key Questions Answered
CT Report for Brain Issues After getting my new glasses, I felt an immediate increase in my prescription. I noticed a faint shadow in areas with light, and I have been experiencing some headaches. Concerned that it might be caused by a brain tumor, I underwent a brain CT scan. Th...
Dr. Jiang Junyi Reply:
Hello Mr. Li: First of all, the symptoms of "brain tumors" can vary depending on the location in the brain. You mentioned that "after getting new glasses... it feels like the prescription suddenly increased," which may require ruling out refractive issues. Cou...[Read More] Understanding CT Scan Results for Brain Issues: Key Questions Answered
Understanding Trigeminal Neuralgia: Symptoms and Treatment Options
Trigeminal Neuralgia Hello, doctor: I have a dull, tingling pain in the back of my neck and on my cheeks. It feels sharp and sore. What should I do about trigeminal neuralgia?
Dr. Cai Zongzhang Reply:
Hello, Avi: The symptoms mentioned are indicative of neuropathic pain, which can have various causes. It is recommended that if the symptoms do not improve with adequate rest, you should visit a neurology outpatient clinic.[Read More] Understanding Trigeminal Neuralgia: Symptoms and Treatment Options
Understanding Mild Subdural Hydrocephalus: Causes, Risks, and Concerns
Some questions regarding mild hydrocephalus (subdural hydrocephalus)? Hello Doctor: I previously inquired about my girlfriend's CT scan showing mild hydrocephalus (consultation number <a href="https://adoctor.tw/article/197529">#197529</a>). Your respon...
Dr. Peng Shiwei Reply:
Hello, generally speaking, subdural hygromas are usually associated with old injuries, and as you mentioned, they are more likely to occur in children and the elderly. In the case of subdural hygromas, we typically assess the volume of the fluid and whether it is causing any comp...[Read More] Understanding Mild Subdural Hydrocephalus: Causes, Risks, and Concerns
Understanding Lip Numbness: Causes and Relief Strategies
Numbness in the lower lip? This month, the patient has experienced lip numbness twice, with episodes lasting approximately one to two hours, occurring just before sleep. What should be noted and how can it be alleviated?
Dr. Jiang Junyi Reply:
Dear Ms. Chiu, You mentioned that "your husband is experiencing lip numbness." Are there any other symptoms, such as numbness in the limbs or unilateral weakness? First, we should consider "hyperventilation syndrome," which can lead to decreased carbon dioxid...[Read More] Understanding Lip Numbness: Causes and Relief Strategies
Understanding Seizures: When to Worry and What to Monitor
Time interval between seizures? Hello, doctor. My husband is 30 years old. He had a seizure in October 2019 when I was not present. The doctor examined him and said everything was fine. A few days later, he saw another doctor who diagnosed him with influenza type A. I'm not ...
Dr. Jiang Junyi Reply:
Dear Ms. Lisa, You mentioned that your husband "suddenly stared in one direction, then let out a low growl, with his eyes rolling back and his arms extending and twitching." These are typical symptoms of epilepsy, as the eye deviation may indicate abnormal electrical d...[Read More] Understanding Seizures: When to Worry and What to Monitor
Understanding Sleep Breathing Issues: Causes and Solutions
Sleep breathing disorders Hello Doctor, yesterday while I was sleeping, I woke up gasping for air due to a lack of oxygen. This situation occurs about once every six months; although the frequency is low, it is always very uncomfortable, and I worry about the possibility of suffo...
Dr. Jiang Junyi Reply:
Hello Mr. Hsu: You mentioned that "the sleep study showed an RDI of 1.9 and a minimum blood oxygen level of 84." These values do not meet the criteria for obstructive sleep apnea (OSA), which is greater than 5. Symptoms of sleep apnea include insomnia, nightmares, irrit...[Read More] Understanding Sleep Breathing Issues: Causes and Solutions
Understanding Persistent Dizziness: Possible Causes and Next Steps
Dizziness and an unsteady sense of balance? Hello Doctor, I have been experiencing dizziness for over a month. I have consulted with a neurologist, an otolaryngologist, and a cardiologist, and all tests have come back normal. However, my symptoms have not improved with medication...
Dr. Jiang Junyi Reply:
Hello Mr. Wang, You mentioned that "the symptoms improve slightly after getting up in the morning... and the body feels like it's swaying." This may indicate proprioceptive abnormalities caused by cervical spine issues. Often, this is related to muscle fascia tigh...[Read More] Understanding Persistent Dizziness: Possible Causes and Next Steps