Understanding Leg Numbness and Weakness: When to Seek Medical Advice
Numbness and weakness in both legs? Hello Doctor, last Tuesday after a slight stretch, I suddenly felt a bit of numbness near my left calf and the little fingers of my limbs. A day or two later, the left calf started to hurt with a bit of numbness, and I'm not sure if it...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, it is necessary to rule out any issues with your lower back. However, since an online consultation cannot take into account the results of a physical examination, it is advisable to seek in-person consultation at a clinic. Thank you for your inquiry...[Read More] Understanding Leg Numbness and Weakness: When to Seek Medical Advice
Understanding Widespread Tingling: Possible Causes and Concerns
Generalized numbness and tingling? Hello, Doctor. I am Aisha, who asked a question three days ago. The tingling sensation in my right palm spread to my upper arm the next day, and now I also have tingling in my left palm, arms, both legs, inner thighs, as well as my back and neck...
Dr. Peng Shiwei Reply:
Hello, numbness and tingling may be related to peripheral nerve or spinal cord issues, while the likelihood of brain-related problems is lower. During the waiting period for the report, please monitor for any increasing weakness in the limbs, as well as any "head" sympt...[Read More] Understanding Widespread Tingling: Possible Causes and Concerns
Understanding Numbness in Hands and Feet: Possible Causes and Solutions
Numbness in the hands and feet? Hello doctor, I started feeling a slight numbness in the area of my little fingers on both hands and little toes on both feet a couple of days ago. 1. Could you please tell me what this might be? 2. Or could the hands and feet be different issues t...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "numbness in the little fingers and toes" is commonly caused by peripheral nerve compression. The numbness is associated with the ulnar nerve, which innervates the little finger and half of the ring finger, as well as the corresponding are...[Read More] Understanding Numbness in Hands and Feet: Possible Causes and Solutions
Understanding Right Hand Pain: Is It Shingles or Something Else?
Numbness and tingling in the right palm? Hello doctor, three weeks ago I was diagnosed with shingles on the left side of my ear. After the skin symptoms healed, I have been taking B vitamins to alleviate the nerve pain. Aside from occasional sharp nerve pain in my left cheek, las...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, it is unlikely that the area is affected by shingles. The most probable neuropathy in that region is carpal tunnel syndrome. You may try to reduce wrist movements and wear a wrist brace to alleviate the symptoms. You can continue taking B vitamins. ...[Read More] Understanding Right Hand Pain: Is It Shingles or Something Else?
Understanding Blood Pressure Issues: Insights on Medication and Autonomic Dysfunction
Inquiry Consultation Dear Dr. Tsai, My mother is 68 years old and has been experiencing blood pressure issues since last year. Initially, she would feel palpitations, with her blood pressure rising to 200/100 mmHg, accompanied by symptoms such as shortness of breath, instability...
Dr. Cai Zongzhang Reply:
Hello: Blood pressure measurements are the basis for hypertension treatment, so it is very important to measure blood pressure correctly. Blood pressure should be measured after a period of rest, and one should not become anxious about high blood pressure, as this can affect the ...[Read More] Understanding Blood Pressure Issues: Insights on Medication and Autonomic Dysfunction
Can Daytime Sleepiness and Nighttime Delirium Improve in Parkinson's Patients?
Can daytime sleepiness and nighttime delirium in a patient with stage II Parkinson's disease be improved? Three months ago, my mother was diagnosed with stage II Parkinson's disease (due to multiple small strokes). Currently, she requires a walker for mobility and moves...
Dr. Peng Shiwei Reply:
Hello, I believe your mother's delirium symptoms are not related to the chronic course of Parkinson's disease, but are more likely associated with her previous infection and hospitalization. Generally, this type of acute delirium tends to improve gradually over time, an...[Read More] Can Daytime Sleepiness and Nighttime Delirium Improve in Parkinson's Patients?
Could Weakness and Pain in Your Legs Signal ALS Symptoms?
Weakness and pain in the legs could be a precursor to amyotrophic lateral sclerosis (ALS)? In 2021, I was diagnosed with possible sciatica (only through X-rays). After continuous rehabilitation, I improved for a while, but occasionally my lower back would still feel sore, allowin...
Dr. Jiang Junyi Reply:
Dear Miss Xiao: You mentioned that "when walking, if the feeling underfoot is not right, there will be a sudden pain, and then the legs feel weak and powerless." These are not symptoms of amyotrophic lateral sclerosis (ALS). The ALS you are concerned about primarily re...[Read More] Could Weakness and Pain in Your Legs Signal ALS Symptoms?
Understanding Sudden, Short-lived Head Pain: Possible Causes and Next Steps
Unpredictable, short-duration headaches that feel similar to a stabbing pain? Hello, doctor. I occasionally experience sudden head pain. This symptom has persisted for quite some time (around 3 to 4 years) and occurs unexpectedly (for example, while blow-drying my hair, sitting s...
Dr. Jiang Junyi Reply:
Dear Ms. Zoe, You mentioned "the area from the upper neck to the ear. The pain occurs suddenly each time, with a very intense sensation that lasts for about 3 to 5 minutes before returning to normal." This symptom may suggest muscle spasms in the cervical spine. There ...[Read More] Understanding Sudden, Short-lived Head Pain: Possible Causes and Next Steps
Understanding Unexplained Body Tremors: A Neurological Perspective
Involuntary body shaking? Hello doctor, about a week ago while I was at work, I suddenly started feeling dizzy and unsteady. It’s not a spinning sensation, nor do I see objects moving; I don’t experience double vision. Occasionally, I feel a bit nauseous and uncomfortable, and so...
Dr. Jiang Junyi Reply:
Hello Ms. Joyce, Could you please clarify whether the "tingling sensation in the fingers of your right hand and the toes of your right foot" occurs simultaneously with the dizziness, or has this symptom been present for a long time? If they occur at the same time, we m...[Read More] Understanding Unexplained Body Tremors: A Neurological Perspective
Understanding Leg Numbness: Is It Related to Pelvic Misalignment?
Easily experiences leg numbness? Due to my sitting posture, I have developed a slight pelvic tilt. However, since it is not severe, I haven't seen a doctor. Recently, for the past two weeks, I have been experiencing numbness in my legs if I maintain one position for too long...
Dr. Jiang Junyi Reply:
Dear Ms. Kirao, You mentioned that "prolonged posture can easily lead to leg numbness," which may indicate symptoms of peripheral nerve compression. Symptoms of peripheral nerve abnormalities often include: 1. Pain characterized by burning or tingling sensations; 2. Sy...[Read More] Understanding Leg Numbness: Is It Related to Pelvic Misalignment?
Sudden Forehead Pain Above Right Eye: Causes and When to Seek Help
There is a sudden sharp pain above the right eye on the forehead? Hello, as mentioned in the topic, I sometimes experience a sudden sharp pain in the upper right part of my forehead when I turn my head, squat down, or change the position of my head. This pain feels like it is rad...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "there is a throbbing pain in the upper right part of the forehead that seems to radiate from within... the pain is always in the same location." Your symptoms may be related to your posture and could be due to myofascial issues associate...[Read More] Sudden Forehead Pain Above Right Eye: Causes and When to Seek Help
Understanding Muscle Twitches: Causes and Concerns in Neurology
Muscle twitching Doctor, for the past few days, I've been experiencing a peculiar twitching sensation in my chest, primarily when I'm sitting in a chair. It feels like it's happening near my heart, with some muscle twitching a little bit. Sometimes it twitches once...
Dr. Jiang Junyi Reply:
Dear Mr. Bin, You mentioned that "the position of the muscle twitching is just a little bit next to the heart," which may indicate instability in the pectoral muscle group. Muscle twitching while awake could be associated with certain metabolic disorders, such as hyper...[Read More] Understanding Muscle Twitches: Causes and Concerns in Neurology
Understanding Persistent Ear Congestion and Hearing Loss: Insights from Neurology
Ear fullness and difficulty hearing? Hello Dr. Jiang, In February 2022, I woke up one morning to find that I was experiencing ear fullness. I went to an otolaryngologist, and after a week of treatment, the ear fullness resolved. However, a week later, the ear fullness returned, ...
Dr. Jiang Junyi Reply:
Dear Mr. Hsiao Cheng, You mentioned experiencing symptoms such as "ear fullness, difficulty hearing, and dizziness... and that your brain MRI results were normal." Your symptoms may suggest Eustachian tube dysfunction. This issue can often present normal results in var...[Read More] Understanding Persistent Ear Congestion and Hearing Loss: Insights from Neurology
Understanding Facial Twitching: Causes and When to See a Neurologist
I've been experiencing twitching in my right cheek before going to bed these past couple of days? As per the title, over the past couple of days, I have been experiencing a tight sensation in my right cheek during the evenings, which may twitch once or twice. When lying down...
Dr. Jiang Junyi Reply:
Hello Ms. Chang, You mentioned that "the right cheek feels a bit tight and may twitch once or twice," which could still be symptoms related to poor sleep. Your symptoms do not seem to resemble facial nerve paralysis, which affects the seventh cranial nerve and is clini...[Read More] Understanding Facial Twitching: Causes and When to See a Neurologist
Understanding Multiple Sclerosis: Bilateral Symptoms and MRI Considerations
Multiple Sclerosis The doctor would like to inquire further: if there is numbness on both sides, is the likelihood of multiple sclerosis lower (as my research indicates it is usually one-sided)? If the doctor has not suggested an MRI, should we bring it up?
Dr. Peng Shiwei Reply:
Yes, the probability on both sides is relatively low. If the physician did not bring it up, it may be because he believes you are more aligned with a different diagnosis. Please follow his advice. Thank you for your question.[Read More] Understanding Multiple Sclerosis: Bilateral Symptoms and MRI Considerations
Intermittent Sharp Pain in Left Pinky Toe: Possible Neurological Issues
Occasional sharp pain in the left little toe? Hello Doctor, since the end of March, I have been experiencing sharp pain around my left little toe every 5 to 6 days. It feels like an electric shock or like being bitten by an insect, and the pain lasts about 5 seconds before subsid...
Dr. Jiang Junyi Reply:
Dear Mr. You, You mentioned that "the area around my left little toe feels sharp, as if being electrocuted, or like being bitten by an insect." This is a symptom related to neuropathic pain. It may be necessary to consider symptoms of peripheral nerve compression: 1. ...[Read More] Intermittent Sharp Pain in Left Pinky Toe: Possible Neurological Issues
Understanding Throat Sensation and Nausea: When to Seek Medical Help
Sensation of a foreign body in the throat with dry heaving? Hello Doctor: About two weeks ago, I started experiencing headaches... The sensation is a tightness in the forehead between the eyebrows, with pain on both sides of the head. Sometimes I feel dizzy and nauseous. After vi...
Dr. Jiang Junyi Reply:
Dear Mr. Johnny, You mentioned that you feel tightness in your forehead and between your eyebrows, experience pain on both sides of your head, and sometimes feel dizzy and nauseous. After visiting the clinic and receiving pain medication, you noticed some improvement. You also m...[Read More] Understanding Throat Sensation and Nausea: When to Seek Medical Help
Understanding Facial Numbness and Tingling: Possible Causes and Concerns
Numbness in the face and hands? Hello, doctor. I have a slight tingling sensation around my right cheek and right ear. Two years ago, it was around my ear, and now it’s on my cheek. I can feel a soft, movable lump about one centimeter on my right cheek. Visually, the nasolabial f...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned several issues. Clinically, we should first address the acute problems. The "slight tingling sensation around the right cheek and right ear... a soft, movable lump" may indicate potential compression of the trigeminal nerve, specifically the ...[Read More] Understanding Facial Numbness and Tingling: Possible Causes and Concerns
Understanding Cerebral Leukoaraiosis: Symptoms, Treatment, and Lifestyle Tips
Cerebral hemispheric ischemic lesions Hello Dr. Jiang, About three years ago, I started experiencing occasional headaches that are so severe I can't concentrate and feel very uncomfortable. Sometimes, these headaches are accompanied by nosebleeds. I have a history of severe...
Dr. Jiang Junyi Reply:
Dear Ms. Ni, Your report mentions "scattered hyperintensity in the periventricular and deep white matter with mild juxtacortical involvement." These lesions are commonly referred to as white matter lesions, indicating that the cells along the brain's conduction pa...[Read More] Understanding Cerebral Leukoaraiosis: Symptoms, Treatment, and Lifestyle Tips
Understanding Left Toe Numbness: Possible Causes and Solutions
Numbness in the third and fourth toes of the left foot? Hello Dr. Jiang: About four months ago, I started experiencing a tingling and numbness in my left toes when I stood on my tiptoes, similar to an electric shock sensation. Later, during the Qingming holiday, I noticed that my...
Dr. Jiang Junyi Reply:
Dear Ms. Li, You mentioned "polyneuropathy," which typically shows abnormalities in nerve conduction studies. The symptoms you described, such as soreness in the entire left leg and buttock, as well as soreness in the left buttock and posterior thigh while sitting, and...[Read More] Understanding Left Toe Numbness: Possible Causes and Solutions