Could My Symptoms Indicate Amyotrophic Lateral Sclerosis?
Am I at risk of developing amyotrophic lateral sclerosis (ALS)? Hello doctor, I have been experiencing difficulty swallowing since the beginning of this year, and when I speak, it feels like something is stuck in my nose, causing me to be unable to produce certain sounds. Could t...
Dr. Cai Zongzhang Reply:
Hello: Based on the symptoms mentioned, the cause cannot be determined. It is recommended to visit a neurology outpatient clinic for further evaluation.[Read More] Could My Symptoms Indicate Amyotrophic Lateral Sclerosis?
How to Differentiate Between Headaches and Neurological Issues
How to differentiate between various types of headaches that last for several months? I have been experiencing pain for six months in the area between my temple and ear, sometimes accompanied by a feeling of pressure or a sensation of a foreign body, as if something is pressing i...
Dr. Jiang Junyi Reply:
Hello Mr. Hong: You mentioned distinguishing between headaches and neurological or dermatological conditions. The pain you described, "often occurring between the temple and the ear, sometimes with a throbbing sensation," may suggest tension-type headache. The symptoms ...[Read More] How to Differentiate Between Headaches and Neurological Issues
Uncontrollable Neck and Facial Twitches After Roller Skating: Causes and Solutions
Involuntary twitching of the neck and face after exercise? Hello, doctor. My child is in sixth grade and has been practicing artistic roller skating for two and a half years. Recently, the difficulty level has increased, and they have been falling frequently and sweating profusel...
Dr. Wu Mukhan Reply:
Excessive exercise and prolonged training can lead to fatigue and muscle soreness, especially when there is insufficient rest and recovery time, which may result in more pronounced discomfort. Over-sweating can cause dehydration and electrolyte imbalances, potentially leading to ...[Read More] Uncontrollable Neck and Facial Twitches After Roller Skating: Causes and Solutions
Understanding PPPD: Managing Dizziness After Ear Stone Displacement
I have been experiencing dizziness for over four months? Hello, after the displacement of my otoliths, I have been experiencing persistent dizziness. The doctor diagnosed me with PPPD (Persistent Postural-Perceptual Dizziness) and advised me to undergo some rehabilitation and tak...
Dr. Peng Shiwei Reply:
Hello, I recommend that you continue with your rehabilitation. However, you can hold each position for a bit longer and transition between positions more slowly. This will allow your body to gradually adapt to the sensations of dizziness, and I believe you will see improvement ov...[Read More] Understanding PPPD: Managing Dizziness After Ear Stone Displacement
Understanding Scalp Numbness: Causes and When to Seek Help
Scalp tingling? Recently, I have been experiencing a tingling sensation throughout my head and feeling a bit lightheaded. In the past, I would occasionally have episodes where I couldn't think clearly, but these would typically last about an hour to a day. However, these sym...
Dr. Peng Shiwei Reply:
Hello, your symptoms require an in-person consultation and physical examination for an accurate assessment. I recommend that you visit a neurology outpatient clinic. Thank you for your inquiry.[Read More] Understanding Scalp Numbness: Causes and When to Seek Help
Understanding Sleep Paralysis and Severe Shaking Sensations
Feeling severe shaking while sleeping and experiencing tinnitus? This issue has persisted for over 10 years, with the first episode occurring during middle school. I have documented common symptoms. 1. On the night of an episode, I initially experience insomnia, tossing and turni...
Dr. Peng Shiwei Reply:
Hello, based on your description, it seems that the symptoms occur during sleep. I recommend that you visit a hospital with a "sleep center" for consultation and examination. Before your appointment, you can keep a sleep diary. During the sleep study, you will be asked ...[Read More] Understanding Sleep Paralysis and Severe Shaking Sensations
Can You Transmit Meningitis After Recovery? Understanding Symptoms and Risks
Is there a possibility of transmitting meningitis to others after recovery? Does meningitis always present with symptoms? Additionally, if someone recovers from it, is there still a risk of transmission? Recently, my girlfriend learned during her examination that she had previous...
Dr. Cai Zongzhang Reply:
Hello: Meningitis can be classified into infectious and non-infectious types. Non-infectious meningitis is not contagious. In mild cases of meningitis, symptoms may be subtle, leading patients to believe that no examination is necessary, and thus they may overlook it. Severe case...[Read More] Can You Transmit Meningitis After Recovery? Understanding Symptoms and Risks
Understanding Sleep Disorders: When Stress Affects Your Rest
Sleep issues Hello, doctor. Last night, I felt very hot in the middle of my sleep, so I instinctively reacted by trying to get up to find the remote control for the fan. However, I actually don't have a fan or a remote control for one at home, and I didn't dream about a...
Dr. Cai Zongzhang Reply:
Hello YY: The above symptoms are suspected to be caused by insufficient sleep. If there is no improvement after rest, it is recommended to visit a neurology outpatient clinic.[Read More] Understanding Sleep Disorders: When Stress Affects Your Rest
Numbness in the Left Foot: Understanding Neurological Symptoms
Numbness in the dorsal aspect of the left foot? The entire dorsum of my left foot has felt a bit strange for an unknown period. I still have sensation in that area, and there is no tingling when I don't touch it. However, when I touch or scratch it, the sensation feels diffe...
Dr. Cai Zongzhang Reply:
Hello Alice: The symptoms mentioned are suggestive of a left dorsum foot nerve disorder. It is recommended to visit a neurology outpatient clinic for examination.[Read More] Numbness in the Left Foot: Understanding Neurological Symptoms
Experiencing Visual Disturbances: Understanding Your Symptoms
Seeing objects shaking up and down? Hello, doctor. Recently, I suddenly feel like my house is shaking up and down, as if it is about to collapse. This sensation is especially severe at night in my bedroom, which is relatively small. Whenever I turn off the lights, the room seems ...
Dr. Cai Zongzhang Reply:
Hello, Wang Hsien: The symptoms mentioned above are suspected to be related to inner ear disorders. It is recommended to consult an otolaryngologist.[Read More] Experiencing Visual Disturbances: Understanding Your Symptoms
Understanding Sudden Thigh Pain and Mobility Issues in Seniors
Thigh pain, significant difficulty walking, occasional cramping? Hello, Doctor. My mother is 82 years old. A few days ago, she suddenly experienced pain in her right leg and the inner side of her right thigh, making it difficult for her to walk. Sometimes she also feels sudden sh...
Dr. Jiang Junyi Reply:
Hello: You mentioned that your initial diagnosis might be a muscle strain... and there are concerns about potential lumbar spine issues. It is important to first consider muscle injury, as nerve root compression typically results in radiating pain and numbness extending to the lo...[Read More] Understanding Sudden Thigh Pain and Mobility Issues in Seniors
Traveling by Plane After a Stroke: Safety Tips for Patients
Flying After a Stroke Hello Doctor, my father is 58 years old. He had a mild stroke in early November 2021 (at that time, he was unable to speak, had complete weakness in his limbs, and was unable to manage his bowel and bladder functions, so he could only lie in bed). He has sin...
Dr. Jiang Junyi Reply:
Dear Mr. Hua, You mentioned that your father "had a stroke in 2021... has been undergoing dialysis since 2018, and underwent coronary artery bypass surgery at the end of 2018." Generally, for stroke patients, it is recommended to wait at least 2-4 weeks after the strok...[Read More] Traveling by Plane After a Stroke: Safety Tips for Patients
Understanding Weather-Related Symptoms: Dizziness and Discomfort Explained
When the weather gets cold, I feel uncomfortable all over? Hello, doctor. I do not have a thyroid condition, anemia, or any chronic diseases. I underwent a comprehensive health check last year, and aside from mild gastroesophageal reflux, everything was normal. I have never exper...
Dr. Jiang Junyi Reply:
Hello, You mentioned that "headache-related dizziness" may need to consider migraine-associated vertigo (MAV), which is a type of dizziness associated with migraines. Migraine is a common neurological disorder characterized by severe headaches and other symptoms. In s...[Read More] Understanding Weather-Related Symptoms: Dizziness and Discomfort Explained
Understanding Temporary Vision Loss: Causes and Next Steps
The eyes can go blind? Hello Doctor: I first experienced symptoms around the second year of junior high school, and it has been nearly ten years now. The frequency of episodes is not high; over the past ten years, I have had about seven episodes. Initially, I noticed black spots ...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "the black spots... will completely disappear in a few seconds, and after about thirty minutes, your vision will return to normal." If you experience symptoms such as dizziness and low blood pressure, it may be necessary to consider the is...[Read More] Understanding Temporary Vision Loss: Causes and Next Steps
Uncontrollable Hand Movements While Reading: Possible Neurological Causes
During reading, there is an involuntary urge to grasp or hold objects with the hands? Hello, doctor. Recently, I have noticed that when I read, I involuntarily feel the urge to use my left hand to search for and grasp objects, such as flipping the edge of the pages on the left si...
Dr. Wu Mukhan Reply:
Hello, your symptoms may be indicative of a movement disorder, such as chorea, bradykinesia, or dystonia. To determine the underlying cause, it is advisable to visit a neurology clinic for further evaluation.[Read More] Uncontrollable Hand Movements While Reading: Possible Neurological Causes
Managing Anxiety and Autonomic Dysfunction: Understanding Dizziness and Discomfort
dizzy Hello Dr. Jiang, I apologize for bothering you. I previously experienced anxiety and panic, which has led to some autonomic nervous system dysregulation. My symptoms include chest tightness, stomach pain, palpitations, rapid heartbeat, and dizziness. Recently, I've bee...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned, "Is it convenient to make an appointment with Dr. Jiang on the evening of April 11?" Please come to the clinic at 6:00 PM to obtain a referral slip, and you can register for the appointment. We can arrange for a heart rate variability test, bu...[Read More] Managing Anxiety and Autonomic Dysfunction: Understanding Dizziness and Discomfort
Understanding Dizziness: Anxiety, Autonomic Dysfunction, and Solutions
dizzy Hello Dr. Jiang, I apologize for bothering you. I previously experienced anxiety and panic, which has led to some autonomic nervous system dysregulation. My symptoms include chest tightness, stomach pain, palpitations, rapid heartbeat, and dizziness. Recently, I've bee...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned, "Is it convenient to make an appointment with Dr. Jiang on the evening of April 11th..." Please come to the clinic at 6:00 PM to obtain a supplementary appointment slip, and you will be able to register. We can arrange for a heart rate variabi...[Read More] Understanding Dizziness: Anxiety, Autonomic Dysfunction, and Solutions
Understanding Temporary Vision Loss: Causes and Next Steps
The eyes can go blind? Hello Doctor: I first experienced symptoms around the second year of junior high school, and it has been nearly ten years now. The frequency of episodes is not high, approximately seven times over the past decade. Initially, I noticed black spots in my visi...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned that "the black spots... will completely disappear after a few seconds, and your vision will return to normal after about thirty minutes." If you are experiencing symptoms such as dizziness and low blood pressure, it may be necessary to conside...[Read More] Understanding Temporary Vision Loss: Causes and Next Steps
Understanding Diaphragm Muscle Spasms: When to Seek Medical Attention
Diaphragmatic muscle twitching The muscles in the middle of the diaphragm are continuously contracting and pulsating, accompanied by a slight feeling of pressure, similar to a heartbeat but at a faster rate, with a rhythmic "thump-thump-thump" sensation. It feels as if ...
Dr. Jiang Junyi Reply:
Dear Ms. Jun, You mentioned that "the muscles in the middle of the diaphragm are continuously contracting and twitching." The diaphragm is primarily innervated by the phrenic nerve, which originates from the cervical spinal cord, typically from the nerve roots of C3 to...[Read More] Understanding Diaphragm Muscle Spasms: When to Seek Medical Attention
Understanding Neurological Symptoms: Head Pressure, Dizziness, and Vision Changes
Head issues In the past two to three weeks, I have noticed that my head doesn't feel the same as usual. Normally, it feels light, but recently it feels like there is something in my head, a foggy sensation. When I focus on a task, I don't notice it, but after finishing,...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "pressing on the left back of your head is painful, but there is no swelling or pimples." This may indicate issues related to the neck and cervical fascia. Maintaining an improper posture for extended periods can lead to overuse of the tra...[Read More] Understanding Neurological Symptoms: Head Pressure, Dizziness, and Vision Changes