Understanding Your Ultrasound Report: Insights on Vertebral and Carotid Arteries
Ultrasound report, please assist? Hello Dr. Jiang, please help explain the report. I have been experiencing significant discomfort in my neck and shoulders, so I underwent examinations. Thank you! Medical Order: DOPSCAN 1. Mild stenotic flow in the left proximal vertebral artery...
Dr. Jiang Junyi Reply:
Dear Ms. Jen, Your report is primarily divided into two parts: 1. Extracranial Vessels: There is mild stenosis of the left proximal vertebral artery. 2. Transcranial Ultrasound: Except for the left temporal bone, the ultrasound could not obtain signals (which is quite common)...[Read More] Understanding Your Ultrasound Report: Insights on Vertebral and Carotid Arteries
Understanding Body Tremors: Causes and Treatment Options
Body tremors I would like to consult a physician regarding a persistent shaking sensation I've been experiencing in my upper body while lying down at night over the past week. It feels like a rapid, fine tremor, similar to an electric current, although it is not visibly noti...
Dr. Jiang Junyi Reply:
Hello Mr. Shi: You mentioned that you have refrained from drinking alcohol this week due to taking antibiotics for pharyngitis. You also brought up the issue of tremors, which have only recently occurred, and we should first consider whether they are medication-related. Are you t...[Read More] Understanding Body Tremors: Causes and Treatment Options
Understanding Syncope: Causes and Concerns in Elderly Patients
Conscious syncope Hello doctor, my mother is 65 years old and has a history of low blood pressure, chronic moderate insomnia, autonomic nervous system dysfunction, and headaches. She often relies on sleeping pills to fall asleep and takes acetaminophen to alleviate her headaches....
Dr. Wu Mukhan Reply:
Hello, your mother's symptoms may possibly be caused by seizures or syncope related to cardiac issues. It is advisable to arrange for further examinations at a hospital's neurology department.[Read More] Understanding Syncope: Causes and Concerns in Elderly Patients
Sharp Foot Pain During Urination: What Could Be the Cause?
Pain in the soles of the feet during urination? Hello Doctor: Since the morning of March 13th, I have been experiencing severe stabbing pain in my left foot while urinating, similar to neuropathic pain, located near the center of the forefoot close to the big toe. I visited an in...
Dr. Jiang Junyi Reply:
Dear Mr. Hsieh, You mentioned that "there is a sharp pain in the left foot during urination," which may indicate nerve root pain, particularly involving the sciatic nerve. Symptoms of peripheral nerve compression include: 1. Pain characterized by burning or tingling se...[Read More] Sharp Foot Pain During Urination: What Could Be the Cause?
Sharp Pain in Foot During Urination: Possible Neurological Issues?
Pain in the soles of the feet during urination? Hello Doctor: Since the morning of March 13th, I have been experiencing severe stabbing pain in my left foot while urinating, similar to neuropathic pain, located near the center of the forefoot close to the big toe. I visited an in...
Dr. Jiang Junyi Reply:
Dear Mr. Hsiao, You mentioned that "there is a sharp pain in your left foot when urinating," which may suggest radicular pain, particularly from the sciatic nerve. I would like to know if your urinalysis has ruled out the presence of occult blood. If it has been ruled ...[Read More] Sharp Pain in Foot During Urination: Possible Neurological Issues?
Managing Low Blood Pressure Issues from Heart Health Medication
The issue of hypotension caused by heart health supplements? I have a history of low blood pressure, but it is not low enough to be classified as hypotension. However, I was prescribed "Heart Care Tablets" for migraine treatment, taking half a tablet in the morning and ...
Dr. Wu Mukhan Reply:
Hello, it appears that your blood pressure is indeed too low. It is recommended to discontinue the use of XinKangLe and to return to the outpatient clinic as soon as possible to discuss medication options with your physician. There are various other medications available for the ...[Read More] Managing Low Blood Pressure Issues from Heart Health Medication
Understanding Sleep Kicking: Is It a Sleep Disorder?
Kicking during sleep? Hello doctor, I am currently in the second year of high school. Since elementary school, I have been kicking my legs randomly whenever I fall asleep. My family and friends who have slept over have mentioned that I kick them awake. I read online that this mig...
Dr. Wu Mukhan Reply:
Hello, your symptoms may indicate Periodic Limb Movement Disorder (PLMD), which is a sleep disorder characterized by involuntary, repetitive movements of the limbs during sleep. This condition can affect the quality of sleep for both you and those around you. If you find that it ...[Read More] Understanding Sleep Kicking: Is It a Sleep Disorder?
Understanding Finger Numbness: Causes and When to Seek Help
Numbness in the fingers? Hello, doctor. A few days ago, I felt numbness in my hand, and it felt like I was being electrocuted. Now, only my fingertips are numb. I went to see a neurologist, and after a preliminary examination, he asked if I felt an electric shock sensation. I sai...
Dr. Jiang Junyi Reply:
Dear Mr. Jayen, You mentioned "finger numbness... MRI examination," which clinically may suggest cervical nerve compression. Typical discomfort symptoms associated with cervical radiculopathy include pain in the shoulder or arm, as well as numbness, tingling, and weakn...[Read More] Understanding Finger Numbness: Causes and When to Seek Help
Cold Neck and Sweating: Understanding Possible Nerve Issues
Cold neck and sweating? Recently, after receiving a massage for back pain, I have been experiencing an inexplicable cold sensation in my neck during sleep or daily activities. I also feel pain in the 8th, 9th, 10th, 11th, and 12th vertebrae, and at times, I experience dizziness, ...
Dr. Jiang Junyi Reply:
Hello Mr. Hsu: You mentioned that the "cold sensation in the neck" may be related to nerve root compression at cervical levels 4-6? You also mentioned experiencing pain at thoracic vertebrae levels 8, 9, 10, 11, and 12. Are you referring to muscle pain adjacent to the t...[Read More] Cold Neck and Sweating: Understanding Possible Nerve Issues
Understanding Neck Tightness: Causes and Relief Strategies
Tightness in the back of the neck? Hello, doctor. Due to my work, I often sit in front of a computer desk or use my phone. Three days ago, after dinner, I suddenly felt tightness in the back of my neck, accompanied by mild headaches, dizziness, and nausea (I tend to be easily ner...
Dr. Wu Mukhan Reply:
Hello, your symptoms may be caused by neck muscle tension resulting from prolonged posture, poor sitting habits, or computer use. Anxiety and stress can also lead to physical tension, which may trigger headaches and neck discomfort. It is recommended to avoid maintaining the same...[Read More] Understanding Neck Tightness: Causes and Relief Strategies
Understanding Left-Sided Numbness: Possible Neurological Causes
Left-sided partial numbness? Hello, I have a situation that may seem strange, but I couldn't find similar reasons no matter how much I searched, so I'm reaching out to you. It started with an itch in a single tooth, and I initially thought it was a gum issue. However, t...
Dr. Wu Mukhan Reply:
Hello, it seems that you are experiencing sensory abnormalities on the left side of your face as well as on the left side of your body. This situation requires ruling out any issues related to the brain, as stroke or central nervous system lesions cannot be completely excluded. I...[Read More] Understanding Left-Sided Numbness: Possible Neurological Causes
Understanding Nerve Sensations: Insights on Hand Discomfort and Treatment
There is a tingling sensation near the webbing of my left hand, as if I have been electrocuted? Hello, Doctor: A few days ago, I inquired about some related issues and would like to ask a few more questions! (The symptoms are still ongoing, my dominant hand is not the left hand, ...
Dr. Wu Mukhan Reply:
Hello, at this stage, it is advisable not to intentionally apply pressure to the areas that are numb or have a tingling sensation, as this may worsen your symptoms. You can still move your fingers in your usual manner. Contact with water will not prevent the nerves from resting, ...[Read More] Understanding Nerve Sensations: Insights on Hand Discomfort and Treatment
Struggling with Sleep: Breathing Issues and Unexplained Pain
Difficulty breathing during sleep? I have trouble falling asleep and when I do, it feels like I can't breathe, which wakes me up. I have a slight pain on the left side of my head, not very severe. I also experience chest tightness, lower back pain, and a dull ache in my back...
Dr. Cai Zongzhang Reply:
Hello, Xuan: Based on the symptoms mentioned above, it is recommended to visit the neurology and pulmonology outpatient clinics.[Read More] Struggling with Sleep: Breathing Issues and Unexplained Pain
Managing Post-Surgery Seizures: A Patient's Journey with Neurology
Hello, Dr. Tsai? Hello Dr. Tsai, I am doing well after my arteriovenous malformation surgery, but I occasionally experience seizures. Previously, I was taking 6 capsules of Levetiracetam and 2 capsules of Vimpat (total daily dosage). However, I still had a seizure last Monday and...
Dr. Cai Zongzhang Reply:
Hello Ms. Hsieh: After surgery for brain disorders, it is common to experience residual symptoms of epilepsy. Even with regular medication adherence, it can be challenging to achieve complete seizure control. The treatment goal is to reduce the frequency of seizures. It is recomm...[Read More] Managing Post-Surgery Seizures: A Patient's Journey with Neurology
Understanding Unexplained Pain in the Cheekbone Area
Pain on the left side? Hello, doctor: May I ask why the pain is so severe when the zygomatic bone and masseter muscle are not swollen, there are no bruises, and anti-inflammatory medication has not been effective?
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, it is quite difficult to determine the issue. I recommend that you visit a medical facility for further evaluation. Thank you for your inquiry.[Read More] Understanding Unexplained Pain in the Cheekbone Area
Neck Issues Impacting Brain and Vision: A Neurology Consultation Guide
Consultation for Brain and Eye Issues Related to Cervical Spine Problems The elderly patient has been taking dementia medication since last year and has recently experienced discomfort in the head and blurred vision. A cervical spine X-ray was performed, and the report indicates ...
Dr. Peng Shiwei Reply:
Hello, based on your cervical X-ray, I would also recommend focusing on rehabilitation therapy. Cervical degeneration typically does not cause dizziness. If you are concerned about inadequate blood flow from the carotid or vertebral arteries, you may consult a neurologist to eval...[Read More] Neck Issues Impacting Brain and Vision: A Neurology Consultation Guide
Long-Term Effects of Ice Water on Migraine and Cognitive Function
Several years ago, I drank ice-cold water during a migraine, and as a result, I immediately felt dizzy and have had difficulty concentrating ever since? I have experienced migraines since childhood, typically located at the back of my head. One day during my senior year of high s...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, it is best to visit a hospital and consult a neurologist for a detailed assessment. Thank you for your inquiry.[Read More] Long-Term Effects of Ice Water on Migraine and Cognitive Function
Understanding Unilateral Numbness and Headaches: When to Seek Medical Help
Unilateral limb numbness and headache? Hello Dr. Wu, on March 18th around 5 PM, I suddenly experienced numbness in my right calf extending to the sole of my foot, which lasted until about 9 PM. After taking a hot shower, it slightly improved. At 10 PM, I then felt numbness in my ...
Dr. Wu Mukhan Reply:
Hello, if there is sudden unilateral numbness or weakness in the limbs, it is important to be cautious about potential cerebrovascular issues (such as a stroke). If the symptoms have resolved, it is advisable to visit a neurology outpatient clinic as soon as possible; however, if...[Read More] Understanding Unilateral Numbness and Headaches: When to Seek Medical Help
Electric Shock Sensation in Left Hand: When to See a Neurologist?
I felt a tingling sensation on the left side of the webbing between my left thumb and index finger, as if I had been electrocuted? On the evening of March 20th, while washing my hands, I noticed a sensation of being electrocuted when water flowed over a specific area just to the ...
Dr. Wu Mukhan Reply:
Hello Ms. Hsu, it appears that your symptoms are more indicative of superficial peripheral nerve compression leading to nerve inflammation or injury. It is advisable to avoid further pressure on the symptomatic area to prevent worsening of the symptoms. Symptoms of nerve compress...[Read More] Electric Shock Sensation in Left Hand: When to See a Neurologist?
Unexplained Leg Pain: Seeking Answers for Persistent Discomfort
Foot pain? Hello, doctor! I am 48 years old and I haven't fallen or twisted my ankle, but suddenly one of my legs started to hurt. The pain (in the back of my hip) has persisted for over a month. Physical therapy and rehabilitation have been ineffective. Initially, I had pai...
Dr. Wu Mukhan Reply:
Hello, X-rays can be used to examine the bones and joints of the limbs for any issues; however, problems related to nerves, muscles, blood vessels, and soft tissues cannot be fully diagnosed using X-rays alone. Elevated uric acid levels can lead to arthritis known as gout, which ...[Read More] Unexplained Leg Pain: Seeking Answers for Persistent Discomfort