Facial Numbness After Waking: Possible Causes and When to Seek Help
Numbness in the upper left side of the face upon waking up? I have been noticing this phenomenon for at least a month now. The main symptom is numbness around my left eye (forehead, temples, cheekbones, etc.), which is not painful. It tends to occur upon waking, especially in the...
Dr. Jiang Junyi Reply:
Hello Mr. Wang: You mentioned that "the symptoms mainly involve numbness around the left eye (forehead, temples, cheekbone, etc.)." This symptom may suggest inflammation of the first branch of the trigeminal nerve (ophthalmic nerve). First, we need to rule out sinusitis...[Read More] Facial Numbness After Waking: Possible Causes and When to Seek Help
Understanding Increased Nerve Pain After Diagnosis: Causes and Treatments
Diagnosis leads to exacerbation of neuropathic pain? Recently, after being diagnosed, the previously occasional neuropathic pain has become frequent, primarily occurring in the abdomen and thighs, both during the day and night (persistent). After taking painkillers, the pain retu...
Dr. Jiang Junyi Reply:
Hello, Ms. Bai: You mentioned that the pain primarily occurs in the abdomen and thighs, is persistent both day and night, and continues after taking pain medication for three to four hours, causing tears. Is this situation common? How should it be assessed and treated? Your sympt...[Read More] Understanding Increased Nerve Pain After Diagnosis: Causes and Treatments
Understanding Parkinson's Disease: Symptoms and Self-Assessment Insights
Parkinson's disease Hello Doctor, I saw online about a self-check for Parkinson's disease using the index and thumb fingers. I found that my left hand becomes stiff after pressing down for 40 times, and I start to slow down. I also tested this six years ago and experien...
Dr. Hong Weibin Reply:
Hello: Generally speaking, in a self-assessment for Parkinson's disease, repeatedly pressing the thumb usually shows a decrease in movement amplitude within 10 to 20 presses. If I press it 40 times, many normal individuals may experience hand fatigue. Additionally, Parkinson...[Read More] Understanding Parkinson's Disease: Symptoms and Self-Assessment Insights
Understanding Persistent Dizziness: Causes, Symptoms, and Relief Strategies
I experience dizziness as soon as I open my eyes? Hello, doctor. I'm quite confused about my condition, so I would like to consult you. In the past, I experienced dizziness and nausea occasionally, but since it happened infrequently, I would forget about it after it passed. ...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to visit the neurology outpatient clinic for a neurological function examination.[Read More] Understanding Persistent Dizziness: Causes, Symptoms, and Relief Strategies
Understanding Suboccipital Muscle Issues and Recovery Strategies
Suboccipital muscles After experiencing chills and shivering, I noticed that when I turn my head to the left, there is a popping sound. Slowly turning my head to the left is manageable, and when I support the back of my head with my hand while turning, there is no sound. I also n...
Dr. Cai Zongzhang Reply:
Hello: The symptoms mentioned may be indicative of cervical spondylosis. It is recommended to visit a neurology outpatient clinic.[Read More] Understanding Suboccipital Muscle Issues and Recovery Strategies
Is It True That Gut Autonomic Nervous Disorders Are Undetectable?
Is it impossible to detect autonomic nervous system dysfunction in the intestines? Hello, doctor. I have been experiencing long-term issues with irritable bowel syndrome (IBS) of the diarrhea type. My doctor mentioned that it is caused by autonomic nervous system dysregulation. A...
Dr. Jiang Junyi Reply:
Hello: You mentioned "autonomic nervous system examinations specifically targeting the intestines," which can utilize questionnaires or tests to assess the activity speed of various parts of the gut. The principle is similar to using a small transmitter (like a dashcam)...[Read More] Is It True That Gut Autonomic Nervous Disorders Are Undetectable?
Understanding Foot Symptoms After Prolonged Hospitalization: What to Do?
Foot problems Two months ago, I had ECMO (extracorporeal membrane oxygenation) inserted in both groin areas due to lung issues. After 11 days, my condition improved, and I was discharged. Initially, I felt weak all over from lying in bed for too long, so I didn't notice anyt...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, it is possible that you have peripheral nerve damage. I recommend that you visit a neurologist for further evaluation and examination. Thank you for your inquiry.[Read More] Understanding Foot Symptoms After Prolonged Hospitalization: What to Do?
Understanding Pulsating Pain in the Head and Ear: Possible Causes and Insights
Hello, doctor. Recently, I have started experiencing throbbing pain in my head and a pulsating pain in my ear? Last year, it was similar around this time. I’m not sure if it’s due to the cold weather, but I often start experiencing pain in the left occipital region (the area feel...
Dr. Peng Shiwei Reply:
Hello, since your symptoms seem to be related to ear discomfort and are associated with the opening and closing of the Eustachian tube (such as yawning or swallowing), it is recommended that you consult an otolaryngologist for an examination. Thank you for your inquiry.[Read More] Understanding Pulsating Pain in the Head and Ear: Possible Causes and Insights
Understanding Vestibular Neuritis: Causes and Recovery from Dizziness
Vertigo Hello, doctor! After getting up in the middle of the night to use the restroom and giving my child a pacifier, I suddenly experienced vertigo and vomiting upon returning to bed, which led me to the emergency room. I did not have any cold symptoms. The vertigo only occurre...
Dr. Cai Zongzhang Reply:
Hello, Ms. Chen: It is recommended to visit an otolaryngologist to check for any ear disorders that may be causing vestibular nerve dysfunction.[Read More] Understanding Vestibular Neuritis: Causes and Recovery from Dizziness
Understanding Right Middle Finger Spasms: Causes and Relief Strategies
Spasms of the right middle finger? Hello, I have nearly ten years of history with epilepsy, primarily characterized by seizures affecting the upper body and above the neck (on the right side). About three months ago, I began experiencing twitching on the right side of my face (in...
Dr. Cai Zongzhang Reply:
Hello Ms. Chen: The cause of the spasms in your right middle finger may not necessarily be related to epilepsy. It is recommended that you visit a neurology clinic for an examination.[Read More] Understanding Right Middle Finger Spasms: Causes and Relief Strategies
Understanding Persistent Dizziness: When to Seek Treatment and Management Tips
Dizziness issues? Hello, doctor. I have been experiencing dizziness, but it is not severe and does not affect my daily life. The symptoms usually occur suddenly, making me feel like I'm swaying, and they are particularly noticeable in crowded places. I have previously underg...
Dr. Jiang Junyi Reply:
Hello Ms. Chen, You mentioned that you "suddenly feel a sense of swaying, often thinking it's an earthquake, or that the symptoms become particularly pronounced in crowded situations." There are many causes of dizziness. If your dizziness is related to your menstr...[Read More] Understanding Persistent Dizziness: When to Seek Treatment and Management Tips
Understanding Neurological Symptoms: Is Smoking or High Blood Pressure the Cause?
Experiencing a sensation of heat in the back of the head during winter, inability to lie flat, and starting to feel dizzy after being awake for 16 hours, with the dizziness becoming progressively milder as the night goes on and having no desire to sleep? I started smoking at the ...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to reduce smoking and consult a neurologist to check for any vascular diseases.[Read More] Understanding Neurological Symptoms: Is Smoking or High Blood Pressure the Cause?
Understanding Post-COVID Brain Fog: Concerns and Solutions
Regarding post-COVID-19 cognitive fog? Hello, Doctor: I have a mental illness that already affects my memory and concentration, similar to the brain fog associated with post-COVID syndrome. Because of this, I am hesitant to dine in restaurants, fearing that contracting COVID-19 c...
Dr. Peng Shiwei Reply:
Hello, statistics from abroad indicate that the probability of experiencing post-COVID cognitive fog is around 20%. The likelihood of developing severe symptoms after vaccination is lower. Most post-COVID symptoms tend to improve within six months to a year, but approximately 25%...[Read More] Understanding Post-COVID Brain Fog: Concerns and Solutions
Understanding Visual Disturbances and Leg Weakness: A Neurological Perspective
Visual abnormalities and weakness or numbness in the calves? Hello Doctor, since June, I have been experiencing unclear vision on the edges of my left eye. After an ophthalmological examination, a visual field defect was found, raising concerns about a possible neurological issue...
Dr. Jiang Junyi Reply:
Dear Miss Abo, You mentioned that "the edges of things appear unclear in my left eye." The report seems unable to explain this condition, but it does mention "suspect hypoplasia of the right vertebral artery." I wonder if you have any risk factors for cerebro...[Read More] Understanding Visual Disturbances and Leg Weakness: A Neurological Perspective
Understanding Parkinson's Disease: Symptoms, Diagnosis, and Management
Parkinson's disease Hello doctor, I have a question. Since 2016, whenever I lie flat and remain still, my right leg feels warm and stiff, and it only improves when I move or bend it. Additionally, I often experience muscle twitching in various parts of my body, which is part...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, it may not necessarily be Parkinson's disease. If you feel that your symptoms have worsened over the past few years, it is advisable to consult a neurologist again for an evaluation. Thank you for your inquiry.[Read More] Understanding Parkinson's Disease: Symptoms, Diagnosis, and Management
Understanding Neck Pain and Numbness: Is It Just a Strain or a Stroke?
Neck pain / unilateral numbness? I am currently in the postpartum period and woke up early in the morning to pump breast milk. During this time, I suddenly felt some pain in my right neck, but I can still move my head up, down, and side to side. After going back to sleep and waki...
Dr. Jiang Junyi Reply:
Dear Ms. Jill, You mentioned experiencing "some numbness in your right hand and right cheek." I would like to clarify whether the numbness in your face includes the area around your mouth and nose. If only the jaw area is affected, we may need to consider the possibili...[Read More] Understanding Neck Pain and Numbness: Is It Just a Strain or a Stroke?
Could Your Mysterious Symptoms Be Related to Autonomic Nervous System Dysfunction?
Is it autonomic nervous system dysfunction? Hello Doctor: Since the beginning of December this year, I have been experiencing a series of inexplicable pains. I visited a cardiologist who diagnosed me with mitral valve prolapse and mild hypertension. I also went to a pulmonologist...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to consult a neurologist for an evaluation of the underlying cause.[Read More] Could Your Mysterious Symptoms Be Related to Autonomic Nervous System Dysfunction?
Understanding Lower Back Pain After Surgery: Causes and Solutions
Lower back pain issues? Hello doctor, I have been experiencing lower back pain since my surgery in July (I had surgery on my left toe under spinal anesthesia; I also had surgery on my right foot earlier this year, also under spinal anesthesia). Today, I felt a recurrence of achin...
Dr. Peng Shiwei Reply:
Hello, issues with the lower back or intervertebral discs can still occur in young individuals. If you are concerned, you can visit a neurology clinic for consultation. Thank you for your question.[Read More] Understanding Lower Back Pain After Surgery: Causes and Solutions
Can Devices Accurately Diagnose Autonomic Nervous System Disorders?
Is there a device that can detect autonomic nervous system dysfunction? Hello, doctor. I have been suffering from irritable bowel syndrome (diarrhea type) since my student days. Recently, I finally mustered the courage to undergo an endoscopy, and the results showed that my intes...
Dr. Jiang Junyi Reply:
Hello, You asked, "Is there a specialized instrument to test for autonomic nervous system disorders? Do general clinics have this, or is it only available in large hospitals?" Here are four commonly used tools for assessing autonomic nervous system disorders: ● Hea...[Read More] Can Devices Accurately Diagnose Autonomic Nervous System Disorders?
Understanding Left Jaw Pain: When to See a Neurologist or Dentist
Sharp pain in the left lower jaw and cheek? Hello Doctor: For the past two days, I've been experiencing intermittent sharp pain on the left side of my cheek, feeling like someone is poking me with a needle or giving me an electric shock, which is quite uncomfortable. The pai...
Dr. Jiang Junyi Reply:
Hello Ms. Chen, You mentioned that "the pain extends from the jaw up to the temples, around the eyes, and the scalp, and down to the chin, occurring several times a minute or suddenly once every few hours. The pain intensifies during activities such as eating, yawning, turn...[Read More] Understanding Left Jaw Pain: When to See a Neurologist or Dentist