Understanding Balance Issues: The Impact of Stress on Neurological Health
Body swaying, unstable center of gravity? Hello, doctor. Two months ago, I was under a lot of stress and only sleeping six hours a day. I often experienced nasal congestion, had canker sores on my tongue, and noticed white spots on almost every fingernail (which I hadn't exp...
Dr. Cai Zongzhang Reply:
Hello: I have been experiencing dizziness for over a month. Ear examinations showed no abnormalities, and I was advised to see a neurologist for further evaluation.[Read More] Understanding Balance Issues: The Impact of Stress on Neurological Health
Understanding Neck and Back Pain: When to Worry About Serious Conditions
Pain in the occipital region of the neck? Hello Doctor: I have been experiencing symptoms such as neck pain and upper back pain since early last year. I have consulted with rehabilitation and neurology specialists, and underwent several neurological and X-ray examinations, which ...
Dr. Hong Weibin Reply:
Hello: Based on your description, it may be related to neck muscle stiffness. It is recommended to relax the muscles.[Read More] Understanding Neck and Back Pain: When to Worry About Serious Conditions
Sudden Weakness in the Back of the Head and Limbs: Possible Causes and Next Steps
Sudden weakness in the back of the head and limbs? Hello, doctor. Over the past month, I have experienced two episodes of symptoms similar to what I described in the subject. It feels like I am about to lose my balance, but my consciousness remains clear. Additionally, I have bee...
Dr. Jiang Junyi Reply:
Hello Mr. Shawn, You mentioned that "after the episode, my heart rate rises to about 150, and my blood pressure reaches 139/93, but after resting for about 20 minutes, both return to normal... I'm not sure if there might be an issue with the cerebellum or brainstem, or...[Read More] Sudden Weakness in the Back of the Head and Limbs: Possible Causes and Next Steps
Understanding Nighttime Headaches: When to Seek Medical Attention
Nighttime headaches Hello, I have been experiencing headaches and dizziness around 11 PM recently, but it does not affect my sleep and I have no other symptoms. Should I specifically seek medical attention? Thank you.
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that you start experiencing headaches and dizziness around 11 PM. There are many causes of headaches, and if your headaches are related to your menstrual cycle, the likelihood of migraines is higher. However, conditions such as anemia, autonomic nervous...[Read More] Understanding Nighttime Headaches: When to Seek Medical Attention
Understanding Your Facial Pain: Possible Neurological Issues Explained
Could you please specify which symptoms you are referring to in order to determine which aspect of the nervous system may be involved? Hello Doctor, for the past few months, I have been experiencing pain in the gums of the last tooth on the left side at the back. Sometimes the pa...
Dr. Jiang Junyi Reply:
Dear Ms. Lee, You mentioned that "the acidic pain in the mouth can extend to the cheeks and then to the ears, and it can also radiate to the muscles of the tongue and the upper and lower jaws," which suggests trigeminal neuralgia. The diagnostic criteria for trigeminal...[Read More] Understanding Your Facial Pain: Possible Neurological Issues Explained
Understanding Muscle Twitches: Neurological Insights and Concerns
Muscle twitching In the past few weeks, I have been experiencing muscle twitching, so I underwent nerve conduction studies and electromyography (EMG). 1. I would like to ask if it is sufficient to perform the EMG on just one side? 2. I have noticed that my left big toe does not l...
Dr. Hong Weibin Reply:
1. So I would like to ask, is it sufficient to perform an electromyography (EMG) test on just one side? Since EMG involves inserting needles into the muscles to measure physiological electrical activity, it can cause discomfort to the subject. Therefore, it is usually performed o...[Read More] Understanding Muscle Twitches: Neurological Insights and Concerns
Should You Wake Someone Who Talks in Their Sleep? Expert Insights
Is it necessary to wake someone who is talking in their sleep? My brother (40 years old) talks in his sleep (very excitedly); should I wake him up? Is it correct that I shouldn't disturb his brain activity, as I've read online? Sometimes he also screams in his sleep (no...
Dr. Hong Weibin Reply:
Talking in one's sleep or exhibiting bodily movements during sleep does not require waking the individual if there is no risk to their own safety or that of their bed partner. Consultation with a sleep medicine specialist is recommended for further discussion. Generally, mel...[Read More] Should You Wake Someone Who Talks in Their Sleep? Expert Insights
Persistent Headaches After Head Injury: When to Seek Help?
Intermittent headaches following a head contusion? Hello, doctor. I was diagnosed with a head contusion after a car accident, and over a month later, I am still experiencing headaches. Recently, the frequency has increased, and I have pain about five days a week, all in the same ...
Dr. Jiang Junyi Reply:
Hello, Miss Xiaoshan. You mentioned, "I experience severe headaches during these exercises. What should I do? Which specialist should I see?" Your symptoms may suggest cervical spine disorders. External factors such as traffic accidents, falls, head impacts against hard...[Read More] Persistent Headaches After Head Injury: When to Seek Help?
Understanding Neck Pain: Seeking Effective Treatment for Neurological Issues
Neck pain Hello, doctor! A year ago, I have been experiencing a heavy sensation in the back of my neck and occiput, along with fatigue. Sometimes, I also feel pain and swelling in my jaw, as well as partial numbness in my face. My left ear feels stuffy, and I have tinnitus, which...
Dr. Jiang Junyi Reply:
Hello Mr. Kuan, You mentioned that your left hand experiences numbness, tingling, soreness, and weakness, and that the rehabilitation clinic indicated it might be due to nerve compression. I'm curious about the specific area where you feel the numbness and tingling. Based o...[Read More] Understanding Neck Pain: Seeking Effective Treatment for Neurological Issues
Understanding Lower Leg Pain: When to See a Neurologist
Painful tingling below the calf? Today, the temperature is 20 degrees Celsius, and the tingling sensation is mild, only slightly felt on the dorsum of my feet. A few days ago, when the weather was hot and the air conditioning was set to 27 degrees, the tingling became severe and ...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned that "the tingling has severely spread to the calves, and it also occurs while sleeping." This symptom may indicate that the lumbar nerve roots are being compressed. Typical discomfort associated with lumbar nerve root pathology includes pain r...[Read More] Understanding Lower Leg Pain: When to See a Neurologist
Understanding Muscle Fasciculations: Causes, Symptoms, and Diagnosis
Fasciculation Hello doctor, I started experiencing muscle fasciculations on the outer side of my left thigh around October 3rd, which lasted continuously for half an hour. After that, it would occur every few days for a few minutes at a time, several times a day. I suspect this s...
Dr. Jiang Junyi Reply:
Dear Mr. Shang, You mentioned that you are "very anxious and worried whether it is ALS..." Your symptoms should still consider lumbar spine issues. ALS is a motor neuron disease, and your mention of "easily feeling numb" does not align with the characteristic...[Read More] Understanding Muscle Fasciculations: Causes, Symptoms, and Diagnosis
Understanding Right-Sided Numbness: Causes and Treatment Options
Numbness in the right side of the limbs? Hello, I would like to ask about a condition I started experiencing about a week and a half ago. I began to feel a slight numbness in my right big toe (it's not painful, just a tingling sensation, more like a mild numbness without any...
Dr. Jiang Junyi Reply:
Hello Ms. Feny: You mentioned that "the second, third, and fourth toes of my right foot feel a bit numb, and then over the next two days, the numbness spread to the top of my foot, my calf, and my knee, and even my right hand started to feel numb, particularly around the fin...[Read More] Understanding Right-Sided Numbness: Causes and Treatment Options
Understanding Occipital Pain: Headaches and Neck Issues Explained
Occipital pain, headache, cervical spine issues? Hello Doctor: I would like to ask about my condition. I have been experiencing headaches for over four days (I usually do not have headaches). I have taken pain relievers, but the pain persists. The pain is mostly located at the ba...
Dr. Jiang Junyi Reply:
Dear Ms. Jun, You mentioned that "the pain feels dull and tight, and the area where I lie down also hurts" due to localized pain points. This may indicate cervical myofascial pain syndrome. Prolonged periods of looking down can lead to overuse of the trapezius muscle i...[Read More] Understanding Occipital Pain: Headaches and Neck Issues Explained
Understanding Nerve Pain and Weakness in Hands and Feet: A Patient's Journey
Numbness and tingling in both hands, weakness in both legs? Since March of last year, I started feeling a foreign sensation behind my occiput upon waking up one day. I consulted a doctor and took medication, but it did not improve. Later, the foreign sensation suddenly disappeare...
Dr. Jiang Junyi Reply:
Dear Miss Vicky, You mentioned "Multiple sclerosis? Neuritis? Autoimmune diseases? Diabetes? Herniated disc? Amyotrophic lateral sclerosis? CIDP?... Which specialty should I consult to thoroughly identify and resolve the issue?" You also noted that "the discomfort...[Read More] Understanding Nerve Pain and Weakness in Hands and Feet: A Patient's Journey
Understanding Involuntary Muscle Twitches: Causes and Concerns
Involuntary muscle twitching? Hello Doctor, I have recently been experiencing involuntary muscle twitching throughout my body (in my feet, calves, thighs, lower back, buttocks, etc.), with the highest frequency occurring in my right foot. The amplitude of the twitches varies, and...
Dr. Cai Zongzhang Reply:
Hello, Xiao Wu: If the above symptoms persist, it is recommended to visit a neurologist for further examination to determine the cause.[Read More] Understanding Involuntary Muscle Twitches: Causes and Concerns
Understanding Alcohol-Related Neurological Symptoms: Stroke or Intoxication?
Inability to move the limbs and facial twitching after consuming alcohol? After consuming less than a small beer glass of whiskey, the individual experienced inability to move their limbs (hands making an "OK" gesture but unable to move), facial twitching, weakness in t...
Dr. Peng Shiwei Reply:
Hello Mr. Huang, based on your symptoms, both epilepsy and transient ischemic attack are possible. The likelihood of alcohol intoxication is relatively low. If you have any concerns, please come to the hospital for a thorough evaluation by a physician. It is also advisable for yo...[Read More] Understanding Alcohol-Related Neurological Symptoms: Stroke or Intoxication?
Understanding Dizziness and Nausea: Possible Neurological Causes
Dizziness and nausea? Hello Doctor: I have been experiencing dizziness for about a week now, and sometimes I even feel a bit nauseous (though I haven't actually vomited). I also have some diarrhea, but I'm not sure if it's related to the dizziness. The dizziness us...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "you feel dizzy when sitting or lying down, and there seems to be a slight swaying sensation." This symptom may suggest Benign Paroxysmal Positional Vertigo (BPPV), where dizziness occurs when turning the head, tilting the head back, or rising ...[Read More] Understanding Dizziness and Nausea: Possible Neurological Causes
Understanding Lip Numbness: COVID-19 Symptoms or Stroke Warning?
Numbness of the lips? Hello, doctor. During my COVID-19 diagnosis at the end of August, I experienced lip numbness, which has since become more frequent, often lasting over a day. The numbness is located on the outer part of my lips. Is this a symptom of COVID-19, or could it be ...
Dr. Jiang Junyi Reply:
Dear Ms. Liang, You mentioned that "the numbness in your lips is located on the outer edge." I would like to know if you are experiencing any other symptoms of numbness or tingling in your limbs. Similar symptoms are commonly seen in cases of hyperventilation. This occ...[Read More] Understanding Lip Numbness: COVID-19 Symptoms or Stroke Warning?
Understanding Facial Numbness After a Head Injury: What to Expect
Numbness following facial impact? Hello, doctor. I had an accident where I hit the corner of a table near my eyebrow and eye. There is a wound below my right eyebrow, and it is swollen. After the impact, I experienced numbness in the right eyebrow, right eyelid, right side of my ...
Dr. Jiang Junyi Reply:
Hello, Xin Xin: You mentioned, "I can understand the temporary numbness from the impact, but it has been three days now. Could this cause any issues?" As of 10/12, have your symptoms improved? Typically, after tissue is injured by external force, symptoms such as swelli...[Read More] Understanding Facial Numbness After a Head Injury: What to Expect
Left Shoulder Pain and Numbness: Which Specialist to See?
Left shoulder pain and numbness in the left hand? I have been experiencing pain in my left shoulder for some time, which is usually alleviated by using a medicated patch. However, recently the pain has intensified to the point where my left arm feels numb and weak. Which departme...
Dr. Jiang Junyi Reply:
Hello Ms. Lin, You mentioned experiencing symptoms of "pain radiating to the left arm with numbness," which may suggest compression of the nerve roots from the sixth cervical vertebra to the thoracic spine. This could be due to a herniated disc or structural issues in ...[Read More] Left Shoulder Pain and Numbness: Which Specialist to See?