Understanding Muscle Twitches: Symptoms and Concerns in Neurology
Muscle twitching combined with multiple symptoms? Hello, doctor. I have been experiencing muscle twitching for three months now. I have seen doctors during this time, but no tests have been conducted. I finally found a place where I can undergo a nerve conduction study (which has...
Dr. Chen Weida Reply:
Hello! Motor neuron diseases mostly occur in middle-aged and older individuals. The early symptoms primarily involve progressive muscle weakness, while sensory abnormalities are not prominent. Please continue to monitor your symptoms, and if you have any concerns or questions, it...[Read More] Understanding Muscle Twitches: Symptoms and Concerns in Neurology
Understanding Facial Muscle Twitches: When to See a Neurologist or Ophthalmologist
Facial spasms Hello Doctor, I have been experiencing muscle twitching around the tear trough area on my right face (near the apple cheek) for about a month now, and there has been no improvement. Sometimes it occurs first thing in the morning, even when I am not fatigued. I have ...
Dr. Huang Hongling Reply:
If eyelid twitching persists for more than 2-3 weeks, is severe enough to cause the eyes to close, or if there are other symptoms such as twitching of facial or body muscles, redness of the eyes, discharge, or drooping eyelids, it is advisable to visit a neurology clinic for eval...[Read More] Understanding Facial Muscle Twitches: When to See a Neurologist or Ophthalmologist
Understanding Lingual Numbness and Jaw Pain: A Neurological Perspective
Numbness at the base of the tongue and pain in the lower jaw? Hello Doctor, about three days ago I woke up with pain in the right lower jaw (around the area of the second/first molar). When I press on my cheek, it hurts slightly. I have also been experiencing persistent numbness ...
Dr. Jiang Junyi Reply:
Dear Ms. Si, You mentioned that "the right side of my tongue root has been numb continuously, and sometimes the right corner of my mouth also feels numb." Your symptoms may suggest the possibility of trigeminal neuralgia affecting the mandibular branch of the trigemina...[Read More] Understanding Lingual Numbness and Jaw Pain: A Neurological Perspective
Understanding Post-Rest Symptoms: Causes and Solutions for Neurological Issues
Neurological issues related to the head? I’m not sure when it started, but sometimes when I feel more tired, I lie down on the table or bed to rest for about 15 to 30 minutes. After waking up, I experience a slight tremor at the back of my head, my heartbeat feels stronger, and s...
Dr. Jiang Junyi Reply:
Hello, sir: Your symptoms may indicate peripheral nerve compression. 1. The nature of the pain is characterized by burning and tingling sensations. 2. The symptoms have a specific dermatomal distribution, and can be triggered by touch or pressure. 3. There is also accompanying mu...[Read More] Understanding Post-Rest Symptoms: Causes and Solutions for Neurological Issues
Understanding Right Big Toe Tremors: Possible Neurological Insights
Trembling of the right big toe? Hello Doctor, I previously worked in the tech industry and left my job due to excessive stress, which led to symptoms resembling panic attacks, such as chest tightness, difficulty breathing, and palpitations (without medical diagnosis). I initially...
Dr. Cai Zongzhang Reply:
Hello Mr. Chen: Based on the symptoms mentioned, it is recommended to visit a neurologist for further evaluation to confirm the underlying cause.[Read More] Understanding Right Big Toe Tremors: Possible Neurological Insights
Understanding Unexplained Body Pain: A Neurological Perspective
Physical changes in the past three months? Hello, Doctor. I have been experiencing various health issues over the past three months. Initially, I had pain throughout my body (I'm unsure if it's muscle pain or bone pain). The pain is difficult to describe; sometimes it f...
Dr. Huang Hongling Reply:
Fibromyalgia is diagnosed based on clinical symptoms, and some medications used for it also serve as treatments for anxiety or depression. As for amyotrophic lateral sclerosis (ALS), pain is rarely a symptom. It is recommended that you return to your original neurologist for a co...[Read More] Understanding Unexplained Body Pain: A Neurological Perspective
Understanding Throat Foreign Body Sensation: Causes and Solutions
Foreign body sensation in the throat? Since starting fitness training in September of last year, I have begun experiencing difficulty swallowing. I have visited an otolaryngologist, neurologist, and endocrinologist, and all tests returned normal results. Eventually, a gastroenter...
Dr. Jiang Junyi Reply:
Dear Mr. Tso, You mentioned that "difficulty swallowing and a sensation of a foreign body in the throat have persisted," which could be due to cervical nerve compression, brainstem dysfunction, or sympathetic nervous system abnormalities, among other reasons. It is mor...[Read More] Understanding Throat Foreign Body Sensation: Causes and Solutions
Understanding Left Hand Finger Pain: Possible Neurological Issues
Pain in the fingers of the left hand? Hello Doctor, I can make a fist and extend my left hand, but I always experience pain in my middle finger when I try to grip tightly or hold something. Additionally, when I gently tap the junction of my left palm and middle finger with my rig...
Dr. Jiang Junyi Reply:
Hello Mr. Lee: You mentioned that "tapping the junction of your left palm and left middle finger is painful." Is this at the joint? Are there any symptoms of redness or heat? Your description seems to indicate inflammation of a single joint. Common causes of pain in the...[Read More] Understanding Left Hand Finger Pain: Possible Neurological Issues
Sneezing and Numbness: Understanding Neurological Symptoms
Experiencing a tingling sensation on the scalp when sneezing? Recently, whenever I sneeze, I experience a tingling sensation in the back of my head that extends down to my neck and upper back. What could be causing this?
Dr. Jiang Junyi Reply:
Dear Ms. Ling, You mentioned that "after sneezing, I start to feel numbness in the back of my head extending to my neck and upper back." This temporary numbness may be caused by compression of the cervical nerves at the C4-C5 levels due to abnormal cervical posture. I ...[Read More] Sneezing and Numbness: Understanding Neurological Symptoms
Feeling Dizzy and Heart Palpitations: Understanding Neurological Symptoms
Lying down, I feel my body swaying, and my heartbeat is noticeably strong? When sitting in a chair, I feel a noticeable swaying sensation, even though there is no earthquake, and both the chair and the floor are stable. When lying down to rest, I distinctly feel as if I am spinni...
Dr. Jiang Junyi Reply:
Dear Mr. Jiang, You mentioned that "when lying down to rest, I have a distinct sensation of my entire body spinning, almost like going in circles. I can also feel my heartbeat very clearly, thumping strongly." Your symptoms may suggest benign paroxysmal positional vert...[Read More] Feeling Dizzy and Heart Palpitations: Understanding Neurological Symptoms
Uncontrollable Tongue Movement While Speaking: Possible Causes Explained
The tongue may uncontrollably protrude while speaking? A few days ago, I suddenly experienced an inability to control my tongue while speaking, resulting in a lisping effect. I have undergone a CT scan, and there are no issues with my brain. The oral and maxillofacial surgeon als...
Dr. Jiang Junyi Reply:
Hello Mr. Xiao Hei, You mentioned that "your tongue tends to uncontrollably stick out while speaking, leading to a lisping phenomenon." Your symptoms may indicate an abnormality in tongue muscle tone, resulting in a specific posture. This is primarily due to the impact...[Read More] Uncontrollable Tongue Movement While Speaking: Possible Causes Explained
Understanding Tinnitus: When to Consult a Neurologist?
Tinnitus for three weeks? Hello Doctor: Three weeks ago, I experienced tinnitus without any apparent reason, which is bilateral. I have undergone tympanometry and hearing tests, both of which were normal. The tinnitus sounds more like a non-directional high-pitched ringing, but i...
Dr. Jiang Junyi Reply:
Hello Mr. QQQ: You mentioned "bilateral tinnitus, with normal tympanometry and hearing tests, and the tinnitus sounds more like a non-directional high-pitched ringing." This is more indicative of common causes of tinnitus such as viral infections, trauma, or injury, whi...[Read More] Understanding Tinnitus: When to Consult a Neurologist?
Managing Baby's Head Hematoma After a Fall: What Parents Should Know
Baby fell off the bed? The baby is seven months old and fell from the bed onto a tiled floor, with the bed height being approximately 70 cm. The baby was taken to the hospital within 20 minutes and underwent an X-ray, which initially indicated that there were no bone issues. The ...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned, "I would like to ask the doctor how long it takes for a hematoma to resolve and if there are any quick methods to reduce swelling? If it doesn't go away, do I need to return for a follow-up, and could there be any more serious conditions?&quo...[Read More] Managing Baby's Head Hematoma After a Fall: What Parents Should Know
Knee Pain When Touched: Causes, Recovery, and Treatment Options
Knee pain occurs upon impact? Hello, Doctor. I started experiencing mild pain in my knee about a week ago. I've noticed that it doesn't affect my daily activities, but it hurts when I lightly touch the outer side of my kneecap, while pressing firmly doesn't cause a...
Dr. Jiang Junyi Reply:
Hello Miss Hsiao-Hsiang, You mentioned that "light touch causes pain (on the outer side of the kneecap)," which may indicate "patellofemoral pain syndrome." The role of the patella is to increase the mechanical angle of the tendons and enhance muscle contract...[Read More] Knee Pain When Touched: Causes, Recovery, and Treatment Options
Understanding Chronic Fatigue and Pain: Neurological Symptoms Explained
Severe fatigue, body aches, brain fog, eye pain, dizziness, and a feeling of head pressure? I have already undergone blood tests in the neurology department and the rheumatology and immunology department, and there were no significant issues. During the visits, I only emphasized ...
Dr. Chen Weida Reply:
Hello, Wu! In response to your inquiry regarding symptoms such as severe fatigue, widespread pain, brain fog, eye pain, dizziness, and head pressure, a preliminary assessment suggests that it may be fibromyalgia. It is recommended that you consult a neurologist or a rheumatologis...[Read More] Understanding Chronic Fatigue and Pain: Neurological Symptoms Explained
Understanding Autonomic Nervous System Disorders: A Patient's Inquiry
Inquiry for clarification? Hello Dr. Tsai, I would like to discuss my mother's condition. For the past 2 to 3 years, she has experienced symptoms such as elevated blood pressure, palpitations, and increased heart rate during times of labor, fatigue, or anxiety. Sometimes, r...
Dr. Cai Zongzhang Reply:
Hello Kris: Fatigue or anxiety can stimulate the sympathetic nervous system, affecting heart rate and blood pressure. This is a normal response of the sympathetic nervous system to stress. Treatment should focus on avoiding excessive fatigue and reducing anxiety. Additionally, in...[Read More] Understanding Autonomic Nervous System Disorders: A Patient's Inquiry
Understanding Carpal Tunnel Syndrome: Symptoms and Causes Explained
Inquiry for clarification? Hello Dr. Jiang, I would like to ask you about a situation. Today, my mother, while sleeping, wanted to get up to use the restroom but had difficulty doing so. When I went to help her get up, she was gripping my right wrist (the area where the bones pr...
Dr. Jiang Junyi Reply:
Dear Mr. Kris, You mentioned "Carpal Tunnel Syndrome." Carpal Tunnel Syndrome refers to the clinical symptoms caused by the compression of the median nerve as it passes through the wrist, which is surrounded by the carpal bones and ligaments forming the "carpal tu...[Read More] Understanding Carpal Tunnel Syndrome: Symptoms and Causes Explained
Understanding Mysterious Wrist Pain: When to Seek Neurological Advice
Skin prickling sensation Hello Doctor, for the past couple of days, I have been experiencing an unexplained sharp pain below my left index finger at the wrist when applying lotion. However, there are no visible external injuries, and I have been using this lotion for a long time....
Dr. Chen Weida Reply:
Hello! Thank you for your inquiry regarding symptoms of skin pain caused by touch. There are many possible causes, and a proper diagnosis can only be made through evaluation and examination by a physician. I recommend visiting a neurology clinic for further assessment. Wishing yo...[Read More] Understanding Mysterious Wrist Pain: When to Seek Neurological Advice
Understanding Involuntary Muscle Jerks During Sleep: Causes and Concerns
Involuntary twitching Hello doctor, recently I have been experiencing sudden body jerks while sleeping at night, especially when I am about to enter deep sleep. The jerks happen multiple times and in different areas, sometimes in my fingers, sometimes in my toes, and sometimes in...
Dr. Jiang Junyi Reply:
Dear Ms. Elsa, You mentioned that "when entering deep sleep, I experience multiple jerks in different areas, sometimes in my fingers, sometimes in my toes, and sometimes in my hands, accompanied by a sensation of rapid heartbeat and palpitations, which causes me to wake up....[Read More] Understanding Involuntary Muscle Jerks During Sleep: Causes and Concerns
Can Hand Pressure Cause Carpal Tunnel Syndrome? Expert Insights
Please provide the content you would like to have translated into English? Hello Dr. Jiang: Thank you very much for your response to the inquiry in “#208083” and for your detailed explanation regarding "Carpal Tunnel Syndrome." I have greatly benefited from it! I would ...
Dr. Jiang Junyi Reply:
Hello Kris, You mentioned a protrusion of bone on the back of your right wrist. I'm wondering if you are experiencing any tingling or numbness? The carpal tunnel is located on the inner side of the wrist and is not typically related to pressure on the back of the hand. Carp...[Read More] Can Hand Pressure Cause Carpal Tunnel Syndrome? Expert Insights