Understanding Occipital Neuralgia: Pain Triggered by Gum Inflammation
Occipital neuralgia? Every time I experience gum inflammation and ulceration, I feel a sharp pain in the back of my head. The pain is located slightly above the center of the back of my head, and it feels like an electric shock, occurring intermittently every few seconds. Once th...
Dr. Cai Zongzhang Reply:
Hello: The symptoms mentioned may indicate trigeminal nerve inflammation, possibly due to herpes zoster affecting the trigeminal nerve. It is recommended to consult a neurologist for examination and treatment.[Read More] Understanding Occipital Neuralgia: Pain Triggered by Gum Inflammation
Understanding Sudden Pain and Numbness in the Left Foot
Severe pain and numbness in the left dorsum of the foot? Dr. Tsai: Hello. I drove home for over an hour, and after getting out of the car, I took just two steps when I suddenly felt a tingling pain in the top of my left foot. The pain feels like a cramp and has been persistent, e...
Dr. Cai Zongzhang Reply:
Hello, Mrs. Hsieh: The symptoms mentioned above may be caused by nerve compression. It is recommended to visit a neurologist for an evaluation of the underlying cause.[Read More] Understanding Sudden Pain and Numbness in the Left Foot
Managing Sleep Apnea Symptoms: Tips for Immediate Relief
Questions related to respiratory arrest? Hello Doctor, I occasionally experience a heart rate of around 100 beats per minute while lying down at night, and during the day, when sitting at the computer, my heart rate ranges from 100 to 120 (measured with a fingertip pulse oximeter...
Dr. Cai Zongzhang Reply:
Hello Ben: It is recommended to visit an otolaryngologist to check for any other underlying causes.[Read More] Managing Sleep Apnea Symptoms: Tips for Immediate Relief
Understanding Hand Tremors: Insights on Parkinsonism in Young Adults
Regarding hand tremors and juvenile Parkinson's disease? Hello, pharmacist. About three years ago, during my sophomore year, I visited Datong Hospital due to movement disorders (PKD) and restless legs syndrome. The restless legs syndrome has been an issue since I became awar...
Dr. Hong Weibin Reply:
Hello: Based on your description, "the tremor does not occur when the hand is completely relaxed with the palm facing up on the thigh, but it does tremble when the fingers slowly make a fist or when clenching and then slowly relaxing," this type of tremor is more indica...[Read More] Understanding Hand Tremors: Insights on Parkinsonism in Young Adults
Understanding the Increased Dementia Risk After Concussions
The probability of developing dementia after a concussion? A study from Sweden indicates that individuals who have experienced a concussion have an 80% increased risk of developing dementia. Although the likelihood of developing dementia after a head injury decreases over time, e...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned that "nine years ago, you had a motorcycle accident and lost consciousness for more than ten minutes; the doctor said it was a concussion, and that was the only time you have experienced this." Severe head trauma can cause varying degrees of da...[Read More] Understanding the Increased Dementia Risk After Concussions
Understanding Right-Side Numbness: Causes and Concerns in Neurology
Numbness in the right side of the face, hands, and feet? Hello, I initially experienced numbness in my right hand's ring and little fingers, as well as numbness on the right side of my face. Sometimes, I feel saliva pooling in my mouth. I consulted a neurologist who performe...
Dr. Jiang Junyi Reply:
Hello Ms. Ping, You mentioned that "the ring finger and little finger are numb," which is more indicative of ulnar nerve pathology. You also mentioned that "the MRI of the spine shows mild disc herniation." Often, because the MRI is performed while lying down...[Read More] Understanding Right-Side Numbness: Causes and Concerns in Neurology
Understanding Persistent Numbness: Causes and Treatments for Limb and Abdominal Symptoms
Numbness in the limbs, numbness in the abdomen and back? Hello Doctor: Starting from January 1st of this year, I experienced a progressive numbness in both legs, beginning from the soles and extending up to the waist over a span of five days. The numbness persisted 24 hours a day...
Dr. Jiang Junyi Reply:
Dear Mr. Lai, You mentioned that "the numbness gradually spread from the soles of both feet to the waist over five days." I wonder if you have been exposed to nitrous oxide? If the numbness is rapidly ascending, we may consider acute demyelinating polyneuropathy. Las...[Read More] Understanding Persistent Numbness: Causes and Treatments for Limb and Abdominal Symptoms
Understanding Nerve Compression: Left Upper Back and Limb Numbness Issues
Frequent numbness in the upper left back and numbness in the limbs while sleeping? Hello, doctor. I have the following main symptoms and I'm unsure if they are related: 1. I frequently experience numbness in the upper left back (around the scapula) that started about three...
Dr. Jiang Junyi Reply:
Hello Mr. Wu: You mentioned, "Could the physician determine if it is due to thoracic nerve compression or a brain issue?" The symptoms include "involuntary muscle twitching in small, localized areas throughout the body, visible to the naked eye, which has persisted...[Read More] Understanding Nerve Compression: Left Upper Back and Limb Numbness Issues
Managing Muscle Cramps in Myasthenia Gravis Patients: Solutions and Medications
Medication issues Hello, doctor. I have been diagnosed with myasthenia gravis, and after starting medication, I have been experiencing cramps in the soles of my feet. The frequency of these cramps is higher than with the previous medication I was taking, and they are quite painfu...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned that "after being diagnosed with myasthenia gravis and starting medication, I experienced cramps in the soles of my feet, and the frequency is higher than with the previous medication." In cases of myasthenia gravis, the use of muscle relaxants...[Read More] Managing Muscle Cramps in Myasthenia Gravis Patients: Solutions and Medications
How Long After Starting Epilepsy Medication Will Seizure Frequency Decrease?
How long after starting medication for epilepsy does it typically take to reduce the frequency of seizures? Hello Doctor: My family member is currently 54 years old and began experiencing absence seizures about four to five years ago. In the past one to two years, they have had a...
Dr. Jiang Junyi Reply:
Dear Ms. Ling, You mentioned that "my family member started treatment last year and currently takes one dose of Levetiracetam in the morning and evening. They have been taking Zolpidem at night due to sleep issues for about six months, but still experience one to two comple...[Read More] How Long After Starting Epilepsy Medication Will Seizure Frequency Decrease?
Can Circulating Medications Improve Dizziness from Vertebral Artery Dysplasia?
Can a congenital hypoplasia of the vertebral artery be improved by taking Xunli Ning to enhance cerebral blood circulation? I currently have symptoms due to cervical spondylosis affecting the C3, C4, and C5 vertebrae, which has led to related symptoms, one of which is dizziness. ...
Dr. Cai Zongzhang Reply:
Hello: There are many factors that can affect cerebral circulation. It is recommended to visit a neurology clinic for relevant examinations and to discuss treatment options with a physician. Please do not self-medicate.[Read More] Can Circulating Medications Improve Dizziness from Vertebral Artery Dysplasia?
Understanding Nerve Issues: Frequent Left Upper Back and Limb Numbness
Frequent numbness in the upper left back and numbness in the limbs while sleeping? Hello, doctor. I have the following main symptoms and I'm not sure if they are related: 1. I have frequent numbness in the upper left back area, which started about three years ago. X-rays a...
Dr. Jiang Junyi Reply:
Hello Mr. Wu, You mentioned, "Could the physician determine if the issue is due to thoracic nerve compression or a brain problem?" The symptoms include "involuntary muscle twitching in small, non-fixed areas of the body, visible to the naked eye, which has persist...[Read More] Understanding Nerve Issues: Frequent Left Upper Back and Limb Numbness
Understanding Right Brain Pain and Oral Numbness: A Neurology Perspective
Head and face Hello doctor, recently I've been experiencing occasional sharp pains in my right brain, and there's a tingling sensation in the right side of my mouth, similar to the feeling of having a candy in my mouth for too long. I also have increased saliva producti...
Dr. Jiang Junyi Reply:
Dear Ms. Hsuan, You mentioned that you have a tingling sensation in the right side of your mouth, similar to the feeling of having candy in your mouth for too long. This may warrant consideration of trigeminal nerve symptoms. There are many potential causes for trigeminal nerve ...[Read More] Understanding Right Brain Pain and Oral Numbness: A Neurology Perspective
Understanding Neck Stiffness: When to See a Neurologist or ENT
Neck stiffness Recently, I have been experiencing stiffness in my cervical spine, making it difficult to turn my head. It feels tight and rigid, and I sometimes feel dizzy, but the dizziness passes quickly. I'm not sure what the issue could be. Should I see a neurologist or ...
Dr. Jiang Junyi Reply:
Hello Ms. Chen, You mentioned experiencing "stiffness in the cervical spine, difficulty turning your head, tightness, and dizziness that comes and goes." I would like to know if your dizziness is accompanied by any other neurological symptoms, such as hearing abnormali...[Read More] Understanding Neck Stiffness: When to See a Neurologist or ENT
Understanding Muscle Atrophy, Weakness, and Fasciculations: A Neurology Perspective
Muscle atrophy, twitching, weakness? Hello, doctor. I would like to ask you about something. About two months ago, I suddenly noticed a depression on the right side of my thigh near the groin area. Later, I found a similar depression on the left side, measuring approximately 5x5 ...
Dr. Jiang Junyi Reply:
Hello Ms. Chychy, You mentioned that "...but because I feel that the area of indentation has increased, I am now worried every day that I might be in the early stages of ALS..." The symptoms you describe are more indicative of localized muscle or peripheral nerve issue...[Read More] Understanding Muscle Atrophy, Weakness, and Fasciculations: A Neurology Perspective
Can Low Adrenaline Levels Lead to Dementia Symptoms?
Is insufficient secretion of adrenaline (epinephrine) a cause of dementia? Hello: I would like to inquire whether insufficient secretion of adrenaline can cause symptoms of dementia. After treatment, can dementia be cured?
Dr. Hong Weibin Reply:
Hello: Insufficient secretion of adrenocorticotropic hormone can indeed lead to symptoms of cognitive impairment, which may affect memory. If steroid treatment is administered promptly, recovery should be possible. References: 1. Matsuo, Kinya, et al. "Cognitive Impairment C...[Read More] Can Low Adrenaline Levels Lead to Dementia Symptoms?
Understanding Early Symptoms of Amyotrophic Lateral Sclerosis (ALS)
Symptoms of amyotrophic lateral sclerosis (ALS) Hello, doctor. Recently, I have been experiencing some involuntary muscle twitching in my legs, and I also feel a lack of strength. However, I don't have much trouble when lifting things normally. About two months ago, I visite...
Dr. Hong Weibin Reply:
Hello: Regarding the symptoms of amyotrophic lateral sclerosis (ALS), you can refer to the CommonHealth Knowledge Base at https://kb.commonhealth.com.tw/library/417.html#data-3-collapse. However, if your symptoms are not progressively worsening, you can be reassured that it is us...[Read More] Understanding Early Symptoms of Amyotrophic Lateral Sclerosis (ALS)
Persistent Head Pressure and Nausea: Possible Neurological Concerns
Persistent head heaviness and dry heaving? Hello Doctor, for the past couple of days, I have been feeling a persistent pressure in my head, almost as if a specific small area in my brain (approximately the middle right side) is covered. I have been unable to muster any energy thr...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned feeling lethargic all day and experiencing constant dry heaving (almost feeling like vomiting every 10 minutes), and that you suddenly woke up after less than three hours of sleep tonight... It may be necessary to consider intracranial structural abnorma...[Read More] Persistent Head Pressure and Nausea: Possible Neurological Concerns
Understanding Unexplained Cool Sensation at the Corner of the Mouth
Occasionally, there is a "cool sensation at the corners of the mouth" (without saliva)? Dear Dr. Jiang, Thank you very much for taking the time to respond to my concerns. Recently, I have been experiencing a "cool sensation at the corners of my mouth" (withou...
Dr. Jiang Junyi Reply:
Dear Mr. Chen, You mentioned that you have recently experienced a "cool sensation at the corners of your mouth" (without saliva), particularly noticeable after meals. You are currently on the 14th day of treatment for prostatitis with levofloxacin. First, we should con...[Read More] Understanding Unexplained Cool Sensation at the Corner of the Mouth
Understanding Arm and Shoulder Numbness: Beyond Cervical Compression
Numbness in the shoulder and upper arm? Hello Doctor, recently I have experienced sudden numbness in my right shoulder and upper arm. I had an X-ray of my neck a while ago, and the doctor said there were no issues. Besides cervical spine compression, what other possibilities coul...
Dr. Jiang Junyi Reply:
Dear Mr. JAM, You mentioned that you suddenly experienced numbness in your right shoulder and upper arm, and that a recent cervical X-ray showed no issues. Your symptoms are more indicative of nerve root compression, which is commonly caused by cervical disc herniation or an imp...[Read More] Understanding Arm and Shoulder Numbness: Beyond Cervical Compression