MS, Neurology FAQ - Page 58

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Dizziness When Turning: Understanding Neurological Symptoms

Dizziness when turning? Hello Doctor, for the past month, I have been feeling a bit dizzy and unsteady whenever I walk, especially when turning or looking back (it's not a spinning sensation). I have tried walking in a straight line, standing on one foot, and performing the ...


Dr. Jiang Junyi Reply:
Hello Mr. Huang, You mentioned that "you have tried walking in a straight line or standing on one foot... and also tried the finger-to-nose test, and personally feel quite stable." This observation suggests that it is less likely to be a cerebellar or brainstem lesion....

[Read More] Dizziness When Turning: Understanding Neurological Symptoms


Understanding Symptoms: Multiple Sclerosis vs. Autonomic Nervous System Disorders

Multiple Sclerosis or Autonomic Nervous System Dysfunction Hello Dr. Jiang, I have been experiencing a tingling and numbness in my hands and feet since early September. I visited a neurology clinic, and they suggested it could be either cervical spine inflammation or autonomic ne...


Dr. Jiang Junyi Reply:
Dear Miss Li, You mentioned that "the symptoms really seem very similar to those of multiple sclerosis, and considering that I am 21 years old, which is the age when this condition is more likely to occur..." I believe the chances are low, as multiple sclerosis is clas...

[Read More] Understanding Symptoms: Multiple Sclerosis vs. Autonomic Nervous System Disorders


Understanding Sudden Thigh Pain: Causes and Solutions for Nerve Issues

Leg issue - intermittent sharp pain in the inner thigh (similar to an electric shock sensation)? Last year, between September and October, I frequently experienced sudden sharp pains in the inner thigh of my right leg, close to that side. The pain felt like an electric shock and ...


Dr. Jiang Junyi Reply:
Dear Ms. Hsieh, You mentioned experiencing intermittent sharp pain on the inner side of your right thigh (similar to an electric shock), with each episode being a momentary severe pain. This may warrant consideration of nerve root compression at the lumbar vertebrae L2 and L3. N...

[Read More] Understanding Sudden Thigh Pain: Causes and Solutions for Nerve Issues


Understanding Upper Back Pain: Causes and Connections to MRI Findings

Shoulder and back pain? Hello, Doctor. Recently, I've been experiencing frequent upper back pain (on the right side, around the scapula) for the past two months. Sometimes, I also have shoulder pain (on both sides). When I turn my head to the left, I feel a slight pain... It...


Dr. Jiang Junyi Reply:
Dear Miss Sophia, You mentioned, "Is the pain related to previous symptoms? What could be the possible causes?" Your MRI report indicates: 2. Posterior bulging disc of C6/7 with mild anterior indentation on the thecal sac and mild narrowing of bilateral neural foramina...

[Read More] Understanding Upper Back Pain: Causes and Connections to MRI Findings


Early Signs of ALS: Understanding Symptoms and Prevention Strategies

Early stage of amyotrophic lateral sclerosis (ALS) Hello, doctor. Recently, when I stand on my left foot, I feel a constant urge to engage my calf muscles (similar to the feeling of trying to maintain balance). I am aware of this urge before it happens. Additionally, when lying i...


Dr. Jiang Junyi Reply:
Hello Mr. Ju, You mentioned "the early reactions of amyotrophic lateral sclerosis (ALS)?" ALS primarily refers to issues with motor neurons, which control muscle movement. Generally, the motor neurons in the brain are referred to as upper motor neurons, while those in ...

[Read More] Early Signs of ALS: Understanding Symptoms and Prevention Strategies


Repeated Concussions: Concerns About Future Cognitive Decline

Multiple concussions: Fear of future dementia? Hello doctor, I have experienced five mild concussions within the past two years, the most recent one occurring in mid-November. However, since my third concussion in March, I have been experiencing ongoing issues with attention, jud...


Dr. Jiang Junyi Reply:
Dear Mr. Liu, You mentioned that "the third concussion started at the end of March, with ongoing issues related to attention, judgment, and memory, and the CT scan showed no problems, so the physician believes it is a psychological issue..." Dementia is usually caused ...

[Read More] Repeated Concussions: Concerns About Future Cognitive Decline


Persistent Nausea and Facial Tremors: Should You Worry About Brain Issues?

Persistent headache, nausea, and facial muscle twitching throughout the day? Hello doctor, in recent days I have been experiencing frequent nausea and dry heaving. The left side of my face involuntarily twitches, and I constantly feel a sense of heaviness in my head, which has si...


Dr. Jiang Junyi Reply:
Hello, sir: You mentioned that "your mental state is poor and you lack motivation at work, which severely affects your daily life." Since this impacts your life, I recommend seeking medical advice for discussion and examination. The brain tumor you are concerned about i...

[Read More] Persistent Nausea and Facial Tremors: Should You Worry About Brain Issues?


Understanding Facial Twitching: Causes and Solutions for Photogenic Moments

Facial twitching Hello, Doctor. When I take photos, the left corner of my mouth suddenly starts to twitch, but this doesn't happen normally. To prevent this from occurring, I practice smiling frequently, and during those times, I can control the corner of my mouth well. Howe...


Dr. Jiang Junyi Reply:
Hello Miss Anan: Muscle twitching while awake may indicate some metabolic disorders, such as hyperthyroidism or electrolyte imbalances. Certain stimulating foods, like caffeine, may also exacerbate muscle twitching during wakefulness. It is recommended that you supplement with B ...

[Read More] Understanding Facial Twitching: Causes and Solutions for Photogenic Moments


Understanding Facial Twitching: Causes and Solutions for Your Smile

Facial twitching? Hello, Doctor. When I'm taking pictures, the left corner of my mouth suddenly starts to twitch, but this doesn't happen normally. To prevent this from occurring, I practice smiling frequently, and during those times, I can control the corner of my mout...


Dr. Jiang Junyi Reply:
Hello Miss An: Muscle twitching while awake may be indicative of certain metabolic disorders, such as hyperthyroidism or electrolyte imbalances. Additionally, some nerve-stimulating substances like caffeine may exacerbate muscle twitching during wakefulness. It is recommended tha...

[Read More] Understanding Facial Twitching: Causes and Solutions for Your Smile


Understanding Facial Twitching: Causes and Solutions for Your Smile

Facial twitching? Hello, doctor. When I take photos, the left corner of my mouth suddenly starts to twitch, but this doesn't happen normally. To avoid this situation, I practice smiling frequently, and during those times, I can control the corner of my mouth well. However, w...


Dr. Jiang Junyi Reply:
Hello Ms. An: I would like to know if you have any other symptoms besides the uncontrollable twitching at the left corner of your mouth? Muscle twitching while awake may warrant consideration of certain metabolic disorders, such as hyperthyroidism or electrolyte imbalances. Addit...

[Read More] Understanding Facial Twitching: Causes and Solutions for Your Smile


Understanding Facial Twitching: Causes and Solutions for Your Concerns

Facial twitching? Hello, Doctor. When I take photos, the left corner of my mouth suddenly starts to twitch, but this doesn't happen normally. To prevent this from occurring, I practice smiling frequently, and during those times, I can control the corner of my mouth well. How...


Dr. Jiang Junyi Reply:
Hello Miss An: Muscle twitching while awake may indicate some metabolic disorders, such as hyperthyroidism or electrolyte imbalances. Certain stimulating foods, like caffeine, may also exacerbate muscle twitching during wakefulness. I recommend supplementing with B vitamins and s...

[Read More] Understanding Facial Twitching: Causes and Solutions for Your Concerns


Understanding Facial Twitching: Causes and Solutions for Your Smile

Facial twitching? Hello, Doctor. When I take photos, the left corner of my mouth suddenly starts to twitch, but this doesn't happen normally. To prevent this situation, I practice smiling frequently, and during those times, I can control the corners of my mouth well. However...


Dr. Jiang Junyi Reply:
Hello Miss An: I would like to know if you have any other symptoms besides the uncontrollable twitching at the left corner of your mouth? Muscle twitching while awake may warrant consideration of some metabolic disorders, such as hyperthyroidism or electrolyte imbalances. Certain...

[Read More] Understanding Facial Twitching: Causes and Solutions for Your Smile


Understanding Symptoms: Could It Be Altitude Sickness or Something Else?

Suspected altitude sickness? Hello, Dr. Tsai. Recently, I went hiking in Gu Guan at an altitude of about 1500 meters without reaching the summit. During the hike, I suddenly experienced severe throbbing pain in my temples, nausea, vomiting, chills, weakness, fatigue, numbness in ...


Dr. Cai Zongzhang Reply:
Hello Mr. Huang: It is recommended to visit a neurologist to check for any cerebrovascular diseases.

[Read More] Understanding Symptoms: Could It Be Altitude Sickness or Something Else?


Understanding Dizziness and Fatigue: Signs of Brain Issues or Just Fatigue?

Brain issues Hello, Doctor. Recently, I've been feeling a bit dizzy at times, but it doesn't last long. I don't have much headache, but there's just a strange sensation. I've also been feeling quite fatigued lately, and my concentration and memory seem to...


Dr. Jiang Junyi Reply:
Hello Mr. Lin: You mentioned feeling "a bit dizzy... for a short duration, not much headache, but just a strange feeling... Is it a precursor to a brain tumor? Or is it simply due to lack of sleep?" The symptoms are more indicative of sleep deprivation or other causes s...

[Read More] Understanding Dizziness and Fatigue: Signs of Brain Issues or Just Fatigue?


Understanding Gums and Jaw Numbness: When to Seek Medical Help

Numbness and tingling in the gums and chin? A month ago, I had a tooth in my lower jaw that hurt when biting down on things. I immediately went to see a dentist, who cleaned my teeth and then sent me home. After that, the pain in that tooth decreased, but my entire lower gum star...


Dr. Hong Weibin Reply:
Hello: Since you have already scheduled the examination, please be patient while you wait. If you experience any pain or discomfort during the waiting period, you can ask your doctor to prescribe pain relief medication to alleviate your symptoms.

[Read More] Understanding Gums and Jaw Numbness: When to Seek Medical Help


Understanding Muscle Twitches and Limb Discomfort: A Neurology Perspective

Muscle twitching and discomfort in the limbs? Hello Doctor: In February 2021, I suddenly experienced muscle twitching, initially in my limbs and later spreading to my face, neck, abdomen, lower back, and other areas. These symptoms have persisted to this day. During this time, I ...


Dr. Cai Zongzhang Reply:
Hello Mr. Huang: It is recommended to visit a neurologist for an examination to determine the cause.

[Read More] Understanding Muscle Twitches and Limb Discomfort: A Neurology Perspective


Understanding Back Pain and Neurological Symptoms: When to Seek Help

Back problems Hello, doctor. I have been experiencing a tingling sensation in my right back after bending over for a long time. This sensation starts after I get up from a bowel movement, and recently it begins to occur as soon as I bend over to a certain point, with the area of ...


Dr. Cai Zongzhang Reply:
Hello, Yang: It is recommended to visit the neurology outpatient clinic to investigate possible causes.

[Read More] Understanding Back Pain and Neurological Symptoms: When to Seek Help


Left Upper Abdominal Pain: Is It Autonomic Nervous System Disorder?

Left upper abdominal pain? Autonomic nervous system dysfunction? Hello Doctor: I started experiencing occasional mild pain in the upper left abdomen near the rib cage around the end of July. The pain lasts about one second and occurs about 2 to 3 times a day, with no other sympto...


Dr. Cai Zongzhang Reply:
Hello: There are many causes of autonomic nervous system dysfunction. If there is no improvement after rest and medication, it is recommended to visit a neurology clinic for evaluation.

[Read More] Left Upper Abdominal Pain: Is It Autonomic Nervous System Disorder?


Understanding Tension in the Temples: Causes and Solutions

Tightness in the temples? Hello Dr. Jiang, I have not experienced similar symptoms before (tightness in the temples, nausea, and a sense of imbalance). Here is a record of the process: On October 15, 2021, during a company health check (gastrointestinal endoscopy): a. Duodenal ...


Dr. Jiang Junyi Reply:
Dear Mr. William, You mentioned experiencing "headaches / slight imbalance / feelings of nausea... currently feeling tightness in the temples / forehead / between the eyebrows / back of the head" and that "lying on the sofa while using your phone" may indicat...

[Read More] Understanding Tension in the Temples: Causes and Solutions


Understanding Your Body's Tension: Insights on Fibromyalgia and Beyond

The body feels as if it is bound by a rope, similar to Dongpo pork? Hello, doctor. Since March of last year, I have felt as if my body is bound by a rope, similar to Dongpo pork. The thickness of this rope feels about the same as the wire of earphones (the thinner ones for the le...


Dr. Jiang Junyi Reply:
Hello Mr. Franky, You mentioned that "the sensation travels from the left side up through the neck, passing through the left ear and splitting into two paths around the left eye, then running down the right side of the back to the right palm. Although there is no obvious fe...

[Read More] Understanding Your Body's Tension: Insights on Fibromyalgia and Beyond


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