MS, Neurology FAQ - Page 6

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Unexplained Body Pain and Muscle Twitching: Seeking Neurological Insights

Widespread pain that is not fixed in time, muscle twitching for one month, and numbness in the hands? Hello Doctor, I started experiencing headaches around January 2024, and after visiting the hospital, the doctor conducted a preliminary assessment and diagnosed me with tension-t...


Dr. Jiang Junyi Reply:
Hello Ms. Hone, You mentioned that you were "initially diagnosed with tension-type headache... and prescribed antiarrhythmic medication (without relevant examinations), but you feel that the pain and muscle twitching have not improved with the medication." Typically, n...

[Read More] Unexplained Body Pain and Muscle Twitching: Seeking Neurological Insights


Understanding Numbness in the Outer Side of the Right Big Toe

Numbness on the outer side of the right big toe? Hello, Dr. Jiang! About 15 years ago, while playing softball, I wore a pair of narrow cleats and experienced intense running, which caused numbness on the outer side of my right big toe. Although I don't feel numbness on a dai...


Dr. Jiang Junyi Reply:
Hello Mr. Ryan, You mentioned, "For example, after bending my toes for a few minutes, I experience a tingling sensation similar to what I felt years ago. Does this indicate nerve damage in that area?" The symptoms you described may be due to compression of the medial p...

[Read More] Understanding Numbness in the Outer Side of the Right Big Toe


Understanding Left-Sided Headaches and Pulsatile Tinnitus: Causes and Concerns

Left-sided headache, numbness, and pulsatile tinnitus in the left ear? Hello, doctor. I previously asked this question, and it seems to have worsened. Could it be related to psychological factors? I have seen an ENT specialist, and there were no issues. I have had depression for ...


Dr. Jiang Junyi Reply:
Hello Mr. Hong: You mentioned experiencing a sensation of hearing blood flow or heartbeat, which feels pulsating. It seems to be pulsatile tinnitus, which can also be associated with vascular issues. Your symptoms: one of the most common causes of pulsatile tinnitus is dysfunctio...

[Read More] Understanding Left-Sided Headaches and Pulsatile Tinnitus: Causes and Concerns


Understanding Limb Weakness and Insomnia: A Neurological Perspective

Weakness in the limbs accompanied by insomnia? Hello Doctor, I have been experiencing weakness in my limbs since February 28, and now it is April 14. During this time, I have noticed that some sensory symptoms have disappeared, but they have reappeared. Currently, I am experienci...


Dr. Cai Zongzhang Reply:
Hello Mr. Hu: Based on the symptoms mentioned, it is recommended to consult a neurologist to investigate the underlying cause.

[Read More] Understanding Limb Weakness and Insomnia: A Neurological Perspective


Understanding Prolonged Dizziness: Causes and Concerns in Neurology

I have been experiencing dizziness for over two weeks, and I have had similar episodes in the past? Hello Doctor: I have been suffering from severe anxiety disorder for nearly four months. I have consulted with a psychiatrist and am taking medications including - Sertraline / Esc...


Dr. Jiang Junyi Reply:
Hello Mr. Zhang, You mentioned wanting to confirm whether your symptoms could clinically indicate lung cancer metastasizing to the brain. Lung cancer with brain metastasis can present with different clinical manifestations depending on the location of the metastasis, and dizzine...

[Read More] Understanding Prolonged Dizziness: Causes and Concerns in Neurology


Understanding Numbness in Toes: Causes and When to Seek Help

Numbness in the toes? Hello, Doctor. Recently, I have noticed numbness in the last three toes of my right foot and on the dorsum of my foot, which feels like there is a layer of skin covering it. The toes, in particular, are quite severe. Sometimes it feels like ants are crawling...


Dr. Jiang Junyi Reply:
Hello Ms. Jhi: You mentioned that "the last three toes of my right foot and the dorsum of my foot feel numb, and it feels like there is a layer of skin covering them, especially the toes. Sometimes it suddenly feels like ants are crawling." Your symptoms are indicative ...

[Read More] Understanding Numbness in Toes: Causes and When to Seek Help


Persistent Dizziness and Headaches One Month After Head Injury

Persistent dizziness and headaches one month after a head injury to the occipital region? At the end of February, I slipped in the bathroom and hit the back of my head against the faucet. There were no external injuries, and I remained conscious without vomiting. After applying i...


Dr. Jiang Junyi Reply:
Hello Ms. C: You mentioned that "while receiving back massage, one side of my nose suddenly started bleeding significantly, and I have been experiencing persistent dizziness and headaches (a feeling of tightness on both sides, not pain from an injury). I wonder if this is a ...

[Read More] Persistent Dizziness and Headaches One Month After Head Injury


How Long Does It Take for Keppra to Control Seizures?

Questions regarding the leisure use of Keppra? Hello Doctor: I have already learned some information about Keppra from the Q&A, but I haven't seen anyone ask how long it typically takes for this medication to achieve the effect of suppressing abnormal discharges (I am cu...


Dr. Cai Zongzhang Reply:
Hello: There is a certain degree of variability in how each individual absorbs this medication, making it difficult to determine exactly how long it will take to achieve its effects. Generally, initial use requires several weeks of dosage adjustments and observation. Any antiepil...

[Read More] How Long Does It Take for Keppra to Control Seizures?


Understanding Heat Sensation in the Outer Side of the Right Pinky Finger

Heat sensation on the outer side of the right palm (near the upper side of the little finger)? Hello Dr. Jiang, During the Qingming holiday, I suddenly noticed that the outer side of my right little finger near the top felt warm while I was cooking. It only lasted for a short ti...


Dr. Jiang Junyi Reply:
Dear Ms. Lee, You mentioned that "the outer side of your right little finger is feeling warm near the top..." This is a symptom of peripheral nerve compression. 1. The nature of the pain is characterized by burning and tingling sensations. 2. The symptoms have a specif...

[Read More] Understanding Heat Sensation in the Outer Side of the Right Pinky Finger


Understanding Involuntary Body Tremors: Causes and Concerns

Involuntary muscle spasms? Since around the beginning of my sophomore year in high school, I occasionally experience sudden, significant body tremors while doing everyday activities, similar to a startle response. I have been unsure of the cause and find it quite concerning. I wo...


Dr. Chen Weida Reply:
Hello Ms. Pan, your symptoms sound like a type of involuntary movement known as "myoclonus." It is recommended that you visit a neurology clinic for evaluation. Wishing you health and safety, thank you.

[Read More] Understanding Involuntary Body Tremors: Causes and Concerns


Understanding Cervical Spine Disorders: Neck Pain and Swallowing Difficulties

Cervical spine dysfunction I have been experiencing shoulder and neck pain for a long time. Since the end of September last year, I started having some difficulty swallowing. I went to an otolaryngologist who confirmed that there were no growths in my throat. I was then referred ...


Dr. Jiang Junyi Reply:
Dear Mr. Tso, You mentioned that "swallowing is still difficult, and I have recently noticed that the pain in my shoulders, neck, and back has become more severe... Could this be related to my cervical spine?" I suggest considering the symptoms related to the cervical ...

[Read More] Understanding Cervical Spine Disorders: Neck Pain and Swallowing Difficulties


Assessing Stroke Risk: Are Neurological Tests Accurate?

Is the stroke test accurate? Hello, Doctor. I have a few questions to ask you. 1. Recently, when I am working or talking to others, I sometimes suddenly speak with a regional accent or experience a slip of the tongue, similar to a verbal error. Could this be due to speaking too...


Dr. Jiang Junyi Reply:
Hello Ms. Lin, You mentioned, "Is slurred speech a sign of a stroke?" Acute stroke refers to a sudden neurological deficit caused by abnormalities in the brain's blood vessels. The symptoms resulting from a stroke are related to the area of the brain that is affec...

[Read More] Assessing Stroke Risk: Are Neurological Tests Accurate?


Understanding Dizziness and Dry Mouth: Possible Causes and Solutions

Dizziness and dry mouth? Recently, I visited a clinic due to symptoms such as loss of appetite, bloating, and nausea, and was diagnosed with gastritis. I also mentioned to the physician that I have been experiencing dizziness, which the doctor believes may be caused by allergic r...


Dr. Jiang Junyi Reply:
Dear Ms. Liang, You mentioned experiencing dizziness along with symptoms such as a cold, dermatitis, urethritis, gastritis, and menstrual irregularities, which may indicate a deficiency in qi and blood. You asked whether this could be related to anemia or if a neurology consulta...

[Read More] Understanding Dizziness and Dry Mouth: Possible Causes and Solutions


Finding Treatment for Syringomyelia: Hospitals and Specialists in Northern Taiwan

Syringomyelia I have symptoms of syringomyelia, including pain in my right neck, right shoulder, the area below the right shoulder, and pain in the right hand's thenar eminence, along with numbness in my left foot. Are there hospitals or doctors in the northern region that c...


Dr. Jiang Junyi Reply:
Dear Mr. A-Shan, You mentioned "the pain associated with syringomyelia..." The cause of syringomyelia is the accumulation of fluid within the spinal cord, which compresses the nerves and leads to symptoms such as sensory abnormalities, urinary and fecal incontinence, h...

[Read More] Finding Treatment for Syringomyelia: Hospitals and Specialists in Northern Taiwan


Understanding Muscle Twitches: Causes, Concerns, and When to Seek Help

Muscle twitching Hello Doctor, I asked you the same question about three years ago. I am very concerned about frequent muscle twitching, and I fear a serious illness may be affecting me. The situation is as follows: my muscles occasionally twitch (some areas are particularly freq...


Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned "frequent muscle twitching... electromyography... frequent twitching in the left hand's thenar eminence." If you are concerned about a muscle disease, it typically presents with significant atrophy, and the electromyography would show abno...

[Read More] Understanding Muscle Twitches: Causes, Concerns, and When to Seek Help


Understanding Intermittent Headaches: Causes and Concerns

Intermittent headache Recently, I have been experiencing occasional headaches, and bending over also triggers the pain. What could be the issue?


Dr. Chen Weida Reply:
Hello Willy Lee: It is recommended to continue monitoring and keep a headache diary, including the date, duration of the headache, any accompanying symptoms, whether pain relievers were taken, and their effectiveness. If the headaches persist, you may consider visiting a neurolog...

[Read More] Understanding Intermittent Headaches: Causes and Concerns


Understanding Mild Cognitive Impairment: Treatment Options and Insights

Dementia Issues - Mild Cognitive Impairment Hello, doctor. I would like to ask about my mother, who is currently 82 years old. Her memory has significantly declined over the past few years. Recently, she underwent a series of tests at the neurology department, where blood test re...


Dr. Jiang Junyi Reply:
Dear Ms. Ivy, You mentioned that "there are significant cavities in the gray matter... with an MMSE score of 22... indicating mild cognitive impairment." Regarding health insurance coverage, it is suggested that patients with an MMSE score between 10 and 26 or those cl...

[Read More] Understanding Mild Cognitive Impairment: Treatment Options and Insights


Understanding Autonomic Nervous System Disorders: Symptoms and Solutions

Suspected autonomic nervous system dysfunction? Hello Doctor, I have been experiencing episodes of physical agitation about 1 to 2 times a month. Even though I feel like I’m not thinking about anything in particular and don’t feel anxious, my body becomes agitated involuntarily. ...


Dr. Cai Zongzhang Reply:
Hello Mr. Cheng: Based on the symptoms mentioned, it is recommended to visit a neurology clinic for an examination to determine if there is a neurological disorder.

[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Solutions


Persistent Pain and Numbness in the Outer Calf: A Neurological Concern

Tingling and prickling sensation on the outer side of the calf? Hello Doctor, my father is 75 years old and has been experiencing numbness and tingling on the outer side of his calf for the past five days. Pain relievers and injections have not alleviated the pain, which has prev...


Dr. Jiang Junyi Reply:
Dear Mr. Jiang, You mentioned that your father is experiencing "numbness and tingling on the outer side of the calf... and the orthopedic images show no abnormalities..." It may be necessary to consider peripheral nerve compression. Symptoms of peripheral nerve compres...

[Read More] Persistent Pain and Numbness in the Outer Calf: A Neurological Concern


Understanding Recurrent Toe Pain: Causes and Solutions

The toes on the left foot are experiencing recurrent cramping pain? Hello Dr. Jiang, since the end of last year, I have been experiencing intermittent sharp pain between the 3rd and 4th toes on my left foot. Sometimes it occurs 5-6 times within an hour, and other times it happens...


Dr. Jiang Junyi Reply:
Dear Ms. Ying, You mentioned that "the area between the 3rd and 4th toes on my left foot experiences recurrent cramping pain, sometimes occurring 5-6 times within an hour, and other times only once every 2-3 days. Although the pain is not very intense..." Poor blood ci...

[Read More] Understanding Recurrent Toe Pain: Causes and Solutions


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