Understanding ALS: Symptoms and Concerns About Muscle Weakness
Fear of developing amyotrophic lateral sclerosis (ALS)? Hello, doctor. Recently, I have been experiencing muscle twitching all over my body, and after some research, I found that it could possibly be amyotrophic lateral sclerosis (ALS). I am becoming increasingly worried and woul...
Dr. Jiang Junyi Reply:
Hello Mr. Wei, You mentioned that "the soles of my feet occasionally feel a twitching sensation, and my feet easily become numb." These symptoms are more indicative of peripheral nerve compression, as motor neuron diseases typically do not present with significant sens...[Read More] Understanding ALS: Symptoms and Concerns About Muscle Weakness
Understanding Facial Twitching: Is It Facial Muscle Spasm?
Heartbeat issues Hello Dr. Jiang, I had some facial twitching for a few weeks recently, and when I saw a doctor, they said it was inflammation. It has mostly stopped now, but today my lip twitched suddenly. I would like to ask if occasional twitching could be facial muscle spasms...
Dr. Jiang Junyi Reply:
Hello Mr. Lin: You mentioned that "occasional twitching may be facial muscle spasms," but we should also consider localized nerve inflammation. If the symptoms persist, I recommend that you consult a neurologist to discuss examination and treatment options. Thank you fo...[Read More] Understanding Facial Twitching: Is It Facial Muscle Spasm?
Understanding Facial Twitching: Is It Facial Muscle Spasm?
Palpitations Hello Dr. Jiang, I experienced facial twitching for a few weeks recently, and when I consulted a doctor, they said it was inflammation. It has mostly subsided now, but today I suddenly felt a twitch in my lip. I would like to ask if occasional twitching could be faci...
Dr. Jiang Junyi Reply:
Dear Mr. Lin, You mentioned that "occasional twitching could be facial muscle spasms," but we should also consider localized nerve inflammation. The facial muscle spasms you referred to typically involve multiple muscle groups and are primarily a response to abnormal e...[Read More] Understanding Facial Twitching: Is It Facial Muscle Spasm?
Sudden Headache and Limb Numbness: Understanding Neurological Symptoms
Sudden headache with numbness, curling, and weakness in the limbs? I experienced a sharp pain at the top of my head that made me vomit, followed by numbness in my limbs (including my abdomen) that progressively worsened. My hands felt cold and curled up, and I had a sensation of ...
Dr. Jiang Junyi Reply:
Dear Miss Long, The symptoms you mentioned may need to be considered in two parts. The first symptom, "sharp pain at the top of the head leading to vomiting," should raise concerns about headache related to cerebrovascular diseases, such as thunderclap headache. This t...[Read More] Sudden Headache and Limb Numbness: Understanding Neurological Symptoms
Understanding Thigh and Buttock Discomfort: Possible Nerve Issues
The fascia in the thigh and buttocks feels painful? Do you feel immediate pressure when sitting down? It's not too painful, but there is a sensation of compression and pulling?
Dr. Jiang Junyi Reply:
Hello, Mr. Bread: You mentioned that you feel pain in the fascia around your thigh and buttocks. Based on the distribution of nerves, it may be necessary to consider issues related to the sciatic nerve. When external forces cause inflammation, such as from a herniated disc, it ca...[Read More] Understanding Thigh and Buttock Discomfort: Possible Nerve Issues
Can Multivitamins Cause Dizziness? Understanding Neurological Effects
Feeling dizzy after taking a multivitamin? After taking two multivitamins in the morning after breakfast, I felt dizzy and lightheaded throughout the day. I would like to ask the doctor if taking multivitamins can cause dizziness?
Dr. Jiang Junyi Reply:
Hello Ms. Momo: You mentioned that "taking multivitamins may cause dizziness." I'm curious about the ingredients in your multivitamin and which brand you are using. Clinically, most people find that taking vitamins reduces dizziness. There are many causes of dizzin...[Read More] Can Multivitamins Cause Dizziness? Understanding Neurological Effects
Understanding Eye and Ear Symptoms: Seeking Guidance from a Neurologist
Inquiry Consultation Dear Dr. Jiang, I am unsure which medical specialty my issue falls under. If it is not within your area of expertise, I would appreciate your guidance on which specialty I should consult. Here is my concern: when I turn my eyes to the right (and occasionally...
Dr. Jiang Junyi Reply:
Hello Mr. Ah-Hsiang: You mentioned that "when turning right (and occasionally left), there is a flash accompanied by a 'pop' sound (similar to an electrical short circuit) echoing in the ear." This may suggest issues related to the temporomandibular joint or t...[Read More] Understanding Eye and Ear Symptoms: Seeking Guidance from a Neurologist
Understanding Right-Side Pain and Numbness: Causes and Solutions
Pain and numbness on the right side of the body? Hello Doctor: I have been experiencing these symptoms for over a year. The main issues are soreness and tightness in the right side of my neck and shoulder, along with numbness and tingling that radiates from my right arm to my fin...
Dr. Jiang Junyi Reply:
Dear Mr. Tsao, You mentioned that "the soreness and tightness in the right shoulder and neck, along with numbness and tingling extending from the right arm to the fingers," may indicate a potential issue with cervical nerve root compression. It is important to consider...[Read More] Understanding Right-Side Pain and Numbness: Causes and Solutions
Understanding Pudendal Nerve Issues: Symptoms, Diagnosis, and Treatment Options
Pudendal nerve The patient is experiencing neurological discomfort in the female genital area, characterized by a persistent sensation of being touched that is not related to sexual arousal. This has led to abnormal erections and discomfort that radiates to the right leg, persist...
Dr. Jiang Junyi Reply:
Hello, You mentioned that "there may even be discomfort extending to the right leg..." which may warrant consideration of lumbar nerve root compression. Typical symptoms associated with lumbar nerve root pathology include pain radiating from the buttocks down the leg,...[Read More] Understanding Pudendal Nerve Issues: Symptoms, Diagnosis, and Treatment Options
Understanding Pudendal Nerve Issues: Symptoms, Diagnosis, and Treatment
Pudendal nerve The patient is experiencing neurological discomfort in the female genital area, characterized by a persistent sensation of being touched that is not driven by sexual desire. This condition has led to abnormal erections and discomfort radiating down the right leg, p...
Dr. Jiang Junyi Reply:
Hello, You mentioned that "there may even be discomfort radiating down the right leg..." which may indicate compression of the lumbar nerve roots. Typical symptoms associated with lumbar nerve root pathology include pain radiating from the buttocks down the leg, as we...[Read More] Understanding Pudendal Nerve Issues: Symptoms, Diagnosis, and Treatment
Understanding Pudendal Nerve Issues: Symptoms, Diagnosis, and Treatment Options
Pudendal nerve The patient is experiencing neurological discomfort in the female genital area, characterized by a persistent sensation of being touched that is not related to sexual arousal. This has led to abnormal erections and discomfort extending to the right leg, lasting for...
Dr. Jiang Junyi Reply:
Hello, You mentioned that "there may even be discomfort extending to the right leg..." which may indicate compression of the lumbar nerve roots. Typical symptoms associated with lumbar nerve root pathology include pain radiating from the buttocks down the leg, as well...[Read More] Understanding Pudendal Nerve Issues: Symptoms, Diagnosis, and Treatment Options
Understanding Persistent Dizziness Without Vertigo: Key Insights
Dizziness without vertigo? I would like to ask the doctor, since last week I have been feeling lightheaded every day, but I do not experience vertigo. When I close my eyes with my feet together, my body sways slightly. I have never experienced anything like this before. Although ...
Dr. Jiang Junyi Reply:
Dear Mr. Zhang, You mentioned that when you stand with your feet together and close your eyes, your body sways slightly. This may indicate that your proprioception is affected. Conditions such as anemia, autonomic dysfunction, and inner ear imbalance could contribute to your sym...[Read More] Understanding Persistent Dizziness Without Vertigo: Key Insights
Understanding Intermittent Headaches and Dizziness: When to Seek Help
Intermittent headaches and dizziness? Hello Dr. Jiang, In the past week, I have been experiencing recurrent headaches that are different from my usual migraines caused by staying up late until 2 or 3 AM. Sometimes the pain is unilateral, while other times it affects my entire h...
Dr. Jiang Junyi Reply:
Dear Mr. You, You mentioned that "the night before last, I suddenly experienced blurred vision, dizziness, and a feeling of impending fainting, with my vision becoming increasingly dark. This lasted for about 5 minutes before gradually returning to normal, primarily occurri...[Read More] Understanding Intermittent Headaches and Dizziness: When to Seek Help
Understanding Muscle Twitching: Causes and Concerns in Neurology
Muscle tremors Hello Doctor, I would like to ask you some questions. In September, I experienced some health issues that led to anxiety. After seeing the appropriate doctors, they assured me that everything was fine and my symptoms gradually improved. However, recently, I have be...
Dr. Hong Weibin Reply:
Hello: The body's muscles are controlled by nerves, which function like electrical wires, transmitting signals to control muscle movements. However, just like wires can become faulty over time and can be affected by external factors such as temperature and humidity, leading ...[Read More] Understanding Muscle Twitching: Causes and Concerns in Neurology
Understanding Intermittent Hand Tremors: Causes and Types Explained
The hands tremble intermittently? Hello doctor, I have a question. When I press buttons with my hand, it seems to shake (but it doesn't shake when I touch my nose), especially my left hand, which is more noticeable. However, my hand trembles sometimes and not at other times ...
Dr. Hong Weibin Reply:
Hello: Tremors can indeed occur intermittently and may be triggered by certain factors such as fatigue, hunger, or caffeine, among others. The most common type of tremor caused by cerebellar dysfunction is "essential tremor," which often has a genetic component. Intenti...[Read More] Understanding Intermittent Hand Tremors: Causes and Types Explained
Understanding Essential Tremor: When to See a Neurologist or Psychologist?
Tremor issues Hello Doctor: My hands have been shaking since I was young. When I eat with a spoon or chopsticks, or when I use scissors or a utility knife, my hands tremble. Recently, I've also noticed some shaking when holding objects or keys (though not every time). Curren...
Dr. Jiang Junyi Reply:
Hello Benson: The essential tremor you mentioned is also known as primary tremor, where the exact cause of the tremor cannot be identified. It may be due to a specific constitution or hereditary tremor. Typically, individuals experience more tremors when holding objects, while so...[Read More] Understanding Essential Tremor: When to See a Neurologist or Psychologist?
Understanding Involuntary Muscle Twitches: Causes and Management Tips
Involuntary muscle twitching? Hello Doctor, I would like to ask a question. Since around October 10th, I have been experiencing some involuntary muscle twitching, starting with my left eyelid, then my right elbow joint, and my thighs and calves, which twitch intermittently for ab...
Dr. Jiang Junyi Reply:
Hello, sir: Your symptoms may suggest "benign fasciculation syndrome," which can be triggered by acute viral infections, anxiety, and medication use. Prolonged exercise is one of the main causes of muscle twitching. Common medications that can cause muscle twitching inc...[Read More] Understanding Involuntary Muscle Twitches: Causes and Management Tips
Understanding Persistent Muscle Twitching in the Right Buttock
Prolonged muscle twitching in the right buttock? Tonight, I suddenly experienced continuous muscle twitching in my right buttock. It seems to lessen or stop when I get up and walk around, but it keeps twitching when I sit or lie down. This has been going on for three hours. What ...
Dr. Jiang Junyi Reply:
Dear Mr. Wei, You mentioned experiencing "constant twitching in the muscles of the right buttock," which may suggest peripheral nerve symptoms, such as lumbar nerve inflammation, leading to instability in the affected muscles. Regarding your inquiry about "numbnes...[Read More] Understanding Persistent Muscle Twitching in the Right Buttock
Understanding Brain Atrophy: Do You Need Treatment Without Symptoms?
Symptoms of brain atrophy? Hello Dr. Jiang: I underwent an MRI scan of my head, and the report indicated "Diffuse widening of sulci and cisterns suggesting brain atrophy." However, I currently do not have any cognitive issues, and my memory is normal. Do I need treatmen...
Dr. Jiang Junyi Reply:
Dear Mr. Jiang, You mentioned "Diffuse widening of sulci and cisterns suggesting brain atrophy," which refers to brain atrophy. If there are no signs of functional decline in daily living, there is no need to worry too much. In diagnosing cognitive impairment, in addit...[Read More] Understanding Brain Atrophy: Do You Need Treatment Without Symptoms?
Understanding Chronic Headaches: Causes, Symptoms, and Treatments
Head pressure/pain/nausea? I have been experiencing headaches for over a year. Initially, I thought it was just a migraine, and taking painkillers and resting would help. However, the more I slept, the more intense the pain became, accompanied by nausea and a feeling of wanting t...
Dr. Jiang Junyi Reply:
Dear Miss Fei, You mentioned that "the pain location can vary, usually it is unilateral, occasionally in the middle of the forehead or associated with high eye pressure, and whenever a headache occurs, there is a feeling of nausea." First, we should consider typical mi...[Read More] Understanding Chronic Headaches: Causes, Symptoms, and Treatments