Understanding Balance Issues: When to Consult a Neurologist
Please ask your question? Hello doctor, I would like to ask two questions. Occasionally, I feel a slight swaying sensation (usually after using my phone), but it goes away after a while, and I do not experience dizziness or nausea. What could be the possible causes of this? Addit...
Dr. Jiang Junyi Reply:
Hello Mr. Mo: You mentioned, "Are we testing for cerebellar issues? Is it related to my staying up late?" Staying up late can lead to neuroinflammation, which may result in various symptoms. The symptoms resemble proprioceptive dysfunction, which refers to the sensory i...[Read More] Understanding Balance Issues: When to Consult a Neurologist
Understanding Mild Brain Atrophy: Should You Be Concerned?
Mild cerebral atrophy Hello, doctor. I have anxiety disorder and experience significant stress every day, which affects my sleep. Recently, I underwent a CT scan of my brain, and the doctor mentioned there is mild atrophy in the parietal lobe. Do I need treatment? I am very anxio...
Dr. Jiang Junyi Reply:
Dear Mr. Hsuan, You mentioned that "there is mild atrophy in the parietal lobe. Do I need treatment? I am very anxious." If you are not experiencing any difficulties in daily functioning, it is advisable to monitor the situation. Generally, after six months, it is reco...[Read More] Understanding Mild Brain Atrophy: Should You Be Concerned?
Frequent Limb Jerks in 5-Year-Old Before Sleep: When to Seek Help?
A 5-year-old boy experiences twitching of the hands and feet before falling asleep? Doctor, my 5-year-old son often experiences twitching of his limbs before falling asleep, but recently the frequency has increased and the intensity of the twitching has also grown. Previously, he...
Dr. Jiang Junyi Reply:
Dear Ms. Yuhan, You mentioned that "the 5-year-old boy often experiences twitching of the limbs before falling asleep." If this does not affect his cognitive function, such twitching is usually a benign response. It may occur due to excessive tension, where the body is...[Read More] Frequent Limb Jerks in 5-Year-Old Before Sleep: When to Seek Help?
Post-Injection Neck and Shoulder Pain: Causes and Recovery Time
Pain upon touch in the shoulder and neck after an intramuscular injection? Hello Doctor: I received injections in both my right and left arms about two days ago for allergies (steroids and antihistamines). At the time of the injection, I felt a sudden soreness in my neck, which I...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "after receiving an injection (steroid, antihistamine), I felt a sudden soreness in my neck... and I experience pain in my back, shoulders, neck, and the back of my head." The injection may have affected the neuromuscular system: typicall...[Read More] Post-Injection Neck and Shoulder Pain: Causes and Recovery Time
Understanding Sudden Calf Nerve Pain: Causes and Relief Strategies
The calf may suddenly experience a sensation resembling nerve pain (the episode can be uncomfortable for at least an entire day)? Hello, Dr. Jiang. I have had a condition since childhood where my calves suddenly experience nerve pain and a bit of weakness. The location of the pai...
Dr. Jiang Junyi Reply:
Dear Miss Hsiao-Hsing, You mentioned that "most occurrences happen during seasonal transitions (when temperature changes are significant) and in winter (when it is too cold), and applying heat can slightly alleviate the pain at that moment." The symptoms you described ...[Read More] Understanding Sudden Calf Nerve Pain: Causes and Relief Strategies
Understanding MRI Findings: Exploring Causes of Dizziness and Tinnitus
Magnetic Resonance Imaging Report Recently, I have been experiencing frequent dizziness and tinnitus. I underwent a head MRI, and the report indicated the following findings: (The completion time of the examination is displayed on the images) MRI - HEAD & NECK: Routine Brain:...
Dr. Jiang Junyi Reply:
Hello Mr. Ming: You mentioned, "Can a head MRI detect carotid artery stenosis? Could dizziness and tinnitus be caused by this?" It is recommended to also perform a carotid ultrasound, which can provide a clearer view of whether there is an increase in the intima-media t...[Read More] Understanding MRI Findings: Exploring Causes of Dizziness and Tinnitus
Understanding Neck Pain and Discomfort: Causes and Concerns
Head and neck issues? Hello, doctor. I am the patient who had neck traction recently. Today, I felt some tightness in my neck due to nervousness for a few seconds. Later, the area that was already painful (below the occipital region) continued to feel uncomfortable, and now the i...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned "cervical traction... the upper concave area of the neck has started to feel sharp pain... there is a prickling sensation in the neck." These symptoms may indicate muscle fiber damage. If there is nerve compression, you might experience tingli...[Read More] Understanding Neck Pain and Discomfort: Causes and Concerns
Understanding Possible Multiple Sclerosis Symptoms and Next Steps
Suspected multiple sclerosis? Hello Doctor, I have previously asked a question here, numbered <a href="https://adoctor.tw/article/206161">#206161</a>. To briefly summarize my condition: since mid-February, I have experienced numbness in the right side of my ...
Dr. Jiang Junyi Reply:
Dear Ms. Lily, You mentioned that "even going to the emergency room cannot expedite an MRI" due to the different scheduling between outpatient and emergency services. However, if your symptoms are progressing and worsening, you can return to the neurology outpatient cl...[Read More] Understanding Possible Multiple Sclerosis Symptoms and Next Steps
Is Autonomic Nervous System Disorder Linked to Cervical Spine Issues?
Is autonomic nervous system dysfunction caused by cervical spine issues? Hello, doctor. A couple of years ago, after sitting for a long time, I suddenly experienced symptoms such as chest tightness and sharp chest pain. After a while, I felt increasingly uncomfortable and fainted...
Dr. Cai Zongzhang Reply:
Hello Johnny: Based on the symptom description, it is recommended to visit a neurology outpatient clinic to check for any neurological pain.[Read More] Is Autonomic Nervous System Disorder Linked to Cervical Spine Issues?
Why Lying Down Can Trigger Nausea and Dizziness: When to Seek Help
Sleeping while lying down can cause nausea? Hello doctor, recently when I lie flat to sleep, I feel a sensation similar to motion sickness, experiencing dizziness and nausea, which is very uncomfortable. At the same time, I also feel a tightness in my neck, as if it is being pres...
Dr. Jiang Junyi Reply:
Dear Miss Hsiao-Ya, You mentioned that "when lying flat, I feel a sensation similar to motion sickness." It is important to consider benign paroxysmal positional vertigo (BPPV) as a potential cause. The characteristic symptoms include brief episodes of dizziness relate...[Read More] Why Lying Down Can Trigger Nausea and Dizziness: When to Seek Help
Why Lying Down Can Trigger Nausea and Dizziness: When to See a Doctor
Sleeping while lying down can cause nausea? Hello, doctor. Recently, when I lie flat to sleep, I experience a sensation similar to motion sickness, feeling dizzy and nauseous, which is quite uncomfortable. At the same time, I also feel a tightness in my neck, as if it is being co...
Dr. Jiang Junyi Reply:
Dear Miss Hsiao-Ya, You mentioned that "when lying flat, I feel a sensation similar to motion sickness." It is important to consider Benign Paroxysmal Positional Vertigo (BPPV) as a potential cause. The characteristic symptoms include brief episodes of dizziness relate...[Read More] Why Lying Down Can Trigger Nausea and Dizziness: When to See a Doctor
Understanding Neck and Jaw Pain: Causes and When to Seek Help
Head and neck issues? Hello Doctor, I am the one who recently strained my neck and temporomandibular joint. I would like to ask what could be the cause of the tingling sensation after the neck strain. Recently, when I move my mouth (talking) or eat, I feel a tingling sensation in...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that there is a tingling sensation in the area just below the back of your head and above your throat... and that you also feel something in the lower back of your head. This may indicate that the nerves in the upper cervical spine are being compressed....[Read More] Understanding Neck and Jaw Pain: Causes and When to Seek Help
Understanding Pulsating Pain in the Back of the Head After Bathroom Visits
Sometimes after using the restroom, I experience a noticeable pulsating pain in the left posterior part of my head for a few seconds? Hello Doctor, I have been experiencing a pulsating pain in the left posterior part of my head for a few seconds after using the restroom or after ...
Dr. Jiang Junyi Reply:
Dear Mr. Tsai, You mentioned "fourth cranial nerve palsy." Generally speaking, strabismus is caused by abnormal function of the six extraocular muscles. In the case of nerve palsy, it may be necessary to identify the underlying cause of nerve inflammation. If symptoms ...[Read More] Understanding Pulsating Pain in the Back of the Head After Bathroom Visits
Understanding SPECT Cerebral Perfusion Scan Results for Dementia Diagnosis
CEREBRAL PERFUSION SCAN WITH SPECT Report Consultation Dear Doctor, Thank you for taking the time to answer my questions. Below are the results of my father's (78 years old) Cerebral Perfusion Scan with SPECT conducted on February 21, 2024. I would like to inquire about the...
Dr. Jiang Junyi Reply:
Dear Ms. Lin, Has your father’s condition progressed to Alzheimer's disease and Parkinson's disease due to his illness? The report you provided indicates that there seems to be a diagnosis of Alzheimer's based on imaging. There is a noted decrease in cerebral bloo...[Read More] Understanding SPECT Cerebral Perfusion Scan Results for Dementia Diagnosis
Understanding Progressive Sensory Abnormalities: A Neurological Concern
Abnormal sensations on the right side are gradually spreading? Hello Doctor, last Saturday, February 24th, I experienced mild numbness in my right lip, right finger, and half of my palm. By Monday, the numbness worsened, so I visited a family medicine doctor who prescribed medica...
Dr. Jiang Junyi Reply:
Dear Miss Lily, You mentioned that on March 2nd, you woke up and noticed abnormal sensations in your scalp, the back of your head, and your eyelids. Additionally, the numbness in your hands has spread to your entire palm, and you can no longer distinguish objects by touch. You a...[Read More] Understanding Progressive Sensory Abnormalities: A Neurological Concern
Understanding Neck Pain: Causes, Symptoms, and Treatment Options
Head and neck pain Recently, I bumped into a rolling iron door and went to the hospital for an examination, which revealed a mild compression of the cervical intervertebral discs at C3, C4, and C5. I underwent cervical traction, and although it relaxed the muscles, I noticed a sl...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "the pain is worst when lying down, and after two weeks, the pain extends to the back of the head." This may indicate compression of the cervical nerves and the occipital nerve. High cervical nerve root compression occurs at the first to ...[Read More] Understanding Neck Pain: Causes, Symptoms, and Treatment Options
Head Injury from Stair Climbing: Understanding Neurological Symptoms
While working, I bumped my head while climbing stairs? I bumped my head while climbing stairs at work on February 27. At the time, I didn't feel much, but starting the next day, February 28, I began to experience weakness in my limbs and a sense of imbalance. However, I have...
Dr. Jiang Junyi Reply:
Dear Mr. Pan, You mentioned that "you hit your head while climbing stairs and didn't feel much at the time, but starting from the next day, February 28, you began to experience weakness in your limbs and a sense of imbalance." Based on your description, the likeli...[Read More] Head Injury from Stair Climbing: Understanding Neurological Symptoms
Understanding Muscle Pain: Exploring Neurological and Cardiac Symptoms
Muscle pain There are several main issues: 1. Palpitations, occasionally feeling a strong heartbeat; 2. A sensation of electric shock throughout the body when startled; 3. Intermittent sharp pain and soreness in the left upper body; 4. Pain in the left upper body when exerting, w...
Dr. Jiang Junyi Reply:
Hello Mr. Lucas: You mentioned that "the pain is noticeably felt during pressure," which may indicate a muscular issue. It is advisable to consult a rehabilitation physician to discuss your daily posture. Pain specialists typically provide nerve block treatments after r...[Read More] Understanding Muscle Pain: Exploring Neurological and Cardiac Symptoms
Understanding MRI Findings and Tinnitus: What You Need to Know
MRI Report Issues & Tinnitus Hello, I have been experiencing tinnitus for the past few years (I hear a motor sound similar to a heartbeat frequency before falling asleep at night). When the sound is loud, people nearby can also hear it if they are close to my head. Recently, ...
Dr. Jiang Junyi Reply:
Dear Miss Xiao Tao, You mentioned that "the MRI images show some white spots, indicating arteriosclerosis, and you should pay attention to the issues related to the three highs (hypertension, hyperlipidemia, and hyperglycemia)." It is recommended that you undergo a sec...[Read More] Understanding MRI Findings and Tinnitus: What You Need to Know
Managing Ear Pain and Sensitivity: Understanding Neurological Triggers
Sharp pain in the inner ear, with surrounding muscle tension, and a desire to dig in? Whenever I feel anxious or hear loud noises, I experience a sharp, stabbing pain in my ears, along with a sensation of foreign objects. I have an urge to dig in my ears, but I can't find an...
Dr. Jiang Junyi Reply:
Dear Mr. Hong, You mentioned that the symptoms of "foreign body sensation in the ear" may need to consider neurogenic pruritus. This primarily involves the nerves of the ear, specifically the vagus nerve and the trigeminal nerve, both of which are closely related to th...[Read More] Managing Ear Pain and Sensitivity: Understanding Neurological Triggers