Understanding Multiple Sclerosis: Symptoms, Diagnosis, and Concerns
Multiple Sclerosis I would like to ask about some recent health issues I've been experiencing (numbness in my hands and feet, slight weakness, and discomfort in my eyes). The eye discomfort has persisted for nearly a month, accompanied by mild photophobia and some bloodshot ...
Dr. Peng Shiwei Reply:
Hello, the EEG test cannot rule out multiple sclerosis. If your eye symptoms are caused by optic neuritis, I strongly recommend that you complete an MRI examination. Thank you for your inquiry.[Read More] Understanding Multiple Sclerosis: Symptoms, Diagnosis, and Concerns
Understanding Trigeminal Neuralgia: Symptoms, Causes, and Treatments
Trigeminal neuralgia Hello, doctor: I have a tingling sensation in my left ear, my cheek feels numb, there is nerve pain below the left ear, and I am experiencing severe pain in the area above and to the left of my ear. Is this related to trigeminal neuralgia? What treatment shou...
Dr. Jiang Junyi Reply:
Dear Mr. Avi, You mentioned experiencing a "tingling sensation in the cheeks," which may warrant consideration of inflammation of the mandibular branch of the trigeminal nerve. This can occur due to compression by vascular structures as the trigeminal nerve enters the ...[Read More] Understanding Trigeminal Neuralgia: Symptoms, Causes, and Treatments
Facial Numbness: Neurological Concerns or Food Allergy?
Facial issues Hello Doctor: I would like to ask about experiencing occasional numbness on the left side of my face over the past year. However, my facial expressions remain unaffected, and the numbness gradually improves within 1-2 hours. Recently, I have particularly noticed tha...
Dr. Jiang Junyi Reply:
Dear Ms. Chang, You mentioned that "the special observation is that facial numbness occurs particularly when eating sushi." Your symptoms may suggest a dysfunction of the trigeminal nerve. This condition can sometimes progress to trigeminal neuralgia. Demyelination of ...[Read More] Facial Numbness: Neurological Concerns or Food Allergy?
Facial Numbness After Waking: Possible Causes and When to Seek Help
Numbness in the upper left side of the face upon waking up? I have been noticing this phenomenon for at least a month now. The main symptom is numbness around my left eye (forehead, temples, cheekbones, etc.), which is not painful. It tends to occur upon waking, especially in the...
Dr. Jiang Junyi Reply:
Hello Mr. Wang: You mentioned that "the symptoms mainly involve numbness around the left eye (forehead, temples, cheekbone, etc.)." This symptom may suggest inflammation of the first branch of the trigeminal nerve (ophthalmic nerve). First, we need to rule out sinusitis...[Read More] Facial Numbness After Waking: Possible Causes and When to Seek Help
Understanding Left Jaw Pain: When to See a Neurologist or Dentist
Sharp pain in the left lower jaw and cheek? Hello Doctor: For the past two days, I've been experiencing intermittent sharp pain on the left side of my cheek, feeling like someone is poking me with a needle or giving me an electric shock, which is quite uncomfortable. The pai...
Dr. Jiang Junyi Reply:
Hello Ms. Chen, You mentioned that "the pain extends from the jaw up to the temples, around the eyes, and the scalp, and down to the chin, occurring several times a minute or suddenly once every few hours. The pain intensifies during activities such as eating, yawning, turn...[Read More] Understanding Left Jaw Pain: When to See a Neurologist or Dentist
Understanding Nerve Pain and Weakness in Hands and Feet: A Patient's Journey
Numbness and tingling in both hands, weakness in both legs? Since March of last year, I started feeling a foreign sensation behind my occiput upon waking up one day. I consulted a doctor and took medication, but it did not improve. Later, the foreign sensation suddenly disappeare...
Dr. Jiang Junyi Reply:
Dear Miss Vicky, You mentioned "Multiple sclerosis? Neuritis? Autoimmune diseases? Diabetes? Herniated disc? Amyotrophic lateral sclerosis? CIDP?... Which specialty should I consult to thoroughly identify and resolve the issue?" You also noted that "the discomfort...[Read More] Understanding Nerve Pain and Weakness in Hands and Feet: A Patient's Journey
Understanding Anxiety and Neurological Symptoms: MS or Autonomic Dysfunction?
Multiple Sclerosis / Autonomic Nervous System Dysregulation Hello, doctor. I have been feeling very anxious lately due to symptoms such as dizziness, palpitations, elevated body temperature, a sensation of something stuck in my throat, and difficulty breathing that appeared a few...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to consult a neurologist for an examination.[Read More] Understanding Anxiety and Neurological Symptoms: MS or Autonomic Dysfunction?
Understanding Facial and Limb Numbness: Possible Causes and Solutions
Numbness in the face and extremities? Recently, I have been experiencing frequent episodes of dizziness, tinnitus, and palpitations, which have made me very anxious. I constantly worry about whether I might be ill, and it has even affected my daily life, leading to emotional inst...
Dr. Jiang Junyi Reply:
Dear Miss Chi, Regarding your mention of "early symptoms of multiple sclerosis," your symptoms do not align with this issue, as they do not present as lesions in a single area of the nervous system. Multiple sclerosis is caused by inflammation in the central nervous sy...[Read More] Understanding Facial and Limb Numbness: Possible Causes and Solutions
Understanding Systemic Tingling: Possible Causes and Next Steps
Generalized tingling and numbness? Hello Dr. Jiang, this is Mr. Wu, who inquired about multiple sclerosis last time. I had a follow-up appointment on May 6th, and the cervical MRI report showed normal results. I informed the physician about the tingling sensation in the soles of ...
Dr. Jiang Junyi Reply:
Hello: You are currently on too many medications, and many gastrointestinal drugs can actually be adjusted. For example, the side effects of EPILON may include dry mouth, vomiting, constipation, urinary retention, blurred vision, headache, fatigue, and skin flushing, among others...[Read More] Understanding Systemic Tingling: Possible Causes and Next Steps
Understanding Neurological Symptoms: Seeking Answers for Persistent Discomfort
Struggling for nearly six months? Hello Dr. Jiang, I started experiencing chest tightness and pain in my pectoral muscles last October, accompanied by weakness, shoulder pain, and numbness in my back during certain movements, with a sensation like electric shocks. When I raise my...
Dr. Jiang Junyi Reply:
Dear Mr. Wu, You mentioned "multiple sclerosis," which affects fewer than 5 people per 100,000 in Taiwan, making it a rare disease. The diagnosis of multiple sclerosis is based on clinical history and examinations that reveal multiple lesions in the nervous system. A d...[Read More] Understanding Neurological Symptoms: Seeking Answers for Persistent Discomfort
Could a Brain Tumor Cause Nasal Pressure and Discomfort?
Brain tumor issues? Since November of last year, I have been experiencing a feeling of pressure and tightness in my nasal cavity and bridge of the nose. I have seen an otolaryngologist who ruled out nasal issues. I would like to ask if it is possible that this could be caused by ...
Dr. Jiang Junyi Reply:
Dear Mr. Yan, You mentioned that you have been experiencing a feeling of pressure and tightness in your nasal cavity and bridge of the nose. After consulting an otolaryngologist, nasal issues have been ruled out, and you are inquiring whether it could be due to a brain tumor pre...[Read More] Could a Brain Tumor Cause Nasal Pressure and Discomfort?
Understanding Neuropathic Pain: Which Specialist Should You See?
Suspected neuropathic pain - unsure which specialty to consult? Hello, Dr. Jiang. I apologize for bothering you. My mother and grandmother have both reported experiencing "neuropathic pain" after reaching a certain age. They have occasional episodes, a few times a year,...
Dr. Jiang Junyi Reply:
Dear Miss Peng, You mentioned that "the pain usually starts at night when falling asleep and continues into the next day, occurring in episodes, and typically resolves within two days." Your symptoms may suggest Restless Legs Syndrome (RLS). The etiology of RLS is rela...[Read More] Understanding Neuropathic Pain: Which Specialist Should You See?
Understanding the Link Between Sexual Dysfunction and Multiple Sclerosis
Multiple Sclerosis Hello, doctor. I previously experienced sexual dysfunction due to an incident of masturbation. I have difficulties with erection, sensation, and ejaculation, and my penis feels numb with little sensation. This has caused me a lot of stress. Later, I came across...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned whether "sexual dysfunction could indirectly lead to central nervous system diseases such as multiple sclerosis." The answer is "no," as multiple sclerosis is considered a rare disease in Taiwan. Erectile dysfunction can be classified...[Read More] Understanding the Link Between Sexual Dysfunction and Multiple Sclerosis
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 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 Neurological Symptoms: Dysautonomia vs. Multiple Sclerosis
Autonomic Nervous System Dysfunction or Multiple Sclerosis? Hello Dr. Jiang, In early September, I experienced brief episodes of numbness and tingling in my limbs, lasting only a few seconds but occurring quite frequently. I consulted a clinic, and they suggested it might be a c...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned experiencing "temporary numbness and tingling in your limbs, which lasts for a few seconds but occurs quite frequently." These symptoms are more indicative of hyperventilation. Hyperventilation can lead to a decrease in carbon dioxide levels ...[Read More] Understanding Neurological Symptoms: Dysautonomia vs. Multiple Sclerosis
Understanding Neuromuscular Disease Testing: Insights and Next Steps
"Neuromuscular Disease Examination" Hello Dr. Jiang, thank you for your response. I am currently in Kaohsiung. I first visited Kaohsiung Medical University for an emergency consultation around March of last year due to unexplained dizziness. At that time, the resident p...
Dr. Jiang Junyi Reply:
Hello, sir: Generally, when abnormalities are observed in electromyography (EMG), an MRI is performed to locate the tissue for a planned biopsy of the muscle. This is because it is not easy to locate the tissue once the surgery begins. It is recommended to follow up with Dr. Chen...[Read More] Understanding Neuromuscular Disease Testing: Insights and Next Steps
Understanding MRI White Matter Lesions: MS and Neurological Symptoms
Brain MRI white matter lesions / Multiple sclerosis Hello Dr. Jiang, due to long-term headaches and sudden changes in my symptoms, I paid out of pocket for a brain MRI. (1) The attending physician said that my images showed no issues, and I even asked her to review them again, bu...
Dr. Jiang Junyi Reply:
Dear Ms. Amy, You mentioned that the MRI showed numerous white matter lesions. It may be necessary to consider some central nervous system inflammation and myelin injury. Myelin is an insulating substance that surrounds nerves, and if it is damaged, the inflammatory process (pat...[Read More] Understanding MRI White Matter Lesions: MS and Neurological Symptoms
Understanding Neurological Symptoms: Left Head Pain and Hand Numbness
Mild pain in the left occipital region and slight numbness in the left hand? Hello Doctor: My irregular sleep schedule has been ongoing for about six years, compounded by significant stress from university exams. In mid-May of this year, I suddenly experienced a ringing in my lef...
Dr. Jiang Junyi Reply:
Dear Ms. Irene, The description you provided, "lying on your side using your left hand to use your phone, and then experiencing numbness in your entire left arm the following morning that has not improved," may suggest symptoms related to cervical spine issues. Additio...[Read More] Understanding Neurological Symptoms: Left Head Pain and Hand Numbness
Understanding Numbness in the Left Hand and Occipital Region
Numbness in the back of the head and tingling in the left hand? The left hand has been feeling numb for several days, and tonight there is suddenly a tingling sensation in the back of the head. I would like to know what could be causing this.
Dr. Jiang Junyi Reply:
Dear Ms. Ke, You may need to consider cervical nerve root compression, which is often related to tightness in the cervical muscles and degeneration of the cervical spine. Symptoms typically include pain at the affected site, discomfort, muscle stiffness, or neurological sensatio...[Read More] Understanding Numbness in the Left Hand and Occipital Region