Understanding Body Tingling: Possible Causes and Recommendations
Tingling sensation in the body? Hello Doctor, about a month ago I suddenly felt a tingling sensation all over my body, without a specific area, almost like it was moving around. I even experienced tingling in my face and head. For a period of time, I often had palpitations and ch...
Dr. Jiang Junyi Reply:
Hello: Your symptoms appear at the extremities, which may suggest a deficiency in B vitamins or abnormal electrolyte levels causing peripheral neuropathy. Clinically, many conditions can lead to hyperventilation, including sepsis, significant blood loss, hypoxia, and acute myocar...[Read More] Understanding Body Tingling: Possible Causes and Recommendations
Understanding Facial Nerve Issues: Symptoms and When to Seek Help
Facial issues Hello Dr. Jiang, last November, I experienced intermittent twitching in my lower left lip for almost a month. I went to a neurologist for an examination, and tests for trigeminal nerve and thyroid function were normal, with no signs of inflammation. The doctor sugge...
Dr. Jiang Junyi Reply:
Hello: The clinical manifestation of facial nerve paralysis is muscle weakness. If accompanied by other sensory symptoms, one should consider the possibility of trigeminal nerve involvement. The most common cause of trigeminal nerve pathology is compression by vascular structures...[Read More] Understanding Facial Nerve Issues: Symptoms and When to Seek Help
Understanding Facial and Scalp Tightness and Pain: A Neurology Perspective
Tightness and tingling pain in the face and scalp? The area around the left eye, forehead, and scalp feels tight, with a prickling sensation upon touch. The eyes can close tightly, and daily activities are normal with low stress levels and regular exercise. This symptom has persi...
Dr. Jiang Junyi Reply:
Hello: The location you described may suggest trigeminal neuralgia, as touching the area can cause a sharp, stabbing sensation. Trigeminal neuralgia is more common in women than in men and typically occurs in adults around the age of 50. The primary cause is often due to vascular...[Read More] Understanding Facial and Scalp Tightness and Pain: A Neurology Perspective
Unexplained Skin Pain: When to Seek Medical Advice for Neurological Issues
Unexplained skin pain? Hello, doctor. Today I noticed that a specific area in my lower back hurts when I touch it (not from direct contact, but when I rub it). There is no redness or swelling, but it feels similar to the pain experienced during a fever. This has happened before, ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are more indicative of neuropathic pain, which is typically caused by damage or disease affecting the somatosensory nervous system. It particularly resembles peripheral nervous system disorders, commonly seen in postherpetic neuralgia, but can also arise from...[Read More] Unexplained Skin Pain: When to Seek Medical Advice for Neurological Issues
Understanding Skin Sensitivity and Pain: Possible Neurological Causes
Pain and shivering upon touch in the upper body, including the chest, abdomen, and back, accompanied by sensations similar to fever and chills? Hello Doctor: I am currently studying abroad, and I am having difficulty accessing medical resources. I hope to receive some help throug...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are more indicative of neuropathic pain, which is typically caused by damage or disease affecting the somatosensory nervous system. It particularly resembles peripheral nervous system disorders, commonly seen in postherpetic neuralgia, but can also arise from...[Read More] Understanding Skin Sensitivity and Pain: Possible Neurological Causes
Facial Numbness After Eating Sweets: Possible Neurological Issues
Numbness in the face after consuming sweets? Whenever I eat sweets (especially cake), my face and chin become numb (particularly the right side of my face), regardless of how sweet they are. However, drinks do not cause this issue. This has been happening for two years, and recen...
Dr. Jiang Junyi Reply:
Hello: You mentioned that the issue of chin numbness may be due to abnormal nerve signaling of the trigeminal nerve. The trigeminal nerve originates from the brainstem, and conditions such as vestibular schwannoma, multiple sclerosis, herpes zoster, or even dental issues causing ...[Read More] Facial Numbness After Eating Sweets: Possible Neurological Issues
Understanding Trigeminal Neuralgia Symptoms and Treatment Options
Trigeminal nerve symptoms Doctor, two months ago I experienced a dull pain in the area of the second-to-last tooth on the upper left side. I also felt numbness and a throbbing sensation from the lower left corner of my left eye to my left temple. However, the pain was not severe....
Dr. Jiang Junyi Reply:
Hello, based on your description, it seems more like trigeminal neuralgia affecting the second branch of the trigeminal nerve. There are many causes of trigeminal neuralgia, with approximately 80% attributed to compression of the trigeminal nerve by vascular structures as it exit...[Read More] Understanding Trigeminal Neuralgia Symptoms and Treatment Options
Understanding Trigeminal Neuralgia After Gum Injury: Causes and Symptoms
After the gum hole occurred, it was originally painful in the area of the hole, but now the pain has spread to the trigeminal nerve? Yesterday, I may have injured my gums while using a water flosser, resulting in a hole. Initially, only the area around the hole was painful. Now, ...
Dr. Jiang Junyi Reply:
Hello: The branches of the trigeminal nerve are distributed from top to bottom in the forehead, cheeks, and chin. During tooth extraction, the dentist anesthetizes the terminal branches of the trigeminal nerve. Trigeminal neuralgia frequently occurs in the areas supplied by its l...[Read More] Understanding Trigeminal Neuralgia After Gum Injury: Causes and Symptoms
Could This Be Trigeminal Neuralgia? Understanding Dental Pain Symptoms
Is this trigeminal neuralgia? Hello, doctor. After I had a tooth extraction, I experienced severe pain in the area of the upper left first and second premolars, with the pain radiating from the zygomatic bone to the ear. I went to the dentist for an examination, and everything ap...
Dr. Jiang Junyi Reply:
Hello, your symptoms are caused by trigeminal nerve instability, which is commonly seen in women around the age of 50. Since this occurred after your dental treatment, it is generally advisable to wait for the inflammatory phase to subside (approximately 2-3 weeks) before further...[Read More] Could This Be Trigeminal Neuralgia? Understanding Dental Pain Symptoms
Understanding Unexplained Neurological Decline: A Patient's Journey
Central nervous system degeneration? In March 2014, my weight inexplicably dropped from 70 kg to 58 kg within a month (and eventually down to 48 kg over the last six months) with no abnormalities found during health check-ups, and it was not due to intentional weight loss. Betwee...
Dr. Gao Chunde Reply:
You described your condition in great detail, and the persistent symptoms on one side of your body primarily suggest a central nervous system issue. However, your electromyography (EMG) and nerve conduction studies also show abnormalities, indicating that there may be peripheral ...[Read More] Understanding Unexplained Neurological Decline: A Patient's Journey
Understanding Trigeminal Neuralgia: Symptoms, Causes, and Stress Connection
Trigeminal nerve I have been experiencing a dull pain in my upper left molar for about two months. The sensation is intermittent and varies in duration. It feels like it's coming from the gum area, and when it hurts, brushing my teeth makes it worse. I have already had my ad...
Dr. Jiang Junyi Reply:
Hello, according to your description, the trigeminal nerve has three branches that are responsible for sensation in the facial areas of the eyes, upper jaw, and lower jaw. Trigeminal neuralgia is characterized by severe, electric shock-like, sharp pain localized to the areas inne...[Read More] Understanding Trigeminal Neuralgia: Symptoms, Causes, and Stress Connection
Intermittent Severe Headaches: Causes and Treatment Options
Intermittent headaches Hello, doctor. I occasionally experience sudden, severe pain in the upper right side of my head. The pain occurs in intervals of about ten seconds, and each episode is extremely painful and uncomfortable. What treatment do I need? Should I go to a major hos...
Dr. Jiang Junyi Reply:
Hello, based on your description, the throbbing pain in the forehead may suggest tension-type headache. Additionally, trigeminal neuralgia should also be considered. Patients typically describe a severe pain in the cheek, jaw, or inside the mouth that feels like stabbing, cutting...[Read More] Intermittent Severe Headaches: Causes and Treatment Options
Understanding Dizziness and Neck Pain: When to Seek Medical Help
Dizziness and issues with the neck and shoulders? I'm not very good at describing it, but right now I feel a bit dizzy, though not extremely so. It feels somewhat like having a heavy head and light feet, with a sensation that my head might drop off, almost like being startle...
Dr. Lan Shengxing Reply:
Dear Mr. Pan, many of the symptoms you mentioned are common among neurology patients. I recommend that you directly schedule an appointment with a neurologist, as the conditions you mentioned cannot rule out the possibility of multiple sclerosis.[Read More] Understanding Dizziness and Neck Pain: When to Seek Medical Help
Understanding Pins and Needles: Could It Be Multiple Sclerosis?
Needle prick and electric sensation in the feet? Hello Doctor, I would like to ask about occasional mild pinprick and electric shock sensations in my right foot (which do not persist throughout the day). Previously, I also experienced mild prickling sensations in my hand. Could t...
Dr. Lan Shengxing Reply:
Dear Xiao Ting, Although multiple sclerosis is a differential diagnosis, its prevalence in Taiwan is not as high as in higher latitude countries. Other conditions, such as symptoms caused by compression of the spinal cord or spinal nerves, should be considered first. This condit...[Read More] Understanding Pins and Needles: Could It Be Multiple Sclerosis?
Understanding Persistent Dizziness and Heavy Head: Possible Causes and Solutions
Persistent and irregular episodes of dizziness and lightheadedness (heaviness in the back of the head)? Hello Doctor: I suddenly experienced dizziness symptoms over two years ago, particularly when looking at the computer screen, which lasted for about a month. After seeing a doc...
Dr. Gao Chunde Reply:
If there are no symptoms of ear fullness, tinnitus, or hearing loss, it is more likely to be benign paroxysmal positional vertigo (BPPV), albeit with a higher frequency of episodes. However, some conditions that warrant attention include multiple sclerosis in young women, vestibu...[Read More] Understanding Persistent Dizziness and Heavy Head: Possible Causes and Solutions
Understanding Multiple Sclerosis: MRI Insights and Next Steps
About Multiple Sclerosis Hello, doctor. Recently, I have been experiencing worsening hand tremors, wrist spasms, and a decreased sense of balance. I opted for a self-paid MRI of my brain, which revealed a single white matter lesion. When I asked my attending physician if this cou...
Dr. Lan Shengxing Reply:
Dear Mr. Chen, the issues you mentioned can be explained in several points: 1. Whether the white spot seen on the MRI corresponds to your symptoms is quite important. MRI scans are very sensitive and often detect lesions that do not produce any symptoms. If there is indeed no co...[Read More] Understanding Multiple Sclerosis: MRI Insights and Next Steps
Understanding Top-of-Head Pain: Causes and Risks Explained
Headache on the top of the head? Hello, sometimes I experience headaches, specifically at the top of my head. I'm not sure what it could be. I also have mild numbness on one side of my face. Is there a risk of stroke? Additionally, regarding the facial nerve, is the mild num...
Dr. Lin Zijing Reply:
Facial numbness on one side may be due to 1. trigeminal nerve dysfunction, 2. mild stroke, 3. atypical facial pain, 4. multiple sclerosis, 5. cellulitis or viral infection (such as herpes zoster), among many possible diagnoses. The headache may or may not be related. It is recomm...[Read More] Understanding Top-of-Head Pain: Causes and Risks Explained
Managing Acute Relapses in Multiple Sclerosis: Steroid Treatment Insights
Acute treatment of multiple sclerosis? Hello, my sister's multiple sclerosis has relapsed again, and I'm very worried. I would like to ask you about something. Everyone online says that for acute episodes, high-dose steroids should be injected, so we went to the emergen...
Dr. Gao Chunde Reply:
The physician confirms the presence of objective evidence of symptoms with acute exacerbation and may administer high-dose intravenous corticosteroids for three to seven days.[Read More] Managing Acute Relapses in Multiple Sclerosis: Steroid Treatment Insights
Managing Multiple Sclerosis Relapses: Steroid Treatment Insights
Multiple Sclerosis Hello, my sister's multiple sclerosis has relapsed again, and I am very worried. I would like to ask you about something. Everyone online says that for acute episodes, high-dose steroids should be injected, so we went to the emergency room. After the injec...
Dr. Huang Yongquan Reply:
Hello: In response to your question, if a diagnosis of multiple sclerosis is confirmed, the standard treatment involves administering high-dose corticosteroids in the morning and evening, or using plasmapheresis to adjust the immune system. During the acute phase, continuous trea...[Read More] Managing Multiple Sclerosis Relapses: Steroid Treatment Insights
Understanding Visual Disturbances: Causes and Concerns in Neurology
The eyes are dazzled? Hello, Doctor. Recently, I have been experiencing strange visual disturbances. It's not like the dizziness associated with anemia; my mind is clear and normal, and I don't feel faint or see things moving. However, I do feel a slight heaviness behin...
Dr. Lin Zijing Reply:
Visual symptoms may have the following causes: 1. Ocular issues: retinal detachment, elevated intraocular pressure, corneal disease, etc. 2. Optic nerve problems: inflammation, multiple sclerosis, etc. 3. Cerebrovascular issues: transient ischemic attacks, migraines, etc. 4. Brai...[Read More] Understanding Visual Disturbances: Causes and Concerns in Neurology