Chronic Migraines: Seeking Relief from Severe Headaches at Night
Increasingly severe headaches, requiring sitting up to sleep at night? Hello Dr. Jiang, I have been experiencing frequent migraines since high school, usually starting on the right side and spreading to the entire back of my head. When the pain is intense, I often vomit, and I h...
Dr. Jiang Junyi Reply:
Dear Ms. Ni, You mentioned that "since high school, I have frequently experienced migraines... I have visited several clinics, and they all prescribed pain relievers and muscle relaxants." Your symptoms may need to be considered for Chronic Daily Headache, defined as h...[Read More] Chronic Migraines: Seeking Relief from Severe Headaches at Night
Understanding Fasciculations: Causes and When to Seek Help
Widespread muscle twitching? Hello Doctor, I have been experiencing persistent muscle twitching all over my body for the past two months, with the location varying. Additionally, I sometimes have mild headaches, feel fatigued throughout the day, and occasionally experience tingli...
Dr. Jiang Junyi Reply:
Hello Mr. Shi: You mentioned that "all the muscles in my body are twitching continuously... I also have a bit of a headache... there are no electrolyte abnormalities or muscle atrophy." Prolonged exercise is one of the main causes of muscle twitching. In addition to mus...[Read More] Understanding Fasciculations: Causes and When to Seek Help
Uncontrollable Muscle Twitches from Left Foot to Calf: What to Do?
Involuntary muscle twitching from the left foot to the calf? Hello Doctor, for the past few days, I have been experiencing a rhythmic and persistent twitching from my left foot up to my calf. I often feel soreness in my left lower back and left leg. Three months ago, I had an X-r...
Dr. Jiang Junyi Reply:
Hello, Miss Cat: You mentioned that "the left side of my waist and left leg tend to feel sore... I wonder if this might affect the nerve conduction in my left leg muscles." Your symptoms may suggest that the left sciatic nerve is being compressed. If there is no muscle...[Read More] Uncontrollable Muscle Twitches from Left Foot to Calf: What to Do?
Understanding Muscle Cramps: Causes and Solutions for Your Symptoms
Frequent muscle cramps in the hands and feet? Hello Dr. Jiang, I have been experiencing severe cramps in my fingers, arms, and calves recently. I have visited the neurology, orthopedics, and metabolic departments at Taichung Chung Shan Hospital, where I underwent MRI scans of my ...
Dr. Jiang Junyi Reply:
Hello Mr. Chang, You mentioned experiencing "severe cramps from your fingers to your elbows and calves..." Cramps are caused by involuntary muscle contractions. Common causes include: Dehydration: Dehydration is a common cause of muscle cramps. When the body is lackin...[Read More] Understanding Muscle Cramps: Causes and Solutions for Your Symptoms
Understanding Benign Muscle Twitches: When to Worry and When to Relax
Nervous tics Hello, Doctor! I would like to inquire about my muscles twitching or spasming almost every day. However, there is no pain; the twitching stops after a moment and then resumes later, which is noticeable. I have also been to the hospital for tests like electromyography...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "the hospital conducted tests such as electromyography, and the doctor said everything is normal with no concerning abnormalities, indicating that this is benign muscle twitching..." The causes of muscle twitching can include not only mus...[Read More] Understanding Benign Muscle Twitches: When to Worry and When to Relax
Understanding Facial Nerve Paralysis: Common Aftereffects and Treatment Options
Facial nerve paralysis sequelae? Hello, Dr. Jiang. Current symptoms: 1. When closing my left eye, the muscles below the left corner of my mouth are also pulled. 2. There is no facial twitching at the corners of my mouth during normal activities; it only occurs when I close my eye...
Dr. Jiang Junyi Reply:
Hello Mr. Lin: You mentioned the issue of "facial nerve paralysis." Is the inability to close the left eye and the pulling of the mouth corner a common sequela? This usually occurs in patients with more severe inflammation, such as when the eye cannot close during the e...[Read More] Understanding Facial Nerve Paralysis: Common Aftereffects and Treatment Options
Understanding Parkinson's and ALS: Addressing Anxiety and Symptoms
Hello, doctor. I would like to inquire about concerns regarding Parkinson's disease and amyotrophic lateral sclerosis (ALS)? Hello Doctor: I have been experiencing depression, anxiety, panic, and health anxiety for a year now. Prior to this, I was doing well. I have been mak...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned, "Am I really overthinking and living in fear every day... Could my depression and anxiety cause dopamine scans to show abnormalities, and is there a chance that a doctor might diagnose me with Parkinson's?" In clinical practice, neurologi...[Read More] Understanding Parkinson's and ALS: Addressing Anxiety and Symptoms
Understanding Ear Pain: Causes and Solutions for Nocturnal Discomfort
Ear pain issues? Hello, doctor: I would like to ask, when I sleep on my left side, I wake up to find pain in the area of the auricle and the depression in front of the ear. Pressing with my finger causes discomfort. Previously, moving my jaw would alleviate the pain, but recently...
Dr. Jiang Junyi Reply:
Dear Mr. Bin, You mentioned that "pressing on the area around the ear and the depression in front of the auricle causes pain." Your symptoms may suggest temporomandibular joint (TMJ) disorder. Common symptoms include occasional jaw deviation when opening the mouth, pai...[Read More] Understanding Ear Pain: Causes and Solutions for Nocturnal Discomfort
Uncontrollable Limb Movements: When to See a Neurologist?
Involuntary limb movements? Hello Dr. Jiang, on the morning of May 23rd, I experienced uncontrollable, forceful movements of my limbs while in a semi-conscious state. I struggled to stay awake but could not control the movements of my limbs, and my fingers felt weak. After much e...
Dr. Jiang Junyi Reply:
Dear Ms. Enid, You mentioned experiencing "uncontrollable vigorous movements of the limbs while in a semi-conscious state." Your symptoms may warrant consideration of extrapyramidal syndrome or focal epilepsy. Extrapyramidal syndrome is typically caused by medication a...[Read More] Uncontrollable Limb Movements: When to See a Neurologist?
Understanding Muscle Twitches: Is It ALS or Something Else?
I'm very afraid it might be amyotrophic lateral sclerosis (ALS)..? Hello doctor, three months ago I started experiencing muscle twitching all over my body. Some areas are more fixed while others vary in intensity. I also have a feeling of weakness in my left hand; when I exe...
Dr. Chen Weida Reply:
Note: The same consultation <a href="https://adoctor.tw/article/208460">#208460</a> was responded to on May 17. Hello! The early symptoms of motor neuron disease primarily include mild weakness in the limbs or enhanced reflexes, and some patients may experie...[Read More] Understanding Muscle Twitches: Is It ALS or Something Else?
Understanding Facial Muscle Twitches: When to See a Neurologist or Ophthalmologist
Facial spasms Hello Doctor, I have been experiencing muscle twitching around the tear trough area on my right face (near the apple cheek) for about a month now, and there has been no improvement. Sometimes it occurs first thing in the morning, even when I am not fatigued. I have ...
Dr. Huang Hongling Reply:
If eyelid twitching persists for more than 2-3 weeks, is severe enough to cause the eyes to close, or if there are other symptoms such as twitching of facial or body muscles, redness of the eyes, discharge, or drooping eyelids, it is advisable to visit a neurology clinic for eval...[Read More] Understanding Facial Muscle Twitches: When to See a Neurologist or Ophthalmologist
Understanding Right Big Toe Tremors: Possible Neurological Insights
Trembling of the right big toe? Hello Doctor, I previously worked in the tech industry and left my job due to excessive stress, which led to symptoms resembling panic attacks, such as chest tightness, difficulty breathing, and palpitations (without medical diagnosis). I initially...
Dr. Cai Zongzhang Reply:
Hello Mr. Chen: Based on the symptoms mentioned, it is recommended to visit a neurologist for further evaluation to confirm the underlying cause.[Read More] Understanding Right Big Toe Tremors: Possible Neurological Insights
Knee Pain When Touched: Causes, Recovery, and Treatment Options
Knee pain occurs upon impact? Hello, Doctor. I started experiencing mild pain in my knee about a week ago. I've noticed that it doesn't affect my daily activities, but it hurts when I lightly touch the outer side of my kneecap, while pressing firmly doesn't cause a...
Dr. Jiang Junyi Reply:
Hello Miss Hsiao-Hsiang, You mentioned that "light touch causes pain (on the outer side of the kneecap)," which may indicate "patellofemoral pain syndrome." The role of the patella is to increase the mechanical angle of the tendons and enhance muscle contract...[Read More] Knee Pain When Touched: Causes, Recovery, and Treatment Options
Understanding Cervical Spine Issues and Central Sleep Apnea Symptoms
Cervical spine issues and sleep apnea? Hello, Doctor. Thank you very much for your response. I have been suspecting that I might have central sleep apnea. About a year ago, I frequently stayed up late and later began to feel extremely fatigued. Whenever I didn't get enough s...
Dr. Cai Zongzhang Reply:
Hello: Based on the symptom description, the cause may be related to cervical spine disease. It is recommended to visit a neurologist for a definitive diagnosis.[Read More] Understanding Cervical Spine Issues and Central Sleep Apnea Symptoms
Understanding Dizziness and Numbness: Neurological Concerns Explained
Dizziness and numbness in the face and hands? Hello Doctor, on Thursday night, I started feeling a warm sensation in the back of my head. On Friday, my temperature ranged from 37 to 37.5 degrees Celsius (the weather has been getting warmer), and my head still felt warm. I had lit...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned that "neck tightness and tilting back or forward can cause dizziness, and sometimes I experience headaches... my left hand is numb, and I feel numbness in my left teeth and left side of my face, with occasional headaches (the pain radiates outward)....[Read More] Understanding Dizziness and Numbness: Neurological Concerns Explained
Understanding Sudden Muscle Twitches: Causes and Concerns
Sudden twitching? Hello Doctor: In recent years, I have noticed that maintaining a certain posture for an extended period causes my hands or legs to feel numb. When I prepare to change positions, that area suddenly twitches noticeably, for example, when my legs are crossed and my...
Dr. Jiang Junyi Reply:
Hello, Ms. Ang. You mentioned that "holding a certain posture causes numbness in the hands or legs, and when preparing to change positions, that area suddenly twitches noticeably." The numbness is likely due to prolonged positioning, leading to peripheral nerve compress...[Read More] Understanding Sudden Muscle Twitches: Causes and Concerns
Understanding Muscle Twitches: Insights from Neurology and Patient Concerns
Muscle twitching Hello, doctor. I am the person who previously consulted you about muscle twitching during my university years (about three years ago). Recently, I couldn't bear the fear and went to see a neurologist again, discussing the twitching in my left thenar eminence...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned, "This time I didn't have an electromyogram, and I can only listen to different doctors' opinions at various neurology clinics, but the body's twitching still cannot be eliminated. Besides seeing a doctor, what should I do?" The ...[Read More] Understanding Muscle Twitches: Insights from Neurology and Patient Concerns
Understanding Brain Fog: Symptoms, Causes, and Treatment Options
I have been feeling dizzy and forgetful for the past one to two months? Hello Doctor, I have been experiencing symptoms similar to brain fog for the past month or two, but I have not been diagnosed with COVID-19. My symptoms include dizziness, lack of energy, forgetfulness affect...
Dr. Jiang Junyi Reply:
Dear Mr. Ding, You mentioned that you have been experiencing symptoms similar to brain fog for the past month or two, along with difficulty sleeping and autonomic nervous system dysregulation (with a significant shift from the parasympathetic to the sympathetic nervous system). ...[Read More] Understanding Brain Fog: Symptoms, Causes, and Treatment Options
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 Head and Chest Discomfort: Possible Neurological Concerns
Occasionally experiencing tingling on both sides of the head? A few weeks ago, I started experiencing chest tightness, difficulty breathing, and a tingling sensation in the area of my left shoulder blade. After a chest X-ray and listening to my heartbeat, the doctor said there we...
Dr. Jiang Junyi Reply:
Hello Mr. Leon, You mentioned that you feel numbness in the area of your left shoulder and occasionally experience a heavy, numb sensation on both sides of your head (around the temples and the top of your head). These symptoms are less indicative of a stroke, which typically pr...[Read More] Understanding Head and Chest Discomfort: Possible Neurological Concerns