Understanding Left-Sided Body Discomfort: When to See a Neurologist
Discomfort on the left side of the body? Hello Doctor, I feel strange on the entire left side of my body. The muscles in my left neck feel very tight, and my left lower back also feels tight. It hurts when I bend to the right, and I experience soreness on the left side when I ben...
Dr. Cai Zongzhang Reply:
Hello, I recommend that you visit a neurologist for further evaluation and treatment.[Read More] Understanding Left-Sided Body Discomfort: When to See a Neurologist
Understanding Pulsatile Tinnitus and Its Connection to Cervical Myofascial Pain
Pulsatile tinnitus / Cervical myofascial pain syndrome I have been experiencing unilateral high-frequency continuous tinnitus for over six months, along with a simultaneous high-frequency pulsatile tinnitus (which is slightly quieter). This occurs 24 hours a day, and I can hear i...
Dr. Cai Zongzhang Reply:
Hello, have you been diagnosed with shoulder and neck myofascial pain syndrome? It is recommended that you consult your otolaryngologist to confirm the relationship. Wishing you a speedy recovery.[Read More] Understanding Pulsatile Tinnitus and Its Connection to Cervical Myofascial Pain
Understanding Neck Popping Sensations: When to See a Specialist
The sensation of popping or cracking in the neck? Hello, doctor. I have a question: Since middle school, I have occasionally experienced a sensation on the right side of my neck, as if something is snapping. Sometimes it feels like it extends from the top of my head to my right s...
Dr. Jiang Junyi Reply:
Hello, based on your description, the most common cause of abnormal muscle twitching in the left side of the neck is cervical myofascial instability. Prolonged periods of looking down can lead to overuse of the trapezius muscle in the back of the neck, resulting in neck and shoul...[Read More] Understanding Neck Popping Sensations: When to See a Specialist
Understanding Headaches: Sneezing, Coughing, and Neurological Concerns
Sneezing, coughing, and then experiencing a headache? Hello, doctor. I am 26 years old. A few days ago, I experienced an allergic asthma attack, and the doctor prescribed a bronchodilator, which helped. However, I started to have headaches afterward. I often feel pressure in the ...
Dr. Jiang Junyi Reply:
Hello, based on your description, the most common cause of right occipital pain is cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscle in the neck, resulting in neck and shoulder discomfort. Initially, resting may alleviate the ...[Read More] Understanding Headaches: Sneezing, Coughing, and Neurological Concerns
Muscle Twitches and Weakness: Understanding Neurological Concerns
Muscle twitching and a feeling of weakness? Hello, Doctor: I often experience involuntary muscle twitching throughout my body, including my facial cheekbones, and sometimes I feel weakness in my right hand. Recently, I visited the hospital for an examination and discussed my conc...
Dr. Jiang Junyi Reply:
Hello: Based on your description, the muscle instability symptoms you mentioned are primarily related to exercise, acute viral infections, anxiety, and medication use. If there are only muscle fasciculations without significant muscle atrophy, it is usually caused by neuroinflamm...[Read More] Muscle Twitches and Weakness: Understanding Neurological Concerns
Understanding Facial Nerve Paralysis: Recovery and Symptoms Explained
Facial nerve paralysis Hello, Dr. Jiang. I sought medical attention on the second day of my illness, and the doctor diagnosed me with left-sided facial nerve paralysis. After a week of medication (steroids) and discontinuation of B vitamins, I began rehabilitation. However, after...
Dr. Jiang Junyi Reply:
Hello: In the acute phase of facial nerve paralysis, symptoms take time to improve due to nerve damage. The use of corticosteroids in the first week is primarily to control inflammation and reduce the extent of nerve injury. Other treatment options include medications such as vit...[Read More] Understanding Facial Nerve Paralysis: Recovery and Symptoms Explained
Understanding Neck Tension: Symptoms and Solutions for Head Pressure
Head issues Hello, I have a sensation of pressure near the back of my head close to my neck. I do not experience dizziness or headaches, and this symptom has persisted for over a year. It feels very much like muscle tension, as if my neck lacks the strength to support my head. I ...
Dr. Jiang Junyi Reply:
Hello, based on your description, the most common cause of pain in the posterior neck is cervical myofascial pain. This issue is primarily characterized by degeneration of the cervical spine on CT scans, while brain imaging is mostly normal. Prolonged periods of looking down can ...[Read More] Understanding Neck Tension: Symptoms and Solutions for Head Pressure
Chest Tightness, Dizziness, and Rapid Heartbeat: Seeking Further Diagnosis
Chest tightness, dizziness, and rapid heartbeat? For the past six months, I have frequently experienced chest tightness, dizziness, and a rapid heartbeat. I have undergone a comprehensive health check-up at my own expense, and everything came back normal. Additionally, I have had...
Dr. Jiang Junyi Reply:
Hello, based on your description, if you are overweight or experiencing severe snoring, you may want to consider sleep apnea. This condition is commonly caused by the obstruction of the airway due to soft tissue in the throat, which narrows the upper airway and leads to snoring a...[Read More] Chest Tightness, Dizziness, and Rapid Heartbeat: Seeking Further Diagnosis
Understanding Thigh Cramps and Back Pain: Finding Relief for Daily Struggles
Thigh cramps accompanied by lower back pain, causing discomfort while walking and sleeping? This has been a chronic issue for me. While working, I often experience severe pain in my right thigh, making it difficult to stand. It feels like I'm cramping, and I have to hunch ov...
Dr. Jiang Junyi Reply:
Hello, based on your description, it is important to consider symptoms related to nerve compression due to a herniated disc, which may also result from sudden injuries, such as twisting the waist, bending to lift heavy objects, or experiencing excessive force, for example, fallin...[Read More] Understanding Thigh Cramps and Back Pain: Finding Relief for Daily Struggles
Muscle Twitches and Weakness: Understanding Possible Neurological Issues
Muscle twitching and weakness? Hello, Doctor: I would like to ask about frequently feeling muscle twitching throughout my body, without a specific location, usually just a few twitches. I also experience headaches and dizziness, along with a general sense of fatigue and weakness....
Dr. Jiang Junyi Reply:
Hello, based on your description, if you are concerned about autonomic nervous system issues, you can undergo autonomic nervous system testing to check for any abnormalities in your heart rate variability. The symptoms you described may also warrant consideration of obstructive s...[Read More] Muscle Twitches and Weakness: Understanding Possible Neurological Issues
Understanding Recovery Challenges After Orthognathic Surgery
Poor recovery status after orthognathic surgery? Hello, doctor... It has been over two years since my orthognathic surgery to advance my mandible, but the left side of my face is still experiencing muscle stiffness. When I smile, my face appears uneven, and the left side of my mo...
Dr. Jiang Junyi Reply:
Hello: Your description does not rule out issues related to peripheral facial nerve problems. Aside from corticosteroids, there is insufficient evidence to support the effectiveness of other treatment methods. After the acute phase, there are almost no medications that are defini...[Read More] Understanding Recovery Challenges After Orthognathic Surgery
Post-Surgery Facial Recovery: Addressing Concerns After Jaw Surgery
Poor recovery status after orthognathic surgery? Hello, doctor... It has been over two years since my orthognathic surgery to advance my mandible, but the left side of my face is still experiencing muscle stiffness. When I smile, my face is uneven, and the left side of my mouth f...
Dr. Jiang Junyi Reply:
Hello: Your description does not rule out issues related to peripheral facial nerve problems. Aside from corticosteroids, there is insufficient evidence to support the effectiveness of other treatment methods. After the acute phase, there are almost no medications that are defini...[Read More] Post-Surgery Facial Recovery: Addressing Concerns After Jaw Surgery
Post-ICU Challenges: Diabetes and Swallowing Difficulties Explained
After being weaned off the ventilator in the intensive care unit, the patient with diabetes is experiencing difficulty swallowing and lacks voluntary motor control? Hello Doctor, My father was hospitalized in January 2018 due to diabetic ketoacidosis (with a hemoglobin A1c of 1...
Dr. Hong Weibin Reply:
Your father may be suffering from Critical Illness Polyneuropathy, but it is also possible that his condition is due to poorly controlled diabetes leading to Diabetic Polyneuropathy. Additionally, one should be cautious about the possibility of neuromuscular junction disorders or...[Read More] Post-ICU Challenges: Diabetes and Swallowing Difficulties Explained
Challenges in Recovery: Swallowing and Mobility Issues Post-Diabetes ICU Stay
After being weaned off the ventilator in the intensive care unit, the patient with diabetes is experiencing difficulty swallowing and lack of voluntary movement? Hello Doctor, my father was hospitalized in January 2018 due to diabetic ketoacidosis (HbA1c 14). A few days later, he...
Dr. Hong Weibin Reply:
Your father may be suffering from Critical Illness Polyneuropathy, but it is also possible that he has Diabetic Polyneuropathy due to poor diabetes control. Additionally, it is important to be cautious about potential neuromuscular junction diseases or certain autoimmune diseases...[Read More] Challenges in Recovery: Swallowing and Mobility Issues Post-Diabetes ICU Stay
Challenges in Recovery: Swallowing and Mobility Issues Post-Diabetes ICU Care
After being admitted to the intensive care unit for diabetes and extubated from the ventilator, the patient is unable to swallow and lacks voluntary movement? Hello Doctor, My father was hospitalized in January 2018 due to diabetic ketoacidosis (HbA1c 14). A few days later, he ...
Dr. Hong Weibin Reply:
Your father may be suffering from Critical Illness Polyneuropathy, but it is also possible that he has Diabetic Polyneuropathy due to poorly controlled diabetes. Additionally, it is important to be cautious about potential neuromuscular junction disorders or certain autoimmune di...[Read More] Challenges in Recovery: Swallowing and Mobility Issues Post-Diabetes ICU Care
Understanding Post-Menopausal Migraines: Symptoms, Causes, and Treatment Options
Chronic headaches Hello, I have just gone through menopause for two years and am experiencing some mild symptoms. Before menopause, I occasionally had migraines (often on the right side, sometimes severe enough to cause vomiting, with overall weakness and loss of appetite, requir...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are likely indicative of a mixed headache. Given the presence of localized tender points, tension-type headache should be considered first. The symptoms of tension-type headache include: (1) Typically bilateral, located in the occipital and parietal regions, ...[Read More] Understanding Post-Menopausal Migraines: Symptoms, Causes, and Treatment Options
Understanding Persistent Head Pressure: Could It Be Anxiety?
Could you please clarify what you mean by "head heaviness"? After experiencing a sudden episode of dizziness (the spinning type), I have frequently felt heavy-headed (almost every time I wake up) and have a sensation of pressure in my head (almost every time I wake up) ...
Dr. Jiang Junyi Reply:
Hello: I am not sure if you are taking any anti-anxiety medications. Your symptoms may need to consider the side effects of the medication. If you experience daytime inattention and frequent drowsiness, it may be worth considering a sleep disorder, with obstructive sleep apnea be...[Read More] Understanding Persistent Head Pressure: Could It Be Anxiety?
Understanding Muscle Twitches: Could It Be ALS or Just Anxiety?
Fasciculation in amyotrophic lateral sclerosis (ALS)? I have been experiencing continuous muscle twitching all over my body for a month (in the soles and tops of my feet, backs of my hands, arms, elbows, shoulders, back, and face). A few days ago, my left calf twitched continuous...
Dr. Jiang Junyi Reply:
Hello: The condition you are concerned about, commonly known as amyotrophic lateral sclerosis (ALS), primarily involves issues with motor neurons, and most patients do not have a family history. Motor neurons control muscle movement; those in the brain are referred to as upper mo...[Read More] Understanding Muscle Twitches: Could It Be ALS or Just Anxiety?
Understanding Muscle Twitches: When to Seek Further Neurological Evaluation
Muscle issues Hello, Doctor: I would like to ask about experiencing intermittent muscle twitching in various locations over the past year. I have seen a neurologist at a medical center three times within this year, but there has been no improvement. The doctor conducted nerve con...
Dr. Jiang Junyi Reply:
Hello: You mentioned the issue of muscle twitching, along with frequent weight training. First, it is important to consider that muscle fatigue may lead to instability in the motor neurons. Additionally, caffeine consumption can stimulate the sympathetic nervous system, causing m...[Read More] Understanding Muscle Twitches: When to Seek Further Neurological Evaluation
Muscle Twitching: When Medication Fails and Anxiety Persists
Involuntary muscle twitching, with no improvement after medication? Hello Doctor, I previously inquired about <a href="https://adoctor.tw/article/36811">#36811</a>. I went to see a doctor and underwent nerve conduction studies and blood tests, which were nor...
Dr. Jiang Junyi Reply:
Hello: Regarding your question about whether Rivotril (clonazepam) can cause dry mouth as a side effect, it is quite common, but it is generally not as severe compared to other medications. This medication belongs to the class of sedative-hypnotics, which may have the potential f...[Read More] Muscle Twitching: When Medication Fails and Anxiety Persists