Understanding Anxiety in Elderly Patients with Constipation: Causes and Solutions
Elderly individuals experience high anxiety regarding "not having a regular daily bowel movement." My father is 82 years old and has been experiencing significant anxiety about bowel movements for the past year. If he does not have a bowel movement early in the morning,...
Dr. Jiang Junyi Reply:
Dear Ms. Zoe, You mentioned, "What could be the possible causes of anxiety related to 'constipation' (pseudoconstipation)? Is it related to dementia? How can family members assist? Which specialty should we consult?" Anxiety can activate the sympathetic nervo...[Read More] Understanding Anxiety in Elderly Patients with Constipation: Causes and Solutions
Understanding Neck and Head Pain: Is It Related to Your Recent Cold?
Bending the head forward can cause significant pain? Hello, doctor: I've been experiencing persistent headaches lately. Bending down causes significant pain, which also radiates to my neck. During these episodes, I am unable to move at all. I had a cold a while ago, but my s...
Dr. Jiang Junyi Reply:
Hello Mr. Wu: You mentioned that "bending my head down is very painful, and it also hurts my neck... I feel a sensation of blood flowing through the top of my head when I bend down." Your symptoms may suggest cervical headache. This is related to tightness in the cervic...[Read More] Understanding Neck and Head Pain: Is It Related to Your Recent Cold?
Understanding Toe Sensations: Possible Nerve Issues and Disc Problems
Toe problems For several months, there has been abnormal sensation on the inner side of the second toe of the left foot, with a dull feeling. Occasionally, there is a slight tingling sensation in the ball of the foot and the base of the big toe. Initially, the orthopedic speciali...
Dr. Jiang Junyi Reply:
Dear Ms. Wang, You mentioned, "If I undergo an MRI, can it be arranged to scan from the lower back to the entire leg to find the point where the nerve is compressed?" Generally speaking, peripheral nerve compression can often be diagnosed using electrophysiological stu...[Read More] Understanding Toe Sensations: Possible Nerve Issues and Disc Problems
Understanding Muscle Pain and Weakness After Pregnancy: A Neurological Perspective
Muscle fasciculations, soreness, weakness..? Hello, Doctor. I apologize for bothering you, but I would like to ask a question. I gave birth around mid-May this year. Due to a short cervical length, I had to undergo bed rest for about three months. After giving birth, I experience...
Dr. Jiang Junyi Reply:
Hello Miss Hsuan-er: You mentioned that "my whole body feels like it's getting thinner and I don't feel like I have any muscle left; is it all atrophying?" Muscle atrophy may first require consideration of insufficient protein intake. Your concerns might also ...[Read More] Understanding Muscle Pain and Weakness After Pregnancy: A Neurological Perspective
Muscle Twitches and Weakness: Are They Early Signs of ALS?
Muscle twitching has persisted for four days, and there is a sensation of soreness in the limbs. There is concern that it may be amyotrophic lateral sclerosis (ALS)? Hello Dr. Jiang, I am 43 years old. In the early morning of November 25th, I noticed that all my muscles were twit...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: You mentioned experiencing "high-frequency twitching in all your muscles," which may require consideration of more common issues, as amyotrophic lateral sclerosis (ALS) is a rare disease. Typically, muscle atrophy is observed in such cases. Your symptoms...[Read More] Muscle Twitches and Weakness: Are They Early Signs of ALS?
Assessing Potential Concussion Symptoms After a Head Injury
The right occipital region was hit by a ball? Hello, Doctor. On November 9th, during gym class at 10 AM, a pickleball (about the size of a baseball, hollow plastic, and quite light) suddenly hit me on the back of my right head. It came from about 4 or 5 meters away. At the mome...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned, "At the moment, I don't feel it will be very painful and I think it will get better soon, so I didn't go to the health room... The pain seems to radiate to my forehead." This symptom is more indicative of cervical myofascial inflamm...[Read More] Assessing Potential Concussion Symptoms After a Head Injury
Understanding Facial Nerve Issues: Symptoms, Causes, and Treatment Options
Facial nerve Hello, doctors! I am 28 years old, and in March of this year, I noticed weakness on the right side of my face, with difficulty closing my right eye. I have noticeable asymmetry in my eyes, and when I drink, water leaks from the right side of my mouth. When I try to m...
Dr. Jiang Junyi Reply:
Hello Dr. De: You mentioned that "some doctors said I have both facial nerve paralysis and spasms... (I am completely confused)." Generally speaking, facial nerve paralysis occurs due to inflammation, which prevents the muscle tissue it innervates from contracting adequ...[Read More] Understanding Facial Nerve Issues: Symptoms, Causes, and Treatment Options
Post-Exercise Head Pressure: Understanding Symptoms and When to Seek Help
Head pressure after exercise? Hello Doctor, I had a minor head impact during a martial arts class the day before yesterday, but I felt completely fine that day. However, yesterday I woke up with an extremely mild pressure sensation in my head (almost unnoticeable) and an overall ...
Dr. Peng Shiwei Reply:
Hello, I believe your symptoms can be monitored. However, if you experience new symptoms such as headaches, dizziness, vomiting, or changes in consciousness, you should seek medical attention immediately. Thank you for your inquiry.[Read More] Post-Exercise Head Pressure: Understanding Symptoms and When to Seek Help
Understanding Muscle Twitches: Causes and Connections to Nerve Issues
Muscle twitching I am a 43-year-old male. Last week, for a few days, I experienced occasional twitching in the muscles of my right calf while sitting, which then disappeared. This week, it resolved. However, on Sunday, while kneading dough with my right hand (which I don't u...
Dr. Peng Shiwei Reply:
Hello, your symptoms are usually caused by muscle fatigue, but if they persist for a longer duration, you should consider visiting a neurology clinic for evaluation.[Read More] Understanding Muscle Twitches: Causes and Connections to Nerve Issues
Understanding Sleep-Related Muscle Twitches and Anxiety Disorders
Teeth clenching and facial muscle twitching upon falling asleep? Hello Dr. Jiang: I have been experiencing anxiety and autonomic nervous system dysregulation for the past six years. During severe episodes, I take half a Xanax for relief. In recent years, I have noticed that somet...
Dr. Jiang Junyi Reply:
Hello Ms. Cocoa: You mentioned that "the eyelid nerves and even the facial nerves at the corners of the mouth are twitching involuntarily... the teeth are clenching involuntarily, and after clenching, the facial muscles (near the cheekbones) also start to twitch significantl...[Read More] Understanding Sleep-Related Muscle Twitches and Anxiety Disorders
Understanding Involuntary Muscle Twitches in the Hand: Causes and Solutions
Involuntary muscle twitching in the palm? Hello Doctor, I have been experiencing intermittent rapid muscle twitching in my palms (both inside and outside). During these episodes, my palms and fingers tend to curl up as if I were trying to make a fist (similar to a chicken claw), ...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "your fingers seem to be in a fist-like position (like a chicken claw) and cannot be extended." This may indicate a consideration of abnormal muscle tone, characterized by persistent muscle contractions that can sometimes lead to limb twi...[Read More] Understanding Involuntary Muscle Twitches in the Hand: Causes and Solutions
Understanding Right-Sided Head Pain: Possible Causes and Solutions
Only the right side of my head feels uncomfortable? Hello, doctor. For the past three days, I've been experiencing pain on the right side of my temple, teeth, ear, and back of my neck. The pain is intermittent and persistent. I have seen a dentist, but they said there is no ...
Dr. Jiang Junyi Reply:
Hello Mr. Lu: You mentioned that you are experiencing pain in your teeth, ears, and the back of your neck, which may suggest considering cervical myofascial pain. The myofascia around the cervical spine has small muscles that connect to the head, while the larger superficial musc...[Read More] Understanding Right-Sided Head Pain: Possible Causes and Solutions
Understanding Myofascial Pain Syndrome: Symptoms and Treatment Options
Suspected myofascial pain syndrome Hello, doctor. My husband was fine when he rode me out on his motorcycle yesterday, but suddenly he experienced chest pain upon returning. Since my late father-in-law had a history of myocardial infarction, my husband thought he might be having ...
Dr. Cai Zongzhang Reply:
Hello, based on the symptoms mentioned, it is suspected to be either cranial fasciitis or cranial nerve root compression. If the symptoms do not improve with adequate rest, it is recommended to visit a neurology clinic for examination to determine the underlying cause and treatme...[Read More] Understanding Myofascial Pain Syndrome: Symptoms and Treatment Options
Understanding Muscle Fasciculations: What Your EMG Results Mean
Fasciculation Hello Doctor, I have symptoms of muscle fasciculation. I previously underwent an electromyography (EMG) test on my left leg on June 20, 2023, and the report is as follows: Data: Report of EMG study: 1. The left vastus lateralis, tibialis anterior, and gastrocnemius...
Dr. Peng Shiwei Reply:
Hello, the report indicates that the electromyography (EMG) of your left foot is normal. If you have any further concerns, please discuss them with your attending physician. Thank you.[Read More] Understanding Muscle Fasciculations: What Your EMG Results Mean
Intermittent Muscle Twitching in the Left Cheek: Causes and Solutions
Twitching in the left zygomatic bone area? Hello, doctor. For the past couple of days, I've been experiencing intermittent and irregular muscle twitching in the left cheekbone area (without pain). Each twitch lasts about one to two seconds. Sometimes, looking down triggers t...
Dr. Jiang Junyi Reply:
Hello Ms. Lin, You mentioned that "the muscles in the left cheekbone area intermittently but irregularly twitch... and this symptom may be triggered by looking down." This symptom may need to be considered in the context of cervical nerve inflammation, especially among...[Read More] Intermittent Muscle Twitching in the Left Cheek: Causes and Solutions
Understanding Muscle Twitches and Weakness: Is It ALS?
Involuntary muscle twitching? Hello Doctor, for the past three weeks, my muscles have been twitching intermittently. When I stretch or sneeze, the muscles in my abdomen twitch for a few seconds. Two weeks ago, I started feeling weakness in my left hand, and in the past few days, ...
Dr. Jiang Junyi Reply:
Dear Mr. Chen, The condition you are concerned about, amyotrophic lateral sclerosis (ALS), is indeed a rare disease. It is important to first consider symptoms that may arise from compression of the cervical nerve roots or the spinal cord. Such issues typically present with some...[Read More] Understanding Muscle Twitches and Weakness: Is It ALS?
Understanding Muscle Twitches: Causes and Concerns for Teens
Muscle twitching Hello doctor, I have been experiencing muscle twitching all over my body for the past two months. Recently, I have also felt something unusual on my right side, a soft sensation that makes me fear it might be muscle atrophy. I am left-handed and do exercise, but ...
Dr. Peng Shiwei Reply:
Hello, if your issue has persisted for some time, it is recommended that you consult a neurologist. Thank you for your inquiry.[Read More] Understanding Muscle Twitches: Causes and Concerns for Teens
Understanding Muscle Twitches and Weakness: A Neurological Perspective
Muscle twitching accompanied by mild weakness? Hello Doctor, I am 21 years old. About a week ago, I caught a cold, and in the past few days, I have started to experience mild weakness in my right leg, especially noticeable when sitting. This is accompanied by occasional muscle tw...
Dr. Jiang Junyi Reply:
Hello, Mr. Mian: You mentioned experiencing "occasional muscle twitching sensations near the knee... but you are still able to perform squat jumps successfully." This is likely similar to typical muscle fasciculations. It may be worth considering some metabolic disorde...[Read More] Understanding Muscle Twitches and Weakness: A Neurological Perspective
Understanding Skin Itching and Back Pain: Neurological Insights
Skin itching and lower back pain? Hello, doctor. A few months ago, I suddenly felt a tingling sensation in my mouth, and then I started experiencing itchy skin all over my body (like a prickling feeling). I visited a dermatologist, but the medication did not improve my condition;...
Dr. Cai Zongzhang Reply:
Hello Joanne: Based on the symptoms described, the tingling sensation in the mouth and the itchy feeling in the skin may be abnormal sensations caused by a neurological disorder. These symptoms are not exclusive to multiple sclerosis; brain tumors could also cause the aforementio...[Read More] Understanding Skin Itching and Back Pain: Neurological Insights
Understanding Left Leg Weakness and Vibrations: Possible Nerve Issues
Weakness in the left foot and a vibrating sensation in the sole of the foot? Your question: Hello Doctor, about a month ago, I started experiencing soreness in both buttocks, with the left side being more painful. Sometimes my left leg feels weak. The rehabilitation doctor arrang...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: Based on the nerve conduction study report you provided, there is evidence of left lumbar nerve root compression. The condition you are concerned about, amyotrophic lateral sclerosis (ALS), is a rare disease. Clinical diagnosis requires methods such as electromyog...[Read More] Understanding Left Leg Weakness and Vibrations: Possible Nerve Issues