Understanding Headaches and Unexplained Weight Loss: A Neurology Perspective
Headache and weight loss? Hello doctor, I have been experiencing occasional headaches for the past few months, mostly feeling a sense of pressure in my head. Recently, I have been feeling quite uncomfortable, with the pain almost constant throughout the day, primarily concentrate...
Dr. Lan Shengxing Reply:
Dear, the headache symptoms described may be associated with cervical syndrome and tension-type headaches. Maintaining a good lifestyle can help relax the muscles and reduce the frequency and intensity of pain. Worrying is normal, but try not to let it affect your daily routine. ...[Read More] Understanding Headaches and Unexplained Weight Loss: A Neurology Perspective
Understanding Gastrointestinal Discomfort: When to See a Neurologist
The doctor advised me to be referred to a neurosurgeon for gastrointestinal discomfort? Due to feeling weak during bowel movements, I visited a general clinic twice. However, the physician believes my symptoms do not indicate a problem with the gastrointestinal tract, as my stool...
Dr. Lan Shengxing Reply:
Dear Xiao Tian, even though dysautonomia of the gastrointestinal tract may be a localized issue, I would recommend undergoing a colonoscopy first before consulting a neurologist, as it would be more meaningful. Best regards, Lan Shengxing.[Read More] Understanding Gastrointestinal Discomfort: When to See a Neurologist
Persistent Left Calf Discomfort: Possible Causes and When to Seek Help
Left calf soreness? Hello, Director Lan: My left calf has been constantly sore for 24 hours a day for the past six months. It feels the same whether I am sitting, standing, or lying down. I can exert normal strength without any feelings of weakness. The soreness seems to be locat...
Dr. Lan Shengxing Reply:
Dear Dennis, the type of pain that comes and goes on its own, regardless of posture, is usually neuropathic pain. If there is soreness fixed on the outer side of the calf without localized tenderness, but rather a vague pain, it resembles what is commonly known as sciatica. You s...[Read More] Persistent Left Calf Discomfort: Possible Causes and When to Seek Help
Understanding Muscle Twitches and Pain: Is It ALS?
Muscle twitching and soreness? I experienced muscle twitching at the beginning of last year, and since then, I have frequently had muscle twitching and soreness throughout my body. I am very concerned that it might be ALS. In August of this year, I underwent an electromyography (...
Dr. Lan Shengxing Reply:
1. No, it cannot. The reason is that the progression of diseases varies; a normal electromyography (EMG) only indicates that the specific muscles tested did not show any typical abnormal changes. However, since the course of motor neuron diseases is quite long, if the sampled mus...[Read More] Understanding Muscle Twitches and Pain: Is It ALS?
Understanding Nerve Conduction Studies: When to Seek Further Testing
Regarding nerve conduction studies? Hello Doctor~~~ Previously, I had a soft tissue indentation in my calf and underwent nerve conduction studies in the neurology department, which showed everything was normal (although it was only for the legs). Today, I noticed a more pronounce...
Dr. Lan Shengxing Reply:
Hello, the Nerve Conduction Velocity (NCV) test primarily assesses the function of peripheral nerves. In principle, unless there is a systemic peripheral neuropathy, conducting tests on the upper and lower limbs at different times should not lead to inaccurate results. Regarding ...[Read More] Understanding Nerve Conduction Studies: When to Seek Further Testing
Understanding Neck and Shoulder Pain: When to Seek Neurology Care
Cervical and shoulder pain? Neck and shoulder pain that does not occur when the head is in a neutral position but arises when the head is tilted downwards, with discomfort extending from the left side of the neck to the left side of the back of the head, feels different from typi...
Dr. Gao Chunde Reply:
Inflammation of the muscles or fascia, or long-term improper use, can lead to increased muscle tension on one side, resulting in muscle fatigue and stiffness. It is advisable to consult a rehabilitation specialist for physical therapy and postural correction, or to see a neurolog...[Read More] Understanding Neck and Shoulder Pain: When to Seek Neurology Care
Why Does My Left Occipital Area Hurt When I Bend My Neck?
Pain in the left posterior region of the neck that occurs when bending the neck downward may indicate muscle strain, tension, or possible nerve irritation. It is advisable to consult a healthcare professional for an accurate diagnosis and appropriate treatment? Hello, doctor. Whe...
Dr. Gao Chunde Reply:
It is caused by prolonged or improper use of the shoulder and neck muscles. You can use a warm towel for self-heat therapy while taking a shower, or take breaks every thirty to forty minutes while working at the computer to move your arms, shoulders, and neck. If there is still n...[Read More] Why Does My Left Occipital Area Hurt When I Bend My Neck?
Understanding Imbalance: Exploring Neurological Issues in Teens
Walking with an unsteady gait and feeling heavy-headed while the legs feel light? Since early March, I have been experiencing a very mild sense of imbalance while walking, an uncontrollable feeling, as if my head is heavy and my legs are light. I sometimes walk off course and str...
Dr. Lan Shengxing Reply:
There are many possible causes for walking imbalance, affecting organs from head to toe. Regardless of the underlying reason, clinical symptoms or biochemical blood tests can help identify a direction for diagnosis. Instrumental examinations can only serve as an adjunct in the fa...[Read More] Understanding Imbalance: Exploring Neurological Issues in Teens
Understanding Persistent Tinnitus and Neck Stiffness: Neurological Insights
There is a problem with severe tinnitus and neck stiffness? Doctor: Hello, I have been experiencing a persistent high-frequency sound in the back half of my brain, which is quite loud. This symptom has lasted for several years, and it has become more severe in the last three to f...
Dr. Ye Boshou Reply:
Hello: 1. The occurrence of tinnitus is often due to degeneration or previous ear infections; please consult an otolaryngologist first. 2. If there is muscle tension, it can also affect sleep. 3. This is unrelated to tinnitus. 4. If there are occasional seizures that resolve, it ...[Read More] Understanding Persistent Tinnitus and Neck Stiffness: Neurological Insights
Eye Movement Pain: Possible Neurological Issues Explained
Pain in the head when moving the eyes? I'm sorry to hear that you're feeling unwell. Over the past couple of days, you've been experiencing a cold with persistent coughing, but you've also noticed a strange sensation of swelling in your eyes. Additionally, mov...
Dr. Gao Chunde Reply:
The extraocular muscles behind the eyeball are actually connected to the meninges, so moving the eyes can cause head pain, which is a mild reaction of the meninges. It's important to also check for any neck stiffness, fever, headache, and whether there is any double vision. ...[Read More] Eye Movement Pain: Possible Neurological Issues Explained
Dizziness and Hoarseness: Understanding Neurological Symptoms in Seniors
Dizziness and hoarseness? Hello Doctor, my father is 70 years old. A couple of days ago, he suddenly experienced severe dizziness and nausea, followed by a hoarse voice. Eventually, he felt some relief after receiving an injection. He usually sleeps well, but the night before the...
Dr. Lin Zijing Reply:
Non-benign dizziness accompanied by hoarseness may be indicative of an upper respiratory infection or diseases affecting the cerebellum or brainstem (such as tumors or strokes), and further examination is recommended. Pain upon pressing the muscles on both sides of the back of th...[Read More] Dizziness and Hoarseness: Understanding Neurological Symptoms in Seniors
Understanding Involuntary Muscle Twitches: Causes and Concerns
Involuntary muscle twitching? Hello, doctor. Recently, for the past month or two, I have been experiencing involuntary muscle twitching in various parts of my body, including my lips, neck, and even the soles of my feet. It seems to occur in almost all my muscles, but it is more ...
Dr. Gao Chunde Reply:
Pay attention to see if there is any muscle weakness or atrophy; if not, there's no need to overthink it, as most cases are simply benign muscle twitches related to excessive tension.[Read More] Understanding Involuntary Muscle Twitches: Causes and Concerns
Understanding Heavy Headaches: Causes, Symptoms, and Treatment Options
Headaches can make the head feel very heavy? Hello, Doctor Gao: I would like to ask you a few questions related to my headaches. Recently, I have been experiencing frequent headaches and dizziness, especially when the weather changes or when it is hot and humid. The pain is locat...
Dr. Gao Chunde Reply:
Tension-type headaches are generally not directly related to blood pressure. If there is hypoxia, it is likely due to prolonged tension in the neck and head muscles, leading to a sensation of heaviness or pressure in the head. To alleviate this, one can engage in outdoor activiti...[Read More] Understanding Heavy Headaches: Causes, Symptoms, and Treatment Options
Understanding Muscle Cramps: Causes, Prevention, and Treatment Options
Muscle cramp (pain) Since I gave birth to my two children (10 years ago), I have been experiencing muscle cramps (pain). Previously, it would only happen occasionally, typically in one area, such as the sides of my abdomen and the triceps area, which would improve with the applic...
Dr. Lin Zijing Reply:
Common causes of muscle cramps: 1. Fatigue or overexertion: When the body is fatigued or overexerted, there is a significant accumulation of lactic acid in the muscles, which can trigger cramps. 2. Electrolyte imbalance or calcium deficiency: Excessive sweating and loss of electr...[Read More] Understanding Muscle Cramps: Causes, Prevention, and Treatment Options
Left Neck Stiffness and Head Tightness: Is Sleep Disruption the Cause?
Stiffness on the left side of the neck and swelling of the head? Recently, I've been feeling tightness and stiffness in the left side of my head, and my left neck also feels stiff, but there is no pain. It seems to become more noticeable the longer I sit, but I don't fe...
Dr. Lin Zijing Reply:
It may be related to tightness in the neck muscles and the muscles around the temples, which can occur from maintaining the same posture for too long or from poor posture (such as watching TV, studying, or using a computer). If this continues for an extended period, it may lead t...[Read More] Left Neck Stiffness and Head Tightness: Is Sleep Disruption the Cause?
Understanding Nighttime Leg Cramps: Causes and Solutions
Nocturnal leg cramps Hello doctor, this week I have been experiencing cramps in my left calf almost every night while sleeping, which are painful enough to wake me up. I have tried changing positions, elevating my legs, and relaxing as much as possible, but the pain in my calf pe...
Dr. Lin Zijing Reply:
Poor blood circulation in the legs, reduced temperature leading to vasoconstriction, excessive metabolic waste in the leg muscles (such as after intense exercise), or calcium deficiency can all contribute to muscle cramps. It is recommended to drink a glass of milk in the evening...[Read More] Understanding Nighttime Leg Cramps: Causes and Solutions
Understanding Head Pain: Insights on Brain Injury and Recovery
The previous issue of experiencing headaches..? Hello, doctor. Previously, I mentioned that I experience pain when pressing on my head, and you indicated that it was due to damage to my right hemisphere, which caused weakness in my left limbs. However, I was actually hit on the r...
Dr. Lin Zijing Reply:
If the right hemisphere of the brain is damaged, it may result in weakness of the left side of the body, but not weakness on the right side. Therefore, your injury to the right hemisphere and the weakness on the right side of your body are not related. There is no need to worry a...[Read More] Understanding Head Pain: Insights on Brain Injury and Recovery
Which Specialist to See for Pain in the Forearm Muscles?
If you have severe pain in your wrist, you should see an orthopedic specialist? Both wrists are very painful, similar to a muscle strain. It hurts when I clench my fists tightly.
Dr. Ye Boshou Reply:
Hello: First, apply a warm compress. If you notice improvement, you may consider consulting a neurologist, orthopedic specialist, or rehabilitation physician.[Read More] Which Specialist to See for Pain in the Forearm Muscles?
Understanding Persistent Dizziness and Headaches: When to Seek Help
Initially, there was dizziness, which progressed to dizziness and headache after a few days? Hello Doctor, I have never experienced dizziness or headaches before! At the beginning of January this year, I suddenly felt a bit dizzy while reading (not the spinning type) and it laste...
Dr. Lin Zijing Reply:
Head pain is primarily felt in the walls of blood vessels, scalp nerves, and muscles. Brain imaging studies can only rule out certain conditions (such as larger tumors or bleeding) but cannot diagnose the cause of headaches. Most headaches are classified as tension-type headaches...[Read More] Understanding Persistent Dizziness and Headaches: When to Seek Help
Is My Hand Tremor a Sign of Early Parkinson's Disease?
Could this be a sign of Parkinson's disease? Hello Doctor: I am 29 years old and about two years ago, I noticed that my right index finger would occasionally tremble slightly. This usually occurs after actions that engage the muscles of the index finger, such as opening bott...
Dr. Zeng Kongyan Reply:
Hello: In response to your question, based on the description provided in your letter, it does not appear to be Parkinson's disease, as the tremors associated with this condition typically occur at rest and have a frequency of 4-8 Hz. If Dr. Mackay diagnosed it as essential ...[Read More] Is My Hand Tremor a Sign of Early Parkinson's Disease?