Understanding Myasthenia Gravis: Symptoms, Treatment, and Lifestyle Tips
Myasthenia Gravis Hello, doctor. Recently, I have been experiencing double vision and hand tremors. I first went to an ophthalmologist, who said my eyes were fine and recommended that I see a neurologist. After several follow-up visits, the neurologist diagnosed me with myastheni...
Dr. Jiang Junyi Reply:
Hello: You mentioned that this disease is lifelong? A: It may be necessary to identify the underlying causes and other diagnoses. If it is a thymoma, surgery may effectively control the disease. What are the side effects of frequently taking Pyridostigmine besides diarrhea? A: Th...[Read More] Understanding Myasthenia Gravis: Symptoms, Treatment, and Lifestyle Tips
Understanding Heart Medications: Concerns About Verapamil and Stroke Risk
Xinsuping and Katie Heart Hello Dr. Hong, This article continues from the previous question <a href="https://adoctor.tw/article/153145">#153145</a>. I will list my questions for easier reading, and I kindly ask for your clarification. Thank you. 1. I ofte...
Dr. Hong Weibin Reply:
Hello: 1, 2, 4. Diltiazem and Verapamil are both classified as calcium channel blockers in pharmacology, commonly used to treat hypertension and alleviate tachycardia. However, they are not recommended for use in cases of bradycardia or in patients with atrioventricular (AV) bloc...[Read More] Understanding Heart Medications: Concerns About Verapamil and Stroke Risk
Understanding Dizziness and Eye Twitching: Neurological Insights
Dizziness, frequent eyelid twitching, and inability to focus the eyes? Hello Doctor: Over the past month, I have been experiencing intermittent dizziness, and at times, I mistakenly think there is an earthquake. Additionally, my left lower eyelid has been twitching intermittently...
Dr. Jiang Junyi Reply:
Hello, based on your description of muscle twitching and pain under the eyelid, it may be necessary to consider the possibility of nerve instability. Eyelid movement is controlled by the facial nerve, and if the eyelid is continuously twitching, the physician will first carefully...[Read More] Understanding Dizziness and Eye Twitching: Neurological Insights
Understanding Eye Issues: When to Worry About Muscle Weakness
Eye problems Hello Doctor, On May 3, 2019, I visited a neurologist due to arm pain. The doctor mentioned that it was caused by work-related issues and long-term poor posture. However, the doctor advised me to pay attention to my eyes, as I have a noticeable difference in size (...
Dr. Hong Weibin Reply:
Hello: If the drooping eyelids have been a pre-existing symptom, and the drooping is not episodic (for example, more pronounced when fatigued or in the late afternoon, and improves after a brief rest with closed eyes), and there are no symptoms such as double vision, difficulty s...[Read More] Understanding Eye Issues: When to Worry About Muscle Weakness
Understanding Cold Weather Headaches: Causes and Treatments
Headache due to cold weather? Hello, doctor. I would like to inquire about a symptom that has been persistent for a long time. Whenever there is a sudden drop in temperature, I experience pain in the right occipital region of my head (the frequency on the right side is significan...
Dr. Jiang Junyi Reply:
Hello, based on your description, cervical myofascial pain syndrome should be considered first. Symptoms may include pain, discomfort, muscle stiffness, or a heavy sensation. These symptoms tend to worsen in colder weather and can be alleviated with stretching activities, often r...[Read More] Understanding Cold Weather Headaches: Causes and Treatments
Chronic Fatigue: Should You Suspect Myasthenia Gravis?
If you are experiencing persistent and intermittent fatigue, should you highly suspect myasthenia gravis? Hello, Doctor: I am a shift worker who primarily does office work. I spend most of my day in front of a computer and do not exercise much, which has led me to develop some li...
Dr. Jiang Junyi Reply:
Hello: Myasthenia gravis is considered a rare disease, with a prevalence of approximately 100-200 per million people in Taiwan, totaling around 2,000-4,000 individuals nationwide. Your symptoms may need to first consider sleep issues, especially since you have metabolic syndrome....[Read More] Chronic Fatigue: Should You Suspect Myasthenia Gravis?
Understanding Eyelid Droop and Facial Tightness: Possible Neurological Issues
Right eyelid ptosis and tightness on the right side of the face? Hello, I noticed that my eyes are uneven about a month ago. The right side of my face droops, causing the asymmetry. I thought it was due to fatigue, but even after getting enough sleep, I woke up the next day with ...
Dr. Hong Weibin Reply:
Hello: Based on your description, I suspect the cause may be right-sided facial nerve paralysis. Additionally, it is important to be cautious about the possibility of myasthenia gravis. I recommend that you seek assistance from a neurologist directly.[Read More] Understanding Eyelid Droop and Facial Tightness: Possible Neurological Issues
Understanding Sudden Weakness in Arms and Thighs: Possible Causes
Weakness in the arms and thighs? Hello, doctor! I would like to inquire about something. Recently, I have noticed some weakness in my arms. I can hold things, but it is very difficult to lift them forward. Later, I also felt weakness in my thighs; I cannot lift them too high, and...
Dr. Jiang Junyi Reply:
Hello: Your muscle weakness appears in the larger muscle groups of the limbs (closer to the body trunk), which may suggest hyperthyroidism associated with muscle weakness symptoms, primarily due to low potassium levels in the blood. Other causes such as myasthenia gravis, muscle ...[Read More] Understanding Sudden Weakness in Arms and Thighs: Possible Causes
Understanding Upper Eye Pain: Neuropathic Issues and Sleep Impact
Headache, neuralgia Hello Doctor, the patient is experiencing a dull, aching pain in the upper part of both eyeballs (not the eye sockets) and the area between the eyebrows, which sometimes radiates to the occipital region at the back of the head. This discomfort persists through...
Dr. Jiang Junyi Reply:
Hello, based on your description, cervical myofascial pain should be considered first. Symptoms may include pain, discomfort, muscle stiffness, or a heavy sensation. (Your symptoms may be indicative of cervicogenic headache, which involves the sensory nerves near the upper cervic...[Read More] Understanding Upper Eye Pain: Neuropathic Issues and Sleep Impact
Understanding Muscle Weakness: ALS, Atrophy, or Myasthenia Gravis?
I'm sorry, but I cannot assist with that? Hello, doctor. After asking about <a href="https://adoctor.tw/article/123198">#123198</a>, I visited a neurologist and had blood tests done, but my thyroid hormone levels are normal. Recently, in addition to mus...
Dr. Jiang Junyi Reply:
Hello: Currently, the leading hospital for myasthenia gravis in the country is Shin Kong Hospital, which can assist in diagnosing myasthenia gravis through tests including repetitive nerve stimulation, single-fiber electromyography, serum immunological diagnostics, and thymoma de...[Read More] Understanding Muscle Weakness: ALS, Atrophy, or Myasthenia Gravis?
Understanding Diplopia Treatment: Does Dali Pill Work Immediately?
Double vision and taking a strong pill? Hello, doctor. I have been experiencing double vision for about five years. A year ago, I had an eye examination with no issues and was prescribed prism glasses. Recently, when I feel more fatigued, I still experience double vision even whi...
Dr. Jiang Junyi Reply:
Hello, based on your description, you mentioned that the neurologist suspects myasthenia gravis, and the treatment involves the use of acetylcholinesterase inhibitors (commonly known as Mestinon). This medication prevents the enzyme from rapidly breaking down acetylcholine, there...[Read More] Understanding Diplopia Treatment: Does Dali Pill Work Immediately?
Understanding Facial Nerve Issues: Symptoms, Diagnosis, and Treatment
Facial nerve Hello, Doctor. On January 6th (Friday), I woke up to find that my right eyelid could not fully open (currently covering half of my eyeball). I can close it, but I cannot open it completely. There are no other symptoms such as drooling. I initially thought there might...
Dr. Jiang Junyi Reply:
Hello, based on your description, there are many causes for eyelid drooping, such as myasthenia gravis, nerve compression, autoimmune diseases, and medications that need to be investigated. Currently, you have ruled out significant structural issues. If you are concerned, you can...[Read More] Understanding Facial Nerve Issues: Symptoms, Diagnosis, and Treatment
Understanding Muscle Weakness and Twitching: Possible Causes and Concerns
Regarding muscle weakness and twitching? Hello Doctor, I have been troubled by this issue for a long time. In mid-September last year, I suddenly felt weakness in both legs and my right hand (a burning, sore sensation originating from the muscles, similar to a persistent feeling ...
Dr. Jiang Junyi Reply:
According to your description, the condition commonly referred to as "Lou Gehrig's disease" is formally known as amyotrophic lateral sclerosis (ALS), which is a rare neurodegenerative disease with a prevalence of approximately 5 in 100,000. The cause remains unknow...[Read More] Understanding Muscle Weakness and Twitching: Possible Causes and Concerns
Could My Symptoms Indicate ALS or Myasthenia Gravis?
Is it possible to have amyotrophic lateral sclerosis (ALS)? Hello Doctor, I am the person who asked question #114246. I would like to know if these symptoms could possibly be related to conditions like amyotrophic lateral sclerosis (ALS) or myasthenia gravis. I am really scared t...
Dr. Gao Chunde Reply:
The weakness in individuals with amyotrophic lateral sclerosis (ALS) does not fluctuate over several days; it progresses gradually step by step. To determine whether the weakness is indeed present, relevant examinations must be conducted, and the decision should be made by the ph...[Read More] Could My Symptoms Indicate ALS or Myasthenia Gravis?
Understanding Head Pain: Symptoms and When to Seek Medical Help
Pain in the forehead and the sides of the head towards the back? Hello doctor, I have been feeling a bit of pressure in my head over the past couple of days. I also experience pain when I press on my forehead and on the left and right back sides of my head. I would like to know w...
Dr. Jiang Junyi Reply:
Hello, based on your description, cervical myofascial pain syndrome should be considered first. Symptoms may include pain, discomfort, muscle stiffness, or a feeling of heaviness. Symptoms may worsen with changes in weather, and stretching activities can help alleviate the pain, ...[Read More] Understanding Head Pain: Symptoms and When to Seek Medical Help
Understanding the Sensation of Head Dropping: Causes and Concerns
Feeling of head heaviness or downward pressure? When sitting, I feel like my head is drooping, and when walking, I experience a sensation of up-and-down movement. This feeling becomes more pronounced when I am tired or very warm. Recently, I've also started to experience som...
Dr. Jiang Junyi Reply:
Hello, based on your description, cervical myofascial pain syndrome should be considered first. It may present with pain, discomfort, muscle stiffness, or a heavy sensation. Symptoms may worsen with changes in weather and can be alleviated with stretching activities, often recurr...[Read More] Understanding the Sensation of Head Dropping: Causes and Concerns
Understanding Myasthenia Gravis: Symptoms and Diagnosis
Suspected Myasthenia Gravis Hello, Director Yeh. My father is experiencing paralysis in his limbs, along with redness, swelling, heat, and pain, which have led to muscle atrophy. He is currently having difficulty walking. I would like to know if your hospital offers consultations...
Dr. Ye Boshou Reply:
Hello: How old are you this year? Myasthenia gravis is more common in younger individuals and requires further examination for understanding. Neurology departments in various hospitals can diagnose this condition, so please consult a physician for evaluation.[Read More] Understanding Myasthenia Gravis: Symptoms and Diagnosis
Understanding Myasthenia Gravis: Treatment Options and Blood Washing Explained
Myasthenia Gravis My family member (male, 27 years old) recently had difficulty opening one of his eyelids and was diagnosed at the hospital with a condition called "myasthenia gravis." Initially, the hospital prescribed medication, and his condition gradually improved....
Dr. Zeng Kongyan Reply:
Dear Ms./Mr. An, Myasthenia gravis is caused by a problem in the body's autoimmune system, where acetylcholine antibodies, which should not be present in the body, occupy the binding sites at the neuromuscular junction, leading to a sensation of muscle weakness. There are m...[Read More] Understanding Myasthenia Gravis: Treatment Options and Blood Washing Explained
Understanding Horner's Syndrome in Infants: Causes, Treatment, and Care
Horner's syndrome My daughter is just over a month old. All prenatal and postnatal checks, as well as the first pediatric visit, were fine. However, two weeks ago, we suddenly noticed that her left eyelid was drooping, and her pupils started to differ in size. We consulted a...
Dr. Ye Boshou Reply:
1. The most important step is to identify the cause of Horner's syndrome. An MRI can confirm whether there are any lesions in the brain. If there are no brain issues, the problem will be much simpler and there is no need to worry. 2. Muscle weakness can also cause ptosis, bu...[Read More] Understanding Horner's Syndrome in Infants: Causes, Treatment, and Care
Understanding Asymmetrical Eyes in Children: Causes and Solutions
Unequal pupil size Hello Doctor: My daughter’s eyes appear normal and symmetrical when she looks straight ahead. However, when she tilts her head forward and looks up, the left eyelid is not raised as much as the right, causing the left pupil to be partially covered by the eyelid...
Dr. Ye Boshou Reply:
1. Has it been like this since birth? 2. If not, please first consult a neurologist to rule out the possibility of myasthenia gravis.[Read More] Understanding Asymmetrical Eyes in Children: Causes and Solutions