Understanding Occasional Neck and Shoulder Pain: Causes and Insights
Shoulder and neck pain? Experiencing sharp pain in the left shoulder and neck when swallowing saliva, described as an electric shock-like sensation, occurs occasionally, about 1 to 2 times a month or even less frequently. Additionally, there are instances when raising the arm or ...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider cervical nerve root compression, which is often related to tightness in the cervical muscles and fascia, as well as cervical degeneration. Symptoms typically include pain at the affected site, discomfort, muscle st...[Read More] Understanding Occasional Neck and Shoulder Pain: Causes and Insights
Prognosis After C4 AVM Rupture: Recovery from Nerve Damage and Surgery
Prognosis of ruptured spinal cord segment IV arteriovenous malformation? Previously, I experienced a subarachnoid hemorrhage and hydrocephalus due to the rupture of a C4 arteriovenous malformation (AVM). I am currently undergoing rehabilitation. Since I am scheduled for a venous ...
Dr. Jiang Junyi Reply:
Hello: The surgical treatment for AVM primarily aims to reduce the risk of rebleeding and to prevent new neurological damage. The originally damaged nerves must be rehabilitated to improve symptoms. It is recommended that you discuss this with your neurosurgeon. Wishing you good ...[Read More] Prognosis After C4 AVM Rupture: Recovery from Nerve Damage and Surgery
Persistent Dizziness for Over a Month: Understanding Vestibular Neuritis
Dizziness for over a month? On the evening of August 25th, I experienced a bout of dizziness that nearly caused me to faint. I went to the emergency room for a blood test, which showed no significant issues. It might have been due to lack of sleep. A few days later, I visited a c...
Dr. Jiang Junyi Reply:
Based on your description: Hello, you mentioned experiencing near-fainting episodes. In addition to dizziness, it may be necessary to consider syncope. First, we should evaluate the symptoms of syncope, with the most common causes being reflex syncope: excessive stimulation of th...[Read More] Persistent Dizziness for Over a Month: Understanding Vestibular Neuritis
Understanding Nerve Damage After a Fall: Symptoms and Concerns
I accidentally fell backward while exercising? Two days ago, I accidentally fell backward while exercising and hit my head. The next day, I went to see a doctor because my shoulder was very sore. The doctor advised me to let my muscles rest for a few days. However, when I got hom...
Dr. Jiang Junyi Reply:
Hello: Your symptoms indeed warrant consideration of nerve compression. Taking the ulnar nerve as an example, resting the elbow on a hard surface or applying pressure to the elbow can likely lead to ulnar nerve pathology. Activities such as typing on a computer or scarring and fi...[Read More] Understanding Nerve Damage After a Fall: Symptoms and Concerns
Understanding Oral Discomfort: Is It Neurological or Hormonal?
Oral issues Hello Doctor, I have already inquired about the report, and it has come out. The MRI with contrast shows no tumors in the brain, and some blood test issues seem to be minor. However, the doctor suspects it might be an ovarian issue. I told the doctor that I had visite...
Dr. Jiang Junyi Reply:
Hello, regarding the issues you mentioned, I have some suggestions. The endocrinologist suspects ovarian degeneration and advised me to continue medication and observe for six months before returning for blood tests. Now, I would like to ask the doctor if my oral discomfort sympt...[Read More] Understanding Oral Discomfort: Is It Neurological or Hormonal?
Post-Wisdom Tooth Extraction: Addressing Tongue Numbness and Pain
Tongue issues after wisdom tooth extraction? I had my upper and lower right wisdom teeth extracted in early July. The lower one was a horizontal impaction embedded in the gums. After the extraction, the right side of my mouth became numb, and I haven't felt anything for over...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms may suggest a trigeminal nerve disorder, particularly since they occurred after surgery, which could be related to tissue swelling from the procedure. I recommend that you consult an oral surgeon to check for any signs of infection ...[Read More] Post-Wisdom Tooth Extraction: Addressing Tongue Numbness and Pain
Understanding Neurological Symptoms: Seeking Answers for Lingering Issues
Brain issues Hello, doctor. I have previously detailed my symptoms. Now I have some questions to ask. I had a brain MRI done before, which showed no abnormalities. However, during a brainstem function test, it was found that the function values on the left side of my brainstem we...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest sympathetic nervous system hyperactivation, leading to mucosal dryness. Additionally, estrogen instability can cause similar symptoms. It is recommended to consult a gynecologist to check for any premenopausal symptoms that may exacerbate the exis...[Read More] Understanding Neurological Symptoms: Seeking Answers for Lingering Issues
Understanding Neurological Symptoms: Seeking Answers for Oral and Brain Issues
Brain issues Hello Doctor, I have previously detailed my symptoms <a href="https://adoctor.tw/article/146754">#146754</a>. Now I have some questions to ask. I had a brain MRI done before, which showed no abnormalities. However, during a brainstem function te...
Dr. Jiang Junyi Reply:
Hello: The 24-hour urine test you mentioned may be for measuring cortisol levels. Elevated cortisol levels are associated with adrenal tumors, pituitary tumors, or ectopic ACTH-producing tumors. Conditions such as pregnancy, estrogen therapy, and severe stress can also stimulate ...[Read More] Understanding Neurological Symptoms: Seeking Answers for Oral and Brain Issues
Does Hypoglycemia from Insulin Overdose Cause Brain Damage?
Hypoglycemia can cause brain damage? Hello, Dr. Hong. I am a long-term insulin-dependent patient with high blood sugar. The situation is as follows: I injected too much insulin, which caused hypoglycemia and confusion. My family thought something was wrong with me and kept callin...
Dr. Hong Weibin Reply:
If the hypoglycemia is temporary and quickly corrected, it will not cause damage to brain cells. However, if the hypoglycemic state persists for too long, it may lead to loss of consciousness, which can result in injury to brain cells.[Read More] Does Hypoglycemia from Insulin Overdose Cause Brain Damage?
Understanding Persistent Head Numbness: When to Seek Medical Advice
Facial concerns? Hello, I have been experiencing a tingling sensation in the back of my head lately, similar to the goosebumps you get when you're anxious, and it has been persistent. Could you please tell me what this issue might be? Do I need to see a doctor?
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider cervical nerve root compression. This could be due to prolonged poor posture with the head bent forward, or rheumatic joint diseases, leading to curvature and narrowing deformities of the cervical spine. The interv...[Read More] Understanding Persistent Head Numbness: When to Seek Medical Advice
Understanding Right Back and Hand Numbness: Causes and Solutions
Numbness in the right upper back? Hello Doctor, I would like to ask if it is possible that my poor sitting posture from long hours of working at a computer is causing my symptoms. Initially, I experienced numbness extending from my right pinky finger to my palm, but it doesn'...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms may suggest compression of the cervical spine at the seventh vertebra and the first thoracic nerve root, leading to numbness extending to the little finger. This could be due to prolonged poor posture while looking down, resulting i...[Read More] Understanding Right Back and Hand Numbness: Causes and Solutions
Understanding Visual Hallucinations and Sleep Paralysis: A Medical Perspective
Yin-Yang Eyes and Sleep Paralysis Hello doctor, my girlfriend is 19 years old. She says she has been able to see spirits since her first year of high school. Now in her second year of college, she sometimes mentions seeing someone watching her from beside her bed while she sleeps...
Dr. Jiang Junyi Reply:
Hello: The symptoms you mentioned occurring during sleep may need to be considered as symptoms of REM sleep disorders (the phase when dreaming occurs). The hallucinations you described could be very realistic dreams. I recommend that you take your girlfriend to a sleep center at ...[Read More] Understanding Visual Hallucinations and Sleep Paralysis: A Medical Perspective
Understanding Post-Fever Complications: Insights from Neurology
Post-fever sequelae Hello, doctor. After I had an eye stone removed from my upper eyelid, I may not have had clean hands and rubbed my eyes. The next morning, I started to have a fever. At that time, I was home alone and couldn't find a thermometer. I felt very tired and wan...
Dr. Jiang Junyi Reply:
Hello: According to your description, there are many causes of tinnitus, including external auditory canal inflammation, foreign body obstruction, and earwax buildup, all of which can lead to tinnitus. Even tooth extraction and temporomandibular joint inflammation can trigger tin...[Read More] Understanding Post-Fever Complications: Insights from Neurology
Understanding Pulsating Sensations Near the Temple: Causes and Concerns
Throbbing in the temples? Hello, doctor... About two weeks ago, I started experiencing intermittent twitching just above my left temple. When I place my hand on that area, it feels like something is being bitten, similar to the movement in the temple. The twitching occurs every 7...
Dr. Jiang Junyi Reply:
Hello: You mentioned muscle twitching; could you please clarify whether this issue is related to the blood vessels, nerves, or muscles? A: If the twitching is involuntary, it is generally caused by instability in the motor neurons. PS: Two years ago, I had a dead nerve in the upp...[Read More] Understanding Pulsating Sensations Near the Temple: Causes and Concerns
Managing Weight and Muscle Tension in Parkinson's Disease: Tips and Advice
Parkinson's disease Hello, I would like to ask: Does Parkinson's disease cause continuous weight loss? (I am currently taking medication for Parkinson's and for stabilizing my nerves). Can I drink protein supplement milk, or what should I eat to gain some weight? I...
Dr. Jiang Junyi Reply:
Hello, based on your description, will Parkinson's disease continue to cause weight loss? (Currently, you are taking medication for Parkinson's and stabilizing your nerves.) A: The reason for weight loss may be related to physical activity levels and dietary intake. Can...[Read More] Managing Weight and Muscle Tension in Parkinson's Disease: Tips and Advice
Understanding Your Symptoms: Lower Back Pain, Numbness, and Neck Issues
Lower back pain, numbness on the left side of the body, and a growth on the left side of the neck? Hello Doctor, I am a desk worker who sits for long hours every day, and I have the symptoms mentioned above. First, regarding the lower back pain, I started experiencing soreness in...
Dr. Jiang Junyi Reply:
Hello: The numbness you described in your left foot and left arm may be due to nerve compression in the neck or lower back. First, consider the possibility of cervical or lumbosacral disc herniation compressing the nerves. Disc herniation can also occur due to sudden injuries, su...[Read More] Understanding Your Symptoms: Lower Back Pain, Numbness, and Neck Issues
Persistent Headaches and Chest Pain: Seeking Answers for Unexplained Symptoms
Intermittent pain in the left temple and behind the right ear (Fengchi point) for 24 hours, accompanied by chest pain? My husband has been experiencing headaches for 6 days, which is unusual for him. He has visited the hospital twice, but the doctors have been unable to determine...
Dr. Hong Weibin Reply:
Hello: If you have never experienced similar headaches in the past and are currently experiencing neck stiffness, it is advisable to seek a consultation with a neurologist for a personal evaluation. It may be necessary to rule out dangerous causes of headaches, such as central ne...[Read More] Persistent Headaches and Chest Pain: Seeking Answers for Unexplained Symptoms
Post-Car Accident Numbness in Feet: Seeking Medical Advice
Doctor, is it common to experience numbness in the soles of the feet after a car accident? Hello Dr. Jiang, I had a car accident in November of this year. At that time, I was taken to the emergency room, where X-rays were performed. The diagnosis indicated left anterior chest con...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest the possibility of compression of the plantar nerves. However, if the numbness affects both the legs and feet, it may indicate compression of the lumbar nerves. It is recommended that you consult a neurologist for discussion and treatment regardin...[Read More] Post-Car Accident Numbness in Feet: Seeking Medical Advice
Understanding Sudden Leg Numbness and Pain: Causes and Concerns
Sudden numbness and pain in the foot? Hello, I often experience collisions during my workouts, but since I'm on tatami mats, they are soft. Recently, over the past two to three weeks, I've had episodes of numbness and pain in my left foot three times. This seems to occu...
Dr. Jiang Junyi Reply:
Hello: The numbness occurring on the outer side of your left foot may be due to peripheral nerve compression, with the fibular nerve being the primary consideration, especially in individuals who frequently cross their legs or sit with their legs crossed. Additionally, it is impo...[Read More] Understanding Sudden Leg Numbness and Pain: Causes and Concerns
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