Understanding Recurring Perineal and Anal Numbness: Causes and Solutions
Intermittent numbness in the perineal and anal area? Hello Doctor, on March 23rd, I experienced intermittent numbness in the right perineum and anal area, which has been continuous. The next day, I visited a neurologist who said I could walk on my toes, which did not indicate cau...
Dr. Jiang Junyi Reply:
Hello: The tissues around the anus are primarily innervated by the pudendal nerve plexus and the coccygeal nerve. Various factors can lead to abnormal nerve sensations. If the symptoms are intermittent, it may be worth considering poor posture as a potential cause of nerve compre...[Read More] Understanding Recurring Perineal and Anal Numbness: Causes and Solutions
Understanding Dizziness, Headaches, and Nausea: Possible Causes and Solutions
Dizziness, headache, nausea, and eye discomfort? Recently, I've been experiencing pain around my eye sockets, dizziness, nausea after eating, and occasional headaches. I researched online and found that it might be acute glaucoma, so I visited an ophthalmologist. However, th...
Dr. Jiang Junyi Reply:
Hello, based on your description, in addition to the eye issues, it may be necessary to consider factors such as migraines. Common symptoms of migraine with aura include visual disturbances. These may manifest as bright lights resembling stars or lightning, as well as blurred or ...[Read More] Understanding Dizziness, Headaches, and Nausea: Possible Causes and Solutions
Should Seniors Seek Immediate Medical Attention After a Fall?
An elderly person nearly 80 years old fell and hit their head? Hello Dr. Jiang, there is an elderly person who fell and hit his head in the bathroom before taking a shower. We discovered him about an hour later, and he had already bathed and changed his clothes, and he was able t...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, if there is no loss of consciousness, use of anticoagulants, or obvious localized hematomas, head trauma is mostly mild. However, the following conditions should prompt consideration of delayed bleeding, and you should seek tr...[Read More] Should Seniors Seek Immediate Medical Attention After a Fall?
Post-Traumatic Head Pain: Understanding Symptoms After a Car Accident
In the past, I experienced pain from a head injury due to a car accident. When the wind blows on my head, I feel numb and dizzy? Hello doctor, my boyfriend had a car accident five years ago, during which he was in a coma in the intensive care unit for several days, and he likely ...
Dr. Hong Weibin Reply:
Hello: During the wound healing process, the epidermal nerves will regenerate and reconnect. However, the reconnection may not be perfect, leading to subsequent symptoms such as itching or even pain at the wound site. The scalp has a high density of nerves, which are also more se...[Read More] Post-Traumatic Head Pain: Understanding Symptoms After a Car Accident
Understanding Numbness in Limbs: Possible Causes and Concerns
Causes of Limb Numbness Hello Doctor, I have been experiencing numbness in my limbs for about two to three weeks. It started one night when I woke up, and the previous evening I had taken a steam bath. Sometimes it is painful and feels like an electric shock. About 80% of the tim...
Dr. Hong Weibin Reply:
Hello: Your symptoms indeed suggest the possibility of multiple sclerosis; another potential diagnosis could be polyneuropathy. Typically, further examinations are required to confirm the diagnosis, which may include nerve conduction studies, evoked potentials, lumbar puncture, a...[Read More] Understanding Numbness in Limbs: Possible Causes and Concerns
Understanding Finger Numbness After Cervical Disc Surgery: Causes and Insights
Numbness in the fingertips? After undergoing surgery for cervical disc herniation, why is the tip of my right index finger still numb and tingling, and my hand still feels weak, although it's less painful than before the surgery? What could be the reason?
Dr. Jiang Junyi Reply:
Hello: After your recent surgery, the tissues are still in a swollen state, which may cause some nerve compression and related symptoms. It should improve in about two weeks. I recommend discussing this with your attending physician for further evaluation and treatment. Wishing y...[Read More] Understanding Finger Numbness After Cervical Disc Surgery: Causes and Insights
Understanding Sudden Limb Weakness and Numbness: Possible Causes
Numbness in the limbs, weakness, generalized muscle flaccidity, and tongue numbness? Hello doctor, my mother is 49 years old. Recently, for the past four days, she suddenly started experiencing gradual weakness in her limbs, along with numbness in her limbs and tongue. The sympto...
Dr. Hong Weibin Reply:
Hello: This is likely acute inflammatory demyelinating polyradiculoneuropathy, also known as Guillain-Barré syndrome. It is an autoimmune condition where antibodies attack the myelin sheath of nerve cells in the body. Prompt monitoring of vital signs and nerve conduction studies ...[Read More] Understanding Sudden Limb Weakness and Numbness: Possible Causes
Understanding Leg Pain and Numbness: When to Seek Neurological Help
Leg pain? Hello, doctor. My right leg feels sore and numb, and sometimes my lower back hurts as well. This has been going on for about six months, and I have a habit of crossing my legs. What could be the problem? Which specialist should I see? Thank you!
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider symptoms of nerve compression due to a herniated disc, which can also result from sudden injuries such as twisting the waist, bending to lift heavy objects, or experiencing excessive force, for example, falling fro...[Read More] Understanding Leg Pain and Numbness: When to Seek Neurological Help
Managing Headaches: When to Use Pain Relievers and Seek Medical Advice
Headache and Medication Consultation Hello, doctor. Recently, I have been experiencing headaches that last almost all day. When the pain is mild, I feel a slight pressure and pain around both temples and the sides of my eyes. At its worst, the pain affects the entire right side o...
Dr. Jiang Junyi Reply:
Hello, based on your description, the headache you mentioned may initially be related to cervical nerve root compression, which is often associated with tightness in the cervical muscles and degeneration of the cervical spine. Symptoms typically include pain at the affected site,...[Read More] Managing Headaches: When to Use Pain Relievers and Seek Medical Advice
Understanding Nerve Injuries from Exercise: Causes and Solutions
Motor nerve injury Hello Dr. Jiang, I have been practicing with dumbbells and doing Zumba aerobic dance for over six months. Recently, I have started to experience numbness from my left arm to my fingers, especially when exercising with dumbbells. Initially, I only felt this duri...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider cervical nerve root compression. Generally, the human body has seven cervical vertebrae and eight pairs of spinal nerves. Prolonged poor posture with the head down can lead to curvature, narrowing, and deformation ...[Read More] Understanding Nerve Injuries from Exercise: Causes and Solutions
Understanding Delayed Symptoms After a Concussion: What to Know
Head trauma Hello doctor, I would like to ask about a concussion I had from a car accident. I was wearing a helmet when I hit my head on the ground, and I was conscious at the time. During the week following the incident, I only experienced dizziness, which resolved after a week....
Dr. Jiang Junyi Reply:
Hello: Based on your description, it may be necessary to consider cervical spine disorders, as the likelihood of intracranial hemorrhage is relatively low. External factors such as traffic accidents, falls, impacts to the head against hard objects, or excessive force during cervi...[Read More] Understanding Delayed Symptoms After a Concussion: What to Know
Why Head Injuries Can Cause Hand Numbness: What to Watch For
Head trauma resulting in numbness and tingling in both hands? Hello Doctor, the iron rolling door in my home’s motorcycle driveway malfunctioned, and I hit my head against the door as it was coming down. I was wearing a helmet at the time, so I have no external injuries, but I im...
Dr. Jiang Junyi Reply:
Hello, based on your description, it is important to consider the possibility of nerve root compression in the neck due to the impact. When the intervertebral disc compresses the nerves between the fourth and fifth cervical vertebrae, it can lead to shoulder and neck pain. Compre...[Read More] Why Head Injuries Can Cause Hand Numbness: What to Watch For
Understanding the Confusion Between Inner Ear Issues and Hypertension
The inner ear is affected by hypertension, and it can be difficult to distinguish between the two? Hello, Dr. Hong. My question has a bit of history and may be somewhat complex, so I will ask in an organized manner. I hope you can enlighten me. Thank you. 1. About 27 years ago, ...
Dr. Hong Weibin Reply:
1. Meniere's disease may improve dizziness gradually with age, but hearing loss may occur. 2. Non-rotational dizziness may be related to internal medical conditions. Factors such as medications, poor vascular circulation, and lack of sleep can contribute to this. 3. Ther...[Read More] Understanding the Confusion Between Inner Ear Issues and Hypertension
Understanding Weakness in the Left Thumb: Is It ALS or Something Else?
Weakness in pressing down with the left thumb? Three days ago, I suddenly lost strength in my left thumb, making it difficult to perform tasks such as wearing a helmet, buttoning clothes, and unplugging devices. It has felt somewhat stiff and less agile for almost a year now. Whe...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may need to rule out ulnar nerve pathology and other common issues. Generally, ulnar nerve pathology can cause numbness. In cases of severe ulnar nerve pathology, the muscles it innervates may atrophy, leading to a "claw hand" deformity. Atrophy of ...[Read More] Understanding Weakness in the Left Thumb: Is It ALS or Something Else?
Understanding Autonomic Nervous System Dysfunction and Panic Symptoms
Consultation for Autonomic Nervous System Symptoms Hello, Dr. Jiang. Last year, I experienced palpitations and discomfort, and after seeing a cardiologist, I was diagnosed with mild benign arrhythmia. A subsequent evaluation by a psychiatrist revealed moderate to severe autonomic...
Dr. Jiang Junyi Reply:
Hello: The autonomic nervous system shows moderate to severe dysregulation. It may be important to understand the relative changes between the sympathetic and parasympathetic nervous systems in order to determine where adjustments are needed. Generally, the autonomic nervous syst...[Read More] Understanding Autonomic Nervous System Dysfunction and Panic Symptoms
Managing Chronic Headaches After Concussion: Symptoms and Solutions
Chronic headache Hello, Doctor: Three years ago, I was hospitalized for a concussion for a week, and since then, I have experienced issues such as depression, headaches, and gastric ulcers, which have been continuously monitored. However, my headaches have been occurring more fre...
Dr. Jiang Junyi Reply:
Hello, based on your description: it may be necessary to first treat the migraines, as young women are a common demographic for migraines. The symptoms of migraine with aura include visual disturbances, such as seeing stars and flashes of light, as well as blurred or distorted vi...[Read More] Managing Chronic Headaches After Concussion: Symptoms and Solutions
Managing Severe Right Leg Pain: Insights from Neurology and Rehabilitation
The pain in my right foot is becoming increasingly severe? Hello Doctor, about a year ago, I went to the hospital for an examination because I frequently felt soreness in my right leg. After being evaluated by a neurologist, the electromyography showed weakness in my right leg, a...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider symptoms of nerve compression due to a herniated disc, especially when hiking uphill or downhill, as the compression of the nerve roots can become more severe. A herniated disc can also result from sudden injuries,...[Read More] Managing Severe Right Leg Pain: Insights from Neurology and Rehabilitation
Understanding Ulnar Nerve Palsy: Post-Surgery Recovery Insights
Ulnar nerve paralysis Hello, doctor: It has been almost a month since I underwent ulnar nerve decompression surgery. Is it normal to still experience numbness and tingling in my little finger and ring finger?
Dr. Jiang Junyi Reply:
Hello: It is recommended to consult a rehabilitation physician for a localized soft tissue ultrasound to check for any signs of inflammation or adhesions. Additionally, rehabilitation therapy can be performed to alleviate compression symptoms. Wishing you good health and peace. D...[Read More] Understanding Ulnar Nerve Palsy: Post-Surgery Recovery Insights
Understanding Chronic Discomfort: A Year of Neurological Challenges
It has been a year, and recently, my daily routine has been affected by discomfort during waking hours? Hello, doctor. I have been experiencing discomfort for over a year. Initially, I felt unusually unwell at home on weekends, with persistent dizziness and chest tightness throug...
Dr. Jiang Junyi Reply:
Hello, based on your description and age, it may be necessary to first consider the symptoms of migraine. Common aura symptoms of migraine include visual disturbances such as seeing bright lights resembling stars or lightning, as well as blurred or distorted vision. These are all...[Read More] Understanding Chronic Discomfort: A Year of Neurological Challenges
Understanding Numbness in the Thigh: Causes and Next Steps
Numbness in the thighs while lying flat? Hello, Doctor. Symptoms: For about two years, when I lie flat to sleep, I often experience numbness on the outer side of my left thigh, but I do not have this issue when standing or sitting. Additionally, when I press on both thighs, the p...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider inflammation of the lateral femoral cutaneous nerve. Pain or numbness occurs in the anterior lateral thigh, generally in an area about the size of a palm, and may sometimes radiate to the lateral aspect of the knee...[Read More] Understanding Numbness in the Thigh: Causes and Next Steps