Understanding My Symptoms: Anxiety, Epilepsy, and Neurological Concerns
What is wrong with me? Doctor, I have a tendency to be easily anxious and can be startled by minor things. I have a history of epilepsy, and often after sudden events (like being startled by a loud noise), I experience shallow and rapid breathing, increased heart rate, and cold s...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider the symptoms of "hyperventilation." Hyperventilation can lead to a decrease in carbon dioxide levels in the blood, resulting in an increase in pH, a condition known medically as "respiratory alkalosi...[Read More] Understanding My Symptoms: Anxiety, Epilepsy, and Neurological Concerns
Head Injury Symptoms: Dizziness and Headache After a Hit
Head trauma, dizziness, and headache? Two days ago (January 6th), I accidentally got hit on the head while playing with my classmates, specifically on the upper left side and the top of my head. At that moment, I was fully conscious and did not feel any significant pain in the ar...
Dr. Jiang Junyi Reply:
Hello: Generally speaking, if there is no loss of consciousness, use of anticoagulants, or obvious local hematomas, head trauma is mostly mild. However, if the following conditions occur, delayed bleeding should be considered, and you should seek emergency care: (1) Deterioration...[Read More] Head Injury Symptoms: Dizziness and Headache After a Hit
Understanding Leg Numbness and Back Pain: When to Seek a Second Opinion
Numbness in the legs and lower back pain? Hello, doctor. Recently, I've been experiencing lower back pain and my legs feel sore and numb. I visited a neurologist, but the doctor only tapped my knee (the reflex test we learned in middle school) and concluded that my issues ar...
Dr. Jiang Junyi Reply:
Hello, based on your description, it is important to consider symptoms related to nerve compression due to a herniated disc, which may also occur as a result of sudden injuries, such as twisting the waist, bending to lift heavy objects, or experiencing excessive force, for exampl...[Read More] Understanding Leg Numbness and Back Pain: When to Seek a Second Opinion
Understanding Dizziness and Discomfort: A Neurological Perspective
Dizziness and general discomfort? Hello doctor, I have been experiencing dizziness for over two years. In 2016 and 2017, I underwent numerous tests including brain MRI, CT scans, neck CT, EEG, intracranial blood flow studies, eye movement tests, ECG, 24-hour Holter monitoring, ex...
Dr. Jiang Junyi Reply:
Hello, based on your description, I wonder if you have been paying attention to the care of your neck, as cervical myofascial pain syndrome may cause symptoms such as pain, discomfort, muscle stiffness, or a heavy sensation, leading to fatigue-like symptoms. Regarding the adjustm...[Read More] Understanding Dizziness and Discomfort: A Neurological Perspective
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
Head Injury Concerns: When to Seek Medical Attention During Pregnancy
Hit on the right side of the head? Hello Dr. Jiang: On Monday night, I bumped into the wall at the bottom of the stairs. At that moment, I only felt pain from the impact and did not apply ice. When I touch the area where I hit, it hurts. The next day, I woke up with a headache th...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, if there is no loss of consciousness, the use of anticoagulants, or obvious localized hematomas, head injuries are mostly mild. However, if the following conditions occur, delayed bleeding should be considered, and you should ...[Read More] Head Injury Concerns: When to Seek Medical Attention During Pregnancy
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
Intense Nighttime Head Pressure: Causes and Concerns Explained
Severe pressure sensation in the head occurring at midnight? Hello Dr. Tsai: Recently, I have experienced two episodes during the night where I suddenly felt a strong pressure and numbness at the top of my left side of the head. It startled me awake, and I immediately sat up; the...
Dr. Cai Zongzhang Reply:
Hello, there are many possible causes for head and neck pain and a sensation of pressure. It is recommended that you visit an outpatient clinic for further evaluation.[Read More] Intense Nighttime Head Pressure: Causes and Concerns Explained
Understanding Hand Tremors: Causes and Concerns in Neurology
Tremor issues? I experience shaking in my hands when holding objects, though it's not very pronounced. Sometimes my hands feel weak, and my little finger occasionally goes numb. I also notice shaking during static moments, and it becomes more pronounced when I play mobile ga...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms are more indicative of ulnar nerve neuropathy, which can affect the sensation in the little finger. Leaning your elbow on a table or other hard surfaces, as well as applying pressure to the elbow, can likely cause ulnar nerve neurop...[Read More] Understanding Hand Tremors: Causes and Concerns in Neurology
Understanding Propranolol Side Effects: Tremors and Limb Weakness
Tremors and intermittent weakness in the limbs? A few days ago, I went for an examination due to mild hand tremors and was prescribed 309 Propranolol (Inderal) to take twice daily. I have been taking it for over three weeks now, but I am experiencing hand tremors, weakness in my ...
Dr. Jiang Junyi Reply:
Hello: Based on your description, propranolol is primarily a sympatholytic agent. It has shown good therapeutic effects for essential tremors or tremors caused by emotional stress. However, due to potential side effects from decreased heart rate and blood pressure, such as fatigu...[Read More] Understanding Propranolol Side Effects: Tremors and Limb Weakness
Understanding Neurological Symptoms: When to Consider an MRI
Cerebrovascular disease Hello, doctor. I have been experiencing numbness in my hands and feet, as well as in my head, for the past three years. I have undergone a carotid ultrasound, and the results were normal. Should I still consider getting an MRI?
Dr. Cai Zongzhang Reply:
Hello, it is recommended that you continue to discuss relevant examinations and treatment matters with your physician.[Read More] Understanding Neurological Symptoms: When to Consider an MRI
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 Thigh Cramps and Back Pain: Finding Relief for Daily Struggles
Thigh cramps accompanied by lower back pain, causing discomfort while walking and sleeping? This has been a chronic issue for me. While working, I often experience severe pain in my right thigh, making it difficult to stand. It feels like I'm cramping, and I have to hunch ov...
Dr. Jiang Junyi Reply:
Hello, based on your description, it is important to consider symptoms related to nerve compression due to a herniated disc, which may also result from sudden injuries, such as twisting the waist, bending to lift heavy objects, or experiencing excessive force, for example, fallin...[Read More] Understanding Thigh Cramps and Back Pain: Finding Relief for Daily Struggles
Understanding Dizziness and Visual Disturbances: When to Seek Help
Dizziness/headache with visual disturbances? Hello Doctor, last weekend I experienced a sudden sharp pain on the left side of my head, and since then I have felt as if a layer of bright glitter has been placed over my vision, which has persisted for about five days. (However, the...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider a migraine with aura. Symptoms include visual disturbances such as seeing stars and lightning-like flashes, as well as blurred or distorted vision, which are all common migraine auras. A few minutes after the aura ...[Read More] Understanding Dizziness and Visual Disturbances: When to Seek Help
Managing Life After a Stroke: Blood Pressure Monitoring Challenges
Some aspects of life after a stroke and the pain of measuring blood pressure? The first minor stroke caused weakness in the left side of my limbs, and I collapsed. I consulted at Hospital A, where they started measuring my blood pressure, but I felt discomfort from the cuff and t...
Dr. Cai Zongzhang Reply:
Hello, in advanced countries in Europe and America, seeking a second opinion has been a common practice for many years and is a recognized aspect of medical care. In Taiwan, some physicians and hospitals are gradually adopting this concept as well. You can consider the opinions o...[Read More] Managing Life After a Stroke: Blood Pressure Monitoring Challenges
Numbness in Right Big Toe: Possible Causes and Solutions
Numbness in the right big toe? Hello, Dr. Jiang. About two weeks ago, I started experiencing numbness on the outer side of my right big toe. There is no pain or insect bite, but I have a persistent tingling or numb sensation. Pressing on it makes the numbness feel more intense, b...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest a consideration of peripheral nerve compression issues. The diagnosis of peripheral nerve injury can be assessed using nerve conduction studies. Nerve conduction studies involve the use of very fine electrical currents to stimulate the nerves in t...[Read More] Numbness in Right Big Toe: Possible Causes and Solutions
Understanding Finger and Palm Numbness: When to Seek Medical Help
Numbness and tingling in the fingers and palm? Doctor, I have a question: My left pinky finger is numb, and the half of my ring finger next to the pinky is also numb (the other half is normal). The palm of my left hand is partially numb, and there is no significant sensation in m...
Dr. Cai Zongzhang Reply:
Hello, your description does not allow us to determine whether your numbness is caused by trauma, external forces, or other factors, or if it is related to other disease symptoms. If the symptoms persist or if you have concerns, it is advisable to consult a neurologist.[Read More] Understanding Finger and Palm Numbness: When to Seek Medical Help
Can Arm Injury-Induced Numbness Be Reversed? Neurology vs. Neurosurgery
Numbness in the skin due to arm trauma? Is there a chance of recovery from numbness in the skin caused by an arm injury many years ago? Should I see a neurologist or a neurosurgeon? Thank you.
Dr. Cai Zongzhang Reply:
Hello, numbness in the skin caused by an arm injury may take varying amounts of time to recover depending on the specific nerve function affected. Generally, noticeable improvement can be seen daily with ongoing medication and rehabilitation treatment. However, it is not guarante...[Read More] Can Arm Injury-Induced Numbness Be Reversed? Neurology vs. Neurosurgery
Understanding Numbness and Pain in Limbs: Possible Neurological Issues
Numbness and pain in the hands and feet? Hello doctor: For the past month, I have hardly eaten anything and only drank water. I am gradually starting to eat again, but I feel numbness in my scalp, chest, hands, and feet. My hands and feet are also sore and weak, and I am experien...
Dr. Jiang Junyi Reply:
Hello: I wonder if you have undergone any medical tests? Many electrolyte imbalances can cause symptoms such as weakness or numbness in the limbs. For nerve repair, it is recommended to supplement with B vitamins. I suggest you consult an internist to discuss examinations and tre...[Read More] Understanding Numbness and Pain in Limbs: Possible Neurological Issues
Understanding Persistent Dizziness and Discomfort: A Neurological Perspective
Dizziness / Eyes / Ears / Soreness Hello, I would like to ask about a sudden onset of dizziness I experienced one day, followed by discomfort and a feeling of pressure in one eye. After visiting an ophthalmologist, I was told everything was fine. Then, I started experiencing ear ...
Dr. Jiang Junyi Reply:
Hello: Many factors can cause symptoms of dizziness, such as anemia, autonomic dysfunction, inner ear imbalance, and even Meniere's disease. Blood tests should include the differentiation of possible complications (anemia, hyperthyroidism/hypothyroidism, diabetes, recurrent ...[Read More] Understanding Persistent Dizziness and Discomfort: A Neurological Perspective