Managing Seizures Triggered by Antidepressants: A Patient's Journey
Post-drug-induced epilepsy Hello Doctor, about 14 years ago, I experienced a head injury. I have a history of depression and sleep disorders, and my depression improved over time. However, approximately 12 years ago, I fainted in the bathroom after taking antidepressant medicatio...
Dr. Cai Zongzhang Reply:
Hello, epilepsy requires regular medication adherence and treatment according to the physician's instructions. Additionally, maintaining a stable daily routine can help stabilize the condition.[Read More] Managing Seizures Triggered by Antidepressants: A Patient's Journey
Understanding Shoulder Pain, Numbness, and Dizziness: A Neurology Perspective
Shoulder pain, facial numbness, and dizziness? Sometimes I feel dizzy, but the surrounding objects do not spin. Occasionally, I experience slight pressure at the back of my head, and my left arm, from the upper arm to the ring and little fingers, sometimes feels a bit numb, altho...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider degenerative changes in the cervical and thoracic spine causing compression of the nerve root at the first thoracic vertebra. This is primarily due to prolonged poor posture with the head bent forward, leading to c...[Read More] Understanding Shoulder Pain, Numbness, and Dizziness: A Neurology Perspective
Can Facial Nerve Paralysis Aftermath Improve Over Time?
Facial nerve paralysis A year ago, I experienced facial nerve paralysis on the right side of my face. I went to the hospital for an examination and underwent relevant treatments for over a month at the time of the onset, and my condition improved significantly. However, there are...
Dr. Jiang Junyi Reply:
Hello: The peripheral facial nerve paralysis you mentioned is quite similar, primarily affecting the seventh cranial nerve. The clinical symptoms include occasional numbness or stiffness in the face. Due to the inability to close the eyelids, tearing may also occur. In the acute ...[Read More] Can Facial Nerve Paralysis Aftermath Improve Over Time?
Understanding Dizziness and Facial Numbness: Possible Neurological Causes
Dizziness, a feeling of pressure and fullness in both sides of the back of the head, numbness in the left side of the face, and discomfort in the left eye? Hello Doctor: I am a 37-year-old male. Since May of last year, I have been experiencing dizziness, a feeling of pressure in ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest an issue with the autonomic nervous system. I'm not sure if you have undergone any tests related to this or arterial blood gas analysis. Hyperventilation can also cause similar symptoms. Excessive hyperventilation leads to a decrease in carbo...[Read More] Understanding Dizziness and Facial Numbness: Possible Neurological Causes
Understanding Body Tingling: Possible Causes and Recommendations
Tingling sensation in the body? Hello Doctor, about a month ago I suddenly felt a tingling sensation all over my body, without a specific area, almost like it was moving around. I even experienced tingling in my face and head. For a period of time, I often had palpitations and ch...
Dr. Jiang Junyi Reply:
Hello: Your symptoms appear at the extremities, which may suggest a deficiency in B vitamins or abnormal electrolyte levels causing peripheral neuropathy. Clinically, many conditions can lead to hyperventilation, including sepsis, significant blood loss, hypoxia, and acute myocar...[Read More] Understanding Body Tingling: Possible Causes and Recommendations
Understanding Nerve Damage Risks After Injections: What You Need to Know
Is there a possibility of nerve injury after receiving an injection? Hello Dr. Jiang, Last winter, I had a cold without a fever and visited a clinic. I was experiencing severe headaches that made me feel nauseous, so I asked the doctor for an injection. The doctor was an older m...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest "piriformis syndrome." The piriformis muscle is located deep in the buttocks and spans between the spine and the hip joint. When the piriformis muscle becomes inflamed, it can compress the sciatic nerve, leading to symptoms of numbness a...[Read More] Understanding Nerve Damage Risks After Injections: What You Need to Know
Understanding Nerve Issues: Numbness, Cold Sweats, and Nausea Explained
Numbness in the hands and feet, accompanied by cold sweats and a feeling of nausea? Hello, doctor. In the past month, whenever I take a bus, I experience nausea, cold sweats, and tingling in my hands and feet. These episodes last about 10-15 seconds and occur 3-4 times during a o...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are more indicative of hyperventilation syndrome. When this occurs, it leads to a decrease in carbon dioxide levels in the blood, resulting in an increased pH level, which triggers systemic reactions and symptoms. Common manifestations include dizziness and n...[Read More] Understanding Nerve Issues: Numbness, Cold Sweats, and Nausea Explained
Understanding Right Hand Pain and Left Hand Numbness: Causes and Treatments
Pain in the right hand and numbness in the left hand? Hello, I would like to ask about my right hand. Initially, I experienced pain in my wrist (extending from my thumb to my wrist), which later spread to my forearm and then to my right shoulder. The pain started about a year ago...
Dr. Jiang Junyi Reply:
Hello: Your symptoms in the right hand resemble those of nerve root compression in the cervical spine. Preventive measures include: 1. Change positions: Change your posture every 15 minutes to allow the neck tissues to rest. Any posture (including normal ones) maintained for a pe...[Read More] Understanding Right Hand Pain and Left Hand Numbness: Causes and Treatments
Why Your Hands Go Numb After Climbing: Understanding Nerve Issues
After climbing, my hands felt numb until the evening? Hello, I haven't exercised for a while, and today I hiked uphill for an hour. As a result, my hand gradually became numb, and by the evening, the numbness extended from my palm to my forearm. Is this normal? Thank you.
Dr. Jiang Junyi Reply:
Hello: Regarding the hand tingling sensation you mentioned related to exercise, the first thing that comes to mind is hyperventilation syndrome. This condition can lead to decreased carbon dioxide levels in the blood, resulting in an increased pH level. Consequently, blood flow t...[Read More] Why Your Hands Go Numb After Climbing: Understanding Nerve Issues
Can a Head Injury Affect Your IQ and Memory?
Head issues I would like to ask the doctor: A few days ago, while hanging laundry, I accidentally bumped my head against a metal plate and it hurt a bit. Will this affect my IQ or memory?
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, the following conditions should prompt consideration of delayed bleeding and a visit to t...[Read More] Can a Head Injury Affect Your IQ and Memory?
Understanding Neck Pain and Numbness: When to Seek Medical Help
Neck pain and numbness? Last Thursday afternoon, I experienced severe headaches, and after taking painkillers, I felt slightly better. However, on Friday morning, I began to feel soreness and numbness in the back of my neck. After that, whenever I sat or stood, the soreness and n...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest headaches caused by intracranial hypotension. The primary symptom of this type of headache is "postural headache," which worsens when the patient is standing or sitting and significantly improves or disappears when lying down. The most c...[Read More] Understanding Neck Pain and Numbness: When to Seek Medical Help
Unexplained Limb Numbness: Causes, Treatments, and Next Steps
Numbness in the limbs with no identifiable cause? A 57-year-old man started experiencing slight numbness and tingling in his hands and feet after quitting smoking in October last year. The symptoms have become more frequent, and at times he feels weakness in his right hand. Neuro...
Dr. Jiang Junyi Reply:
Hello: I am not sure if your husband has metabolic syndrome (characterized by abdominal obesity, hypertension, elevated fasting blood glucose, and high blood pressure). If he does, he may be at a higher risk for stroke. It takes five years of complete smoking cessation for the ri...[Read More] Unexplained Limb Numbness: Causes, Treatments, and Next Steps
Understanding Left-Sided Numbness and Weakness: Possible Causes and Next Steps
Numbness and weakness in the left hand and foot? Hello Doctor: For the past two weeks, I have been experiencing numbness in my left hand and foot, particularly in my fingers. Additionally, my left hand has been shaking uncontrollably. The numbness is persistent and spreads quickl...
Dr. Jiang Junyi Reply:
Hello, based on your description, the medication Micobalamin is Vitamin B12, while Baclofen is a muscle relaxant that may cause muscle weakness. A common cause of neck pain is cervical myofascial pain: prolonged periods of looking down can lead to overuse of the trapezius muscle ...[Read More] Understanding Left-Sided Numbness and Weakness: Possible Causes and Next Steps
Is Ear Pain Normal During Recovery from Facial Nerve Disorder?
Is it common to experience pain in front of and behind the ear during the recovery process from facial nerve dysfunction? Hello Dr. Jiang, one week ago (Monday), I sought medical attention due to symptoms of right-sided muscle weakness and facial drooping. After a CT scan of the ...
Dr. Jiang Junyi Reply:
Hello: You mentioned peripheral facial nerve paralysis, which primarily affects the seventh cranial nerve. The clinical symptoms include occasional numbness or stiffness in the face. Due to the inability to close the eyelids, tearing may also occur. Sometimes, patients may notice...[Read More] Is Ear Pain Normal During Recovery from Facial Nerve Disorder?
Understanding Disc Herniation: Causes of Foot Vibrations and Muscle Twitches
Herniated disc with foot vibration? Recently, I experienced numbness and pain in my left foot, which later progressed to muscle twitching in both legs, prompting me to see a neurosurgeon. An MRI diagnosis revealed a herniated lumbar disc, centrally located, which is causing the m...
Dr. Jiang Junyi Reply:
Hello: The symptom of vibration in the feet is generally indicative of peripheral nerve damage, and it may be necessary to consider cervical nerve root compression. I recommend that you visit a neurology or rehabilitation clinic for an examination to determine the location of the...[Read More] Understanding Disc Herniation: Causes of Foot Vibrations and Muscle Twitches
Understanding Hand Weakness and Numbness: When to See a Specialist
Weakness and numbness in the hands? Hello Doctor, I have been experiencing issues with my hand for several years. Whenever I perform actions like wringing a towel or tying my hair, my right wrist sometimes becomes immobile for a period of time. It feels as if the tendons inside a...
Dr. Jiang Junyi Reply:
Hello: You mentioned that the action of twisting a towel to tie your hair has caused symptoms such as numbness and weakness in your wrist. From the perspective of potential causes, this may be related to compression of the median nerve. However, you also mentioned experiencing nu...[Read More] Understanding Hand Weakness and Numbness: When to See a Specialist
Understanding Unilateral Foot Numbness: Causes and Solutions
Unilateral plantar paresthesia? Hello, doctor. About two weeks ago, I started experiencing a tingling sensation in the sole of my left foot. Sometimes it comes in waves, and other times it doesn't occur at all. This sensation can happen whether I'm sitting or lying down...
Dr. Hong Weibin Reply:
Hello: Based on your description, if the numbness is limited to the soles of your feet and does not extend proximally, it is likely due to plantar fasciitis or soft tissue pathology. It is advisable to check your shoes; if they are too rigid, consider switching to shoes with cush...[Read More] Understanding Unilateral Foot Numbness: Causes and Solutions
Should I See a Neurologist for My Mother's Eye and Facial Symptoms?
Should I schedule an appointment with a neurologist? About a month ago, my mother started experiencing excessive tearing in her eyes. Three weeks ago, the symptoms worsened, and she began to feel numbness from the lower part of her right eye to her upper lip. She first visited an...
Dr. Jiang Junyi Reply:
Hello: Your mother's symptoms may indicate inflammation of the tissues around the eyes, leading to compression of the trigeminal nerve. It is recommended to start by consulting the neurology department at the same hospital, where the physician can make a more accurate assess...[Read More] Should I See a Neurologist for My Mother's Eye and Facial Symptoms?
Understanding Numbness in Hands and Feet: Causes and Solutions
Numbness in hands and feet? Hello Dr. Jiang: I apologize for the interruption. I have a medical concern that I would like to consult with you. For the past three months, every time I take a nap during my lunch break (lying face down for about 10 to 20 minutes), I wake up with num...
Dr. Jiang Junyi Reply:
Hello: If you do not experience numbness while lying down, your symptoms may suggest localized nerve compression. This can occur when sleeping on your stomach, which may compress the radial nerve in both arms, or when sitting, which may compress the sciatic nerve and the posterio...[Read More] Understanding Numbness in Hands and Feet: Causes and Solutions
Numbness in the Outer Side of the Left Pinky: Should You See a Doctor?
Loss of sensation on the outer side of the left little finger? Hello, doctor! A week ago, my mom gave me a jade bracelet to celebrate my acceptance into college. After the shopkeeper forced the bracelet onto my wrist, I couldn't take it off at all. I struggled for an entire ...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms are more consistent with ulnar nerve neuropathy (affecting the sensory area near the little finger). When the wrist rests on a hard surface like a table, pressure can lead to ulnar nerve neuropathy. This condition typically causes n...[Read More] Numbness in the Outer Side of the Left Pinky: Should You See a Doctor?