Numbness, Neurology FAQ - Page 38

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Understanding Dizziness and Low Potassium Levels in Older Adults

Dizziness and hypokalemia? Hello Dr. Jiang, I would like to ask about my mother's condition. She is 65 years old. The week before last, she suddenly experienced dizziness accompanied by persistent vomiting, cold sweats, and numbness in her hands and feet around noon after ge...


Dr. Jiang Junyi Reply:
Hello, Your mother's symptoms may suggest Benign Paroxysmal Positional Vertigo (BPPV). The characteristic symptoms include brief episodes of dizziness related to changes in head position, such as bending over, tilting back, lying down, getting up, rolling over, or suddenly...

[Read More] Understanding Dizziness and Low Potassium Levels in Older Adults


Understanding Hand Numbness and Arm Tightness: Possible Causes and Solutions

Numbness in the hands and tightness in the arms? Hello Doctor, for the past two weeks, I have been waking up at night due to numbness in my palms. Upon waking, I notice that the sensation in my forearms becomes very dull, as if they have been compressed for a long time. However, ...


Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider symptoms related to peripheral nerve compression, as the symptoms are associated with posture. Generally speaking, during sleep, our bodies only remain still during the rapid eye movement (REM) phase; throughout th...

[Read More] Understanding Hand Numbness and Arm Tightness: Possible Causes and Solutions


Facial Numbness After Eating Sweets: Possible Neurological Issues

Numbness in the face after consuming sweets? Whenever I eat sweets (especially cake), my face and chin become numb (particularly the right side of my face), regardless of how sweet they are. However, drinks do not cause this issue. This has been happening for two years, and recen...


Dr. Jiang Junyi Reply:
Hello: You mentioned that the issue of chin numbness may be due to abnormal nerve signaling of the trigeminal nerve. The trigeminal nerve originates from the brainstem, and conditions such as vestibular schwannoma, multiple sclerosis, herpes zoster, or even dental issues causing ...

[Read More] Facial Numbness After Eating Sweets: Possible Neurological Issues


Rehabilitation Strategies for Brainstem Stroke Recovery

Rehabilitation after a brainstem stroke? If a family member is experiencing left-sided numbness due to a hemorrhagic stroke in the brainstem, it is crucial to consult a healthcare professional for a comprehensive evaluation and tailored treatment plan. Rehabilitation methods may ...


Dr. Jiang Junyi Reply:
Hello: You mentioned that your family member has experienced a hemorrhagic stroke in the brainstem, and currently has numbness on the left side. Generally, this may indicate that the area responsible for nerve conduction has been affected. Typically, within a short period, usuall...

[Read More] Rehabilitation Strategies for Brainstem Stroke Recovery


Understanding Muscle Twitches, Numbness, and Headaches: A Neurology Perspective

Muscle twitching, peripheral numbness in the limbs, shoulder and neck pain, headache? Hello Doctor: In November of this year, I began experiencing widespread muscle twitching and sudden pains throughout my body without a specific location (more frequently in my thighs, calves, an...


Dr. Jiang Junyi Reply:
Hello: Your symptoms are not easily encompassed by a single disease. However, it is worth considering that patients with anxiety often exhibit symptoms of hyperventilation. Hyperventilation can lead to a decrease in carbon dioxide levels in the blood, resulting in an increase in ...

[Read More] Understanding Muscle Twitches, Numbness, and Headaches: A Neurology Perspective


Understanding Occipital Pain: Causes and When to Seek Help

Occipital pain Hello Doctor: My profession is a software engineer, so I spend long hours sitting in front of the computer writing code. When I focus intently, I can sit for 3 to 4 hours without getting up to move. Recently, I've been experiencing a tight pain on the left sid...


Dr. Jiang Junyi Reply:
Hello, based on your description, it does not seem to be symptoms of a stroke. The more common symptoms of a stroke include unilateral weakness or numbness. The cause of pain in the left posterior neck is more commonly due to cervical myofascial pain: prolonged periods of looking...

[Read More] Understanding Occipital Pain: Causes and When to Seek Help


Understanding Carotid Artery Occlusion After a Stroke: Key Concerns

What to do about carotid artery occlusion? My mother recently suffered a stroke, presenting with facial drooping, eye misalignment, drooling, and weakness in her legs. After being sent to the hospital for treatment, she was diagnosed with a cerebrovascular accident. The physician...


Dr. Jiang Junyi Reply:
Based on your description of the symptoms of generalized muscle pain, it is possible that during the magnetic resonance imaging (MRI) examination, patients are typically instructed to remain still to achieve better imaging, which can lead to muscle tension and discomfort. Your mo...

[Read More] Understanding Carotid Artery Occlusion After a Stroke: Key Concerns


Understanding Persistent Dizziness: Causes and Treatment Options

Dizziness improves quickly with medication but then starts again? I started experiencing unexplained dizziness on June 15 of this year and visited a doctor who suggested it was due to stress, but the medication was ineffective. I then consulted an otolaryngologist who prescribed ...


Dr. Jiang Junyi Reply:
Hello, based on your description, benign paroxysmal positional vertigo (BPPV) should be considered first. The symptoms are characterized by brief episodes of dizziness related to changes in head position, such as bending over, tilting back, lying down, getting up, rolling over, o...

[Read More] Understanding Persistent Dizziness: Causes and Treatment Options


Why Do I Feel No Sensation When Scratching My Arm?

Itching in the arm without sensation? Hello Doctor: Recently, when I scratch my left arm, I often feel little sensation, as if there is a thick layer of skin in between, but there is no numbness. I am very worried that there might be something wrong with my body. Could you please...


Dr. Jiang Junyi Reply:
Hello, based on your description, if there are sensory abnormalities in the peripheral nerves, the first consideration should be nerve compression. I wonder if you have a habit of carrying a backpack on one shoulder? If the symptoms worsen, it may be necessary to consider other a...

[Read More] Why Do I Feel No Sensation When Scratching My Arm?


Is Waking Up at Night with Head Pain a Sign of Brain Tumor?

Waking up in the middle of the night due to pain is not necessarily indicative of a brain tumor? Last night, I experienced a dull headache before going to bed, and I was awakened by the pain around 5 AM. I took some pain relievers, and after one or two hours, the pain subsided. I...


Dr. Jiang Junyi Reply:
According to your description, the likelihood of a brain tumor causing headaches is relatively low, and the pain tends to worsen over time. Given your age, the more common causes are tension-type headaches or migraines. The symptoms of tension-type headaches are typically bilater...

[Read More] Is Waking Up at Night with Head Pain a Sign of Brain Tumor?


Understanding Headaches and Numbness: Which Specialist to See?

Head numbness and headache? Hello Doctor: I have been experiencing headaches for the past six months. Sometimes they feel like sharp pains, other times they are more of a pressure pain, with no fixed pattern or location. Additionally, I have numbness in my head and face, and my e...


Dr. Jiang Junyi Reply:
Hello: Regarding the issue of high intraocular pressure, you can visit an ophthalmologist to measure your eye pressure, which can help rule out the problem of elevated intraocular pressure. As for the headache, it is advisable to first rule out migraine-related issues. Symptoms o...

[Read More] Understanding Headaches and Numbness: Which Specialist to See?


Understanding Pulsating Head Sensations: When to See a Neurologist

The head may feel pulsating? Hello doctor, I started experiencing ear fullness about a month ago, followed by tinnitus. The noise from the tinnitus is really loud, and I can only sleep until around two or three in the morning. Then I began to have dizziness with a sensation of sp...


Dr. Jiang Junyi Reply:
Based on your description, your dizziness symptoms may suggest Meniere's disease, which is characterized by recurrent episodes of vertigo accompanied by tinnitus or hearing loss. During episodes, resting and using some antihistamine anti-vertigo medications along with anxiol...

[Read More] Understanding Pulsating Head Sensations: When to See a Neurologist


Understanding Pain During Lumbar Pressure: When to Seek Medical Advice

Pain upon palpation of the lumbar spine? Hello Doctor: Recently, I accidentally discovered that I have pain in a specific area of my spine when pressure is applied. The general location is just above the buttocks, in an area that protrudes when I bend over. I can feel something l...


Dr. Jiang Junyi Reply:
Hello: Your symptoms may indicate localized tendonitis. If it is lumbar spondylitis or a herniated disc, it typically causes pain or numbness during movement. It is recommended to strengthen your core muscles. If symptoms persist, it is advisable to consult a rehabilitation physi...

[Read More] Understanding Pain During Lumbar Pressure: When to Seek Medical Advice


Understanding Trigeminal Neuralgia Symptoms and Treatment Options

Trigeminal nerve symptoms Doctor, two months ago I experienced a dull pain in the area of the second-to-last tooth on the upper left side. I also felt numbness and a throbbing sensation from the lower left corner of my left eye to my left temple. However, the pain was not severe....


Dr. Jiang Junyi Reply:
Hello, based on your description, it seems more like trigeminal neuralgia affecting the second branch of the trigeminal nerve. There are many causes of trigeminal neuralgia, with approximately 80% attributed to compression of the trigeminal nerve by vascular structures as it exit...

[Read More] Understanding Trigeminal Neuralgia Symptoms and Treatment Options


Understanding Dizziness and Neck Pain After Chiropractic Adjustment

Dizziness, headache, and cervical spine tenderness? Hello, doctor. A week ago, I had my cervical spine adjusted, and about twenty minutes later, I experienced symptoms of dizziness. Concerned about the possibility of vertebral artery dissection, I underwent a CTA (with contrast),...


Dr. Jiang Junyi Reply:
Hello, regarding the tender points in the cervical spine, myofascial pain syndrome should be considered first. Symptoms may include pain, discomfort, muscle stiffness, or a heavy sensation. If a nerve is compressed, neurological symptoms such as numbness and altered temperature s...

[Read More] Understanding Dizziness and Neck Pain After Chiropractic Adjustment


Understanding Nerve Sensations: Tingling in the Left Pinky Toe

Tingling sensation in the left little toe when going down the stairs? Hello doctor, recently I have been experiencing a tingling sensation in my left little toe when going down the stairs. If I jump on my left foot, the little toe also feels tingling. Additionally, after standing...


Dr. Jiang Junyi Reply:
Hello: Numbness in the left little toe may indicate nerve compression, with the first consideration being compression of the lateral plantar nerve, which is often associated with uneven pressure on the foot, such as ill-fitting shoes. Additionally, it may be necessary to consider...

[Read More] Understanding Nerve Sensations: Tingling in the Left Pinky Toe


Understanding Involuntary Finger Twitches: Causes and Concerns

Finger twitching Hello doctor, recently my right hand's ring finger has been twitching on its own for no apparent reason! The frequency is irregular and it occurs throughout the day (but is easier to observe when at rest). I'm really worried that it might be ALS...


Dr. Jiang Junyi Reply:
Hello: You mentioned the issue of finger twitching, which is commonly associated with peripheral nerve disorders or instability. The area of the ulnar nerve distribution in your fingers may present clinical symptoms such as numbness, tingling, or muscle atrophy. In contrast, the ...

[Read More] Understanding Involuntary Finger Twitches: Causes and Concerns


Understanding Dizziness and Numbness: Neurological Insights

Dizziness and hand numbness? Hello: Here are my symptoms. It feels like my head has been knocked (a brief moment), but there is no pain, somewhat like the sensation of a pirate ship ride during the downward plunge. I experience dizziness and lightheadedness, which occurs both whe...


Dr. Jiang Junyi Reply:
Hello, your symptoms may suggest Benign Paroxysmal Positional Vertigo (BPPV), characterized by brief episodes of dizziness related to changes in head position, such as bending over, tilting back, lying down, getting up, rolling over, or suddenly turning your head. These episodes ...

[Read More] Understanding Dizziness and Numbness: Neurological Insights


Understanding Sharp and Electric Pain in the Right Shoulder Blade: Causes and Next Steps

Intermittent sharp pain and electric shock-like sensations in the right scapular region? This condition has persisted for nearly four months since June 30 of this year. On that day, while working in the morning, I suddenly experienced a very intense sharp pain in my right scapula...


Dr. Jiang Junyi Reply:
Hello, your symptoms are more indicative of an intercostal muscle strain, which is typically associated with pain related to movement and posture. As for the intercostal nerves, they run along the ribs in the chest, passing from the back through the lateral abdomen to the front o...

[Read More] Understanding Sharp and Electric Pain in the Right Shoulder Blade: Causes and Next Steps


Understanding Numbness in Limbs: Causes and Self-Care Tips

Numbness in all four limbs? Hello, I have a question! My hands and feet often feel numb, and the timing and location of these episodes are quite irregular, but they have been occurring frequently lately. Last month, it was only occasional, but recently, it happens quite often, mo...


Dr. Jiang Junyi Reply:
Based on your description: The symptoms of dizziness and numbness you mentioned are more likely caused by syncope or hyperventilation. A rapid drop in blood pressure or vasoconstriction can lead to decreased cerebral blood flow, which may trigger symptoms such as dizziness or blu...

[Read More] Understanding Numbness in Limbs: Causes and Self-Care Tips


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