Understanding Dizziness: Insights from a Neurology Perspective
Dizziness inquiry? Hello Dr. Jiang, I previously sought help from a neurologist due to sudden dizziness. The symptoms began while sitting, with a sensation starting from the back of my head. The surroundings did not appear distorted or spinning. Later, the condition worsened, but...
Dr. Jiang Junyi Reply:
Based on your description, the symptoms you mentioned are more likely due to syncope. Syncope is more likely to occur when a person is standing, as this position results in the least blood flow to the brain. Often, there is not enough time to react, leading to fainting. The chanc...[Read More] Understanding Dizziness: Insights from a Neurology Perspective
Understanding Sudden Numbness in Right Face and Hand: Possible Causes
Numbness in the right hand and right side of the face? Hello, Doctor. Last night before bed, I suddenly experienced pain behind my right ear, and gradually I felt a tingling sensation in my right cheek. About 10 minutes later, my right hand also started to feel numb, which lasted...
Dr. Gao Chunde Reply:
If there are symptoms on the right side of the face along with the right hand, the lesion is likely located in the brain. Transient symptoms could indicate ischemia or electrical discharge. If there is simply pain in the right ear followed by unusual sensations in the right cheek...[Read More] Understanding Sudden Numbness in Right Face and Hand: Possible Causes
Understanding Facial Numbness: Causes and Next Steps for Relief
Numbness in the left cheek? Hello, Doctor. My question is regarding my left cheek, from the corner of my left eye to the left side of my mouth. I have seen a neurologist and underwent facial nerve stimulation tests, which came back normal. I have taken antihistamines and medicati...
Dr. Lan Shengxing Reply:
Dear Mr. Liu, with the current technology, it is indeed difficult to detect the small branches of nerves in the epidermis. I believe this is more related to your issue. The facial nerve stimulation test can inform us whether there is an obstruction in the circuit between the fift...[Read More] Understanding Facial Numbness: Causes and Next Steps for Relief
Understanding Back Pain: Causes, Symptoms, and Treatment Options
Lower back pain I would like to consult a doctor. I've been experiencing lower back pain for three days, but the pain doesn't last long. It feels like it's deep within my lower back, and it's most noticeable when I lie down and then get up, especially when I t...
Dr. Gao Chunde Reply:
If there is muscle inflammation, rest and medication, along with avoiding heavy lifting, can lead to improvement. If you experience more pain in the morning, it may sometimes be an early symptom of spondylitis; moving around can help alleviate the discomfort, and it is advisable ...[Read More] Understanding Back Pain: Causes, Symptoms, and Treatment Options
Understanding Hand Cramps and Stiffness: Causes and Solutions
Hand cramps and stiffness? Hello Doctor: I would like to ask you why, during times of heightened emotions or excitement, I tend to experience muscle cramps and stiffness in my hands. In severe cases, I feel restless, and there is a slight numbness and stiffness in my face and abd...
Dr. Gao Chunde Reply:
Being busy or stressed can sometimes trigger heightened sympathetic nervous system activity, leading to symptoms such as hand tremors, stiffness in certain limbs, or difficulty swallowing. These are phenomena that can occasionally occur in the general population. However, if thes...[Read More] Understanding Hand Cramps and Stiffness: Causes and Solutions
Understanding Tongue Numbness: Causes and Concerns During Sleep
Numbness of the tongue? Hello Doctor: Recently, when I am about to fall asleep, I experience a tingling sensation at the back of my tongue (it feels somewhat like a mild tremor). Sometimes, I also feel this sensation in my esophagus or chest. This only occurs when I am sleeping; ...
Dr. Gao Chunde Reply:
Currently, it seems that there are no related neurological issues that can be identified. However, some patients with gastroesophageal reflux disease have reported similar descriptions. You may want to assess if there are any gastrointestinal abnormalities, and if necessary, refe...[Read More] Understanding Tongue Numbness: Causes and Concerns During Sleep
Understanding Numbness and Weakness in Hands and Feet: Causes and Solutions
Numbness and weakness in the hands and feet? Hello Dr. Lan, I have been experiencing persistent numbness in both my palms and the soles of my feet for the past month. Recently, I have also occasionally felt muscle weakness in my arms and calves. The numbness fluctuates, and at ti...
Dr. Lan Shengxing Reply:
Dear Airi, the symptoms of numbness and weakness require differential diagnosis for many diseases, so it is essential to consult a neurologist for answers. Best regards, Lan Shengxing.[Read More] Understanding Numbness and Weakness in Hands and Feet: Causes and Solutions
Sudden Dizziness and Numbness: Which Specialist to See?
Sudden dizziness and numbness in the hands? Hello, doctor. Recently, I have experienced sudden dizziness and nausea while standing, feeling like the whole world is spinning, and it is accompanied by numbness in my hands. This has happened twice in the past month with the same sym...
Dr. Lan Shengxing Reply:
Dear Angela, regarding this issue, please visit the ENT department or the neurology department at the hospital for diagnosis and treatment.[Read More] Sudden Dizziness and Numbness: Which Specialist to See?
Understanding Muscle Twitches and Weakness: A Neurological Perspective
Muscle twitching and weakness? Hello, doctor. For the past 5 or 6 days, I've been experiencing muscle twitching starting from my left calf, and now it has spread throughout my body, including my soles, face, and neck, with the primary area being my calves. Sometimes the twit...
Dr. Lan Shengxing Reply:
Mr. Lin suggests that you visit a neurologist for a thorough examination. The incidence of amyotrophic lateral sclerosis (ALS) is extremely low, and sometimes these symptoms can also appear in individuals who are prone to anxiety. A detailed examination to rule out any concerns i...[Read More] Understanding Muscle Twitches and Weakness: A Neurological Perspective
Understanding Sleep-Related Numbness: Causes and Solutions
Numbness while sleeping? Hello, doctor. Recently, I often wake up in the middle of the night with numbness on the same side of my body. My head, hand, and foot on the right side feel numb. When I move a bit, it gets better, but I'm not sure what's going on. Thank you, D...
Dr. Gao Chunde Reply:
Generally, poor peripheral blood circulation affects at most one limb, either a hand or a foot, especially if there is compression. If both the head and the same side limb are involved, it indicates a problem above the cervical spine, particularly in the brain. It is advisable to...[Read More] Understanding Sleep-Related Numbness: Causes and Solutions
Understanding Right-Sided Numbness: When to Seek Medical Help
Numbness on the right side of the body? Hello Doctor: Three months ago, I woke up one day with sudden numbness on the right side of my body. I went to a large hospital, and the doctor said it was not a stroke because I still had sensation and pain on the right side, so it should ...
Dr. Gao Chunde Reply:
Numbness on the right side has improved over the course of a month, but has recurred. The right side of the face and head are affected, which may indicate a central nervous system issue or a precursor to seizures. An electroencephalogram (EEG) can be used to assess for abnormal e...[Read More] Understanding Right-Sided Numbness: When to Seek Medical Help
Understanding Ear Twitches: When to See a Neurologist
Ear twitching I have been experiencing twitching in the area above and around my ear for the past few days. I'm not sure what the cause is; which specialist should I see?
Dr. Gao Chunde Reply:
Generally, it is small muscle fasciculations occurring, similar to eyelid twitching or muscle spasms. If there are no functional deficits such as numbness, abnormal sensations, or muscle weakness, one can initially observe the condition. However, if the twitching becomes more fre...[Read More] Understanding Ear Twitches: When to See a Neurologist
Understanding Facial and Neck Numbness: Possible Causes and Solutions
Numbness in the left cheek and neck? Hello, Dr. Gao. I would like to ask you about my condition. I have bone spurs and degenerative changes in my cervical vertebrae at levels C4 and C5. For the past eight months, I have occasionally experienced numbness in my left cheek and left ...
Dr. Gao Chunde Reply:
The C4-C5 cervical vertebrae are unlikely to cause facial numbness; considering the trigeminal nerve is a more reasonable approach. It is also common for examinations to not reveal a clear cause. This could be due to the lesion being too small for current imaging techniques to de...[Read More] Understanding Facial and Neck Numbness: Possible Causes and Solutions
Understanding Persistent Leg Numbness: Causes and Treatments
Foot pain On the morning of March 13, I suddenly experienced numbness and swelling in my left foot, making it feel strange when I walk. The numbness has persisted since then. This sensation is different from the numbness I usually get from sitting on the toilet for too long, whic...
Dr. Jiang Junyi Reply:
Hello, based on your description, there are many potential causes for leg numbness. Your symptoms may indicate compression of the sciatic nerve, which can occur due to localized pressure in the buttock or upper thigh, leading to nerve numbness. In severe cases, this may result in...[Read More] Understanding Persistent Leg Numbness: Causes and Treatments
Understanding Sudden Arm Cramps: Causes and Solutions
Muscle cramps I have recently been experiencing a sudden sensation of numbness and tingling in my hand, starting from the elbow and extending to the palm. It lasts for about 1 to 2 seconds and seems to be accompanied by a brief feeling of weakness. What could be the issue, doctor...
Dr. Gao Chunde Reply:
With the palm facing up, the ulnar nerve or the eighth cervical nerve is on the side of the body, while the sixth cervical nerve is on the outer side, and the seventh cervical nerve is in between. The sudden onset of numbness and tingling makes it difficult to determine the issue...[Read More] Understanding Sudden Arm Cramps: Causes and Solutions
Understanding Post-Trauma Headaches: Causes and Solutions
Frequent headaches? Doctor, about 5 to 6 years ago, I was in a car accident where the left side of my face swelled up to the point that my eye became nearly a straight line. I also suffered a concussion. Before the accident, I never had any issues with headaches, but since then, ...
Dr. Jiang Junyi Reply:
Hello, based on your description, it is important to consider that common migraine symptoms in women may include visual disturbances. These can manifest as scintillating scotomas or flashes of light, as well as blurred or distorted vision, which are often precursors to a migraine...[Read More] Understanding Post-Trauma Headaches: Causes and Solutions
Chronic Back Pain: Understanding Causes and Seeking Effective Treatment
Back pain Hello Doctor, I would like to ask about my mother's long-term back pain. She experiences pain every day, and sometimes it is so severe that she cannot get out of bed; climbing stairs is also very difficult for her. We have tried electrotherapy rehabilitation, but t...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms may be related to lumbar degeneration. You are experiencing dull pain in the lower back, difficulty turning over or getting out of bed, and temporary improvement after walking for a while, with less impact during daytime activities....[Read More] Chronic Back Pain: Understanding Causes and Seeking Effective Treatment
Numbness in Left Pinky and Arm: When to See a Specialist?
The left little finger and the area near the left triceps have been experiencing numbness for the past two weeks? Hello, Doctor Gao. Recently, for the past two to three weeks, I have been experiencing mild numbness extending from my left pinky finger to the area under my left arm...
Dr. Gao Chunde Reply:
The nerves in this area correspond to the distribution of the eighth cervical vertebra. It may be advisable to refer the patient to a neurologist for further evaluation to confirm the diagnosis and arrange for treatment.[Read More] Numbness in Left Pinky and Arm: When to See a Specialist?
Understanding Tongue Numbness and Dizziness After Lying Down
Experiencing tongue numbness while lying down? Hello, doctor. After exercising and taking a shower, I often experience dizziness. Recently, when I lie down to sleep, it feels like blood is rushing to my head. I also feel a tightness in my chest, and my nose feels heavy and conges...
Dr. Gao Chunde Reply:
Regarding dizziness and blood flow to the brain, it may be helpful to check blood pressure first. Issues with the nose and tongue, as well as sleep problems, can be evaluated by an otolaryngologist to determine if there are any related issues, particularly with nasopharyngeal all...[Read More] Understanding Tongue Numbness and Dizziness After Lying Down
Understanding Arm Pain: Causes and Remedies for Nerve Issues
The arm may feel numb, swollen, painful, and also warm? Hello, Dr. Gao. I have some questions I would like to ask you. My mother has developed a severe case of frozen shoulder due to frequently lifting heavy objects in the past. Recently, she has been experiencing numbness, swell...
Dr. Gao Chunde Reply:
Swelling symptoms can be concerning, as they may indicate inflammation. If there is also localized redness, it is advisable to consult an infectious disease specialist to rule out soft tissue inflammation or infection, such as cellulitis or rheumatic issues. Treatment should be d...[Read More] Understanding Arm Pain: Causes and Remedies for Nerve Issues