Understanding the Connection Between Autonomic Dysfunction and Vision Issues
Suspected autonomic nervous system dysfunction? Suspected autonomic nervous system dysfunction presents with symptoms such as head numbness, headaches, dizziness, lightheadedness, a heavy feeling in the head, numbness in the hands and feet, and facial numbness. Recently, there ha...
Dr. Jiang Junyi Reply:
Hello, based on your description, the autonomic nervous system is generally regulated by the sympathetic and parasympathetic nervous systems, with one acting as the accelerator and the other as the brake. The sympathetic nervous system is responsible for accelerating the heart ra...[Read More] Understanding the Connection Between Autonomic Dysfunction and Vision Issues
Understanding Right Arm Pain and Numbness: Is It a Stroke Warning?
Pain and numbness in the right arm? Hello Doctor, my father is 56 years old, 172 cm tall, and weighs 68 kg. He smokes and is taking medication to lower his blood pressure. A few days ago, he experienced pain in his right arm, which was severe enough to cause numbness throughout t...
Dr. Lan Shengxing Reply:
Dear Ms. Huang, urgent issues like this may not be suitable for finding answers here. The symptoms you described could have several possibilities, ranging from serious conditions such as a stroke caused by arterial dissection to less severe issues like cervical nerve root compres...[Read More] Understanding Right Arm Pain and Numbness: Is It a Stroke Warning?
Understanding Flashing Lights in Vision: Possible Neurological Causes
Flashes of light in the eyes? I have floaters in my vision, but after an examination by an ophthalmologist, the doctor confirmed that my retina is fine. However, some of my symptoms resemble those of a migraine, so I was advised to see a neurologist. I experience flashes of light...
Dr. Jiang Junyi Reply:
Hello, based on your description, common symptoms of migraine with aura include visual disturbances such as seeing stars and lightning-like flashes, as well as blurred or distorted vision. These are all signs of a migraine aura. A few minutes after the aura appears, you may exper...[Read More] Understanding Flashing Lights in Vision: Possible Neurological Causes
Understanding Facial and Hand Numbness: Possible Neurological Issues
Numbness on the left side of the face and numbness in the hand? Initially, there was discomfort in the left eye when looking at the computer, and it escalated to headaches on the same side. After about a month of examinations by an ophthalmologist, everything appeared normal. Lat...
Dr. Lan Shengxing Reply:
Dear Xiao Wang, it's understandable to be concerned, but it might be a bit premature and unnecessary since the results will be available soon. If you feel that the wait time for the CT scan is too long, for example, if it's scheduled for three months from now, you could...[Read More] Understanding Facial and Hand Numbness: Possible Neurological Issues
Persistent Cramps and Numbness in Left Hand and Leg: Possible Causes
Persistent cramping sensation in the left hand and left foot? Hello Doctor, recently I've been experiencing a persistent sensation in my left hand that feels somewhat like a mild cramping. Sometimes my palm feels a bit numb, and my fingers occasionally feel strange (for exam...
Dr. Lan Shengxing Reply:
Dear Xiao Ai, the symptoms mentioned above may require consideration of other conditions, such as mild cervical spine compression. However, I am unable to perform a neurological examination online, so I kindly ask you to visit the neurology outpatient department at various hospit...[Read More] Persistent Cramps and Numbness in Left Hand and Leg: Possible Causes
Understanding Sudden Pulsations in the Back of the Head: Causes and Concerns
Often suddenly feel the blood vessels at the back of the head? I often suddenly feel a constriction in the blood vessels at the back of my head, which leads to a feeling of pressure and discomfort. It's a kind of dull ache that is very uncomfortable. Could you please explain...
Dr. Gao Chunde Reply:
The sensation of sudden vascular constriction at the back of the head, followed by a feeling of pressure and tightness, may be attributed to a sudden contraction and tension of the muscles in the occipital region. This can create a sensation of vascular constriction due to muscle...[Read More] Understanding Sudden Pulsations in the Back of the Head: Causes and Concerns
Managing Neck Pain and Anxiety Medications: A Patient's Dilemma
Issues with taking anxiety medication for shoulder and neck pain? I have been experiencing shoulder and neck pain for several years, and for the past two years, I have also had intermittent hand numbness and pain. The nerve conduction study showed no issues, and the doctor said m...
Dr. Lan Shengxing Reply:
Dear YK, this issue may need to be discussed with the prescribing physician. Chronic pain lasting for two years almost invariably accompanies emotional issues. The original anxiety medication may be more effective for your symptoms. Treating chronic pain requires consideration of...[Read More] Managing Neck Pain and Anxiety Medications: A Patient's Dilemma
Should You Seek Further Medical Attention After a Head Injury?
An elderly person fell and hit their head? My grandmother fell and hit her head, and now she has symptoms of a headache. She went to the hospital, had an X-ray, and the doctor said everything was fine and prescribed medication. However, after taking the medication, she still has ...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, if there is no loss of consciousness, the use of anticoagulants, or obvious local hematomas, head injuries are mostly mild. However, if the following situations occur, delayed bleeding should be considered, and you should seek...[Read More] Should You Seek Further Medical Attention After a Head Injury?
Woke Up with Numbness and Tingling in Right Leg: What to Do?
Waking up from sleep and noticing that the right foot is numb and tingling? Hello doctor, my usual sleeping position is on my back, but this morning I woke up to find myself sleeping on my side (with my face turned to the left and my right leg leaning to the left). When I got up,...
Dr. Lan Shengxing Reply:
Dear Xiao Cheng, the symptoms you described are likely due to temporary nerve compression. Taking vitamin B complex may help alleviate the symptoms sooner. If you experience any additional symptoms, it is advisable to visit a neurology clinic for further evaluation.[Read More] Woke Up with Numbness and Tingling in Right Leg: What to Do?
Understanding Foot Twitching: Causes and Solutions for Relief
Foot twitching Hello doctor, I have recently been experiencing frequent twitching in the meridian on the right side of my foot. Although there is no pain, sometimes the twitching lasts for several minutes and even affects my sleep. If I leave it alone, I also experience numbness ...
Dr. Lan Shengxing Reply:
Dear Lingling, the issues you described may stem from dysfunction of the right lumbar sacral nerve or restless legs syndrome. Please promptly visit the neurology outpatient clinic for evaluation.[Read More] Understanding Foot Twitching: Causes and Solutions for Relief
Effective Treatments for Compressive Neuropathy: What You Need to Know
How to treat compressive neuropathy? Numbness in the upper right thigh (without pain) was diagnosed by a traditional Chinese medicine orthopedic specialist as compressive neuropathy. It seems to have started about a month ago due to improper seating posture and prolonged sitting ...
Dr. Lan Shengxing Reply:
Dear Mr. Su, the issues you described may be caused by compression of the superficial nerves in the right thigh. In addition to being mindful of your posture, it is also important to pay attention to the tightness of your belt and waistband, as they may contribute to the compress...[Read More] Effective Treatments for Compressive Neuropathy: What You Need to Know
Numbness Above the Inner Ankle: Possible Nerve Compression?
Numbness above the medial ankle? Hello, Dr. Gao: Last Thursday, I noticed that the skin about 10 centimeters above my inner ankle to my calf feels numb to the touch, but I do not experience any discomfort (pain or tingling). I only feel the numbness when I touch it. I did Pilates...
Dr. Gao Chunde Reply:
There is a branch of the saphenous nerve, which is a sensory nerve that branches off from the femoral nerve beneath the adductor magnus muscle on the inner thigh. Therefore, in addition to numbness or tingling and pain, there should be no weakness symptoms. If there is weakness w...[Read More] Numbness Above the Inner Ankle: Possible Nerve Compression?
Understanding Morning Hand Numbness and Involuntary Twitches
Numbness and twitching in the hands after waking up? Hello, Doctor: I would like to ask about something. Yesterday morning, after I woke up, I noticed that my left hand was numb, and my little finger was twitching involuntarily. I also felt soreness in my lower back and neck. The...
Dr. Gao Chunde Reply:
There is a high likelihood of cervical nerve compression; however, the presence of bruising is somewhat unusual. It is difficult to determine if there is internal bleeding. It is recommended to seek further evaluation at a neurology or neurosurgery outpatient clinic as soon as po...[Read More] Understanding Morning Hand Numbness and Involuntary Twitches
Understanding Occipital Headaches: Causes, Symptoms, and When to Seek Help
Occipital headache Hello doctor, about a week ago, I experienced a sudden tightening pain in the back of my head while masturbating before bed. The pain stopped when I ceased the activity. The next day, I repeated the same behavior and felt the pain again, but it was less intense...
Dr. Gao Chunde Reply:
This is a rare type of headache known as sexual headache, which occurs during sexual activity, masturbation, or orgasm. Individuals who experience this type of headache may not have it every time they engage in these activities, and the headache typically diminishes within a few ...[Read More] Understanding Occipital Headaches: Causes, Symptoms, and When to Seek Help
Understanding Nerve Entrapment: Causes, Symptoms, and Treatment Options
Nerve entrapment Hello, Doctor Gao: Last Friday, on the 10th, I sustained a strong impact to my left shoulder. X-rays, MRI, and CT scans showed no fractures or dislocations. As of today, the 16th, I still cannot perform specific movements with my left shoulder, such as raising it...
Dr. Gao Chunde Reply:
If the swelling, pain, or weakness is limited to the shoulder joint and the bone examination is completely normal, it is important to consider injuries and inflammation of the muscles or ligaments surrounding the shoulder joint. This requires the expertise and experience of an or...[Read More] Understanding Nerve Entrapment: Causes, Symptoms, and Treatment Options
Head Injury: When to Seek Medical Attention After a Bump
Head trauma Hello doctor, on Tuesday at noon, I bumped the top of my head against the door frame of a children's restroom. At the moment of impact, I did not lose consciousness, just felt a bit dazed. I can walk normally, but there is a persistent sharp pain at the site of t...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, if there is no loss of consciousness, the use of anticoagulants, or obvious local hematomas, head injuries are mostly minor (such as localized pain). However, if the following conditions occur, delayed bleeding should be consi...[Read More] Head Injury: When to Seek Medical Attention After a Bump
Understanding Tegretol: Uses and Effects in Neurology
Drug Inquiry Tegretol, also known as carbamazepine, is a medication primarily used to treat epilepsy and certain types of nerve pain, such as trigeminal neuralgia. It works by stabilizing electrical activity in the brain and reducing the frequency of seizures. Additionally, it ma...
Dr. Huang Yingzhe Reply:
Tegretol is primarily used to treat epilepsy, but it is sometimes also used to manage neuropathic pain or numbness, and even to address mood disorders. For detailed information, please consult the prescribing physician.[Read More] Understanding Tegretol: Uses and Effects in Neurology
Understanding Numbness and Tingling in the Right Pinky Toe
The little toe on the right foot feels numb? Hello, I live in Australia and I have to stand for long hours at work. For the past three days, I have been experiencing numbness in my little toe, and I have tried applying heat to my right foot. The entire foot feels fine, but the li...
Dr. Gao Chunde Reply:
Yes, there is compression of the lateral plantar nerve. Since it is a distal nerve, standard nerve conduction studies may not detect it. The improvement methods include avoiding further compression of the lateral plantar area, applying heat and massage regularly, and supplementin...[Read More] Understanding Numbness and Tingling in the Right Pinky Toe
Understanding Numbness in the Right Big Toe: When to See a Specialist
Numbness in the big toe without pain sensation? Hello, Doctor Gao. Recently, the outer side of my right big toe has been in a state of numbness. I haven't bumped it or been bitten by any insects. It doesn't hurt when I press on it, and there are no wounds. This has been...
Dr. Gao Chunde Reply:
It is likely that there is an issue with the medial plantar nerve's branch to the big toe. Since it is a distal nerve, it is generally difficult to detect through standard nerve conduction studies. This condition is usually due to post-compression changes, particularly from ...[Read More] Understanding Numbness in the Right Big Toe: When to See a Specialist
Understanding Left Shoulder Blade Numbness and Facial Asymmetry
Numbness in the left shoulder blade? Hello, doctor. I have been experiencing occasional numbness near my left scapula close to the armpit, and it can even be painful when pressed. This symptom has persisted for over a year. I would like to know if I need to go to the hospital. Al...
Dr. Lan Shengxing Reply:
Hello Rick, the issue with your left scapula may be related to an old injury causing nerve regeneration entrapment, or there could be other lesions causing compression, depending on your past medical history and whether your current symptoms have progressed. If the symptoms are w...[Read More] Understanding Left Shoulder Blade Numbness and Facial Asymmetry