Managing Perineal Nerve Pain: Tips for Relief and Treatment Options
Pudendal neuralgia Hello doctor, I have chronic prostatitis and went to a neurologist for trigeminal neuralgia. The doctor prescribed me Carbamazepine and Topiramate. Shortly after starting the medication, I developed perineal nerve pain, which has persisted for three months. Wha...
Dr. Jiang Junyi Reply:
Dear Mr. David, You mentioned that "chronic prostatitis... triggers my perineal neuralgia." It may be necessary to first consider pelvic nerve inflammation caused by prostatitis. When the dosage of Tamsulosin exceeds 200 mg, a small number of patients may experience se...[Read More] Managing Perineal Nerve Pain: Tips for Relief and Treatment Options
Struggling to Communicate: Understanding Cognitive Issues After Head Injury
Often struggles to express thoughts clearly, unable to fully articulate an event or a sentence? Hello, Doctor. About eight years ago, I lost consciousness suddenly while getting off a bus and fell to the ground, hitting my forehead against a parked motorcycle. I regained consciou...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that you are becoming increasingly forgetful, such as opening the refrigerator and suddenly forgetting what you were going to get, or switching tabs on your phone and forgetting what you were just about to do. Since this has already affected your daily ...[Read More] Struggling to Communicate: Understanding Cognitive Issues After Head Injury
Understanding Persistent Dizziness After Influenza: Causes and Solutions
Consultation for dizziness and lightheadedness issues? Hello Doctor, I was diagnosed with influenza type A two months ago. The flu itself resolved quickly, but I started experiencing dizziness afterward, which has persisted until now. My dizziness is intermittent; it doesn't...
Dr. Jiang Junyi Reply:
Hello Mr. Tim, You mentioned that during episodes, you experience slight dizziness, a feeling of heaviness in your head, increased eye fatigue, a sense of visual distortion, and difficulty focusing. You also find it harder to concentrate when talking to others. Although your con...[Read More] Understanding Persistent Dizziness After Influenza: Causes and Solutions
Understanding the Habit of Tensing Your Throat: Causes and Solutions
Constant strain on the throat? Hello Doctor, I’m not sure when I started the habit of straining my throat, but it has been at least two months (not related to swallowing, but near the chin area). It feels a bit like a frog (and I also tense and relax repeatedly). I have been tryi...
Dr. Jiang Junyi Reply:
Hello, Ms. Chocolate Bobbie: You mentioned feeling a bit of tightness in that area, and that you unconsciously exhibit certain behaviors that have been troubling you, even leading you to feel that your double chin has worsened. This may be indicative of a tic disorder, which is ...[Read More] Understanding the Habit of Tensing Your Throat: Causes and Solutions
Understanding Ear Pain: Causes and Solutions for Nocturnal Discomfort
Ear pain issues? Hello, doctor: I would like to ask, when I sleep on my left side, I wake up to find pain in the area of the auricle and the depression in front of the ear. Pressing with my finger causes discomfort. Previously, moving my jaw would alleviate the pain, but recently...
Dr. Jiang Junyi Reply:
Dear Mr. Bin, You mentioned that "pressing on the area around the ear and the depression in front of the auricle causes pain." Your symptoms may suggest temporomandibular joint (TMJ) disorder. Common symptoms include occasional jaw deviation when opening the mouth, pai...[Read More] Understanding Ear Pain: Causes and Solutions for Nocturnal Discomfort
Understanding Muscle Twitches: Is It ALS or Something Else?
I'm very afraid it might be amyotrophic lateral sclerosis (ALS)..? Hello doctor, three months ago I started experiencing muscle twitching all over my body. Some areas are more fixed while others vary in intensity. I also have a feeling of weakness in my left hand; when I exe...
Dr. Chen Weida Reply:
Note: The same consultation <a href="https://adoctor.tw/article/208460">#208460</a> was responded to on May 17. Hello! The early symptoms of motor neuron disease primarily include mild weakness in the limbs or enhanced reflexes, and some patients may experie...[Read More] Understanding Muscle Twitches: Is It ALS or Something Else?
Understanding Left Hand Finger Pain: Possible Neurological Issues
Pain in the fingers of the left hand? Hello Doctor, I can make a fist and extend my left hand, but I always experience pain in my middle finger when I try to grip tightly or hold something. Additionally, when I gently tap the junction of my left palm and middle finger with my rig...
Dr. Jiang Junyi Reply:
Hello Mr. Lee: You mentioned that "tapping the junction of your left palm and left middle finger is painful." Is this at the joint? Are there any symptoms of redness or heat? Your description seems to indicate inflammation of a single joint. Common causes of pain in the...[Read More] Understanding Left Hand Finger Pain: Possible Neurological Issues
Understanding Dizziness: Causes and When to Seek Medical Help
Possible Causes of Dizziness Hello, Doctor. I've been feeling unwell recently and would appreciate any advice you could offer. Symptoms: For the past 20 days, I have frequently experienced dizziness, numbness in my hands, and a feeling of pressure in the back of my head. It ...
Dr. Jiang Junyi Reply:
Hello Ms. Chen, You mentioned experiencing symptoms such as dizziness, numbness in your hands, and a feeling of pressure at the back of your head. After experiencing more severe dizziness, you tend to lie down, which provides some relief. You are still able to read, do homework,...[Read More] Understanding Dizziness: Causes and When to Seek Medical Help
Understanding Sudden Electric Sensations in the Body: Causes and Insights
The body experiences intermittent sensations of electric shock? Hello, doctor. In the past few weeks, I have been experiencing intermittent sensations of electric shocks throughout my body, as if I am being shocked internally. The intensity of these sensations varies, and they ca...
Dr. Jiang Junyi Reply:
Dear Mr. He, You mentioned that "in recent weeks, I have been experiencing intermittent electric shock sensations throughout my body, feeling as if my entire internal system is suddenly electrified." I recommend first ruling out issues related to cervical spine compres...[Read More] Understanding Sudden Electric Sensations in the Body: Causes and Insights
Assessing Stroke Risk: Are Neurological Tests Accurate?
Is the stroke test accurate? Hello, Doctor. I have a few questions to ask you. 1. Recently, when I am working or talking to others, I sometimes suddenly speak with a regional accent or experience a slip of the tongue, similar to a verbal error. Could this be due to speaking too...
Dr. Jiang Junyi Reply:
Hello Ms. Lin, You mentioned, "Is slurred speech a sign of a stroke?" Acute stroke refers to a sudden neurological deficit caused by abnormalities in the brain's blood vessels. The symptoms resulting from a stroke are related to the area of the brain that is affec...[Read More] Assessing Stroke Risk: Are Neurological Tests Accurate?
Understanding Syncope: What to Do When Someone Faints While Sitting
Syncope while sitting? Hello Doctor: A few days ago, my father fainted, which has caused me a lot of worry. I was originally going to the hospital to pick up a relative who was being discharged, but the discharge process took longer than expected. My father had been walking in th...
Dr. Jiang Junyi Reply:
Dear Mr. Hsiao, You mentioned that your father exhibited "chest rise and fall with noticeable and somewhat rapid breathing, and then hurriedly called the nursing staff, who first called out and then moved him to the adjacent bed, with the entire process taking less than 30 ...[Read More] Understanding Syncope: What to Do When Someone Faints While Sitting
Understanding Facial Numbness: Possible Causes and When to Seek Help
Stroke causes neurological damage? Hello, Doctor! Four months after getting my front tooth crown, I started experiencing a tingling sensation in my right nostril, right cheekbone, and right ear. Sometimes, the right side of my head also feels this way. What could be the cause? Tw...
Dr. Jiang Junyi Reply:
Hello Ms. Vivi, You mentioned experiencing "numbness on the right side of your face? This past six months, you've also had issues with slurred speech and a thick tongue." These symptoms do not seem to be explainable by cervical degeneration or herniated discs. It ...[Read More] Understanding Facial Numbness: Possible Causes and When to Seek Help
Exploring the Link Between Mitochondrial Diseases and Myasthenia Gravis
The relationship between mitochondrial diseases and myasthenia gravis? In April 2021, I noticed that my right eye had unilateral esotropia. After an ophthalmological examination, the doctor referred me to the neurology department for further evaluation. Since then, I have been re...
Dr. Peng Shiwei Reply:
You should discuss your concerns directly with your attending physician. If necessary, you can also bring a family member along for the medical evaluation. Thank you.[Read More] Exploring the Link Between Mitochondrial Diseases and Myasthenia Gravis
Understanding Dizziness and Body Shaking: When to Seek Neurological Help
Feeling of body swaying? Hello, doctor. Recently, I spent too much time at the computer maintaining a posture, and after getting up, I noticed stiffness in my neck muscles along with dizziness. I visited a traditional Chinese medicine practitioner who said my muscles were inflame...
Dr. Peng Shiwei Reply:
It is recommended that you visit a neurology outpatient clinic for evaluation and treatment by a specialist to determine if further examinations are necessary. Thank you.[Read More] Understanding Dizziness and Body Shaking: When to Seek Neurological Help
Persistent Pain After Facelift Surgery: Is It a Long-Term Side Effect?
It has been a year since the facelift surgery, but the head still feels tight and numb, causing unbearable pain? In November 2022, I underwent a facelift surgery. Starting in February 2023, I experienced tightness and electric shock-like sensations in my head, along with recurren...
Dr. Jiang Junyi Reply:
Dear Ms. Cheng, You mentioned that the "tightness and electric sensation in your head" may indicate peripheral sensory nerve compression. These symptoms could be exacerbated by tightness in the cervical myofascia. It would be beneficial for you to supplement with B vit...[Read More] Persistent Pain After Facelift Surgery: Is It a Long-Term Side Effect?
Managing Parkinsonism and Orofacial Dyskinesia in Elderly Stroke Patients
Parkinson's disease, oromandibular dystonia? Dear Doctor, My father has been living with the effects of a stroke for 12 years now. Approximately 9 years ago, he became reliant on others for care. Initially, he was able to communicate and eat without issues, but as he aged ...
Dr. Peng Shiwei Reply:
Parkinson's disease is a degenerative disorder that can be managed with medication to slow the progression, but it cannot be cured. The cause of oromandibular dystonia also requires evaluation by a neurologist. Due to the inconvenience of going out for medical care, it is re...[Read More] Managing Parkinsonism and Orofacial Dyskinesia in Elderly Stroke Patients
Understanding Involuntary Muscle Twitches in the Hand: Causes and Solutions
Involuntary muscle twitching in the palm? Hello Doctor, I have been experiencing intermittent rapid muscle twitching in my palms (both inside and outside). During these episodes, my palms and fingers tend to curl up as if I were trying to make a fist (similar to a chicken claw), ...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "your fingers seem to be in a fist-like position (like a chicken claw) and cannot be extended." This may indicate a consideration of abnormal muscle tone, characterized by persistent muscle contractions that can sometimes lead to limb twi...[Read More] Understanding Involuntary Muscle Twitches in the Hand: Causes and Solutions
Could Your Symptoms Indicate ALS or Another Neurological Disorder?
Do these symptoms indicate amyotrophic lateral sclerosis (ALS), or could they be related to another neurological disorder? Hello, I started experiencing muscle tightness and soreness in my left forearm since last Saturday (9/23), accompanied by eyelid twitching, which occurred ab...
Dr. Jiang Junyi Reply:
Hello: You mentioned that the issues of muscle soreness and tremors may need to first rule out cervical spinal cord and nerve compression, as these are symptoms of lower motor neuron involvement. Lower motor neuron symptoms include muscle atrophy, weakness, and fasciculations. Th...[Read More] Could Your Symptoms Indicate ALS or Another Neurological Disorder?
Understanding Involuntary Muscle Twitches: Medication Consultation Insights
Muscle spasms or involuntary muscle twitching - Medication consultation? Hello, doctor. My neck shakes involuntarily, and I was informed about it by others; it has been happening for over ten years. I haven't actively sought treatment because I couldn't find the cause. ...
Dr. Peng Shiwei Reply:
Hello, Lyrica (pregabalin) is classified as a general sedative medication, which is somewhat different from typical addictive substances. However, it can still potentially lead to dependence. Your current dosage is considered mild. If you have concerns about addiction, dependence...[Read More] Understanding Involuntary Muscle Twitches: Medication Consultation Insights
Understanding Uncontrollable Body Shaking: Causes and Solutions
The body may occasionally experience involuntary muscle spasms or twitching? Hello Doctor: I would like to ask on behalf of my father! My father has diabetes, kidney disease, and hypertension, and he also suffers from ischemia. He experiences severe shaking every day, not just mi...
Dr. Jiang Junyi Reply:
Dear Ms. Fen, You mentioned that your father is experiencing "intense shaking accompanied by discomfort," which may warrant consideration of structural issues in the brain, commonly seen after cerebrovascular diseases. Tremors can often be attributed to essential tremo...[Read More] Understanding Uncontrollable Body Shaking: Causes and Solutions