Understanding Neurological Symptoms: Seeking Answers for Persistent Discomfort
Struggling for nearly six months? Hello Dr. Jiang, I started experiencing chest tightness and pain in my pectoral muscles last October, accompanied by weakness, shoulder pain, and numbness in my back during certain movements, with a sensation like electric shocks. When I raise my...
Dr. Jiang Junyi Reply:
Dear Mr. Wu, You mentioned "multiple sclerosis," which affects fewer than 5 people per 100,000 in Taiwan, making it a rare disease. The diagnosis of multiple sclerosis is based on clinical history and examinations that reveal multiple lesions in the nervous system. A d...[Read More] Understanding Neurological Symptoms: Seeking Answers for Persistent Discomfort
Understanding Dizziness After Cold: Possible Causes and Solutions
Consultation regarding dizziness issues? Hello, Doctor. About six weeks ago, I had a cold (nasal congestion and runny nose). After recovering, I started experiencing two new symptoms: a cough and dizziness. Both symptoms have not improved since then. The dizziness feels like a ge...
Dr. Jiang Junyi Reply:
Hello Mr. Tsai, You mentioned feeling "dizzy and somewhat pressure in your ears... due to poor sleep, the imbalance in your inner ear has persisted for a long time, and it was only after seeing a psychiatrist and taking medication that you recovered. Perhaps this is related...[Read More] Understanding Dizziness After Cold: Possible Causes and Solutions
Understanding Autonomic Nervous System Disorders and Their Impact on Health
Autonomic nervous system dysfunction Hello, doctor. I have developed a habit of masturbation over the past nine months. Initially, I would do it once or twice a day, but during one instance when I reached orgasm, my hands started to shake intensely. After about ten minutes, the s...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to visit a neurology outpatient clinic to check for any underlying conditions that may be causing the aforementioned symptoms.[Read More] Understanding Autonomic Nervous System Disorders and Their Impact on Health
Severe Headache After Bathing: When to Seek Medical Attention?
Headache-related issues? Hello, Dr. Jiang: My father has a habit of drying the bathroom walls and floor after showering to prevent slipping. This evening, while he was wiping the water off the walls, he suddenly experienced a severe headache and felt a heat sensation in his head...
Dr. Jiang Junyi Reply:
Hello: You mentioned that your father experienced "a sudden severe headache starting the moment he stood up from a squatting position... He reported feeling an unprecedented intense headache that radiated from both temples to the entire head, accompanied by the sound of his ...[Read More] Severe Headache After Bathing: When to Seek Medical Attention?
Understanding the Causes of Front-to-Back Swaying Sensation
Sensation of swaying back and forth? Hello, doctor. I have a concern. Suddenly, one day, I started to feel a swaying sensation back and forth while standing, especially when walking normally; the feeling of swaying back and forth is very pronounced (not side to side!). This has b...
Dr. Jiang Junyi Reply:
Dear Mr. Dong-Chen, You mentioned that "the most noticeable sensation during walking is a forward and backward swaying... my mind feels tight. Is this due to autonomic nervous system dysfunction or hyperthyroidism?" Hyperthyroidism should be considered. Typically, auto...[Read More] Understanding the Causes of Front-to-Back Swaying Sensation
Can Vaccines Cause Neurological Issues? Understanding Eye and Muscle Twitches
Can vaccination cause neurological issues? Hello doctor, I had no issues after receiving the first two doses of the AstraZeneca vaccine. However, after my third dose of Moderna, I started experiencing frequent twitching in my left lower eyelid about a week later, occurring 2-5 ti...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "after receiving the third dose of Moderna, my left lower eyelid started twitching frequently, 2-5 times an hour, and it has been nearly three weeks." Your symptoms do not seem to indicate a serious adverse reaction. There have been many r...[Read More] Can Vaccines Cause Neurological Issues? Understanding Eye and Muscle Twitches
Understanding Brain Abscess: Symptoms, Causes, and Diagnosis
Brain abscess? Hello, doctor. Since I had two upper right molars extracted last year, I've been experiencing persistent discomfort in my head. I've seen doctors and had a CT scan done, and they all said my brain is fine, attributing my symptoms to anxiety and poor sleep...
Dr. Jiang Junyi Reply:
Hello: You mentioned, "Last year I had two upper right molars extracted... the extraction healed quite well in about three days..." Brain abscesses typically present with fever as a symptom, and the symptoms can be quite urgent, especially in cases of bacterial brain in...[Read More] Understanding Brain Abscess: Symptoms, Causes, and Diagnosis
Misdiagnosed: When Neurological Issues Mimic Mental Health Disorders
Could it be a misdiagnosis by a psychiatrist? I have been suffering from severe insomnia since I was around 16 years old, accompanied by cognitive dysfunction. At that time, I suddenly found it difficult to understand what I was reading in vocational school and could not comprehe...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned, "I would like to ask if the lack of effectiveness of medication for seemingly psychiatric symptoms could be a neurological issue, and whether I need to undergo a CT scan or MRI..." When diagnosing neuropsychiatric disorders, it is common to ar...[Read More] Misdiagnosed: When Neurological Issues Mimic Mental Health Disorders
Is Your Nerve Healing Properly After Surgery? Understanding Recovery Challenges
The nerves did not grow in the correct position? Hello Doctor, I underwent ulnar nerve decompression injection on my right arm in mid-August last year. The next day, I noticed pain in the skin on the ulnar side of my forearm near the elbow when performing movements such as raisin...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "the discovery of diminished touch sensation in the surrounding skin seems to induce a feeling of recovery, as if the nerves are not growing in the correct position. Currently, that area of skin still has abnormal sensations and numbness... but...[Read More] Is Your Nerve Healing Properly After Surgery? Understanding Recovery Challenges
Understanding Anxiety and Discomfort: A Neurology Perspective
Anxiety and multiple discomforts? I have mitral valve prolapse, and my doctor prescribed medication for palpitations, which helped a lot. The doctor didn't mention the need for a follow-up appointment, so I stopped taking the medication after finishing it. However, about a m...
Dr. Cai Zongzhang Reply:
Hello, Ms. Jan: It is recommended to visit the neurology and psychiatry outpatient clinics for examination and treatment.[Read More] Understanding Anxiety and Discomfort: A Neurology Perspective
How Long After Starting Epilepsy Medication Will Seizure Frequency Decrease?
How long after starting medication for epilepsy does it typically take to reduce the frequency of seizures? Hello Doctor: My family member is currently 54 years old and began experiencing absence seizures about four to five years ago. In the past one to two years, they have had a...
Dr. Jiang Junyi Reply:
Dear Ms. Ling, You mentioned that "my family member started treatment last year and currently takes one dose of Levetiracetam in the morning and evening. They have been taking Zolpidem at night due to sleep issues for about six months, but still experience one to two comple...[Read More] How Long After Starting Epilepsy Medication Will Seizure Frequency Decrease?
Understanding Facial Twitching: Causes and Solutions for Photogenic Moments
Facial twitching Hello, Doctor. When I take photos, the left corner of my mouth suddenly starts to twitch, but this doesn't happen normally. To prevent this from occurring, I practice smiling frequently, and during those times, I can control the corner of my mouth well. Howe...
Dr. Jiang Junyi Reply:
Hello Miss Anan: Muscle twitching while awake may indicate some metabolic disorders, such as hyperthyroidism or electrolyte imbalances. Certain stimulating foods, like caffeine, may also exacerbate muscle twitching during wakefulness. It is recommended that you supplement with B ...[Read More] Understanding Facial Twitching: Causes and Solutions for Photogenic Moments
Understanding Facial Twitching: Causes and Solutions for Your Smile
Facial twitching? Hello, Doctor. When I'm taking pictures, the left corner of my mouth suddenly starts to twitch, but this doesn't happen normally. To prevent this from occurring, I practice smiling frequently, and during those times, I can control the corner of my mout...
Dr. Jiang Junyi Reply:
Hello Miss An: Muscle twitching while awake may be indicative of certain metabolic disorders, such as hyperthyroidism or electrolyte imbalances. Additionally, some nerve-stimulating substances like caffeine may exacerbate muscle twitching during wakefulness. It is recommended tha...[Read More] Understanding Facial Twitching: Causes and Solutions for Your Smile
Understanding Facial Twitching: Causes and Solutions for Your Smile
Facial twitching? Hello, doctor. When I take photos, the left corner of my mouth suddenly starts to twitch, but this doesn't happen normally. To avoid this situation, I practice smiling frequently, and during those times, I can control the corner of my mouth well. However, w...
Dr. Jiang Junyi Reply:
Hello Ms. An: I would like to know if you have any other symptoms besides the uncontrollable twitching at the left corner of your mouth? Muscle twitching while awake may warrant consideration of certain metabolic disorders, such as hyperthyroidism or electrolyte imbalances. Addit...[Read More] Understanding Facial Twitching: Causes and Solutions for Your Smile
Understanding Facial Twitching: Causes and Solutions for Your Concerns
Facial twitching? Hello, Doctor. When I take photos, the left corner of my mouth suddenly starts to twitch, but this doesn't happen normally. To prevent this from occurring, I practice smiling frequently, and during those times, I can control the corner of my mouth well. How...
Dr. Jiang Junyi Reply:
Hello Miss An: Muscle twitching while awake may indicate some metabolic disorders, such as hyperthyroidism or electrolyte imbalances. Certain stimulating foods, like caffeine, may also exacerbate muscle twitching during wakefulness. I recommend supplementing with B vitamins and s...[Read More] Understanding Facial Twitching: Causes and Solutions for Your Concerns
Understanding Facial Twitching: Causes and Solutions for Your Smile
Facial twitching? Hello, Doctor. When I take photos, the left corner of my mouth suddenly starts to twitch, but this doesn't happen normally. To prevent this situation, I practice smiling frequently, and during those times, I can control the corners of my mouth well. However...
Dr. Jiang Junyi Reply:
Hello Miss An: I would like to know if you have any other symptoms besides the uncontrollable twitching at the left corner of your mouth? Muscle twitching while awake may warrant consideration of some metabolic disorders, such as hyperthyroidism or electrolyte imbalances. Certain...[Read More] Understanding Facial Twitching: Causes and Solutions for Your Smile
Can You Get Vaccinated After Facial Nerve Paralysis? Expert Insights
Can a person who has had facial nerve paralysis receive a vaccine? In early 2019, I experienced stiffness on the right side of my face, could not close my right eye, and my mouth was slightly crooked. After receiving injections, medication, heat therapy, and facial exercises, my ...
Dr. Jiang Junyi Reply:
Dear Ms. Hsiao-Mi, You mentioned, "Given my current situation, can I get vaccinated? Which vaccine should I choose? How should I decide? If I cannot get vaccinated, are there any other protective injections I can receive? I am hesitant to get vaccinated due to the side effe...[Read More] Can You Get Vaccinated After Facial Nerve Paralysis? Expert Insights
Can You Get Vaccinated After Facial Nerve Paralysis? Expert Insights
Can a person who has had facial nerve paralysis receive a vaccine? In early 2019, I experienced stiffness on the right side of my face, with my eye unable to close and my mouth slightly drooping. After receiving injections, medication, heat therapy, and facial exercises, my condi...
Dr. Jiang Junyi Reply:
Dear Ms. Hsiao Mi, In light of the recent surge in COVID-19 cases, please ensure to implement self-protection measures, including cleaning and disinfection, before and after seeking medical care, and adhere to the new preventive lifestyle. It is recommended to complete the two ...[Read More] Can You Get Vaccinated After Facial Nerve Paralysis? Expert Insights
Can You Get Vaccinated After Facial Nerve Paralysis? Expert Insights
Can someone who has had facial nerve paralysis receive a vaccine? In early 2019, I experienced stiffness on the right side of my face, which made it difficult to close my eye and caused my mouth to appear slightly crooked. After receiving injections, medication, heat therapy, and...
Dr. Jiang Junyi Reply:
Hello, Ms. Hsiao-Mi: "Having a history of facial nerve palsy" is not a contraindication for vaccination. In the outpatient clinic, many patients with this condition have already received two doses of the vaccine (including AZ, BNT, and Medigen), and none have reported a...[Read More] Can You Get Vaccinated After Facial Nerve Paralysis? Expert Insights
Understanding Nerve Issues: What to Do When Your Finger Feels Numb
Finger issues Hello Doctor, due to my work, I have developed a sensation in my left index finger where the distal phalanx feels like it is covered by a glove. I have difficulty feeling what I touch, while the other half feels normal. I visited a neurologist yesterday, and the doc...
Dr. Hong Weibin Reply:
Hello: This phenomenon is referred to as hypesthesia or sensory loss, which is often caused by damage to sensory nerves. Common causes may include: trauma (such as burns, exposure to corrosive substances, insect bites...), carpal tunnel syndrome or cubital tunnel syndrome, diabet...[Read More] Understanding Nerve Issues: What to Do When Your Finger Feels Numb