Understanding Perineal Neuropathy: Diagnosis and Testing Options
Pudendal neuropathy I previously asked you about pain at the tip of my penis, but my urine tests are normal. If it is perineal neuropathy, what tests are needed for diagnosis? Will it be very complicated?
Dr. Jiang Junyi Reply:
Hello: For peripheral nerve compression, the diagnosis is typically made using electromyography (EMG), which involves needle insertion and electrical stimulation to confirm nerve damage. This method is commonly used to locate spinal nerve injuries or brachial plexus injuries, amo...[Read More] Understanding Perineal Neuropathy: Diagnosis and Testing Options
Understanding Hand Tremors: Causes, Symptoms, and Management Tips
Tremor issues? Hello Doctor: This is Mr. Chen, who asked a question a few days ago. Although my sleep duration hasn't significantly increased, the quality of my sleep has improved. I've observed a reduction in the amplitude and duration of muscle contractions below my r...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be worth considering that some smaller muscles are less frequently used, leading to tremors during muscle coordination. Generally, the causes of tremors can be categorized into four types: physiological tremors, psychological tremors, esse...[Read More] Understanding Hand Tremors: Causes, Symptoms, and Management Tips
Understanding Muscle Issues: Insights from Neurology for Better Health
Muscle issues? Hello Doctor, I am the person who previously inquired about muscle twitching issues. Recently, before my graduation, I visited a physician and mentioned the strange sensation in the muscles on the back of my right hand (which feels odd when I use my arm). I also me...
Dr. Jiang Junyi Reply:
Hello, Sir: Your concern about ALS primarily refers to issues with motor neurons. Motor neurons control muscle movement; generally, the motor neurons in the brain are referred to as upper motor neurons, while those in the brainstem and spinal cord are called lower motor neurons. ...[Read More] Understanding Muscle Issues: Insights from Neurology for Better Health
Understanding Muscle Twitches: Causes and When to Seek Help
Muscle twitching Hello Doctor: I have noticed that since last week, the muscles below my right thumb have been intermittently twitching (similar to a calf cramp but without pain). The intervals between these twitches vary from a few minutes to a few hours, and the frequency of th...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: Your symptoms may suggest benign muscle twitching. Certain situations in daily life can contribute to this issue, such as exercise, acute viral infections, anxiety, and medication use. Prolonged exercise is one of the primary causes of muscle twitching. Additional...[Read More] Understanding Muscle Twitches: Causes and When to Seek Help
Understanding Muscle Twitches: Causes and Concerns in Neurology
Muscle twitching Hello Doctor: I have noticed that since last week, the muscle below my right thumb has been twitching intermittently (visible to the naked eye). Sometimes it occurs every few minutes, and other times it can be hours apart. The twitching frequency varies, with lon...
Dr. Jiang Junyi Reply:
Hello Mr. Chen, Your symptoms may suggest benign muscle twitching. Certain situations in daily life could contribute to this issue, such as exercise, acute viral infections, anxiety, and medication use. Prolonged exercise is one of the primary causes of muscle twitching. Additio...[Read More] Understanding Muscle Twitches: Causes and Concerns in Neurology
Midnight Stomach Cramps: Understanding Symptoms and When to Seek Help
Midnight stomach cramps and other symptoms? On June 17th, I suddenly felt nauseous in the early morning, accompanied by severe gastric cramps. After about five minutes, I started sweating profusely, and my hands and feet began to cramp (involuntary contractions, crossing towards ...
Dr. Jiang Junyi Reply:
Dear Ms. Lee, Your symptoms appear to be acute abdominal pain combined with hyperventilation. Acute gastritis may require identifying the underlying cause, such as medications, food, or peptic ulcers, among others. As for hyperventilation, it can lead to decreased carbon dioxide...[Read More] Midnight Stomach Cramps: Understanding Symptoms and When to Seek Help
Understanding Involuntary Muscle Twitches: Causes and Concerns
Involuntary muscle twitching? Hello Doctor, recently I have been experiencing a pulsating sensation in the sole of my right foot, which has become more noticeable in the past week or two, especially when lying down, and I can also feel it while sitting. I've been having trou...
Dr. Jiang Junyi Reply:
Hello, Miss: Your symptoms may suggest benign muscle twitching. Certain situations in daily life could trigger this issue, such as exercise, acute viral infections, anxiety, and medication use. Prolonged exercise is one of the primary causes of muscle twitching. Additionally, som...[Read More] Understanding Involuntary Muscle Twitches: Causes and Concerns
Understanding Pulsating Sensation in the Left Occipital Region
Twitching of the muscles near the left ear and occipital region? Hello Doctor, since last Friday night, I have been experiencing a pulsating sensation in the left side of my occiput (just above the left side). It feels similar to an eyelid twitch, but now it is in the back of my ...
Dr. Jiang Junyi Reply:
Hello Ms. Hsiao-Chieh, In this era where everyone uses electronic devices, such issues are relatively common. The most common cause of muscle spasms in the left cervical region is nerve root compression in the cervical spine, leading to muscle tension. Prolonged periods of looki...[Read More] Understanding Pulsating Sensation in the Left Occipital Region
Understanding Potential Allergic Reactions to Ganderston Ointment
Follow-up on suspected drug allergy? Hello Dr. Jiang, thank you very much for taking the time to respond to my previous question. However, I still have some doubts. I applied a small amount of Ganderson ointment on the back of my left hand, which has no wounds. About a minute lat...
Dr. Jiang Junyi Reply:
Hello, sir: Your symptoms do not seem to be caused by the ointment. Ganderston ointment contains a higher concentration of steroids. I would like to know the area of your numbness. It may still be necessary to consider peripheral nerve compression, which could be due to nerve roo...[Read More] Understanding Potential Allergic Reactions to Ganderston Ointment
Understanding the Causes of Goosebumps: A Neurological Perspective
Goosebumps all over the body? Hello, doctor! Thank you for taking the time to respond to our medical-related questions amidst your busy schedule of treating patients! Here’s my situation: since childhood, whenever my hands come into contact with slightly oily metal surfaces, swea...
Dr. Cai Zongzhang Reply:
Hello, Xiao Cheng! Based on the symptoms mentioned, it may be autonomic nervous system dysfunction. I recommend consulting a neurologist.[Read More] Understanding the Causes of Goosebumps: A Neurological Perspective
Understanding Muscle Twitches and Visual Disturbances Before Sleep
Your own condition? Hello, doctor. I would like to describe my recent situation. Sometimes, just as I am about to fall asleep, I experience muscle twitches or my limbs move involuntarily. There have been instances where I wake up in the middle of the night to find my muscles twit...
Dr. Hong Weibin Reply:
Hello: There are many types of muscle twitching, including muscle fasciculation, muscle myokymia, muscle spasm, and muscle myoclonus, among others (which are difficult to translate into Chinese). The causes are quite diverse, with the most common being stress, electrolyte imbalan...[Read More] Understanding Muscle Twitches and Visual Disturbances Before Sleep
Is Cold Weather a Cause of Amyotrophic Lateral Sclerosis?
Cold-induced amyotrophic lateral sclerosis (ALS) Hello doctor, I recently came across this article https://k.sina.cn/article_6436228314_17fa10cda00100rlt8.html?from=health and would like to ask if the common cold is one of the causes of amyotrophic lateral sclerosis (ALS)? Thank ...
Dr. Hong Weibin Reply:
Hello: According to a discussion on risk factors for amyotrophic lateral sclerosis (ALS) published in the Clinical Epidemiology journal in 2015, certain viral infections may be potential risk factors for ALS, including human herpesvirus HHV-6, HHV-8, human T-lymphotropic virus HT...[Read More] Is Cold Weather a Cause of Amyotrophic Lateral Sclerosis?
Understanding Muscle Twitches: Concerns and Neurological Insights
Regarding muscle issues? Hello Doctor, I have recently been experiencing muscle twitching. The twitching occurs in specific areas after significant movements; for example, after sneezing, the muscles around my ribs twitch a few times. The twitching is more noticeable when I lie d...
Dr. Hong Weibin Reply:
Hello: There are many potential causes for muscle twitching. In addition to muscle fasciculation, there are muscle myokymia, muscle spasm, muscle myoclonus, and others that are difficult to translate. The causes are quite diverse, but the most common ones include stress, electrol...[Read More] Understanding Muscle Twitches: Concerns and Neurological Insights
Understanding Uncomfortable Head Sensations: Neurological Insights and Advice
Head discomfort? In the past, I sometimes felt that my surroundings were chaotic, but it wasn't a visual issue; it was purely a personal sensation that occurred only occasionally. My head would feel uncomfortable, as if I was receiving messages from others that I couldn'...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms may suggest a migraine with aura, which typically presents with visual disturbances. These can include seeing stars and lightning-like flashes, as well as blurred or distorted vision, all of which are common migraine auras. A few mi...[Read More] Understanding Uncomfortable Head Sensations: Neurological Insights and Advice
Chronic Joint Pain for 26 Years: Seeking Answers and Effective Solutions
I have been troubled by joint issues for approximately 26 years, and all examinations have yielded no results? Hello, I have been experiencing issues with my joints since the fourth grade, and I am now 36 years old, with these problems still persisting. I have undergone prelimina...
Dr. Jiang Junyi Reply:
Hello: It seems that you may have a problem with widespread pain. Conditions that can manifest as widespread pain include inflammatory or degenerative arthritis, thyroid disorders, vitamin D deficiency, systemic lupus erythematosus, polymyositis, liver disease, kidney disease, le...[Read More] Chronic Joint Pain for 26 Years: Seeking Answers and Effective Solutions
Understanding Neurological Symptoms: When to Seek Immediate Help
Hello, I am the questioner #165846? Hello Doctor: Thank you for your clarification. I am currently scheduled for a brain MRI at the hospital, but the appointment is set for a month from now. The doctor has advised me to return for a follow-up after the examination. During this ti...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may initially suggest common hyperventilation syndrome. Sudden weakness could also indicate cerebrovascular disease or abnormal electrical discharges. However, if the symptoms are urgent and you are concerned about further deterioration, it is advisable to vi...[Read More] Understanding Neurological Symptoms: When to Seek Immediate Help
Understanding Hand Weakness: A Deep Dive into Neurological Concerns
Occasionally, there is weakness in the fingertips? Last month, I occasionally experienced weakness in my fingertips (specifically, weakness in the distal phalanx of my left index finger), which would improve after about half a day. I also had brief episodes of pain in my hands an...
Dr. Jiang Junyi Reply:
Hello, here are a few suggestions for your consideration: 1. It is recommended to consult the same hospital for a comprehensive understanding of your medical history, which can help in diagnosing your condition more effectively. 2. Engaging in physical exercise and getting sunlig...[Read More] Understanding Hand Weakness: A Deep Dive into Neurological Concerns
Understanding Hand Tremors in Seniors: When to Seek Medical Advice
Elderly individuals may experience hand tremors recently? Hello Doctor: My mother is currently 65 years old and runs a small eatery with my father, who has not yet retired. Recently, when I returned home, I noticed that while she was serving vegetables to customers, one hand was ...
Dr. Jiang Junyi Reply:
Hello, based on your description, it seems that your mother may have a tremor issue. Additionally, early-stage dementia should be considered. The causes of tremors can be categorized into four types: physiological tremors, psychological tremors, essential tremors, and pathologica...[Read More] Understanding Hand Tremors in Seniors: When to Seek Medical Advice
Tinnitus and Sleep Disruptions: Understanding Neurological Impacts
Tinnitus, along with intermittent wakefulness? Two years ago, I noticed that my right ear hears high-frequency sounds (like a ringing sound, but not very loud). I went to the hospital for an ear examination, and they suggested that it might be due to a thin eardrum. However, the ...
Dr. Jiang Junyi Reply:
Hello: If there are issues with sleep, it is important to observe whether there is a tendency to feel sleepy during the day due to insufficient sleep. Generally speaking, the autonomic nervous system is regulated by the sympathetic and parasympathetic nervous systems; one acts as...[Read More] Tinnitus and Sleep Disruptions: Understanding Neurological Impacts
Persistent Twitching Above Left Lip: Causes and Concerns Explained
Persistent twitching in the upper left area of the lip? I have been experiencing twitching in my upper left lip and the area above it for the past week. This twitching occurs in the same spot almost all day, every day, and is visibly noticeable. It even happens at night while I a...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest benign muscle twitching, which can be triggered by various factors in daily life, such as exercise, acute viral infections, anxiety, and medication use. Prolonged exercise is one of the primary causes of muscle twitching. Additionally, certain med...[Read More] Persistent Twitching Above Left Lip: Causes and Concerns Explained