Understanding Tension-Related Dizziness: Causes and Concerns
Tightening dizziness (pain?) Hello Dr. Jiang, I would like to ask you a few questions. Several years ago, after changing jobs (in a typical office setting with extensive computer use), I started experiencing dizziness on the right side of my head a few times each year. It's ...
Dr. Jiang Junyi Reply:
Hello: The tension-type headache you mentioned is caused by tightness in the muscles of the head. Common manifestations include a constricting pain in the forehead and temples, similar to wearing a tight headband. Since it is caused by muscle fatigue, it typically begins in the a...[Read More] Understanding Tension-Related Dizziness: Causes and Concerns
Understanding Dry Heaving: Is It a Sign of Brain Tumor?
The issue of dry heaving? Hello, doctor. I occasionally experience dry heaving, where I feel like vomiting but do not actually vomit. I have heard that brain tumors can cause vomiting, but they do not present with dry heaving or nausea. Is that correct?
Dr. Hong Weibin Reply:
Hello: Nausea and vomiting are very common symptoms that can be caused by a variety of conditions. These include gastrointestinal issues, neurological problems, medication side effects, liver and kidney diseases, and infections, among others. The most common causes are gastrointe...[Read More] Understanding Dry Heaving: Is It a Sign of Brain Tumor?
Understanding Facial Twitching: Causes and When to Seek Help
Facial twitching? Hello, I have a question. Recently, I've been experiencing frequent twitching in my left cheek, almost like a muscle spasm, especially after eating. Could you please explain why this is happening? Is it a warning sign from my body?
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 varied, with the most common being stress, electrolyte imbalanc...[Read More] Understanding Facial Twitching: Causes and When to Seek Help
Understanding Facial Twitching: Causes and When to Seek Help
Facial twitching? Hello, I have a question. Recently, I've been experiencing frequent twitching in my left cheek, almost like a muscle spasm, especially after eating. Could you tell me why this is happening? Is it a warning sign from my body?
Dr. Hong Weibin Reply:
Hello: There are many causes of muscle twitching, with the most common being stress, electrolyte imbalances, lack of sleep, dehydration, excessive caffeine or stimulant intake, certain medications, fatigue, kidney disease, and diabetic neuropathy, among others. You may want to ob...[Read More] Understanding Facial Twitching: Causes and When to Seek Help
Understanding Involuntary Movements During Sleep: Possible Causes and Concerns
Involuntary movements during sleep? Hello Doctor, my father was recently diagnosed with prostate cancer and was hospitalized. During his hospital stay, he often experienced involuntary movements and shaking of his limbs while sleeping, occasionally talking in his sleep and waving...
Dr. Hong Weibin Reply:
Hello: I would suggest starting the investigation with paraneoplastic syndrome caused by prostate cancer, especially in patients with more severe conditions. Cancer often produces various autoimmune antibodies that may attack normal tissue cells in the body, leading to a range of...[Read More] Understanding Involuntary Movements During Sleep: Possible Causes and Concerns
Could Your Symptoms Indicate Autonomic Nervous System Dysfunction?
I am not sure if it is autonomic nervous system dysfunction? Hello doctor, I have been experiencing frequent dizziness and chest tightness lately. When I talk to others, I feel short of breath and very fatigued. Sometimes my hands and feet feel numb, and I have noticed that my me...
Dr. Cai Zongzhang Reply:
Hello: Based on the described symptoms, it is recommended to consult a neurologist for an examination.[Read More] Could Your Symptoms Indicate Autonomic Nervous System Dysfunction?
Understanding Hand Tremors: Causes and When to Seek Medical Help
Tremors in the fingers during exertion? Hello, doctor. When I exert force with my right index finger, it shakes (all five fingers do). When I place my hand on my thigh, it does not shake. When I exert force with my right biceps, I can clearly see the skin on the right side of the...
Dr. Jiang Junyi Reply:
Hello, based on your description, the causes of tremors can be categorized into four types: physiological tremors, psychological tremors, essential tremors, and pathological tremors. 1. Physiological tremors: These do not occur under normal circumstances but may arise in specif...[Read More] Understanding Hand Tremors: Causes and When to Seek Medical Help
Understanding Lewy Body Dementia: Symptoms and Diagnostic Imaging
Symptoms of Lewy Body Dementia 1. There are multiple articles available online, each describing slightly different symptoms. What are the correct symptoms of Lewy Body Dementia? 2. What imaging studies are currently available to diagnose Lewy Body Dementia? Thank you, doctor, f...
Dr. Hong Weibin Reply:
Hello: 1. Dementia with Lewy Bodies (DLB) must first meet the criteria for dementia, defined as a decline in daily functioning due to cognitive impairment. Other possible symptoms include significant daily fluctuations in the patient's consciousness, bradykinesia and unste...[Read More] Understanding Lewy Body Dementia: Symptoms and Diagnostic Imaging
Understanding Parkinson's Disease: Symptoms, Diagnosis, and Concerns
Parkinson's disease Hello Dr. Hong, I am 60 years old and do not have any issues with hypertension, diabetes, or high cholesterol; my overall health condition is fairly good. However, over two years ago, my family noticed that my head would have slight tremors when at rest. ...
Dr. Hong Weibin Reply:
Hello: Common causes of tremors, aside from Parkinson's disease, include essential tremor and physiological tremor, among others. A neurologist needs to conduct a detailed medical history inquiry and monitor the patient over a period of six months to a year to have greater c...[Read More] Understanding Parkinson's Disease: Symptoms, Diagnosis, and Concerns
Understanding Nerve Sensations: Is Your Tingling Related to GERD?
Numbness issues Hello Dr. Jiang: Recently, I have been experiencing a slight tingling sensation in the back side of my armpit, which occasionally spreads to other areas of my back. It is not painful and does not last long. I would like to know if this indicates any issues. Previo...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are more indicative of nerve root compression in the back or symptoms of nerve inflammation. There is a low correlation with medication. Long-term use of proton pump inhibitors in the elderly population has been associated with a higher incidence of cognitive...[Read More] Understanding Nerve Sensations: Is Your Tingling Related to GERD?
Understanding Muscle Twitches: Are They a Sign of ALS?
Muscle twitching Hello Doctor, I have been experiencing muscle twitching recently, especially when lying on my side and pressing on my arm. My arm tends to twitch more easily, or when I am sitting and using the computer (my desk is a bit high), my calves, knees, and the area arou...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may indicate peripheral nerve issues. The condition you are concerned about, amyotrophic lateral sclerosis (ALS), primarily involves problems with motor neurons. Motor neurons control muscle movement; generally, the motor neurons in the brain are referred to ...[Read More] Understanding Muscle Twitches: Are They a Sign of ALS?
Understanding Fasciculations: When to Seek Medical Advice and Anxiety Links
Regarding fasciculation? Hello Doctor, I am 31 years old. I have been experiencing fasciculations since puberty, and it has been nearly twenty years now. My symptoms vary; sometimes the twitching lasts for a few seconds to a few minutes, while at other times it can persist in the...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest benign muscle twitching. Certain conditions in daily life could contribute to this issue, such as exercise, acute viral infections, anxiety, or the effects of certain medications. Among these, prolonged exercise is one of the primary causes of mus...[Read More] Understanding Fasciculations: When to Seek Medical Advice and Anxiety Links
Understanding Muscle Twitches: ALS Concerns and Neurological Insights
Amyotrophic Lateral Sclerosis (ALS) muscle twitching? I am Mr. Huang, referring to #159787. I have a few final questions for the doctor. I had an electromyography (EMG) test on August 19, which only involved needle insertions in my left forearm down to my palm and in my left calf...
Dr. Hong Weibin Reply:
Hello: The electromyography (EMG) examination for patients with amyotrophic lateral sclerosis (ALS) may vary in standard procedures from one hospital to another. If you feel that the examination is not thorough enough, you can seek opinions from other physicians. There are many t...[Read More] Understanding Muscle Twitches: ALS Concerns and Neurological Insights
Understanding Muscle Twitches: When to Seek Neurological or Psychological Help
Involuntary muscle twitching? Hello Doctor, I recently asked you about my muscle twitching, which has been occurring for nearly five months. Although it only lasts for two to three seconds at a time and the affected areas vary, primarily in my shoulders, buttocks, and thighs, it ...
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 numerous, with the most common being stress, electrolyte imbalances, ...[Read More] Understanding Muscle Twitches: When to Seek Neurological or Psychological Help
Understanding Muscle Twitches: Could They Indicate ALS Symptoms?
Muscle twitching I have recently been experiencing muscle twitching in various parts of my body, particularly in my arms. The twitching occurs intermittently, and it seems to stop when I change positions. After some research, I found that muscle twitching can also be a symptom of...
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 numerous, with the most common being stress, electrolyte imbalances, ...[Read More] Understanding Muscle Twitches: Could They Indicate ALS Symptoms?
Post-Car Accident: Inability to Straighten Fingers - What to Expect?
After the car accident, the fingers cannot be straightened? Hello Doctor, about 20 days ago I was involved in a car accident, which resulted in fractures of the bones in my left forearm, the outer side of the elbow, and the inner side of the upper arm. I underwent surgery 10 days...
Dr. Jiang Junyi Reply:
Hello: I'm not sure about the function of your sensory nerves. If there is damage to the ulnar nerve, radial nerve, or median nerve, you may experience related sensory abnormalities. If there are limitations in motor function, it may be necessary to consider issues with the ...[Read More] Post-Car Accident: Inability to Straighten Fingers - What to Expect?
Is Excessive Sweating Normal in Hot Weather? A Neurology Perspective
Sweating in the summer? Hello, Doctor. I often go out to buy things around noon, and within 20 minutes, I'm drenched in sweat. I notice that others don't seem to sweat as much, while my back is completely wet, which feels quite embarrassing. I'm unsure if it's...
Dr. Jiang Junyi Reply:
Hello, based on your description, sweating is a natural response of the body to an increase in temperature. However, excessive sweating may indicate overactivation of the sympathetic nervous system. Generally, the autonomic nervous system is regulated by the sympathetic and paras...[Read More] Is Excessive Sweating Normal in Hot Weather? A Neurology Perspective
Understanding Eyelid Muscle Spasms: Causes and Connections
Eyelid muscle spasms Hello doctor, my left lower eyelid has been twitching for over a year. The twitching is subtle enough that people around me notice it, but I don't feel it myself. When it's more pronounced, I can see my eyelid twitching when I look at things. Occasi...
Dr. Jiang Junyi Reply:
Hello: Your eyelid twitching may initially be attributed to benign muscle fasciculation, with common causes including exercise, acute viral infections, anxiety, and medication use. Among these, prolonged exercise is one of the primary reasons for muscle twitching. Additionally, c...[Read More] Understanding Eyelid Muscle Spasms: Causes and Connections
Understanding Back Pain: Insights for New Moms with SLE
Back problems Hello, doctor! I have systemic lupus erythematosus (SLE), and my levels are currently normal. I just gave birth 13 months ago! However, due to my child's significant weight, I find it challenging to carry and care for them, as my physical strength is quite limi...
Dr. Jiang Junyi Reply:
Hello: If your symptoms of pain persist, you may want to consider fibromyalgia syndrome. Statistically, individuals with systemic lupus erythematosus (SLE) have an increased risk of developing this condition. Although the pathogenic mechanisms remain unclear, it may be related to...[Read More] Understanding Back Pain: Insights for New Moms with SLE
Understanding Weakness in Limbs: Could It Be Autonomic Nervous System Issues?
Weakness in the limbs (autonomic nervous system) Hello Doctor, I have been experiencing a sense of weakness for the past month (it's a strange feeling, not that I can't exert force), with episodes occurring at unpredictable times, lasting anywhere from 1-2 hours to as l...
Dr. Cai Zongzhang Reply:
"Could it be a problem with the autonomic nervous system?" It is possible. Symptoms of autonomic dysfunction can range from head to toe and may be mild (dizziness, headaches, dry and blurry eyes, poor sleep, dry mouth, throat discomfort, difficulty breathing, palpitatio...[Read More] Understanding Weakness in Limbs: Could It Be Autonomic Nervous System Issues?