Understanding Right Side Lower Back Numbness: Causes and Treatment Options
Numbness in the right lower abdomen (right side of the navel)? Hello, doctor. I have been experiencing numbness in my right lower back for five days. It goes away for a while when I scratch it, but the numb sensation comes back intermittently. I realized that the day before the n...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms may be related to a lumbar disc herniation. Symptoms often worsen with coughing or sneezing, which can exacerbate nerve root pain. A disc protruding posteriorly or posterolaterally can compress the nerve roots, leading to clinical s...[Read More] Understanding Right Side Lower Back Numbness: Causes and Treatment Options
Uncoordinated Walking and Dizziness: Understanding Neurological Symptoms
Feeling uncoordinated and dizzy when starting to walk? Hello Doctor, I previously asked you whether I consider myself to have autonomic nervous system dysfunction. During this follow-up period, I have been running or brisk walking for an average of one hour a day or two, and get...
Dr. Jiang Junyi Reply:
Hello, based on your description of limb weakness and pain, the causes could include not only muscle and nerve issues but also some metabolic disorders such as thyroid dysfunction and sleep disorders, among others. MRI is primarily used to rule out structural problems in the brai...[Read More] Uncoordinated Walking and Dizziness: Understanding Neurological Symptoms
Understanding Muscle Twitches: Causes, Symptoms, and Treatment Options
Muscle twitching Hello Doctor, I have been suffering from muscle twitching for two months. Initially, it was constant twitching in fixed areas like my eyelids and calves, but now the twitching has become less localized and occurs intermittently, with my left foot's arch twit...
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 physical activity is one of the primary causes of muscle twitching. Additionally, ce...[Read More] Understanding Muscle Twitches: Causes, Symptoms, and Treatment Options
Understanding Pulsatile Tinnitus: Is It Linked to Blood Vessel Abnormalities?
Pulsatile tinnitus I remember experiencing a high spike in blood pressure once, and since then, I've been hearing a tinnitus sound that matches the frequency of my pulse. Could you please advise if this is significantly related to abnormalities in the blood vessels of the br...
Dr. Jiang Junyi Reply:
Hello: Based on your description, tinnitus can be classified into two types: 1. Subjective tinnitus, which can only be perceived by the individual, primarily caused by issues with the auditory system. 2. Objective tinnitus, which can be perceived not only by the individual but al...[Read More] Understanding Pulsatile Tinnitus: Is It Linked to Blood Vessel Abnormalities?
Understanding Prolonged Muscle Tremors: Causes and Concerns
Muscle twitching has been persistent for a long time? Hello Doctor, last week I experienced some hand numbness, hand tremors, and unusual hyperactivity. Since my family has a history of thyroid issues, I underwent an ultrasound and blood tests. The results came back normal, but I...
Dr. Hong Weibin Reply:
Hello: Muscle twitching involves many factors to consider in neurology, including electrolyte imbalances, metabolic disorders, muscle diseases, neuropathies, or excessive tension, among others. It is recommended that you consult a neurologist specializing in muscle disorders for ...[Read More] Understanding Prolonged Muscle Tremors: Causes and Concerns
Understanding Hand Tremors: When to See a Neurologist and Treatment Options
Finger tremors? Hello, I have been researching but haven't found a similar issue. My job requires me to use a computer for 8-9 hours a day, and over time, I am unsure if the excessive use of my fingers for fine motor tasks (such as writing, using chopsticks, or turning pages...
Dr. Cai Zongzhang Reply:
Hello, if your symptoms are interfering with your daily life or work, it is advisable to seek further evaluation or treatment from a neurologist.[Read More] Understanding Hand Tremors: When to See a Neurologist and Treatment Options
Understanding Acute Intracerebral Hemorrhage: Recovery and Rehabilitation Insights
Acute intracerebral hemorrhage Dr. Tsai, I hope you don’t mind me asking. My mother suddenly fainted while working, with left-sided movement, tremors, and urinary incontinence. She was urgently taken to the hospital, where it was immediately discovered that she had a right-sided ...
Dr. Cai Zongzhang Reply:
Hello, I understand that you are very anxious about your mother's condition and are seeking a second medical opinion. I recommend that you proactively discuss your concerns with your mother's attending physician. If you have any doubts, you can ask the medical team to p...[Read More] Understanding Acute Intracerebral Hemorrhage: Recovery and Rehabilitation Insights
Why Do My Fingernails Swell and Hurt After Trimming?
Swelling and pain around the fingernail often occurs after trimming the nails? The nails on my fingers often start to swell and become painful after I trim them. Initially, I thought it was due to bacteria on the nail clippers, so I disinfected them with alcohol wipes, but the sw...
Dr. Cai Zongzhang Reply:
Hello, regarding the pain beside your finger, I am not sure if it is caused by an ingrown nail. I recommend seeking assistance from a surgeon.[Read More] Why Do My Fingernails Swell and Hurt After Trimming?
Understanding Numbness in Limbs: Possible Causes and Concerns
Causes of Limb Numbness Hello Doctor, I have been experiencing numbness in my limbs for about two to three weeks. It started one night when I woke up, and the previous evening I had taken a steam bath. Sometimes it is painful and feels like an electric shock. About 80% of the tim...
Dr. Hong Weibin Reply:
Hello: Your symptoms indeed suggest the possibility of multiple sclerosis; another potential diagnosis could be polyneuropathy. Typically, further examinations are required to confirm the diagnosis, which may include nerve conduction studies, evoked potentials, lumbar puncture, a...[Read More] Understanding Numbness in Limbs: Possible Causes and Concerns
Understanding Unexplained Nerve Sensations in the Armpit Area
Tingling and warmth in the armpit? Hello, doctor. Recently, I have been experiencing symptoms such as a tingling and warm sensation under my left armpit, although there are no visible skin issues. Occasionally, I also feel some sensitivity or itchiness around my chest area, parti...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider symptoms related to the intercostal nerves or thoracic nerve roots. Your symptoms could be associated with the fourth thoracic nerve root. A herniated disc may also result from sudden injury or conditions such as s...[Read More] Understanding Unexplained Nerve Sensations in the Armpit Area
Understanding Nerve Compression: Pain in the Fourth Toe Explained
Painful sensation in the fourth toe? Hello Doctor! My right foot's fourth toe started to feel a sharp pain after I carried a heavy bag on my left shoulder while waiting for a bus for about 10 minutes. However, the pain subsided when I sat down, and there were no visible abno...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are likely indicative of compressive neuropathic pain, which is usually caused by damage to the sensory nervous system. This type of abnormal pain (experiencing pain from normally non-painful stimuli) and heightened pain sensitivity (increased response to pai...[Read More] Understanding Nerve Compression: Pain in the Fourth Toe Explained
Unexpected Vocalizations in Elderly: When to Seek Medical Advice?
Unintentionally making sounds? My grandfather is 87 years old, and over the past three months, he has frequently been making sudden loud sounds, which I don't remember him doing before. The sound resembles a loud "wēi" coming from his lower abdomen, and it usually ...
Dr. Jiang Junyi Reply:
Hello: It is advisable to document your grandfather's symptoms. If these are newly occurring symptoms, it may be necessary to consider structural issues or side effects from medications. It is recommended to visit a neurology outpatient clinic for examination and follow-up. ...[Read More] Unexpected Vocalizations in Elderly: When to Seek Medical Advice?
Unexplained Electric Shock Sensation in the Back of the Thigh
Intermittent electric shock-like pain in the posterior thigh? Hello, I experience intermittent electric shock sensations in the area just above the popliteal fossa on the back of my right thigh. It feels like a jolt of electricity that lasts for a few seconds and can occur at any...
Dr. Jiang Junyi Reply:
Hello: Numbness in the back of the right thigh near the popliteal fossa may indicate nerve compression. The first consideration should be the compression of the femoral cutaneous nerve, which could be caused by sitting cross-legged, pressure from the toilet, among other reasons. ...[Read More] Unexplained Electric Shock Sensation in the Back of the Thigh
Understanding Foreign Sensation and Headaches: When to Seek Neurology Help
Foreign body sensation in the head and headache? I have had a foreign body sensation in the left front of my head since childhood, but since it wasn't bothersome and I didn't experience pain, I didn't pay much attention to it. However, recently I've been exper...
Dr. Cai Zongzhang Reply:
Hello, can you clearly identify the area where you feel the foreign body sensation or contraction? If so, it is recommended that you visit a neurosurgery department at a hospital for a precise diagnosis and examination by a physician based on the area you indicate. In the meantim...[Read More] Understanding Foreign Sensation and Headaches: When to Seek Neurology Help
Understanding Oral Discomfort: Is It Neurological or Hormonal?
Oral issues Hello Doctor, I have already inquired about the report, and it has come out. The MRI with contrast shows no tumors in the brain, and some blood test issues seem to be minor. However, the doctor suspects it might be an ovarian issue. I told the doctor that I had visite...
Dr. Jiang Junyi Reply:
Hello, regarding the issues you mentioned, I have some suggestions. The endocrinologist suspects ovarian degeneration and advised me to continue medication and observe for six months before returning for blood tests. Now, I would like to ask the doctor if my oral discomfort sympt...[Read More] Understanding Oral Discomfort: Is It Neurological or Hormonal?
Persistent Jaw Muscle Twitching: Seeking Answers and Next Steps
The muscles of the upper jaw are twitching continuously? Hello! My upper jaw near the throat has been twitching continuously, and I can hear the muscle twitching with a clicking sound in my ears. When I open my mouth, I can see the muscle twitching, and when I look down, my eyes ...
Dr. Cai Zongzhang Reply:
Hello, if you do not see significant improvement through neurology, it is recommended that you seek assistance from an otolaryngologist.[Read More] Persistent Jaw Muscle Twitching: Seeking Answers and Next Steps
Understanding Chronic Dizziness and Visual Disturbances: When to Seek Help
Chronic dizziness and impaired visual acuity? Hello Doctor, I was diagnosed with a tendency to feel dizzy from hunger as a child, often without realizing it (not feeling hungry or wanting to eat). Now, I eat three meals on time, but I still experience dizziness for no apparent re...
Dr. Jiang Junyi Reply:
Hello: Your symptoms seem to be more related to neurology. Regarding the central nervous system: 1. You experience motion sickness almost every time you are in a vehicle, and strong odors also make you feel dizzy (possibly a variant of migraine?). 2. You often choke when drinking...[Read More] Understanding Chronic Dizziness and Visual Disturbances: When to Seek Help
Understanding Mild Body and Head Tremors: Causes and Concerns
Slight shaking of the body and head? Hello Doctor, recently I have been experiencing a slight shaking sensation in my body and head (not from my surroundings moving, but a slight shaking of my own). My head feels heavy, and this sensation is particularly noticeable when I am stil...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms may suggest physiological tremors rather than pathological tremors, such as those caused by structural abnormalities like cerebellar atrophy. Tremors can be categorized into four types: physiological tremors, psychological tremors, ...[Read More] Understanding Mild Body and Head Tremors: Causes and Concerns
Understanding Unexplained Leg Heat After Standing or Exercise
Unexplained fever with leg issues? Hello Doctor, my condition is that after standing for a long time or exercising (mainly using my lower body), even with normal stretching and massage, there are no immediate issues with my lower limbs. However, about four to five hours later, I ...
Dr. Jiang Junyi Reply:
Hello, based on your description, it is important to consider deep vein thrombosis (DVT), which refers to impaired blood flow in the deep veins, leading to symptoms such as limb swelling. There are many causes for this condition, with the main factors being slow blood flow, vascu...[Read More] Understanding Unexplained Leg Heat After Standing or Exercise
Understanding Shingles: Pain Management, Prevention, and Treatment Options
Shingles, also known as herpes zoster, is contagious for up to 72 hours. It is associated with the varicella-zoster virus, which is also responsible for chickenpox? Last year, I had shingles and have been experiencing pain since then, so I returned for a follow-up. This year, I d...
Dr. Jiang Junyi Reply:
Hello: I would like to ask on behalf of my family. If someone has pain in certain areas, and they proactively inform the doctor that there has been a history of shingles in the household, will the doctor provide vaccination or other treatments, or will treatment for shingles only...[Read More] Understanding Shingles: Pain Management, Prevention, and Treatment Options