Understanding Inner Thigh Muscle Twitches: Causes and Management Tips
Medial pulsation of the vastus medialis muscle? Thank you, Doctor, for taking the time to respond despite your busy schedule. I would like to ask a follow-up question regarding your previous response. You mentioned that the cause of my muscle twitching is primarily related to inf...
Dr. Jiang Junyi Reply:
You mentioned that the side effects listed in the medication leaflet for "Flupentixol 0.5mg/Melitracen 10mg" are very common: drowsiness and akathisia. Common side effects include dizziness accompanied by or without orthostatic hypotension and tremors. Less common side ...[Read More] Understanding Inner Thigh Muscle Twitches: Causes and Management Tips
Understanding Neuropathic Pain: Which Specialist Should You See?
Suspected neuropathic pain - unsure which specialty to consult? Hello, Dr. Jiang. I apologize for bothering you. My mother and grandmother have both reported experiencing "neuropathic pain" after reaching a certain age. They have occasional episodes, a few times a year,...
Dr. Jiang Junyi Reply:
Dear Miss Peng, You mentioned that "the pain usually starts at night when falling asleep and continues into the next day, occurring in episodes, and typically resolves within two days." Your symptoms may suggest Restless Legs Syndrome (RLS). The etiology of RLS is rela...[Read More] Understanding Neuropathic Pain: Which Specialist Should You See?
Uncontrollable Hand and Foot Tremors After Chemotherapy: Causes and Solutions
After chemotherapy, the hands and feet may experience involuntary shaking? My mother-in-law is 76 years old and has been undergoing immunotherapy and chemotherapy for bile duct cancer for the past three months. After these treatments, her hands have started to shake involuntarily...
Dr. Jiang Junyi Reply:
Hello Ms. Hsiao-Jie: You mentioned that your mother-in-law has experienced "involuntary shaking of her hands, and even after stopping treatment for a month, her hands and feet still shake involuntarily. Could this be caused by low potassium levels?" Symptoms of hypokale...[Read More] Uncontrollable Hand and Foot Tremors After Chemotherapy: Causes and Solutions
Understanding Hand Tremors: Insights on Parkinsonism in Young Adults
Regarding hand tremors and juvenile Parkinson's disease? Hello, pharmacist. About three years ago, during my sophomore year, I visited Datong Hospital due to movement disorders (PKD) and restless legs syndrome. The restless legs syndrome has been an issue since I became awar...
Dr. Hong Weibin Reply:
Hello: Based on your description, "the tremor does not occur when the hand is completely relaxed with the palm facing up on the thigh, but it does tremble when the fingers slowly make a fist or when clenching and then slowly relaxing," this type of tremor is more indica...[Read More] Understanding Hand Tremors: Insights on Parkinsonism in Young Adults
Can My Mother Restart Madopar for Parkinson's Symptoms?
Parkinson's disease Hello Dr. Hong, my mother is 78 years old and has been diagnosed with Parkinson's disease and dementia for 5 years. Initially, she was prescribed Madopar 250, taking one tablet three times a day, but she only took it for about a month. After that, sh...
Dr. Hong Weibin Reply:
Hello: It is advisable to continue the medication, starting with a low dose, such as 0.25 to 0.5 pills three times a day, and then observe if there is any improvement in gait. Additionally, it may be necessary to clarify the reasons why your mother was previously reluctant to tak...[Read More] Can My Mother Restart Madopar for Parkinson's Symptoms?
Understanding Parkinson's Disease and Cerebellar Atrophy Symptoms
Parkinson's disease and cerebellar atrophy? Hello doctor, recently I have been experiencing some unsteadiness while walking, but I'm not sure if it's psychological. Additionally, I have a bit of difficulty controlling my left little finger and ring finger. I have t...
Dr. Hong Weibin Reply:
Hello: Typically, Parkinson's disease or cerebellar atrophy tends to occur in middle age. Generally speaking, it is quite rare for these conditions to manifest at the age of 16. If you are still concerned, I recommend seeking assistance from a neurologist, who can conduct a ...[Read More] Understanding Parkinson's Disease and Cerebellar Atrophy Symptoms
Understanding Essential Tremor: When to See a Neurologist or Psychologist?
Tremor issues Hello Doctor: My hands have been shaking since I was young. When I eat with a spoon or chopsticks, or when I use scissors or a utility knife, my hands tremble. Recently, I've also noticed some shaking when holding objects or keys (though not every time). Curren...
Dr. Jiang Junyi Reply:
Hello Benson: The essential tremor you mentioned is also known as primary tremor, where the exact cause of the tremor cannot be identified. It may be due to a specific constitution or hereditary tremor. Typically, individuals experience more tremors when holding objects, while so...[Read More] Understanding Essential Tremor: When to See a Neurologist or Psychologist?
Understanding Hand Tremors: Causes and Concerns for Your Left Hand
The left hand trembles when trying to touch objects? Hello doctor, I recently noticed that my left hand sometimes shakes when I try to touch something, especially when I want to point at an object. What could be the possible issues? Could stress or autonomic nervous system dysfun...
Dr. Jiang Junyi Reply:
Hello Mr. Huang: You mentioned "high stress or autonomic nervous system dysfunction." The tremors caused by these factors usually occur bilaterally. However, your symptoms are only present in your left hand. It may be necessary to consider abnormalities in the local ner...[Read More] Understanding Hand Tremors: Causes and Concerns for Your Left Hand
Managing Parkinson's Disease: Medication Challenges and Control Strategies
Medication Issues in Parkinson's Disease Hello Doctor: I was diagnosed with Parkinson's disease this August. Currently, I am experiencing frequent and significant tremors in my left foot, and during severe episodes, my big toe tends to curl inward. Additionally, I have ...
Dr. Hong Weibin Reply:
Hello: The tremors associated with Parkinson's disease are mostly resting tremors, which can typically be temporarily controlled by willpower or by maintaining a tense posture (such as raising the legs). However, once the individual relaxes, the tremors reappear, which is re...[Read More] Managing Parkinson's Disease: Medication Challenges and Control Strategies
Understanding Late-Stage Parkinson's Disease: Symptoms and Care Challenges
Parkinson's disease Hello, Doctor. My mother-in-law has been suffering from Parkinson's disease for several decades and has undergone deep brain stimulation surgery. Over the past year, she has frequently had difficulty swallowing saliva, which causes her to keep her mo...
Dr. Hong Weibin Reply:
Hello, It is highly likely that my mother-in-law is in the advanced stages of Parkinson's disease, which has resulted in significant muscle rigidity, including in her facial muscles and swallowing muscles. As a result, she is unable to close her mouth and has difficulty sw...[Read More] Understanding Late-Stage Parkinson's Disease: Symptoms and Care Challenges
Understanding Parkinson's Disease: Treatment, Symptoms, and Future Insights
Parkinson's disease issues? Dear Dr. Jiang, I previously consulted you regarding my father's hand tremors. After he underwent examinations at the hospital, the doctor diagnosed him with early-stage Parkinson's disease. The dopamine transporter scan revealed an ora...
Dr. Jiang Junyi Reply:
Dear Ms. Hsiao-Hui, Regarding your concerns about your father's future, it is indeed difficult to address each question individually. However, the key point is to avoid the apoptosis of dopamine neurons. In addition to medication, certain neuroprotective dietary options can...[Read More] Understanding Parkinson's Disease: Treatment, Symptoms, and Future Insights
Understanding Parkinson's Disease: Treatment, Symptoms, and Future Research
Parkinson's disease issues? Dear Dr. Jiang, I previously consulted you about the issue of hand tremors. After my father underwent examination at the hospital, the doctor diagnosed him with early-stage Parkinson's disease. The dopamine transporter scan revealed an orang...
Dr. Jiang Junyi Reply:
Hello, Regarding the treatment of Parkinson's disease, it is usually related to the patient's lifestyle needs, and many patients in clinical practice do not achieve complete symptom relief. It is recommended to focus on your father's health information to reduce ...[Read More] Understanding Parkinson's Disease: Treatment, Symptoms, and Future Research
Understanding Muscle Twitches: Causes and Concerns Beyond Parkinson's
Muscle twitching Hello Doctor, I asked about muscle twitching last week, and you mentioned it is not Parkinson's disease. After the holiday break, the intensity of the muscle twitching has decreased a bit, but it still occurs. Additionally, when I click the mouse, I sometime...
Dr. Hong Weibin Reply:
Hello: The body's muscles are controlled by nerves, which act like electrical wires, transmitting signals to control muscle movements. However, just like wires can deteriorate over time and be affected by external factors such as temperature and humidity, leading to electric...[Read More] Understanding Muscle Twitches: Causes and Concerns Beyond Parkinson's
Understanding Early Parkinson's Disease: Treatment Options and Prognosis
Parkinson's disease Hello Doctor, my father is nearly 50 years old and recently started experiencing tremors in his right hand. He also walks with his body close to his side and does not swing his arms much. Last month, he visited the China Medical University Hospital, where...
Dr. Cai Zongzhang Reply:
Hello, A-Liang! Delaying the use of levodopa and reducing the dosage can postpone the onset of dyskinesia. It is recommended to discuss medication options with your physician.[Read More] Understanding Early Parkinson's Disease: Treatment Options and Prognosis
Childhood Head Injuries: Risk Factors for Parkinson's Disease in Later Life
As a child, I often accidentally bumped or hit my head? I have heard about the case of boxing champion Muhammad Ali. If someone accidentally hits their head during childhood and does not show any external injuries, does that increase the likelihood of developing Parkinson's ...
Dr. Cai Zongzhang Reply:
Hello, Mr. Kito! There is no direct relationship between the causes of Parkinson's disease and head trauma. However, it is still important to avoid head injuries to prevent brain damage that could lead to degeneration.[Read More] Childhood Head Injuries: Risk Factors for Parkinson's Disease in Later Life
Understanding Early Parkinson's Disease: Treatment Options and Prognosis
Parkinson's disease Hello Doctor, my father is nearly 50 years old and recently began experiencing tremors in his right hand. He also walks with his body close to his side and doesn't swing his arms much. Last month, he visited China Medical University Hospital, where t...
Dr. Cai Zongzhang Reply:
Hello, A-Liang! Delaying the use of levodopa and reducing the dosage can postpone the onset of dyskinesia. It is recommended to discuss medication options with your physician.[Read More] Understanding Early Parkinson's Disease: Treatment Options and Prognosis
Understanding Involuntary Limb Movements: Is It Parkinson's Disease?
Occasionally, the hands or feet may twitch when the body is at rest? This phenomenon has been ongoing for a while, and I haven't paid much attention to it. However, today I saw information regarding the symptoms of Parkinson's disease, which made me feel very scared. Co...
Dr. Hong Weibin Reply:
There are many causes for limb twitching, including emotions, stress, electrolyte imbalances, and fatigue. It is rare for Parkinson's disease to present with limb twitching, so there is no need for excessive concern.[Read More] Understanding Involuntary Limb Movements: Is It Parkinson's Disease?
Understanding Parkinson's Disease Risk: Concerns for Family History and Symptoms
Parkinson's disease Hello Doctor, my grandmother had Parkinson's disease in the past, and I have primary restless legs syndrome, although my symptoms are very mild, occurring only one or two days a month with slight discomfort. I am very worried about the possibility of...
Dr. Hong Weibin Reply:
Current research shows that there is no definitive conclusion regarding whether having Restless Legs Syndrome (RLS) increases the likelihood of developing Parkinson's disease later on. Some studies suggest there may be an increased risk, while others find no correlation. The...[Read More] Understanding Parkinson's Disease Risk: Concerns for Family History and Symptoms
Understanding Hand Tremors: Possible Causes and Treatment Options
Tremor issues? Hello, Doctor! My father is 49 years old and a year ago he noticed that his right hand trembles when at rest, and it has become less agile. He also does not swing his right arm much while walking. He visited a neurologist once, but the mildest Parkinson's medi...
Dr. Jiang Junyi Reply:
Dear Ms. Hsiao-Hui, Your father began experiencing movement disorders at the age of 49, which seems somewhat early, as such conditions typically manifest around the age of 60. It may be necessary to differentiate this from a stroke. A stroke generally occurs acutely and is accom...[Read More] Understanding Hand Tremors: Possible Causes and Treatment Options
Understanding Hand Tremors: Possible Causes and Concerns for Your Health
Tremor issues? Hello Doctor, my father is 49 years old. About a year or two ago, he started experiencing tremors in his right hand while at rest, and it seems to have become less agile compared to his left hand. He visited a neurologist, and the CT scan results were normal. I hav...
Dr. Hong Weibin Reply:
The computed tomography (CT) scan of a typical Parkinson's disease patient is normal. A fall resulting in injury and dislocation of the right hand may not cause tremors. Tremors are usually caused by issues in the brain, brainstem, or cerebellum.[Read More] Understanding Hand Tremors: Possible Causes and Concerns for Your Health