Understanding Cheek and Mouth Pain: Possible Neurological Causes
Pain in the corner of the mouth and cheek? Recently, I have been experiencing intermittent sharp pain in my cheek, especially in the evening after brushing my teeth. Initially, I thought it was a cavity, but before I could see a dentist, I noticed that the pain shifted to the ins...
Dr. Lan Shengxing Reply:
Dear Andy, the likelihood of Parkinson's disease or amyotrophic lateral sclerosis (ALS) is relatively low, especially considering your age, so there is no need for concern. The intermittent burning pain in your cheeks may suggest trigeminal neuralgia. I recommend that you co...[Read More] Understanding Cheek and Mouth Pain: Possible Neurological Causes
Feeling Lost After Neurology Tests: What Should I Do Next?
I'm not sure what to do? Hello Doctor: I visited due to hand numbness and tremors, and the doctor noticed that my left leg also had some weakness. I was asked to be hospitalized for further examination, and I stayed for two weeks during which I underwent MRI scans (of the he...
Dr. Gao Chunde Reply:
Medical centers are the places with the most healthcare resources and serve as the cradle for training specialized physicians. If one medical center cannot make a diagnosis, another may not necessarily be able to either. It is possible that the current medical equipment is unable...[Read More] Feeling Lost After Neurology Tests: What Should I Do Next?
Understanding Involuntary Hand and Head Tremors: Next Steps for Patients
Involuntary shaking of the hands and head? Hello Doctor: I often experience involuntary shaking in my hands (more frequently in my left hand, especially noticeable in my little finger) and my head (shaking side to side). I do not smoke, drink alcohol, chew betel nut, or use drugs...
Dr. Gao Chunde Reply:
Some individuals experience primary tremors that do not progressively worsen into Parkinson's disease, and there is no need for excessive concern; medication can be used as needed to alleviate symptoms. Others may exhibit early signs of Parkinson's disease or other move...[Read More] Understanding Involuntary Hand and Head Tremors: Next Steps for Patients
Understanding Body Tremors Upon Waking: Neurological Insights
Waking up feeling shaky? Hello doctor, recently I have been feeling my body shaking while sitting, and it seems to be worse when I wake up. What could be the cause of this?
Dr. Jiang Junyi Reply:
Hello, based on your description, the symptoms seem to resemble physiological tremors, which can be categorized into four types: physiological tremors, psychological tremors, essential tremors, and pathological tremors. 1. Physiological tremors: These do not occur under normal ...[Read More] Understanding Body Tremors Upon Waking: Neurological Insights
Understanding Intermittent Nerve Pain: A 48-Year Journey
Intermittent neuralgia My symptoms began at the age of 20, and after 48 years, I have visited many hospitals and undergone numerous tests, yet no answers have been found. About 90% of the symptoms occur in both feet, characterized by intermittent sharp pain. The pain comes and go...
Dr. Gao Chunde Reply:
Based on your symptom description, it is likely not a peripheral nerve issue, but rather something within the brain, resembling the nature of Restless Legs Syndrome. There are many possible causes, including iron deficiency, magnesium deficiency, liver and kidney dysfunction, thy...[Read More] Understanding Intermittent Nerve Pain: A 48-Year Journey
Understanding Toe Cramps in Parkinson's: Causes and Treatment Options
Cramps in the second, third, and fourth toes? I have Parkinson's disease (for three years), and recently I have been experiencing cramps and pain in the second, third, and fourth toes of my left foot. I have consulted both a neurologist and an orthopedic specialist, and I wa...
Dr. Jiang Junyi Reply:
Based on your description, the causes of cramping pain may include insufficient levels of minerals in the blood (such as magnesium and calcium), mild tears in the muscles or tendons, excessive emotional stress, improper posture during exercise, or poor muscle coordination. If the...[Read More] Understanding Toe Cramps in Parkinson's: Causes and Treatment Options
Understanding the Use of Adan Tablets for Neurological Concerns
Taking Adan tablets? Sitting in a chair, I often shake my legs or tense my body, crossing my toes and applying pressure while touching my hair. I consulted a psychiatrist who prescribed Adderall and I want to ask the doctor if these behaviors are related to neurology. What is you...
Dr. Jiang Junyi Reply:
Hello, based on your description, Artane (Trihexyphenidyl) is a medication used to treat Parkinsonism. Parkinson's disease is primarily caused by an imbalance between two neurotransmitters in the brain: acetylcholine and dopamine. This medication can reduce the levels of ace...[Read More] Understanding the Use of Adan Tablets for Neurological Concerns
Exploring the Link Between Parkinson's Disease and Sleepwalking
Is there a correlation between Parkinson's disease and sleepwalking? Hello Doctor, I apologize for bothering you with a question. A senior member of my family has mild Parkinson's disease, which causes involuntary shaking of the hands and feet. They have seen a doctor a...
Dr. Jiang Junyi Reply:
Hello, based on your description, the symptoms exhibited by the elderly individual may represent a manifestation of REM Sleep Behavior Disorder (RBD). During the REM phase of sleep, muscle tone throughout the body decreases to its lowest level, preventing any movements, no matter...[Read More] Exploring the Link Between Parkinson's Disease and Sleepwalking
Understanding Parkinson's Disease: Symptoms and Progression Explained
Parkinson's disease Hello doctor, my mother was diagnosed with Parkinson's disease six years ago. In the early stages, she experienced tremors in her right hand and right leg, which have been managed with long-term medication. However, she still occasionally suffers fro...
Dr. Gao Chunde Reply:
More than half of patients with Parkinson's disease experience pain, which may stem from joint and muscle wear and inflammation due to improper posture, nerve pain caused by spinal degeneration and nerve root compression, pain resulting from abnormal muscle tone, discomfort ...[Read More] Understanding Parkinson's Disease: Symptoms and Progression Explained
Concussion and Dementia: Understanding Long-Term Risks After Injury
Concussion and Dementia Hello, I had a concussion from a car accident two years ago, but there was no intracranial hemorrhage. I recovered after a month, but I am worried if this could lead to dementia in the future. Thank you.
Dr. Gao Chunde Reply:
According to literature statistics, a single concussion does not increase the likelihood of developing dementia later on; however, repeated concussions do increase the risk of developing dementia, Parkinson's disease, or depression in the future.[Read More] Concussion and Dementia: Understanding Long-Term Risks After Injury
Understanding Dizziness and Tremors: Possible Causes and Next Steps
Shaking like an earthquake? Hello, last month I experienced dizziness (feeling like the ground was shaking, and I was unsteady while walking). During this time, my right little finger felt a bit numb. I went to National Taiwan University Hospital for a consultation. The doctor sa...
Dr. Gao Chunde Reply:
Your symptoms do not resemble those of cerebellar atrophy or Parkinson's disease, and since the MRI did not show any abnormalities, you can be temporarily reassured. The overall course of your condition is more consistent with what is referred to as inner ear imbalance, whic...[Read More] Understanding Dizziness and Tremors: Possible Causes and Next Steps
Recognizing Parkinson's Disease: Symptoms and Home Care Tips
Parkinson's disease? Dear Doctor, My father is 66 years old and has been exhibiting the following behaviors since October of last year: 1. Weakness in the lower limbs, 2. Shuffling gait, 3. Forward stooping posture, 4. Sitting on the couch watching TV with a bent body, 5. S...
Dr. Gao Chunde Reply:
The symptoms are very consistent with Parkinson's disease, including rigidity, bradykinesia, and tremors, which are the three main symptoms. However, not everyone presents with the same symptoms. It is recommended to visit a hospital for an evaluation by a neurologist. Curre...[Read More] Recognizing Parkinson's Disease: Symptoms and Home Care Tips
Understanding Dizziness: Connection to Diabetes and Hypertension
Dizziness and discomfort? I have been experiencing dizziness for over a month and visited a neurologist at the hospital. I underwent brainstem auditory evoked potential testing, carotid ultrasound, and blood tests, all of which were normal. The doctor prescribed Diphenidol 25 mg,...
Dr. Gao Chunde Reply:
Dizziness upon standing is quite common among the elderly. In addition to vestibular dysfunction, it is important to pay attention to orthostatic hypotension, especially in patients with diabetes or Parkinson's disease, as their autonomic nervous system responses are slower....[Read More] Understanding Dizziness: Connection to Diabetes and Hypertension
Understanding ALS: Dexpramipexole's Journey to Market in Taiwan
Motor neuron disease Hello, doctor. My father was recently diagnosed with motor neuron disease, which has been a significant blow to us. However, I saw online that Dexpramipexole has passed phase three clinical trials. Could you please tell me how long it typically takes for a dr...
Dr. Gao Chunde Reply:
This is a new drug that, if it passes the Phase III clinical trials, should be used soon. However, it is still uncertain when it will be available in Taiwan and whether it will be covered by health insurance after its launch. This drug, like Riluzole currently used in Taiwan for ...[Read More] Understanding ALS: Dexpramipexole's Journey to Market in Taiwan
Alternative Treatments and Causes of Parkinson's Disease Beyond Medications
Parkinson's disease In addition to medication management, are there other methods for controlling Parkinson's disease? What causes this condition?
Dr. Gao Chunde Reply:
Parkinson's syndrome refers to symptoms such as tremors, rigidity, bradykinesia, and impaired postural reflexes in patients. There are many potential causes, including medications, genetic factors, inflammation, stroke, heavy metals, and infections, all of which can affect t...[Read More] Alternative Treatments and Causes of Parkinson's Disease Beyond Medications
Understanding Persistent Right-Sided Numbness and Tightness Symptoms
Numbness and tightness in the right side of the limbs? Hello, doctor. I would like to ask about my father’s symptoms. He has been experiencing numbness and tightness on the right side of his body from head to toe for over three years. The tightness feels like being bound very tig...
Dr. Ye Boshou Reply:
Hello: To determine if there are symptoms of a stroke or Parkinson's disease, it is necessary to consult a neurologist. Additionally, certain medications may also cause such symptoms, so it is advisable to see a neurologist for an examination first.[Read More] Understanding Persistent Right-Sided Numbness and Tightness Symptoms
Understanding Hallucinations and Self-Talk in Elderly Patients
Soliloquy Hello Doctor, My grandmother is 83 years old and has a history of heart disease and hypertension. Currently, she is experiencing hallucinations, talking to herself, trembling hands, loss of appetite, and weakness in her legs, although she still has sensation (the hall...
Dr. Lan Shengxing Reply:
Hello Ayong, the symptoms mentioned are quite numerous. If we consider the history of heart disease and hypertension, side effects from medications such as hyponatremia and hypokalemia, or complications from diseases such as stroke, could potentially cause similar symptoms. Addit...[Read More] Understanding Hallucinations and Self-Talk in Elderly Patients
Understanding Uncontrollable Head Tremors: Is It Parkinson's Disease?
Head Hello Doctor: I would like to ask, I have been experiencing head shaking since childhood (around the age of 7), but I am not aware of it myself; I only realize it when others point it out. It has continued to this day. I would like to know if this is related to "Parkins...
Dr. Lin Zijing Reply:
This condition may be essential tremor, with half of the cases potentially having a genetic component. Aside from the shaking, there are no other symptoms, and it can persist for many years without change. Treatment primarily involves anxiolytics or medications to reduce heart ra...[Read More] Understanding Uncontrollable Head Tremors: Is It Parkinson's Disease?
Understanding Uncontrollable Head Movements: Is It Parkinson's Disease?
Regarding head issues? Hello doctor, I would like to ask, since I was about 6 years old, I have had involuntary head shaking and movement, which has continued until now at the age of 28. I only became aware of this condition when others pointed it out to me. I would like to know ...
Dr. Ye Boshou Reply:
Hello: The tremors you have experienced since childhood are not symptoms of Parkinson's disease, but they may be indicative of other movement disorders. It is advisable to consult a neurologist for an evaluation, and also to pay attention to any family history of similar con...[Read More] Understanding Uncontrollable Head Movements: Is It Parkinson's Disease?
Is My Head Shaking a Sign of Parkinson's Disease?
My head shakes involuntarily? Hello Dr. Lin, I have recently noticed that when I look down at something, my head gently sways side to side. I only became aware of this condition because others pointed it out to me; I don't feel it happening myself. Could this be a precursor ...
Dr. Lin Zijing Reply:
Generally, this is a type of primary tremor (of unknown cause), with only a small portion being initial symptoms of Parkinson's disease. The tremors associated with Parkinson's disease are typically characterized by unilateral limb tremors occurring at rest, and some in...[Read More] Is My Head Shaking a Sign of Parkinson's Disease?