Understanding Dizziness and Autonomic Nervous System Disorders
Dizziness, autonomic nervous system issues? Hello Doctor, Subject: 1. I experienced several episodes of fainting in early December 2022 after performing 100 sit-ups in a short period as part of my exercise routine. A few days later, while walking on the street, I suddenly lost...
Dr. Jiang Junyi Reply:
Hello Mr. Li: You mentioned experiencing several episodes of syncope while walking, feeling as if you suddenly lost consciousness... Your symptoms are more likely caused by syncope. When cerebral blood flow drops below 30 ml per minute, it can lead to loss of consciousness, usu...[Read More] Understanding Dizziness and Autonomic Nervous System Disorders
Understanding Increased Nerve Pain After Diagnosis: Causes and Treatments
Diagnosis leads to exacerbation of neuropathic pain? Recently, after being diagnosed, the previously occasional neuropathic pain has become frequent, primarily occurring in the abdomen and thighs, both during the day and night (persistent). After taking painkillers, the pain retu...
Dr. Jiang Junyi Reply:
Hello, Ms. Bai: You mentioned that the pain primarily occurs in the abdomen and thighs, is persistent both day and night, and continues after taking pain medication for three to four hours, causing tears. Is this situation common? How should it be assessed and treated? Your sympt...[Read More] Understanding Increased Nerve Pain After Diagnosis: Causes and Treatments
Understanding Neck and Shoulder Sounds: Possible Causes and Concerns
Neck issues? Recently, after taking a shower (bending over to wash my hair) and using the computer, I notice a clicking sound at the junction of my neck and shoulder, approximately at the trapezius muscle area, specifically on the right side. This occurs only in the evening and r...
Dr. Jiang Junyi Reply:
Hello: You mentioned that the "cracking sound at the junction of the neck and shoulders" may indicate cervical joint pathology, primarily due to degeneration of the cervical facet joints or symptoms caused by cervical disc herniation. This is commonly seen in cases of p...[Read More] Understanding Neck and Shoulder Sounds: Possible Causes and Concerns
Post-COVID Weakness: Understanding Neurological Symptoms and Recovery
Weakness in the limbs after diagnosis? Dear Dr. Tsai, During my diagnosis on September 2, I experienced weakness in my limbs, which gradually evolved into weakness only when exerting force. I can normally pick up objects, but I have noticed that when performing fine motor tasks,...
Dr. Cai Zongzhang Reply:
Hello, Miss Jian: The symptoms mentioned above may be indicative of a peripheral neuropathy. It is recommended to consult a neurologist for further evaluation.[Read More] Post-COVID Weakness: Understanding Neurological Symptoms and Recovery
Exploring Neurological Causes of Cold, Numb Feet in Seniors
Foot problems I would like to ask about my mother, who is 65 years old. Since this year, she has been experiencing cold, numb, and tingling sensations in her feet. Her body does not feel cold, but she still needs to wear very thick socks on her feet. She has seen a cardiothoracic...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned experiencing "numbness with a tingling sensation," which may indicate peripheral neuropathy. Common clinical symptoms include: 1. Pain characterized by burning or electric shock sensations. 2. Symptoms that have a specific dermatomal distribu...[Read More] Exploring Neurological Causes of Cold, Numb Feet in Seniors
Managing Peripheral Neuropathy: Medications and Symptoms Explained
Systemic neuropathy Hello Dr. Jiang: I would like to ask, if this is a peripheral nerve issue, what medications should be used for management? After receiving the vaccine last year, the burning sensation in my palms disappeared after about a month, while the burning in my soles l...
Dr. Jiang Junyi Reply:
Hello: You mentioned, "Is taking medications like Lyrica and Topamax, as well as Rivotril, helpful?" Based on clinical experience, the recommendation for neurological disorders is to "start low and go slow." You can begin with a low dose and try one medication...[Read More] Managing Peripheral Neuropathy: Medications and Symptoms Explained
Understanding Paresthesia and Skin Bumps in the Right Leg: Causes and Concerns
Sometimes there are goosebumps on the right foot? Why does my right foot sometimes have goosebumps and a tingling sensation? I have also experienced occasional sharp pain in my right chest; could this indicate a nerve issue or a sign of a potential stroke? Previously, I never exp...
Dr. Jiang Junyi Reply:
Dear Ms. Hui, You mentioned that "after the activity, there was a persistent soreness in the entire right arm until the next day," which may warrant consideration of cervical nerve or peripheral nerve compression issues. Peripheral neuropathy caused by nerve compressio...[Read More] Understanding Paresthesia and Skin Bumps in the Right Leg: Causes and Concerns
Understanding Thumb Weakness: Possible Causes and When to Seek Help
Bilateral soft tissue swelling of the thumbs? Hello Doctor: I have been experiencing a feeling of weakness in the joints of my left thumb at the two phalangeal joints, which occurred intermittently for about a month. The sensation became more pronounced when I pressed on the join...
Dr. Jiang Junyi Reply:
Dear Ms. CH, You mentioned that "the joints of both thumbs near the palm feel weak and soft (not at the joints), lasting for about a week. The weakness is particularly noticeable when the fingers are pointed towards the palm." Your symptoms may suggest the possibility ...[Read More] Understanding Thumb Weakness: Possible Causes and When to Seek Help
Understanding Paresthesia and Skin Bumps in the Right Leg: Causes and Concerns
Sometimes, there are goosebumps on the right foot? Why does my right foot sometimes have goosebumps and a tingling sensation? I have also experienced occasional sharp pain in my right chest; could this indicate a nerve issue or a potential stroke? Previously, I never experienced ...
Dr. Jiang Junyi Reply:
Dear Ms. Hui, You mentioned that "after the activity, my entire right hand felt sore until the next day," which may indicate a potential issue with cervical nerve compression. Peripheral neuropathy caused by nerve compression may present with the following characterist...[Read More] Understanding Paresthesia and Skin Bumps in the Right Leg: Causes and Concerns
Understanding Fainting from Abdominal Pain: Causes and Concerns
Severe abdominal pain leading to fainting? Hello Doctor, I experienced my first episode of severe abdominal pain leading to fainting when I was 21 years old. Now at 23, this has happened five times, approximately every 8-9 months. Before fainting, I only feel intense abdominal pa...
Dr. Jiang Junyi Reply:
Dear Ms. Wenwen, You mentioned experiencing "abdominal pain to the point of fainting." Your symptoms may suggest a consideration of syncope, particularly reflex syncope. The causes experienced by your mother and uncle may differ from yours. The more common causes of re...[Read More] Understanding Fainting from Abdominal Pain: Causes and Concerns
Understanding Numbness and Pain in the Left Thigh: Causes and Solutions
Numbness and pain in the left thigh? Hello, I occasionally experience an involuntary twitching sensation in the skin on the outer side of my left thigh, and it feels somewhat numb. This has been happening for a while. After doing leg exercises at the gym last week, I felt fine, b...
Dr. Jiang Junyi Reply:
Dear Miss Yingzi, You mentioned that "the sensation is somewhat numb. It has been this way for a while. After doing leg exercises at the gym last week, I felt fine, but the next morning I woke up due to continuous sharp pain and numbness on the side of my left thigh. When I...[Read More] Understanding Numbness and Pain in the Left Thigh: Causes and Solutions
Understanding Numbness and Weakness in Limbs: Possible Causes and Solutions
Numbness and even weakness in the limbs? Recently, I started experiencing numbness in both hands that lasted all day. The next day, the numbness in my hands persisted and spread to my legs, along with stiffness and numbness in my right shoulder and neck. On the third day, the num...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that you have a noticeable loss of sensation in the soles of your feet, which may indicate a potential issue with nerve compression. This can occur due to prolonged fixed positions, repetitive movements over time, or excessive training, including situa...[Read More] Understanding Numbness and Weakness in Limbs: Possible Causes and Solutions
Burning Feet: Understanding Causes and Seeking the Right Specialist
Burning sensation in the soles of the feet? I constantly feel a burning sensation in the soles of my feet, and they become sore and weak after standing for a long time. I have consulted many specialties, but no cause has been identified. Could you please advise if there might be ...
Dr. Jiang Junyi Reply:
Dear Ms. Su, You mentioned that you feel a constant burning sensation in the soles of your feet, which is indicative of peripheral neuropathy. Symptoms of peripheral nerve compression include: 1. Pain characterized by burning and tingling sensations. 2. Symptoms that have a spec...[Read More] Burning Feet: Understanding Causes and Seeking the Right Specialist
Burning Feet: Understanding Neurological Causes and Solutions
Burning sensation in the soles of the feet? I constantly feel a burning sensation in the soles of my feet, and they become sore and weak after standing for a long time. I have consulted various specialists, but no cause has been identified. Could you please advise if there might ...
Dr. Jiang Junyi Reply:
Dear Miss Su, You mentioned that "the soles of my feet feel hot all the time," which is a symptom associated with peripheral neuropathy. Symptoms of peripheral nerve compression include: 1. Pain characterized by burning sensations and tingling; 2. Symptoms that have a ...[Read More] Burning Feet: Understanding Neurological Causes and Solutions
Unexplained Leg Swelling and Pain: A Neurological Concern
Unexplained swelling and pain in both legs? Hello doctor, on the night of April 27th this year, I injured the bottom of my left foot on a plug, leaving a wound. I disinfected it and applied ointment, but the next evening, the top of my left foot suddenly swelled up like a hill. M...
Dr. Jiang Junyi Reply:
Dear Ms. Jill, You mentioned that the discomfort was initially localized below the ankle, but it has now extended to the thigh and is painful to the bone. This upward progression of abnormal sensations may suggest chronic polyneuropathy. However, you also noted symptoms of edema...[Read More] Unexplained Leg Swelling and Pain: A Neurological Concern
Understanding Electrical Sensations in the Upper Buttocks: Causes and Insights
It feels like there is an electric current passing through my buttocks? There is a prickling and tingling sensation in the upper left buttock, similar to an electric current, lasting for several seconds each time. It is neither painful nor sore, and daily activities are normal. T...
Dr. Jiang Junyi Reply:
Dear Ms. Yang, You mentioned experiencing a tingling sensation in the upper left buttock, similar to an electric current, lasting for several seconds each time. It is neither painful nor uncomfortable, and your daily life remains normal. Your symptoms may suggest peripheral neur...[Read More] Understanding Electrical Sensations in the Upper Buttocks: Causes and Insights
Understanding Left-Sided Tingling: Possible Neurological Causes
Left-sided paresthesia? Hello, doctor. For the past few days, I've been experiencing mild tingling sensations on my left cheek, left hand, and left foot. Today, when I woke up, my fingers felt particularly sore and tingly. I'm curious about the cause, as there are no is...
Dr. Jiang Junyi Reply:
Dear Miss Cactus, You mentioned that you are experiencing mild tingling sensations in your left face, left hand, and left foot, particularly in your fingers upon waking up today. I would like to know if the area of your facial symptoms extends beyond your chin. Your symptoms may...[Read More] Understanding Left-Sided Tingling: Possible Neurological Causes
Understanding Neurological Symptoms: Seeking Answers for Persistent Discomfort
Struggling for nearly six months? Hello Dr. Jiang, I started experiencing chest tightness and pain in my pectoral muscles last October, accompanied by weakness, shoulder pain, and numbness in my back during certain movements, with a sensation like electric shocks. When I raise my...
Dr. Jiang Junyi Reply:
Dear Mr. Wu, You mentioned "multiple sclerosis," which affects fewer than 5 people per 100,000 in Taiwan, making it a rare disease. The diagnosis of multiple sclerosis is based on clinical history and examinations that reveal multiple lesions in the nervous system. A d...[Read More] Understanding Neurological Symptoms: Seeking Answers for Persistent Discomfort
Joint Pain After COVID-19 Vaccination: Understanding Possible Causes
Joint pain after COVID-19 vaccination? Doctor: Hello, I received my first dose of the AstraZeneca vaccine on July 30, 2021, and my second and third doses of Moderna on October 3, 2021, and March 14, 2022, respectively. I am approximately 50 years old. About 1 to 2 weeks after the...
Dr. Jiang Junyi Reply:
Hello: Your symptoms do not appear to be indicative of Guillain-Barré syndrome, which is formally known as acute inflammatory demyelinating polyneuropathy. It is an acute peripheral neuropathy that may affect the motor, sensory, and autonomic nervous systems of the body. Typical ...[Read More] Joint Pain After COVID-19 Vaccination: Understanding Possible Causes
Understanding Weakness and Numbness in Lower Legs: Causes and Solutions
Weakness in both calves below the knees, sometimes accompanied by numbness? Recently, I underwent a nerve conduction study, which indicated that there was slowed conduction in both legs. The physician provided a diagnosis of polyneuropathy and ordered blood tests, revealing a def...
Dr. Jiang Junyi Reply:
Hello Mr. Lin: You mentioned "polyneuropathy, with blood tests indicating folate deficiency that was supplemented for a while, yet still experiencing weakness. After retesting every three months, results showed normal, but the weakness persists. What could be the underlying ...[Read More] Understanding Weakness and Numbness in Lower Legs: Causes and Solutions