Early Signs of ALS: How to Assess Your Symptoms Effectively
Is there a simple preliminary assessment to determine if someone has amyotrophic lateral sclerosis (ALS)? Hello, currently I am experiencing weakness in my right hand fingers, but I am not yet unable to use chopsticks, button shirts, or use keys as mentioned online. However, I do...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms are more indicative of peripheral neuropathy. For example, if it is ulnar nerve neuropathy, resting your elbow on a hard surface or applying pressure to the elbow can likely cause ulnar nerve compression, such as when using a comput...[Read More] Early Signs of ALS: How to Assess Your Symptoms Effectively
Understanding Sudden Dizziness and Anxiety: Possible Causes Explained
I would like to know what causes these symptoms? Tonight, I suddenly feel very dizzy and have a heavy sensation in my head, but I don't have any cold symptoms (no cough, no sore throat, etc.). Along with the dizziness, I also suddenly feel very cold, my scalp is tingling, an...
Dr. Jiang Junyi Reply:
Based on your description: First, it is important to consider the symptoms of syncope, with the most common causes being reflex syncope. This can occur due to excessive stimulation of the vagus nerve, leading to bradycardia and decreased cardiac output. Other triggers may include...[Read More] Understanding Sudden Dizziness and Anxiety: Possible Causes Explained
Understanding Fainting After Abdominal Pain: Causes and When to Seek Help
Fainting after experiencing abdominal pain? Last night, I suddenly experienced abdominal pain and got up to go to the bathroom (I have been eating spicier foods these past few days). After walking just a few steps, I fainted. When I regained consciousness, I found myself sitting ...
Dr. Jiang Junyi Reply:
Based on your description: First, it is important to consider the symptoms of syncope, with the most common causes being reflex syncope. This can occur due to excessive stimulation of the vagus nerve, leading to bradycardia and decreased cardiac output. Other triggers include tra...[Read More] Understanding Fainting After Abdominal Pain: Causes and When to Seek Help
Understanding Hand and Foot Numbness: When to Seek Neurology Help
The ring finger of the right hand cannot be straightened upon waking up in the morning? Hello Dr. Jiang, I have two questions I would like to ask: 1. My right ring finger is in a clenched position when I wake up in the morning and I cannot straighten it. I use my left hand to h...
Dr. Jiang Junyi Reply:
Hello: The first issue you raised concerns "trigger finger." It is generally believed that repetitive and forceful use of the fingers over a long period can lead to tendon and tendon sheath injuries, swelling, and poor blood circulation. If there is frequent exposure to...[Read More] Understanding Hand and Foot Numbness: When to Seek Neurology Help
Understanding Serum Protein Electrophoresis: Resolving M-Spike Discrepancies
Serum protein electrophoresis analysis Hello, I have been experiencing a tingling sensation in my hands and feet (similar to wearing gloves and socks) and sought medical attention at two different healthcare institutions. Among the tests performed, the serum protein electrophores...
Dr. Jiang Junyi Reply:
Hello: M protein is typically used for classification testing in multiple myeloma. The symptoms you mentioned, such as numbness and tingling in the hands and feet (like gloves and socks), may still warrant consideration of peripheral neuropathy. Generally, a nerve conduction stud...[Read More] Understanding Serum Protein Electrophoresis: Resolving M-Spike Discrepancies
Assessing Fatigue and Balance Issues in an 85-Year-Old: Possible Neurological Concerns
An 85-year-old father experiences easy fatigue, unsteady gait with shuffling steps, and nighttime finger numbness. His physical strength has declined significantly over the past six months. What kind of examinations should be conducted? An 85-year-old father has experienced a sta...
Dr. Jiang Junyi Reply:
Hello, Your father, due to his advanced age, is experiencing several degenerative diseases. First, I would like to correct the medications you mentioned. They should be GENIQUIN for dry syndrome and NOOTROPIL for cerebral white matter issues. You noted that over the past six mo...[Read More] Assessing Fatigue and Balance Issues in an 85-Year-Old: Possible Neurological Concerns
Persistent Dizziness for Over a Month: Understanding Vestibular Neuritis
Dizziness for over a month? On the evening of August 25th, I experienced a bout of dizziness that nearly caused me to faint. I went to the emergency room for a blood test, which showed no significant issues. It might have been due to lack of sleep. A few days later, I visited a c...
Dr. Jiang Junyi Reply:
Based on your description: Hello, you mentioned experiencing near-fainting episodes. In addition to dizziness, it may be necessary to consider syncope. First, we should evaluate the symptoms of syncope, with the most common causes being reflex syncope: excessive stimulation of th...[Read More] Persistent Dizziness for Over a Month: Understanding Vestibular Neuritis
Unexplained Body Aches: Could Sleep Issues Be the Cause?
Unexplained body aches and pain? Hello Doctor, I would like to ask about something. Yesterday, I wore my sports bra all day due to exercising (I usually exercise every two days, and this has been a long-standing habit). After returning home and taking it off, I felt soreness all ...
Dr. Jiang Junyi Reply:
Hello: The symptoms you mentioned are medically referred to as hypersensitivity, which is usually associated with peripheral nerve pathology. However, in women, if such occurrences are frequent, fibromyalgia should be considered. The pathophysiology of fibromyalgia is generally b...[Read More] Unexplained Body Aches: Could Sleep Issues Be the Cause?
Understanding Body Tingling: Possible Causes and Recommendations
Tingling sensation in the body? Hello Doctor, about a month ago I suddenly felt a tingling sensation all over my body, without a specific area, almost like it was moving around. I even experienced tingling in my face and head. For a period of time, I often had palpitations and ch...
Dr. Jiang Junyi Reply:
Hello: Your symptoms appear at the extremities, which may suggest a deficiency in B vitamins or abnormal electrolyte levels causing peripheral neuropathy. Clinically, many conditions can lead to hyperventilation, including sepsis, significant blood loss, hypoxia, and acute myocar...[Read More] Understanding Body Tingling: Possible Causes and Recommendations
Why Standing Up Too Quickly Can Cause Dizziness: A Neurology Perspective
Feeling dizzy when standing up from a seated position? At the end of May, while I was on guard duty, I accidentally stubbed my toe when opening the camp gate. My toe hurt but it wasn't serious, so I returned to my post to continue my duty. Suddenly, I started feeling dizzy, ...
Dr. Jiang Junyi Reply:
Hello: Based on your description, the first consideration for the cause of fainting should be the symptoms of syncope. The most common causes are reflex syncope, which can occur due to excessive stimulation of the vagus nerve, leading to bradycardia and decreased cardiac output. ...[Read More] Why Standing Up Too Quickly Can Cause Dizziness: A Neurology Perspective
Can Amputation Relieve Pain from Peripheral Neuropathy After Stroke?
Peripheral neuropathy after stroke? My mother is 77 years old and after a minor stroke in September 2016, she began experiencing swelling and numbness in her right foot, which was diagnosed as peripheral neuropathy. Any medications or treatments have only worsened her condition, ...
Dr. Jiang Junyi Reply:
Hello: I would like to know if your mother has a history of hypertension, diabetes, or tumors. There are many potential causes of lower limb pain, such as venous insufficiency, nerve root compression due to herniated discs, peripheral artery disease, and diabetes, among others. B...[Read More] Can Amputation Relieve Pain from Peripheral Neuropathy After Stroke?
Understanding Recurrent Nausea and Dizziness: A Neurology Perspective
請提供您想詢問的內容，我將為您翻譯 Hello, doctor. When I was in sixth grade, I suddenly woke up feeling nauseous while sleeping. I immediately ran to the bathroom, feeling like I needed to vomit, but I couldn't. I experienced tinnitus, my vision became very bright and blurry, my limbs felt w...
Dr. Jiang Junyi Reply:
Based on your description: First, it is important to consider the symptoms of syncope, with the most common causes being reflex syncope. This can occur due to excessive stimulation of the vagus nerve, leading to bradycardia and decreased cardiac output. Other triggers include pos...[Read More] Understanding Recurrent Nausea and Dizziness: A Neurology Perspective
Understanding Loss of Sensation in Skin After Flea Bites
Loss of sensation in the skin? Recently, I have many wounds on my foot from flea bites, but the wounds are about to heal. I am still applying medication because I am afraid of cellulitis. However, while applying the medication, I noticed that the skin near the flea bites is compl...
Dr. Jiang Junyi Reply:
Hello, your symptoms may suggest peripheral neuropathy, which is generally categorized into motor and sensory types, each presenting with various symptoms. Sensory nerve disorders can cause numbness in the hands and feet (especially at the tips), which may feel like tingling, cra...[Read More] Understanding Loss of Sensation in Skin After Flea Bites
Understanding Loss of Sensation in Skin After Flea Bites
Loss of sensation in the skin? Recently, I have many wounds on my foot from flea bites, but the wounds are about to heal. I am still applying medication because I am afraid of cellulitis. However, while applying the medication, I noticed that the skin near the flea bite sites is ...
Dr. Jiang Junyi Reply:
Hello, your symptoms may suggest peripheral neuropathy, which is generally categorized into motor and sensory types, each presenting with various symptoms. Sensory nerve disorders can cause tingling or numbness in the hands and feet, particularly at the tips, and may feel like pi...[Read More] Understanding Loss of Sensation in Skin After Flea Bites
Head Injury from Volleyball: Understanding Symptoms and Recovery
I got hit on the head by a volleyball during gym class? On May 2nd, during physical education class while practicing volleyball at around 1 or 2 PM, I was hit on the right side of my head by someone else's spike. I took a nap in the classroom around 3 PM and woke up at 5 PM ...
Dr. Jiang Junyi Reply:
Hello: For head trauma, if the following conditions or medical history are present, more serious injuries should be considered, such as: – Vomiting two or more times – Drug or alcohol overdose – Persistent severe diffuse headache – Loss of consciousness for more than 30 minutes –...[Read More] Head Injury from Volleyball: Understanding Symptoms and Recovery
Understanding Numbness in Hands and Feet: Causes and Concerns
Numbness in the palms and soles? About two weeks ago, I experienced numbness in my fingers and toes (both hands and feet). It was more pronounced when lying down or sitting, but not when standing. A few days later, the symptoms disappeared, but this week they have returned, exten...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to first consider hyperventilation syndrome. The typical symptoms include chest tightness, chest pain, palpitations, shortness of breath, and numbness in the hands and feet, as well as scalp tingling. Physical examination may ...[Read More] Understanding Numbness in Hands and Feet: Causes and Concerns
Understanding Post-Concussion Symptoms: When to Seek Medical Help
Dizziness, headache, weakness in the limbs, and a lightheaded feeling..? On December 17, I was hit on the head by a friend, resulting in swelling and bruising on my forehead. After some time, I began to experience headaches and dizziness. When I went to the emergency room, the do...
Dr. Jiang Junyi Reply:
Based on your description: First, it is important to consider the symptoms of syncope, with the most common causes being reflex syncope: excessive stimulation of the vagus nerve, which leads to bradycardia and decreased cardiac output. This can occur when transitioning from a sup...[Read More] Understanding Post-Concussion Symptoms: When to Seek Medical Help
Can Antibiotics Cause Peripheral Neuropathy? Symptoms and Treatment Options
Peripheral neuropathy? Doctor: Hello, may I ask if antibiotics (such as Levofloxacin) can potentially cause peripheral neuropathy? If it does occur, what relief and treatment options are available? I have experienced peripheral neuropathy after taking antibiotics for an extended ...
Dr. Jiang Junyi Reply:
Hello, based on your description, your report mentions polyneuropathy, but cervical radiculopathy cannot be ruled out. There are many potential causes, and in addition to medications, some internal diseases such as diabetes can also lead to neuropathy. I recommend that you consul...[Read More] Can Antibiotics Cause Peripheral Neuropathy? Symptoms and Treatment Options
Understanding Finger Numbness: Causes and When to Seek Help
Numbness in the fingertips? Previously, I only experienced numbness at the tips of my fingers during winter, and it was only at the front part, not the entire finger, affecting almost every finger. At that time, I thought it was just due to the cold weather. However, it has start...
Dr. Gao Chunde Reply:
At this age, common issues include poor circulation or carpal tunnel syndrome. As for other hereditary or specific causes of peripheral neuropathy, a physician should personally conduct an interview and examination to determine the underlying reasons.[Read More] Understanding Finger Numbness: Causes and When to Seek Help
Understanding Limb Numbness: When to Seek Medical Attention
Numbness in the limbs? Hello Doctor, I would like to ask about the issue of limb numbness. Recently, over the past month or two, I have noticed that my limbs easily become numb, but there is no pain, and it is limited to the palms of my hands and the soles of my feet. The numbnes...
Dr. Gao Chunde Reply:
The most common manifestation of peripheral neuropathy is a sensation resembling wearing gloves or socks, characterized by numbness or tingling that gradually worsens and then spreads proximally. If you are experiencing such symptoms, it is necessary to undergo a neurological exa...[Read More] Understanding Limb Numbness: When to Seek Medical Attention