Understanding Numbness and Pain in Limbs: A Neurological Perspective
Numbness in the limbs? Since I woke up last Friday morning (I usually sleep on my left side and mostly sit during work hours), it has been four days. When I walk, I feel pain in my legs, particularly behind my knees, which worsens with bending my legs. The pain is more pronounced...
Dr. Jiang Junyi Reply:
Hello: Based on your description, it may be necessary to consider spinal-related diseases. Excessive force during neck rotation and other external factors may lead to cervical instability, dislocation, and cervical disc herniation. Typical symptoms of lumbar nerve root pathology ...[Read More] Understanding Numbness and Pain in Limbs: A Neurological Perspective
Numbness in the Left Foot: Is It Related to a Cold?
Numbness in the dorsal aspect of the left foot? Numbness in the dorsum of the left foot is experienced only when touched or when water from a shower hits the area, with no numbness in other regions. This sensation appeared suddenly without any external injury and has persisted fo...
Dr. Jiang Junyi Reply:
Hello: If your symptoms are localized to the same area and do not extend upward, you should consider the possibility of local nerve compression. However, if you experience bilateral upward radiating numbness and weakness, you may need to consider acute demyelinating polyneuropath...[Read More] Numbness in the Left Foot: Is It Related to a Cold?
Understanding Upper Body Numbness: Causes and When to Seek Help
Numbness in the upper body? Hello doctor, last night while sitting, I suddenly experienced numbness that radiated from my spine in the back of my chest to my hands and the muscles in my face below my eyes. During the numbness, both my hands and face were able to move freely, but ...
Dr. Jiang Junyi Reply:
Hello: The symptoms you mentioned are more indicative of hyperventilation syndrome. Hyperventilation can lead to a decrease in carbon dioxide levels in the blood, resulting in "respiratory alkalosis," which can cause systemic reactions and symptoms. Common manifestation...[Read More] Understanding Upper Body Numbness: Causes and When to Seek Help
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
Post-ICU Challenges: Diabetes and Swallowing Difficulties Explained
After being weaned off the ventilator in the intensive care unit, the patient with diabetes is experiencing difficulty swallowing and lacks voluntary motor control? Hello Doctor, My father was hospitalized in January 2018 due to diabetic ketoacidosis (with a hemoglobin A1c of 1...
Dr. Hong Weibin Reply:
Your father may be suffering from Critical Illness Polyneuropathy, but it is also possible that his condition is due to poorly controlled diabetes leading to Diabetic Polyneuropathy. Additionally, one should be cautious about the possibility of neuromuscular junction disorders or...[Read More] Post-ICU Challenges: Diabetes and Swallowing Difficulties Explained
Challenges in Recovery: Swallowing and Mobility Issues Post-Diabetes ICU Stay
After being weaned off the ventilator in the intensive care unit, the patient with diabetes is experiencing difficulty swallowing and lack of voluntary movement? Hello Doctor, my father was hospitalized in January 2018 due to diabetic ketoacidosis (HbA1c 14). A few days later, he...
Dr. Hong Weibin Reply:
Your father may be suffering from Critical Illness Polyneuropathy, but it is also possible that he has Diabetic Polyneuropathy due to poor diabetes control. Additionally, it is important to be cautious about potential neuromuscular junction diseases or certain autoimmune diseases...[Read More] Challenges in Recovery: Swallowing and Mobility Issues Post-Diabetes ICU Stay
Challenges in Recovery: Swallowing and Mobility Issues Post-Diabetes ICU Care
After being admitted to the intensive care unit for diabetes and extubated from the ventilator, the patient is unable to swallow and lacks voluntary movement? Hello Doctor, My father was hospitalized in January 2018 due to diabetic ketoacidosis (HbA1c 14). A few days later, he ...
Dr. Hong Weibin Reply:
Your father may be suffering from Critical Illness Polyneuropathy, but it is also possible that he has Diabetic Polyneuropathy due to poorly controlled diabetes. Additionally, it is important to be cautious about potential neuromuscular junction disorders or certain autoimmune di...[Read More] Challenges in Recovery: Swallowing and Mobility Issues Post-Diabetes ICU Care
Is It Panic Disorder or Autonomic Nervous System Dysfunction?
Am I experiencing panic disorder or autonomic nervous system dysregulation? Last week, after bingeing on spicy hot pot, I experienced dry mouth and throat, followed by two days of diarrhea. Concerned about my symptoms, I researched possible causes, and since then, my appetite has...
Dr. Hong Weibin Reply:
Your symptoms are quite complex; in addition to diarrhea, you also have numbness in your hands and feet. You should be cautious about the possibility of acute inflammatory demyelinating polyneuropathy (Guillain-Barré syndrome). It is advisable to seek medical assistance directly ...[Read More] Is It Panic Disorder or Autonomic Nervous System Dysfunction?
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 Dizziness and Numbness: When to Seek Neurological Care
Symptoms such as dizziness and numbness in the hands? Hello Doctor: In the past week, I have often felt a sensation of pressure in my head after walking just a few steps. My eyes, temples, neck, and throat feel very tight, and my legs feel light while walking. This sensation last...
Dr. Yang Shenggong Reply:
Based on your description, your issue seems to be dizziness characterized by a sensation of heaviness in the head and lightness in the feet, accompanied by cold and numbness in the limbs. These symptoms have been intermittent over the past week. Possible causes include: 1. Anemia...[Read More] Understanding Dizziness and Numbness: When to Seek Neurological Care
Progressive Asymmetrical Numbness and Weakness in Hands and Feet
Progressive numbness and weakness with asymmetry in the limbs? The mother is 51 years old and has been experiencing numbness and weakness in her fingers and toes for the past month. Initially, the symptoms were limited to the tips of her fingers, but this month they have progress...
Dr. Gao Chunde Reply:
Peripheral neuropathy is progressing quite rapidly, especially in terms of weakness. It is recommended to seek further detailed examination at a major hospital's neurology department as soon as possible. If the progression is too fast, hospitalization may be necessary, but t...[Read More] Progressive Asymmetrical Numbness and Weakness in Hands and Feet
Understanding Nerve Damage: Causes of Tingling and Weakness in Limbs
Mild numbness in the hands and feet to complete numbness in the limbs? Hello Doctor: I have been experiencing mild numbness in some of my fingers since the Lunar New Year, which later progressed to a tingling sensation in all my fingers and toes. At times, my entire palms and sol...
Dr. Huang Yingzhe Reply:
Dear Dr. Huang Ying-Che from the Neurology Department of Tainan Hospital, Executive Yuan Health Department: Hello, Based on your age (31 years old) and the symptoms of numbness in your limbs, it appears to be more indicative of polyneuropathy. However, further inquiry into your...[Read More] Understanding Nerve Damage: Causes of Tingling and Weakness in Limbs
Understanding Diabetic Peripheral Neuropathy: Symptoms, Treatment, and Family Links
Diabetic peripheral neuropathy Hello Doctor: My father has a history of diabetes for 11 years. Last year, he experienced numbness and pain in his limbs, sometimes feeling numb all over. He visited the neurology department at Taichung Veterans General Hospital, where he was diagno...
Dr. Lin Zijing Reply:
1. Does diabetic peripheral neuropathy cause severe pain and numbness throughout the body? Answer: It mostly causes numbness and pain in the extremities, with a small portion experiencing pain in a single nerve. 2. Can the numbness and pain from diabetic peripheral neuropathy ...[Read More] Understanding Diabetic Peripheral Neuropathy: Symptoms, Treatment, and Family Links
Rehabilitation for CIDP: Do Patients Really Need It?
Rehabilitation for CIDP (Chronic Inflammatory Demyelinating Polyneuropathy Hello Dr. Lin, I have previously asked you several questions about CIDP, and I appreciate your detailed responses. I have another question to ask you: Do patients with CIDP usually need rehabilitation? My ...
Dr. Lin Zijing Reply:
Rehabilitation is typically designed to address movements necessary for daily activities or work-related tasks, so the extent of muscle weakness caused by CIDP (Chronic Inflammatory Demyelinating Polyneuropathy) should be assessed to tailor the rehabilitation exercises. If there ...[Read More] Rehabilitation for CIDP: Do Patients Really Need It?
Understanding CIDP: Recovery Rates, Relapse Risks, and Treatment Insights
Issues related to CIDP (Chronic Inflammatory Demyelinating Polyneu Dr. Lin, thank you for your response. I would like to ask about the general prognosis for patients with Chronic Inflammatory Demyelinating Polyneuropathy (CIDP). What is the likelihood of recovery? Is it possible ...
Dr. Lin Zijing Reply:
There are some case reports of complete recovery, but no statistical data. The treatment options are as follows: 1. If muscle strength is only mildly affected and does not impact daily life, observation is sufficient. 2. If muscle strength rapidly deteriorates to the point of dif...[Read More] Understanding CIDP: Recovery Rates, Relapse Risks, and Treatment Insights
Understanding CIDP: Treatment Options and Recovery Expectations
Chronic Inflammatory Dem Hello Dr. Lin, my friend (27 years old) sought medical attention a year ago due to muscle paralysis and weakness, and was diagnosed with Guillain-Barré Syndrome (GBS). He received one infusion of IVIg, which provided slight improvement, but after half a m...
Dr. Lin Zijing Reply:
Hello: The course of Chronic Inflammatory Demyelinating Polyneuropathy (CIDP) is slower and more prone to relapse compared to Acute Inflammatory Demyelinating Polyneuropathy (AIDP, also known as Guillain-Barré Syndrome). Some patients experience intermittent episodes, while other...[Read More] Understanding CIDP: Treatment Options and Recovery Expectations
Understanding Guillain-Barré Syndrome: Recurrence of Symptoms and Treatment Options
Still related to questions about Guillain-Barré Syndrome? Dear Dr. Yeh, thank you very much for your assistance! I apologize for bothering you again with more questions. My friend was diagnosed with Guillain-Barré Syndrome (GBS) and received IVIG treatment. After the injection, t...
Dr. Ye Boshou Reply:
Hello: 1. IVIG is effective during acute episodes, but it is no longer necessary after five months. 2. The definition of CIDP is chronic; your friend currently has residual effects from a single episode that require rehabilitation, which will likely improve gradually. CIDP is cha...[Read More] Understanding Guillain-Barré Syndrome: Recurrence of Symptoms and Treatment Options
Understanding Nerve Issues: When Numbness and Weakness Signal Trouble
Regarding numbness in the hands and feet? Dear Doctor, My father started experiencing numbness in his hands and feet on February 10th, which gradually progressed to weakness in his legs. By February 15th, he had difficulty walking, and by February 20th, he was almost unable to w...
Dr. Ye Boshou Reply:
Hello: Based on the symptoms you described, the progression of the condition is rapid, which suggests it is likely not amyotrophic lateral sclerosis (ALS). It may be necessary to consider acute inflammatory demyelinating polyneuropathy. I recommend that you seek further evaluatio...[Read More] Understanding Nerve Issues: When Numbness and Weakness Signal Trouble
Is There a Link Between Isopropanol Exposure and Facial Nerve Paralysis?
Is there a correlation between isopropyl alcohol and facial nerve paralysis? Hello Dr. Yeh: I went to the hospital for an examination today and was indeed diagnosed with facial nerve paralysis. I would like to ask you if there is any correlation between facial nerve paralysis and...
Dr. Ye Boshou Reply:
Mr. Pisces: Facial nerve paralysis is unlikely to be related to chemical poisoning. Generally, chemical substances that cause neuropathy tend to result in polyneuropathy, with symptoms such as paralysis in the extremities. Have you noticed any improvement in your nerve paralysis?...[Read More] Is There a Link Between Isopropanol Exposure and Facial Nerve Paralysis?
Understanding Polyneuropathy: What Does Your Nerve Conduction Test Mean?
Multiple neuropathies Doctor, I underwent a nerve conduction study, and the results showed that my conduction velocity is less than half of the normal range. The doctor was vague in her explanation and wrote "polyneuropathy" in my medical record. I have already made an ...
Dr. Lai Lunxiang Reply:
Nerve conduction studies can assess various nerves in different areas of the body. Your question is unclear; please describe your symptoms in detail so that I can provide information on which nerve conduction studies may be appropriate. Please elaborate further before asking.[Read More] Understanding Polyneuropathy: What Does Your Nerve Conduction Test Mean?