Understanding Dizziness and Confusion: When to Seek Neurological Help
Dizziness and a feeling of mental confusion? Around July 28, I started experiencing a feeling of pressure on the top of my head and intermittent nausea in my forehead. My shoulders and neck initially felt very tight, and I could hear sounds when I moved them. I also experienced i...
Dr. Hong Weibin Reply:
Hello: Based on your description, it is possible that you have been experiencing high levels of stress and poor sleep quality recently. I recommend that you take some time to rest and relax both your body and mind. If the situation persists, you may want to seek assistance from a...[Read More] Understanding Dizziness and Confusion: When to Seek Neurological Help
Understanding Numbness and Weakness: When to See a Neurologist
Numbness in both hands, toes, and scalp? Hello doctor, my situation is as follows: at the beginning of July, while stretching during breaks at work, I experienced dizziness and numbness in the third and fourth toes of my right foot for more than ten minutes. Then, two weeks later...
Dr. Jiang Junyi Reply:
Hello Mr. Lin: You mentioned that "suddenly both hands' fingers, or only the fingers of the right hand, experience a tingling sensation that extends to about ten centimeters into the palm, lasting approximately 10 to 30 minutes." This may indicate a potential issue...[Read More] Understanding Numbness and Weakness: When to See a Neurologist
Understanding Sharp and Throbbing Head Pain: Possible Causes and Insights
Sharp and throbbing pain in the head? Hello, Dr. Jiang. Recently, I've been experiencing occasional sharp and throbbing pain in the upper left side of my head over the past two days. Each episode lasts about a second. When I press on a specific point, I feel the same pain (s...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "pressing on a certain point also causes the same pain." It is important to first consider the possibility of tissue inflammation, particularly related to cervical myofascial inflammation. Additionally, tension-type headache should be cons...[Read More] Understanding Sharp and Throbbing Head Pain: Possible Causes and Insights
Understanding Persistent Headaches: Causes and When to Seek Help
Headache issues Hello Doctor: I have been experiencing headaches for about a month now, without interruption. Initially, over-the-counter pain relievers were ineffective. The pain is located between the back of my head and the top, generally towards the upper left side, and it fe...
Dr. Jiang Junyi Reply:
Dear Ms. Hsin, You mentioned that "the headache has been persistent for about a month without interruption." Your symptoms may suggest chronic migraine, characterized by experiencing migraine on more than 15 days per month, with varying severity. This condition can eas...[Read More] Understanding Persistent Headaches: Causes and When to Seek Help
Understanding Eye Twitching and Facial Discomfort: Possible Causes and Solutions
After the twitching of the lower right eyelid, my face feels strange? Hello doctor, about four or five days ago, my right lower eyelid twitched for 2-3 days intermittently. Yesterday, the eyelid stopped twitching, but I felt some tightness in the area of my right cheekbone. Today...
Dr. Jiang Junyi Reply:
Dear Miss CC, You mentioned that "the apple of my right cheek feels a bit tight..." Have you looked in the mirror? Is there any asymmetry? Issues with the cervical spine typically manifest near the area behind the ear. If the symptoms persist, I recommend visiting a ne...[Read More] Understanding Eye Twitching and Facial Discomfort: Possible Causes and Solutions
Understanding Unpredictable Head Pain: Causes and Solutions
Intermittent head pain? Hello Doctor, about two weeks ago, I started experiencing a mild pain at the top of my head. The next day, I began to feel intermittent pain throughout my entire head, even extending to the eye sockets, and I also had a stiff sensation in my neck. I later ...
Dr. Jiang Junyi Reply:
Hello Mr. Huang: You mentioned that "the symptoms in the forehead and brow ridge are more pronounced" and also noted that "exercising more and massaging the neck, along with the topical medication you prescribed, have provided some improvement." It may be nece...[Read More] Understanding Unpredictable Head Pain: Causes and Solutions
Sudden Sharp Pain in Right Forehead: Possible Causes and Concerns
Sudden piercing pain in the right forehead radiating backward? I first told the doctor that my occupation is a daytime security guard. I am overweight, weighing approximately 120 kg and standing 173 cm tall. Currently, I have not been diagnosed with any chronic diseases. However,...
Dr. Cai Zongzhang Reply:
Hello Allen: The symptoms mentioned are not related to a stroke. If the symptoms persist, it is recommended to visit a neurology outpatient clinic.[Read More] Sudden Sharp Pain in Right Forehead: Possible Causes and Concerns
Understanding Unilateral Tremors: Causes and Solutions for Neurological Issues
Unilateral tremor Hello, I recently experienced insomnia and hand tremors due to exam stress. I thought it was just because I was too anxious, but now that the exams are over, I find myself excessively sleepy, sleeping more than 12 hours a day. When I write, I have difficulty hol...
Dr. Cai Zongzhang Reply:
Hello Ms. Hsiao: Anxiety and lack of sleep can both trigger hand tremors. If there is no improvement after adequate rest, it is recommended to visit a neurology outpatient clinic.[Read More] Understanding Unilateral Tremors: Causes and Solutions for Neurological Issues
Struggling with Sleep: Understanding Restless Legs and Anxiety
I've been having trouble sleeping lately? A few days ago, I suddenly couldn't sleep at night. I kept kicking my legs in bed and got up to walk around several times. I felt easily irritable, and no matter how hard I tried, my mind kept wandering, making it impossible to ...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to visit the neurology outpatient clinic for an examination.[Read More] Struggling with Sleep: Understanding Restless Legs and Anxiety
Understanding Unexplained Body Pain: A Guide for Teens
Unexplained tingling sensations throughout the body? Hello, doctor. I am currently a high school student, but I often experience unexplained pain or cramps throughout my body, with the chest and abdomen being the most frequent areas. Sometimes the pain subsides in a few seconds, ...
Dr. Jiang Junyi Reply:
Hello Mr. Paul, You mentioned that you occasionally feel a tightness in your chest and experience shortness of breath, as well as episodes of unexplained stiffness and immobility in your limbs. These symptoms may be related to hyperventilation, which can lead to decreased carbon...[Read More] Understanding Unexplained Body Pain: A Guide for Teens
Involuntary Muscle Twitches in the Inner Left Foot: When to Seek Help?
Involuntary muscle twitching on the inner side of the left foot? The inner side of my left foot has been twitching involuntarily, and sometimes the big toe also twitches along with it. This condition persisted for an entire day the day before yesterday, and since then it has not ...
Dr. Hong Weibin Reply:
Hello: The muscles in the body are controlled by nerves, which function like electrical wires, transmitting signals to control muscle movements. However, just as electrical wires can occasionally experience leakage due to external factors like temperature and humidity, muscles ma...[Read More] Involuntary Muscle Twitches in the Inner Left Foot: When to Seek Help?
Understanding Muscle Cramps in Fingers During Daily Activities
The issue of experiencing cramps in the fingers while working with them in a bent position? In the past month, I have experienced muscle cramps in my fingers when using a toothbrush to brush my teeth, and also while washing dishes. Using dental floss causes even more severe cramp...
Dr. Jiang Junyi Reply:
Hello Mr. Kuo, You mentioned that your toes sometimes cramp during movement, and that most of the time, cramps occur when your fingers are bent or in use. Recently, you have been taking Prednisolone 5 mg for asthma treatment for about a month. Cramps are typically caused by musc...[Read More] Understanding Muscle Cramps in Fingers During Daily Activities
Understanding Persistent Pain in the Left Back of the Head: When to Seek Help
Recently, I have been experiencing pain in the left occipital region? Hello, doctor. Recently, I've been experiencing pain in the left back of my head. At first, it didn't affect my daily life and I occasionally didn't feel it, but over the past few days, the pain ...
Dr. Jiang Junyi Reply:
Dear Ms. Wu, You mentioned that "the pain feels like a sharp sensation, and the intensity is increasing. I have tried gentle massage... Does heavy smartphone usage have an impact?" It is important to first consider the possibility of myofascial inflammation around the ...[Read More] Understanding Persistent Pain in the Left Back of the Head: When to Seek Help
Understanding Tension Headaches: When to Consider MRI and Specialist Care
Tightness in the temples (EEG examination) Hello, Dr. Jiang. Thank you for your response in January (copied below). After your reply, I visited a nearby hospital (neurology department) and had an EEG, which came back normal. I asked the doctor if an MRI was necessary, and he said...
Dr. Jiang Junyi Reply:
Hello Mr. William, You mentioned, "If the EEG is normal, is there still a need for an MRI?" Due to health insurance limitations, typically when there are suspected structural abnormalities in the brain, an MRI can be requested under health insurance. Abnormal EEG findi...[Read More] Understanding Tension Headaches: When to Consider MRI and Specialist Care
Is Your Itchy Sensation a Sign of Restless Legs Syndrome?
Itching in the muscles could be a symptom of Restless Legs Syndrome (RLS), but it is important to consider other potential causes as well. RLS is characterized by an uncontrollable urge to move the legs, often accompanied by uncomfortable sensations. If you are experiencing persi...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "I can't even reach the itchy spot, and later discovered that the itch is deep inside." If it is an allergy, it could potentially be systemic. However, if your symptoms are localized to specific areas of nerve distribution, peripheral...[Read More] Is Your Itchy Sensation a Sign of Restless Legs Syndrome?
Understanding Persistent Headaches: Causes and When to Seek Help
Persistent headache Hello doctor, I have been experiencing persistent headaches since May 31, and they continue to occur even now. Although there are times when I feel some relief, there is always a strange sensation. The headaches are continuous, but the intensity does not feel ...
Dr. Cai Zongzhang Reply:
Hello: There are many causes of headaches, most of which are not due to tumors. If the headache persists, it is recommended to continue evaluations in a neurology outpatient clinic.[Read More] Understanding Persistent Headaches: Causes and When to Seek Help
Seeking Medical Guidance for Involuntary Movement Disorders
Please advise on the medical approach for involuntary movements? Hello Doctor, my mother is 69 years old and has been experiencing involuntary movements in her left leg since around July of last year. Initially, she would only have a few shakes during specific times in the evenin...
Dr. Jiang Junyi Reply:
Hello: You mentioned "significant weight loss and muscle fat reduction (about 52 kg last July, now approximately 46 kg), which have been ongoing issues that have not truly improved despite intermittent consultations." The decrease in mobility has led to a vicious cycle ...[Read More] Seeking Medical Guidance for Involuntary Movement Disorders
Managing Post-Stroke Pain and Rehabilitation Challenges: Expert Advice Needed
Please provide information regarding the sequelae of stroke? Hello Doctor: My family member had a stroke in the right hemisphere three years ago. After rehabilitation, he was able to walk normally, but he has reduced function in his left upper limb. In April, he suffered a stroke...
Dr. Jiang Junyi Reply:
Hello: You mentioned experiencing "pain in the right lower limb upon waking during the day, with muscle tightness in the leg and toes splayed. Massage and stretching can provide relief, but the pain recurs shortly after." This symptom may suggest lower limb muscle cramp...[Read More] Managing Post-Stroke Pain and Rehabilitation Challenges: Expert Advice Needed
Understanding Periodic Body Jerks During Sleep: A Neurological Insight
Rhythmic twitching of various body parts during sleep? Hello, doctor. I am a 28-year-old female, 160 cm tall and weighing 43 kg. I am a "sleep-onset" type. My partner has informed me that while I am asleep, my body exhibits rhythmic shaking or twitching, which feels lik...
Dr. Hong Weibin Reply:
Hello: Based on your description, it is possible that you are experiencing Periodic Limb Movement Disorder (PLMD). I recommend seeking assistance from a neurologist or a sleep specialist, or visiting a hospital with a sleep center. Depending on the situation, blood tests and a po...[Read More] Understanding Periodic Body Jerks During Sleep: A Neurological Insight
Sudden Loss of Feeling in Left Leg Upon Waking: What Could It Mean?
Suddenly feeling numbness in the left leg upon waking up and then falling? Hello, doctor. I am a 16-year-old high school student. This morning when I got up, I suddenly fell to the floor and was unable to stand up immediately; it took me a few seconds to slowly get back on my fee...
Dr. Hong Weibin Reply:
Hello: If this has only happened once, you can observe and rest well; usually, the symptoms can improve. However, if it occurs frequently within the next 1-2 weeks, it is recommended that you go directly to the hospital to seek assistance from a neurologist, who will arrange for ...[Read More] Sudden Loss of Feeling in Left Leg Upon Waking: What Could It Mean?