Understanding Prominent Dorsalis Pedis Pulse: When to Seek Medical Attention
Dorsalis pedis artery pulse is prominent? In the past two weeks, I have noticed a significant pulsation in the arteries on the dorsum of my right foot. There is no numbness in my foot, and I haven't been standing or walking for long periods. Most of the time, I can feel the ...
Dr. Jiang Junyi Reply:
Dear Miss BB, You mentioned that "the artery on the dorsum of your right foot is noticeably pulsating." Have you compared the pulsations of the dorsalis pedis arteries on both sides? Generally, we should not be able to feel the pulsation of blood vessels; however, if t...[Read More] Understanding Prominent Dorsalis Pedis Pulse: When to Seek Medical Attention
Understanding Sudden Body Jerks Before Sleep: What Could It Be?
What is this problem? When I am about to fall asleep while lying in bed, my lower back suddenly jerks (I'm not sure if "jerk" is the right term). The movement is somewhat similar to kicking my legs out and then pulling them back in while sitting, with more force du...
Dr. Jiang Junyi Reply:
Dear Miss Chi Li, You mentioned that "when I am about to fall asleep while lying in bed, my lower back suddenly jerks (I'm not sure if 'jerk' is the right term), and the movement is somewhat like kicking my legs out and then pulling them back in, with more fo...[Read More] Understanding Sudden Body Jerks Before Sleep: What Could It Be?
Understanding Persistent Dizziness and Visual Disturbances: A Neurological Perspective
Dizziness and inability to focus? Hello Doctor: Since November of last year, I have been experiencing dizziness and a feeling of heaviness in my head in the afternoons (not vertigo, but a dull sensation), along with unusual fatigue and low-grade fever. I subsequently underwent va...
Dr. Cai Zongzhang Reply:
Hello: The above symptoms are suspected to be autonomic neuropathy. It is recommended to visit a neurology outpatient clinic.[Read More] Understanding Persistent Dizziness and Visual Disturbances: A Neurological Perspective
Understanding Prominent Dorsalis Pedis Pulse: When to Seek Medical Attention
Dorsalis pedis artery pulsation is prominent? In the past two weeks, I have noticed a significant pulsation in the artery on the dorsum of my right foot. There is no numbness in my foot, and I haven't been standing or walking for long periods. Most of the time, I can feel th...
Dr. Jiang Junyi Reply:
Dear Ms. BB, You mentioned that "the artery on the dorsum of your right foot is noticeably pulsating." Have you compared the pulsations of the dorsalis pedis arteries on both sides? Generally, we should not be able to feel the pulsation of blood vessels, but if the art...[Read More] Understanding Prominent Dorsalis Pedis Pulse: When to Seek Medical Attention
Understanding Pulsating Dorsalis Pedis Artery: When to Seek Medical Attention
Dorsalis pedis artery pulsation is prominent? In the past two weeks, I have noticed a significant pulsation in the arteries on the dorsum of my right foot. There is no numbness in my foot, and I haven't been standing or walking for long periods. Most of the time, I can feel ...
Dr. Jiang Junyi Reply:
Hello Ms. BB: You mentioned that "the artery on the dorsum of your right foot is noticeably pulsating." Have you compared the pulsation of the dorsalis pedis arteries on both sides? Generally, we should not be able to feel the pulsation of blood vessels, but if the arte...[Read More] Understanding Pulsating Dorsalis Pedis Artery: When to Seek Medical Attention
Unexplained Health Issues: Seeking Answers for Persistent Dizziness and Pain
Many health issues with no identifiable cause? Hello Dr. Jiang: I would like to ask about my condition. About a year or two ago, I underwent tooth extraction for orthodontic treatment and had bone grafting done at the same time. The next day, I experienced severe dizziness and ne...
Dr. Jiang Junyi Reply:
Dear Mr. Hsiao-Kang, You mentioned that "lying down and changing positions causes dizziness," which may initially suggest benign paroxysmal positional vertigo (BPPV). The symptoms are characterized by brief episodes of vertigo related to changes in head position, such ...[Read More] Unexplained Health Issues: Seeking Answers for Persistent Dizziness and Pain
Understanding Involuntary Muscle Twitches in the Inner Thigh
Involuntary twitching of the adductor muscles? The doctor would like to continue asking about a previous issue: my left thigh's quadriceps, specifically the vastus medialis, experiences intermittent twitching. 1. Is this twitching related to autonomic nervous system dysfunct...
Dr. Jiang Junyi Reply:
Hello Mr. Ben: You mentioned that "autonomic nervous system dysfunction" is generally regulated by the sympathetic and parasympathetic nervous systems, one acting as the accelerator and the other as the brake. The sympathetic nervous system is responsible for revving up...[Read More] Understanding Involuntary Muscle Twitches in the Inner Thigh
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
Understanding Sleep Issues in Fathers: The Impact of Alcohol and Smoking
Father's sleep issues? Hello doctor, my dad usually goes to bed around 7 or 8 PM, but according to him, he only sleeps for about 4.5 hours (sometimes even less). He has mentioned that he has had trouble sleeping since he was a child (he also can't nap during the day). A...
Dr. Jiang Junyi Reply:
Dear Mr. Zhu, You mentioned that your father usually goes to bed around 7 or 8 PM, but according to him, he only sleeps for about 4.5 hours (sometimes even less). He has said that he has had trouble sleeping since childhood (he also struggles to nap during the day). I wonder if ...[Read More] Understanding Sleep Issues in Fathers: The Impact of Alcohol and Smoking
Understanding Sleep Issues: When to Consult a Neurologist for Snoring
Father's Sleep Issues 2 Hello Doctor, thank you for your response. My father does snore at night, and it happens quite frequently (sometimes it lasts longer, and sometimes it's shorter). If we want to have this checked, would you recommend seeing a neurologist?
Dr. Jiang Junyi Reply:
Dear Mr. Zhu, Your father belongs to a high-risk group for moderate to severe COVID-19. Given the current tight situation of the COVID-19 pandemic, it is advisable to wait until the situation stabilizes before going to the hospital for examinations. Regarding the sleep center: ...[Read More] Understanding Sleep Issues: When to Consult a Neurologist for Snoring
Understanding Dizziness After Cold: Possible Causes and Solutions
Consultation regarding dizziness issues? Hello, Doctor. About six weeks ago, I had a cold (nasal congestion and runny nose). After recovering, I started experiencing two new symptoms: a cough and dizziness. Both symptoms have not improved since then. The dizziness feels like a ge...
Dr. Jiang Junyi Reply:
Hello Mr. Tsai, You mentioned feeling "dizzy and somewhat pressure in your ears... due to poor sleep, the imbalance in your inner ear has persisted for a long time, and it was only after seeing a psychiatrist and taking medication that you recovered. Perhaps this is related...[Read More] Understanding Dizziness After Cold: Possible Causes and Solutions
Understanding Tingling and Itching in Hands and Feet: Is It Restless Legs Syndrome?
Tingling and itching sensations in the hands and feet? I have recently been experiencing a tingling and itching sensation in my palms and soles. The discomfort alleviates during movement but returns when I am still. However, it does not affect my sleep. Could this be Restless Leg...
Dr. Cai Zongzhang Reply:
Hello: Based on the above situation, in addition to restless legs syndrome, there are other possible diagnoses. It is recommended to visit a neurology outpatient clinic for further evaluation.[Read More] Understanding Tingling and Itching in Hands and Feet: Is It Restless Legs Syndrome?
Understanding Eye Pain and Neck Discomfort: A Neurological Perspective
Deep pain in the left eye (radiating to the left shoulder and neck)? Hello, Dr. Jiang. Three months ago, I experienced eye pain and visited an ophthalmologist. The doctor diagnosed my intraocular pressure at the critical value of 21. I continued to use the prescribed eye drops re...
Dr. Jiang Junyi Reply:
Hello Mr. Bai: You mentioned that "the assessment indicated a neurological issue, and I was referred to the neurology department, where the neurologist suggested the possibility of migraine?" The symptoms you described may need to consider Trigeminal Autonomic Cephalalg...[Read More] Understanding Eye Pain and Neck Discomfort: A Neurological Perspective
Understanding Occipital Headaches: Causes, Symptoms, and Relief Strategies
Headache - Occipital Pain Hello, starting this Tuesday around noon to afternoon, I have been experiencing a feeling of pressure and pain in the back of my head, but it does not occur in the morning, evening, or before bed. During the episodes of pressure and pain, it sometimes af...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "the back of your head feels swollen and painful, but it goes away in the morning, evening, or before sleep. During the period of swelling and pain, it can sometimes be unilateral or bilateral, and bending over makes it more pronounced." If you...[Read More] Understanding Occipital Headaches: Causes, Symptoms, and Relief Strategies
Understanding the Impact of Gastritis on Sleep and Insomnia Management
Gastritis can affect sleep and lead to insomnia? Hello Doctor, I have been experiencing discomfort all day due to gastric antritis, which has made it difficult for me to sleep at night. I have been unable to sleep for 2-3 weeks and feel very tired throughout the day. I then visit...
Dr. Cai Zongzhang Reply:
Hello: Medications for sleep should not be used long-term. It is recommended to visit an outpatient clinic to check for any health issues that may be affecting sleep.[Read More] Understanding the Impact of Gastritis on Sleep and Insomnia Management
Managing Insomnia Due to Gastritis: Safe Use of Stilnox and Imovane
Gastritis, insomnia at night? Hello Doctor, I have been experiencing discomfort throughout the day due to gastric antritis, which has made it difficult for me to sleep at night. I have been unable to sleep for the past 2-3 weeks and feel very tired all day. I then consulted a doc...
Dr. Cai Zongzhang Reply:
Hello: Sleep medications should not be used long-term. It is recommended to visit an outpatient clinic to check for any health issues that may be affecting sleep.[Read More] Managing Insomnia Due to Gastritis: Safe Use of Stilnox and Imovane
Understanding Neuropathic Pain: Which Specialist Should You See?
Suspected neuropathic pain - unsure which specialty to consult? Hello, Dr. Jiang. I apologize for bothering you. My mother and grandmother have both reported experiencing "neuropathic pain" after reaching a certain age. They have occasional episodes, a few times a year,...
Dr. Jiang Junyi Reply:
Dear Miss Peng, You mentioned that "the pain usually starts at night when falling asleep and continues into the next day, occurring in episodes, and typically resolves within two days." Your symptoms may suggest Restless Legs Syndrome (RLS). The etiology of RLS is rela...[Read More] Understanding Neuropathic Pain: Which Specialist Should You See?
Understanding Autonomic Nervous System Disorders and Their Impact on Health
Autonomic nervous system dysfunction Hello, doctor. I have developed a habit of masturbation over the past nine months. Initially, I would do it once or twice a day, but during one instance when I reached orgasm, my hands started to shake intensely. After about ten minutes, the s...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to visit a neurology outpatient clinic to check for any underlying conditions that may be causing the aforementioned symptoms.[Read More] Understanding Autonomic Nervous System Disorders and Their Impact on Health
Understanding Sleep Disturbances: When to Consult a Neurologist
Sleep-related issues Hello doctor, I recently noticed a problem when I sleep at night. Just as I fall asleep, I experience a sensation of "not being able to breathe," which causes me to wake up abruptly. I'm wondering if this condition requires a visit to a neurolo...
Dr. Jiang Junyi Reply:
Dear Ms. Jan, You mentioned experiencing a moment of "feeling unable to breathe" just as you fall asleep, which may indicate sleep paralysis. This condition typically occurs when a person is transitioning into sleep or waking up. Patients often feel as though they have...[Read More] Understanding Sleep Disturbances: When to Consult a Neurologist
Understanding Post-Concussion Syndrome: Symptoms and Dietary Tips
Post-concussion syndrome Fifteen years ago, I suffered a head injury and cervical spine damage in a car accident. Although I consulted a neurologist at the time, the doctor did not order detailed examinations since I was able to walk and communicate normally. As a result, my head...
Dr. Jiang Junyi Reply:
Dear Mr. E, You mentioned that "memory has significantly declined... and you are unsure if there are dietary suggestions for improvement." For dietary aspects, you can adopt the Mediterranean diet, the Dietary Approaches to Stop Hypertension (DASH) diet, and the Medite...[Read More] Understanding Post-Concussion Syndrome: Symptoms and Dietary Tips