Understanding Urological and Spinal Nerve Issues: A Patient's Journey
Uro-neurology or spinal nerves Hello, about 3-4 years ago, I had an incident while exercising where I twisted my ankle and fell, resulting in a skin tear on my foreskin. The next day, I experienced pain while urinating and was diagnosed with a urinary tract infection. During urin...
Dr. Cai Zongzhang Reply:
Hello Mr. Hong: Based on the symptoms mentioned, the most common cause of groin and thigh pain is lumbar nerve compression. An MRI scan is arranged to help confirm the diagnosis.[Read More] Understanding Urological and Spinal Nerve Issues: A Patient's Journey
Yawning During Sleep: Understanding Neurological Implications in Adults
Yawning while sleeping? Recently, I noticed that my husband yawns while sleeping, often turning his head to yawn again. He has mild nasal allergies that cause him to sneeze when the air quality is poor, and he sometimes experiences nasal congestion depending on the temperature wh...
Dr. Chen Weida Reply:
Hello Lin! Regarding your inquiry about yawning during sleep, please first observe if your husband has any other discomforting symptoms. If he continues to have concerns or any questions, it is advisable to visit a neurology clinic for early diagnosis and treatment. Wishing you g...[Read More] Yawning During Sleep: Understanding Neurological Implications in Adults
Understanding Nasal Nerve Sensations: Causes and Recommended Tests
Nasal nerve questions? Hello, Doctor! I would like to ask about a situation where I feel a sensation of swelling and nerve discomfort in my nose whenever I lie down, making it very uncomfortable and preventing me from sleeping. I have seen many ENT specialists who have said that ...
Dr. Cai Zongzhang Reply:
Hello, Sha: The symptoms mentioned may be indicative of a dysfunction of the nasal nerves. These nerves are very fine and cannot be detected through imaging studies. It is recommended to visit a neurology outpatient clinic.[Read More] Understanding Nasal Nerve Sensations: Causes and Recommended Tests
Effective Strategies for Tapering Off Sleep Medications Safely
Withdrawal from sleeping pills? Hello Doctor: I have been taking Rifapentine 0.5 mg for a year and a half, and later I reduced the dosage to half a pill, which I have been taking for the past three months. During these three months, I have experienced difficulty sleeping for abou...
Dr. Cai Zongzhang Reply:
Hello, Xiao P: Improving insomnia cannot rely solely on medication. Avoid napping during the day, engage in moderate exercise, and combine these with medication before gradually tapering off.[Read More] Effective Strategies for Tapering Off Sleep Medications Safely
Uncontrollable Hand Tremors and Weakness: A Neurological Concern
For a month, I have been experiencing intermittent hand tremors that I cannot control. After maintaining a position for a long time, my legs feel weak when I try to stand up? Hello Doctor: In the past month, I've been experiencing some fine motor difficulties, such as trembl...
Dr. Cai Zongzhang Reply:
Hello Gemma: The symptoms mentioned have many possible causes. If there is no improvement after sufficient rest and sleep, it is recommended to visit a neurology clinic.[Read More] Uncontrollable Hand Tremors and Weakness: A Neurological Concern
Understanding Myoclonic Jerks in Children with EMAS Epilepsy
Involuntary muscle spasms? Hello Doctor: My child is currently 3 years old and was diagnosed with EMAS epilepsy at the age of 2. However, physical examinations (EEG, MRI) and genetic blood tests have not revealed any underlying cause. He is currently taking Depakine and Keppra fo...
Dr. Jiang Junyi Reply:
Dear Ms. Yang, You mentioned that "the attending physician discussed that the muscle twitching while awake is not considered an epileptic seizure... Does muscle twitching while awake count as a focal seizure in epilepsy?" Caring for a child can be very stressful and ch...[Read More] Understanding Myoclonic Jerks in Children with EMAS Epilepsy
Understanding Muscle Twitches: Symptoms and Concerns in Neurology
Muscle twitching combined with multiple symptoms? Hello, doctor. I have been experiencing muscle twitching for three months now. I have seen doctors during this time, but no tests have been conducted. I finally found a place where I can undergo a nerve conduction study (which has...
Dr. Chen Weida Reply:
Hello! Motor neuron diseases mostly occur in middle-aged and older individuals. The early symptoms primarily involve progressive muscle weakness, while sensory abnormalities are not prominent. Please continue to monitor your symptoms, and if you have any concerns or questions, it...[Read More] Understanding Muscle Twitches: Symptoms and Concerns in Neurology
Understanding Post-Rest Symptoms: Causes and Solutions for Neurological Issues
Neurological issues related to the head? I’m not sure when it started, but sometimes when I feel more tired, I lie down on the table or bed to rest for about 15 to 30 minutes. After waking up, I experience a slight tremor at the back of my head, my heartbeat feels stronger, and s...
Dr. Jiang Junyi Reply:
Hello, sir: Your symptoms may indicate peripheral nerve compression. 1. The nature of the pain is characterized by burning and tingling sensations. 2. The symptoms have a specific dermatomal distribution, and can be triggered by touch or pressure. 3. There is also accompanying mu...[Read More] Understanding Post-Rest Symptoms: Causes and Solutions for Neurological Issues
Understanding Throat Foreign Body Sensation: Causes and Solutions
Foreign body sensation in the throat? Since starting fitness training in September of last year, I have begun experiencing difficulty swallowing. I have visited an otolaryngologist, neurologist, and endocrinologist, and all tests returned normal results. Eventually, a gastroenter...
Dr. Jiang Junyi Reply:
Dear Mr. Tso, You mentioned that "difficulty swallowing and a sensation of a foreign body in the throat have persisted," which could be due to cervical nerve compression, brainstem dysfunction, or sympathetic nervous system abnormalities, among other reasons. It is mor...[Read More] Understanding Throat Foreign Body Sensation: Causes and Solutions
Feeling Dizzy and Heart Palpitations: Understanding Neurological Symptoms
Lying down, I feel my body swaying, and my heartbeat is noticeably strong? When sitting in a chair, I feel a noticeable swaying sensation, even though there is no earthquake, and both the chair and the floor are stable. When lying down to rest, I distinctly feel as if I am spinni...
Dr. Jiang Junyi Reply:
Dear Mr. Jiang, You mentioned that "when lying down to rest, I have a distinct sensation of my entire body spinning, almost like going in circles. I can also feel my heartbeat very clearly, thumping strongly." Your symptoms may suggest benign paroxysmal positional vert...[Read More] Feeling Dizzy and Heart Palpitations: Understanding Neurological Symptoms
Understanding Tinnitus: When to Consult a Neurologist?
Tinnitus for three weeks? Hello Doctor: Three weeks ago, I experienced tinnitus without any apparent reason, which is bilateral. I have undergone tympanometry and hearing tests, both of which were normal. The tinnitus sounds more like a non-directional high-pitched ringing, but i...
Dr. Jiang Junyi Reply:
Hello Mr. QQQ: You mentioned "bilateral tinnitus, with normal tympanometry and hearing tests, and the tinnitus sounds more like a non-directional high-pitched ringing." This is more indicative of common causes of tinnitus such as viral infections, trauma, or injury, whi...[Read More] Understanding Tinnitus: When to Consult a Neurologist?
Managing Baby's Head Hematoma After a Fall: What Parents Should Know
Baby fell off the bed? The baby is seven months old and fell from the bed onto a tiled floor, with the bed height being approximately 70 cm. The baby was taken to the hospital within 20 minutes and underwent an X-ray, which initially indicated that there were no bone issues. The ...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned, "I would like to ask the doctor how long it takes for a hematoma to resolve and if there are any quick methods to reduce swelling? If it doesn't go away, do I need to return for a follow-up, and could there be any more serious conditions?&quo...[Read More] Managing Baby's Head Hematoma After a Fall: What Parents Should Know
Understanding Chronic Fatigue and Pain: Neurological Symptoms Explained
Severe fatigue, body aches, brain fog, eye pain, dizziness, and a feeling of head pressure? I have already undergone blood tests in the neurology department and the rheumatology and immunology department, and there were no significant issues. During the visits, I only emphasized ...
Dr. Chen Weida Reply:
Hello, Wu! In response to your inquiry regarding symptoms such as severe fatigue, widespread pain, brain fog, eye pain, dizziness, and head pressure, a preliminary assessment suggests that it may be fibromyalgia. It is recommended that you consult a neurologist or a rheumatologis...[Read More] Understanding Chronic Fatigue and Pain: Neurological Symptoms Explained
Understanding Carpal Tunnel Syndrome: Symptoms and Causes Explained
Inquiry for clarification? Hello Dr. Jiang, I would like to ask you about a situation. Today, my mother, while sleeping, wanted to get up to use the restroom but had difficulty doing so. When I went to help her get up, she was gripping my right wrist (the area where the bones pr...
Dr. Jiang Junyi Reply:
Dear Mr. Kris, You mentioned "Carpal Tunnel Syndrome." Carpal Tunnel Syndrome refers to the clinical symptoms caused by the compression of the median nerve as it passes through the wrist, which is surrounded by the carpal bones and ligaments forming the "carpal tu...[Read More] Understanding Carpal Tunnel Syndrome: Symptoms and Causes Explained
Understanding Involuntary Muscle Jerks During Sleep: Causes and Concerns
Involuntary twitching Hello doctor, recently I have been experiencing sudden body jerks while sleeping at night, especially when I am about to enter deep sleep. The jerks happen multiple times and in different areas, sometimes in my fingers, sometimes in my toes, and sometimes in...
Dr. Jiang Junyi Reply:
Dear Ms. Elsa, You mentioned that "when entering deep sleep, I experience multiple jerks in different areas, sometimes in my fingers, sometimes in my toes, and sometimes in my hands, accompanied by a sensation of rapid heartbeat and palpitations, which causes me to wake up....[Read More] Understanding Involuntary Muscle Jerks During Sleep: Causes and Concerns
Impact of Alcohol on Autonomic Nervous System Disorders: A Medical Perspective
Drinking alcohol with autonomic nervous system dysfunction? Hello doctor, I would like to ask you about my husband who has been suffering from autonomic nervous system dysfunction for many years. He takes sedatives before bed, but he has a bad habit of being unable to quit drinki...
Dr. Cai Zongzhang Reply:
Hello, A-Zhu: Long-term excessive alcohol consumption has many sequelae, including brain and peripheral nerve degeneration, as well as liver cirrhosis. It is advisable to moderate alcohol intake. If you need assistance from a physician to quit drinking, you can visit the psychiat...[Read More] Impact of Alcohol on Autonomic Nervous System Disorders: A Medical Perspective
Unexplained Dizziness and Tinnitus: Seeking Answers and Treatment Options
Dizziness and tinnitus with no identifiable cause? Hello Doctor: I started experiencing dizziness about a month ago. It's not a spinning sensation but rather a feeling of heaviness in my head and lightness in my legs. Occasionally, I feel a tingling sensation on my scalp, an...
Dr. Jiang Junyi Reply:
Hello Mr. Zhang, You mentioned: "1. Is the dizziness symptom caused by autonomic nervous system dysfunction the same as the continuous dizziness I am currently experiencing? 2. Could dizziness caused by cervical nerve compression present as my current persistent dizziness? ...[Read More] Unexplained Dizziness and Tinnitus: Seeking Answers and Treatment Options
Understanding Cervical Spine Issues and Central Sleep Apnea Symptoms
Cervical spine issues and sleep apnea? Hello, Doctor. Thank you very much for your response. I have been suspecting that I might have central sleep apnea. About a year ago, I frequently stayed up late and later began to feel extremely fatigued. Whenever I didn't get enough s...
Dr. Cai Zongzhang Reply:
Hello: Based on the symptom description, the cause may be related to cervical spine disease. It is recommended to visit a neurologist for a definitive diagnosis.[Read More] Understanding Cervical Spine Issues and Central Sleep Apnea Symptoms
Understanding Hand Tremors and Weakness: Possible Neurological Issues
Palpitations and tremors? I experience some soreness in the tendons of my left ring and little fingers. When I exert force with these two fingers, I feel a sense of anxiety, as if those fingers have become somewhat numb, and they start to tremble, which causes my left hand to sha...
Dr. Chen Weida Reply:
Hello! You mentioned experiencing symptoms of palpitations and tremors. Could you please provide more details about when these symptoms occur and their frequency, as well as any other discomfort you may be experiencing? If you have been under significant stress, feeling fatigued,...[Read More] Understanding Hand Tremors and Weakness: Possible Neurological Issues
Understanding Sudden Electric Sensations in the Body: Causes and Insights
The body experiences intermittent sensations of electric shock? Hello, doctor. In the past few weeks, I have been experiencing intermittent sensations of electric shocks throughout my body, as if I am being shocked internally. The intensity of these sensations varies, and they ca...
Dr. Jiang Junyi Reply:
Dear Mr. He, You mentioned that "in recent weeks, I have been experiencing intermittent electric shock sensations throughout my body, feeling as if my entire internal system is suddenly electrified." I recommend first ruling out issues related to cervical spine compres...[Read More] Understanding Sudden Electric Sensations in the Body: Causes and Insights