Understanding Parkinson's Disease Risk: Concerns for Family History and Symptoms
Parkinson's disease Hello Doctor, my grandmother had Parkinson's disease in the past, and I have primary restless legs syndrome, although my symptoms are very mild, occurring only one or two days a month with slight discomfort. I am very worried about the possibility of...
Dr. Hong Weibin Reply:
Current research shows that there is no definitive conclusion regarding whether having Restless Legs Syndrome (RLS) increases the likelihood of developing Parkinson's disease later on. Some studies suggest there may be an increased risk, while others find no correlation. The...[Read More] Understanding Parkinson's Disease Risk: Concerns for Family History and Symptoms
Persistent Dizziness: When to Seek Further Medical Evaluation
Persistent dizziness Hello Doctor: One night while I was using the computer, I suddenly experienced a bout of dizziness. I had similar episodes before, but they usually lasted only a few seconds and then went away. This time, however, the dizziness persisted for a long time, so I...
Dr. Jiang Junyi Reply:
Hello, Miss: Based on your description of experiencing dizziness, it may be necessary to first consider symptoms caused by inner ear imbalance. However, conditions such as anemia and autonomic nervous system dysfunction could also contribute to your symptoms. It is essential to r...[Read More] Persistent Dizziness: When to Seek Further Medical Evaluation
Evaluating Long-Term Effects of Traumatic Brain Injury on Neurological Health
Four years ago, I sustained a concussion to the right posterior part of my brain? Doctor: Hello, four years ago during my postpartum period, I fell from a table and hit the back right side of my head, resulting in a large swelling. I was taken to the emergency room, and after a C...
Dr. Cai Zongzhang Reply:
Hello, Ms. Yuan! If you have a head injury that did not involve the brain, it should not leave any lasting effects. If you are still experiencing symptoms after four years, there may be another underlying cause. It is recommended that you visit a neurology outpatient clinic.[Read More] Evaluating Long-Term Effects of Traumatic Brain Injury on Neurological Health
Nutritional Support and Medication Management for Epilepsy in Children
Nutrition and Medication in Epilepsy Hello, my son suffered from hypoxic-ischemic encephalopathy due to oxygen deprivation at birth, accompanied by seizures, and underwent hypothermia treatment. Initially, he only experienced minor seizures just before falling asleep, which occur...
Dr. Cai Zongzhang Reply:
Hello! Exaggerated startle reflex is a common sequela of hypoxic brain injury, which can be triggered by any stimuli (e.g., sound, touch). If the symptoms are mild, medication may not be necessary; if medication is required, low doses can be used to alleviate symptoms. For genera...[Read More] Nutritional Support and Medication Management for Epilepsy in Children
Understanding Groin Tightness: Causes and Solutions for Chronic Discomfort
Inguinal tightness and related issues? I am a 41-year-old female, married with two children. Since March 2020, I have gradually felt tightness in my groin area (from the pubic bone to the buttocks), especially when sitting or lying down. When standing, I occasionally feel a forei...
Dr. Jiang Junyi Reply:
Dear Ms. Kelly, Your issues may be exacerbated by prolonged poor posture, so I recommend making adjustments in your daily life. Have you undergone a "dynamic weight-bearing MRI" examination? It might be worth considering: https://www.chinatimes.com/realtimenews/2019091...[Read More] Understanding Groin Tightness: Causes and Solutions for Chronic Discomfort
Understanding Sleep Paralysis: Causes, Symptoms, and Solutions
Sleep paralysis in the morning? Hello, doctor. First, I want to thank you for taking the time to answer my questions despite your busy schedule! As mentioned, I usually go to bed between 11:30 PM and 12:30 AM, but it takes me until almost 1 or 2 AM to fall asleep. Occasionally, I...
Dr. Jiang Junyi Reply:
Dear Ms. Jennifer, Your symptoms may suggest sleep paralysis, as they occur during awakenings in the rapid eye movement (REM) stage of sleep. Sleep paralysis is more common among adolescents and young adults. Individuals in this demographic often experience high levels of stress...[Read More] Understanding Sleep Paralysis: Causes, Symptoms, and Solutions
Understanding Hand Numbness: Causes and Concerns for Your Health
Numbness in the hands? I apologize for bothering you, doctor. Some time ago, I spent a long time in bed using my phone and computer, and I have been experiencing pain in my left shoulder and neck that radiates down to my ring and little fingers, which sometimes feel numb. Occasio...
Dr. Cai Zongzhang Reply:
Hello! Based on the above, these symptoms do not match the clinical characteristics of amyotrophic lateral sclerosis (ALS). It is recommended to visit a neurology outpatient clinic.[Read More] Understanding Hand Numbness: Causes and Concerns for Your Health
Skin Itching and Nerve Pain After AZ Vaccine: What to Do?
Skin itching and neuropathic pain after receiving the AZ vaccine? Hello, my mother is 81 years old and has no history of chronic illnesses. After receiving the AstraZeneca vaccine on June 23, she did not experience any significant side effects for the first week. However, a week ...
Dr. Jiang Junyi Reply:
Hello: Your mother's symptoms may suggest a sensory nerve abnormality. There are many potential causes for this condition, such as vitamin B12 deficiency, thyroid dysfunction, cerebrovascular diseases, postherpetic neuralgia, etc. It is recommended that you take her to a neu...[Read More] Skin Itching and Nerve Pain After AZ Vaccine: What to Do?
Understanding Hand Tremors: Causes, Symptoms, and Management Tips
Tremor issues? Hello Doctor: This is Mr. Chen, who asked a question a few days ago. Although my sleep duration hasn't significantly increased, the quality of my sleep has improved. I've observed a reduction in the amplitude and duration of muscle contractions below my r...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be worth considering that some smaller muscles are less frequently used, leading to tremors during muscle coordination. Generally, the causes of tremors can be categorized into four types: physiological tremors, psychological tremors, esse...[Read More] Understanding Hand Tremors: Causes, Symptoms, and Management Tips
Understanding Hand Tremors: Causes, Symptoms, and Management Strategies
Tremor issues? Hello Doctor: This is Mr. Chen, who asked a question a few days ago. This week, I have been trying to massage and improve my sleep quality (going to bed around 10:00 PM and waking up at 5:30 AM, waking up once or twice during the night). The muscle twitching in my ...
Dr. Jiang Junyi Reply:
Dear Mr. Chen, In the previous two responses, I believe I have addressed some of your concerns. Nerves require adequate sleep and nutritional support for repair. Fortunately, there are two experts in peripheral nerves at National Taiwan University Hospital—Professors Chih-Chao Y...[Read More] Understanding Hand Tremors: Causes, Symptoms, and Management Strategies
Understanding Muscle Issues: Insights from Neurology for Better Health
Muscle issues? Hello Doctor, I am the person who previously inquired about muscle twitching issues. Recently, before my graduation, I visited a physician and mentioned the strange sensation in the muscles on the back of my right hand (which feels odd when I use my arm). I also me...
Dr. Jiang Junyi Reply:
Hello, Sir: Your concern about ALS primarily refers to issues with motor neurons. Motor neurons control muscle movement; generally, the motor neurons in the brain are referred to as upper motor neurons, while those in the brainstem and spinal cord are called lower motor neurons. ...[Read More] Understanding Muscle Issues: Insights from Neurology for Better Health
Understanding Sudden Ear Pain: Causes and Treatment Options
Sudden sharp pain behind the ear? Hello Doctor: I would like to inquire about the causes of sudden sharp pain behind the ear. I am a frontline service worker and received the COVID-19 vaccine around mid-June. About a week later, I experienced sudden sharp pain behind my right ear...
Dr. Cai Zongzhang Reply:
Hello, Hsiao-Yu! Pain behind the ear may be a sign of nerve inflammation. It is recommended to visit a neurology clinic.[Read More] Understanding Sudden Ear Pain: Causes and Treatment Options
How to Balance Your Autonomic Nervous System for Better Digestion?
How to avoid excessive parasympathetic nervous system activity? Hello Doctor, I often experience the following symptoms: bloating, excessive stomach acid, general weakness, and a slow heart rate. The main symptoms are bloating and excessive stomach acid. I had an endoscopy, and e...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may not be solely due to excessive parasympathetic activity. Typically, when the parasympathetic nervous system is activated, intestinal motility increases, leading to feelings of hunger, increased appetite, and a sense of sleepiness. Bloating is less commonl...[Read More] How to Balance Your Autonomic Nervous System for Better Digestion?
Understanding Muscle Twitches: Causes and When to Seek Help
Muscle twitching Hello Doctor: I have noticed that since last week, the muscles below my right thumb have been intermittently twitching (similar to a calf cramp but without pain). The intervals between these twitches vary from a few minutes to a few hours, and the frequency of th...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: Your symptoms may suggest benign muscle twitching. Certain situations in daily life can contribute to this issue, such as exercise, acute viral infections, anxiety, and medication use. Prolonged exercise is one of the primary causes of muscle twitching. Additional...[Read More] Understanding Muscle Twitches: Causes and When to Seek Help
Understanding Muscle Twitches: Causes and Concerns in Neurology
Muscle twitching Hello Doctor: I have noticed that since last week, the muscle below my right thumb has been twitching intermittently (visible to the naked eye). Sometimes it occurs every few minutes, and other times it can be hours apart. The twitching frequency varies, with lon...
Dr. Jiang Junyi Reply:
Hello Mr. Chen, Your symptoms may suggest benign muscle twitching. Certain situations in daily life could contribute to this issue, such as exercise, acute viral infections, anxiety, and medication use. Prolonged exercise is one of the primary causes of muscle twitching. Additio...[Read More] Understanding Muscle Twitches: Causes and Concerns in Neurology
Understanding Dizziness: Causes, Symptoms, and When to Seek Help
I would like to inquire about issues related to dizziness (vertigo)? Hello Doctor, I experienced dizziness for the first time about two years ago after dining at an all-you-can-eat restaurant. The next day, when I opened my eyes, everything around me was spinning wildly, accomp...
Dr. Jiang Junyi Reply:
Hello, sir: 1. I would like to ask what my symptoms might indicate. Should we consider Meniere's disease if I have auditory abnormalities? 2. If I need to see a doctor, would you recommend a neurologist or an otolaryngologist? If it is not a case of benign paroxysmal positi...[Read More] Understanding Dizziness: Causes, Symptoms, and When to Seek Help
Managing Autonomic Nervous System Disorders: Concerns with Amberning Medication
Issues with taking Ambien for autonomic nervous system dysfunction? Hello Doctor, I tend to be anxious and overly worried. Since March of this year, I have noticed issues with autonomic nervous system dysfunction. The most prominent symptoms include tightness in my neck leading t...
Dr. Cai Zongzhang Reply:
Hello Mr. Wu! Amberning does not harm the stomach and is used for the treatment of anxiety disorders. It is recommended to discuss the dosage with your physician.[Read More] Managing Autonomic Nervous System Disorders: Concerns with Amberning Medication
Understanding Nerve Issues: From Tingling Limbs to Facial Symptoms
Numbness starting from the limbs to the face? Hello, I recently discovered that I often wake up with numbness in both arms while sleeping. Last week, I noticed that my left leg started to feel numb, followed by my right leg, both hands, and my scalp, which have been alternating i...
Dr. Jiang Junyi Reply:
Dear Ms. Sumi, Regarding the issue of sensory abnormalities you mentioned, since your symptoms are atypical, a comprehensive evaluation is recommended. Sensory nerve abnormalities can occur in various conditions and are generally classified as symmetrical or unilateral. In sym...[Read More] Understanding Nerve Issues: From Tingling Limbs to Facial Symptoms
Understanding Restless Legs Syndrome: Causes, Symptoms, and Treatments
Restless Legs Syndrome (RLS) Hello doctor, lately I've been experiencing a tingling sensation in my legs when I sleep or lie down, which makes me feel restless and has disrupted my sleep for the past few days. I found online that this might be Restless Legs Syndrome (RLS), b...
Dr. Jiang Junyi Reply:
Hello, sir: Your age is under 20 years. The likelihood of developing Restless Legs Syndrome (RLS) is lower. The average age of onset is 41 years. The pathophysiology of RLS is not yet fully understood; however, since patients respond well to iron and dopamine supplementation, it ...[Read More] Understanding Restless Legs Syndrome: Causes, Symptoms, and Treatments
Understanding Symptoms of Autonomic Nervous System Dysfunction
I feel like I have autonomic nervous system dysregulation? Since June, I have been experiencing nasal congestion and difficulty breathing. Initially, I was worried about being diagnosed with COVID-19, but I eventually realized that it was just nasal congestion that I hadn't ...
Dr. Jiang Junyi Reply:
Dear Miss Yang, Regarding your issue, we need to first consider the problem of syncope, particularly the experience of "seeing a black screen for over ten seconds before slowly recovering." The most common causes are reflex syncope, which can occur due to excessive sti...[Read More] Understanding Symptoms of Autonomic Nervous System Dysfunction