Post-Car Accident: Inability to Straighten Fingers - What to Expect?
After the car accident, the fingers cannot be straightened? Hello Doctor, about 20 days ago I was involved in a car accident, which resulted in fractures of the bones in my left forearm, the outer side of the elbow, and the inner side of the upper arm. I underwent surgery 10 days...
Dr. Jiang Junyi Reply:
Hello: I'm not sure about the function of your sensory nerves. If there is damage to the ulnar nerve, radial nerve, or median nerve, you may experience related sensory abnormalities. If there are limitations in motor function, it may be necessary to consider issues with the ...[Read More] Post-Car Accident: Inability to Straighten Fingers - What to Expect?
Understanding Sleep Jerks: Causes and Solutions for Better Sleep Quality
Sleep problems and body twitching? Hello, doctor. When I go out with friends or fall asleep next to my partner, they say my body twitches while I'm asleep. However, I don't experience any significant jolts like falling or dropping into a hole that would wake me up; I am...
Dr. Hong Weibin Reply:
Hello: I'm not sure which part of the body is experiencing the twitching. Is it the lower limbs? Typically, twitching during sleep mostly occurs in the lower limbs and is referred to as Periodic Limb Movement Disorder (PLMD), which can lead to sleep disruption and result in ...[Read More] Understanding Sleep Jerks: Causes and Solutions for Better Sleep Quality
Understanding and Managing Chronic Calf Pain: Causes and Solutions
Calf pain Hello doctor, I have had sudden calf pain since childhood. It used to occur mostly at night while I was sleeping, causing such intense pain that I couldn't sleep, or waking me up from sleep. The pain would last anywhere from half an hour to several hours. However, ...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider calf muscle cramps caused by lactic acid accumulation. Additionally, symptoms may arise from poor venous return in the lower extremities, with primary causes including slow blood flow and hematological disorders. I...[Read More] Understanding and Managing Chronic Calf Pain: Causes and Solutions
Understanding Food Sensitivities and Neurological Symptoms: A Patient's Journey
Discomfort after consuming certain foods? Hello, doctor. I am 29 years old, and I started experiencing abnormal symptoms around February of last year (2019). Initially, I had difficulty breathing when lying down, feeling as if I couldn't catch my breath. I went to a clinic, ...
Dr. Hong Weibin Reply:
Hello: If all test results show no abnormalities, it is possible that there are no specific physiological issues. It is important to consider psychological, environmental, and stress-related factors. You may want to seek further evaluation and assistance from a psychiatrist. Wish...[Read More] Understanding Food Sensitivities and Neurological Symptoms: A Patient's Journey
Understanding Tardive Dyskinesia: Risks, Symptoms, and Treatment Options
Tardive dyskinesia Psychiatry: Before bedtime: Leeyo (ESCITALOPRAM) 10mg * 2 tablets, Lendormin 0.25mg * 2 tablets, Eurodin 2mg * 2 tablets, Lorazepam 0.5mg * 4 tablets. Dermatology: Before bedtime Doxepin 25mg * 2 tablets, Lyrica (Pregabalin) 75mg * 2 tablets, Xyzal 5mg (for ski...
Dr. Jiang Junyi Reply:
Hello: Generally speaking, extrapyramidal symptoms (EPS) are more common in patients using Primperan or certain antipsychotic medications, and are somewhat related to individual constitution. Children and the elderly are also more susceptible. Essentially, to enhance intestinal m...[Read More] Understanding Tardive Dyskinesia: Risks, Symptoms, and Treatment Options
Understanding Dizziness, Nausea, and Weakness: Possible Neurological Issues
Dizziness, nausea, and weakness or numbness in the limbs? Hello, I started experiencing dizziness upon waking up on June 9th, initially thinking it was due to getting up too quickly. However, the dizziness persisted throughout the day, occurring whether I was standing, sitting, o...
Dr. Jiang Junyi Reply:
Hello, based on your description, I'm not sure if you have issues with sleep apnea. Some symptoms may suggest autonomic nervous system dysfunction. Our autonomic nervous system is regulated by the sympathetic and parasympathetic nervous systems; one acts as the accelerator, ...[Read More] Understanding Dizziness, Nausea, and Weakness: Possible Neurological Issues
Headache or Eye Strain? Understanding Your Symptoms and Next Steps
I'm not sure if it's a headache or an eye problem? Hello Doctor, I would like to ask about my issue. Two weeks ago, I started experiencing pain above my left eye, possibly due to staying up late or high stress. Last Friday evening, I visited an ophthalmologist who said ...
Dr. Jiang Junyi Reply:
Hello: In addition to considering eye-related issues, your symptoms may also suggest cervical myofascial headache or tension-type headache. Tension-type headache is caused by muscle tightness in the head. Common manifestations include a tightening pain in the forehead and temples...[Read More] Headache or Eye Strain? Understanding Your Symptoms and Next Steps
Chronic Right Neck Pain: Understanding Nerve Issues and Treatment Options
Right-sided neck nerve pain? Hello Doctor: I often experience sharp pain on the right side of my neck. The pain lasts for a short period of less than ten days, or for a longer duration of up to a month. When the pain occurs, I am unable to sleep, have no appetite, and feel nauseo...
Dr. Jiang Junyi Reply:
Hello, In addition to cervical headache, you may want to consider the possibility of vascular headaches. Regarding cervical headaches, I recommend the following: 1. Change positions: Change your posture every 15 minutes to allow the neck tissues to rest. Maintaining any postu...[Read More] Chronic Right Neck Pain: Understanding Nerve Issues and Treatment Options
Understanding Weakness in Limbs: Could It Be Autonomic Nervous System Issues?
Weakness in the limbs (autonomic nervous system) Hello Doctor, I have been experiencing a sense of weakness for the past month (it's a strange feeling, not that I can't exert force), with episodes occurring at unpredictable times, lasting anywhere from 1-2 hours to as l...
Dr. Cai Zongzhang Reply:
"Could it be a problem with the autonomic nervous system?" It is possible. Symptoms of autonomic dysfunction can range from head to toe and may be mild (dizziness, headaches, dry and blurry eyes, poor sleep, dry mouth, throat discomfort, difficulty breathing, palpitatio...[Read More] Understanding Weakness in Limbs: Could It Be Autonomic Nervous System Issues?
Understanding Chronic Headaches: Symptoms, Causes, and Treatment Options
Chronic headache Hello Doctor, I would like to ask the following question: For the past two to three months, I have been experiencing frequent headaches (about 1-2 times a month on average). It usually starts with a feeling of pressure at the top of my head, which then extends to...
Dr. Jiang Junyi Reply:
Hello, based on your description, the symptoms resemble those of a migraine. This type of headache lasts from 4 to 72 hours. The characteristics of the headache include unilateral pain, which may feel throbbing or pulsating, often accompanied by nausea and vomiting, as well as se...[Read More] Understanding Chronic Headaches: Symptoms, Causes, and Treatment Options
Persistent High-Pitched Tinnitus at Night: Seeking Further Medical Advice
When lying down to sleep at night, there is a high-frequency tinnitus in the right ear? Hello, Doctor: When I lie down on my right side at night, I experience a high-pitched ringing in my right ear that lasts until morning, but it disappears shortly after I get up. Therefore, I u...
Dr. Hong Weibin Reply:
Hello: You can visit the neurology outpatient clinic nearby, where a physician will examine you. Wishing you a speedy recovery.[Read More] Persistent High-Pitched Tinnitus at Night: Seeking Further Medical Advice
Understanding Sleep Jerks: When to Seek Medical Advice for Your Partner
Sleep myoclonus My boyfriend often shakes his legs/body/hands while sleeping at night. It's not just a quick jolt like being startled; the shaking frequency is quite high (about 7-8 times within 5 minutes), and I can feel the movements even while lying next to him! He snores...
Dr. Cai Zongzhang Reply:
Hello: Based on the symptoms mentioned, there is a possibility of having sleep apnea. It is recommended to visit our sleep center for an evaluation.[Read More] Understanding Sleep Jerks: When to Seek Medical Advice for Your Partner
Post-Concussion Fatigue: Understanding Symptoms and When to Seek Help
Feeling fatigued one month after a fall? On May 4th, I had a motorcycle accident and was wearing a three-quarter helmet at the time. There was no external injury or bleeding to my brain, but I primarily injured my chin. I was hospitalized for a week, and the diagnosis indicated a...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, if there is no loss of consciousness, use of anticoagulants, or obvious local hematomas, head injuries are mostly minor. However, the following conditions should prompt consideration of delayed bleeding and a visit to the emer...[Read More] Post-Concussion Fatigue: Understanding Symptoms and When to Seek Help
Uncoordinated Walking and Dizziness: Understanding Neurological Symptoms
Feeling uncoordinated and dizzy when starting to walk? Hello Doctor, I previously asked you whether I consider myself to have autonomic nervous system dysfunction. During this follow-up period, I have been running or brisk walking for an average of one hour a day or two, and get...
Dr. Jiang Junyi Reply:
Hello, based on your description of limb weakness and pain, the causes could include not only muscle and nerve issues but also some metabolic disorders such as thyroid dysfunction and sleep disorders, among others. MRI is primarily used to rule out structural problems in the brai...[Read More] Uncoordinated Walking and Dizziness: Understanding Neurological Symptoms
Understanding Dizziness: Exploring Causes and Seeking Solutions
Dizziness and discomfort? Hello, Dr. Jiang! I consider myself health-conscious and have a habit of exercising daily. Recently, due to bone pain, I underwent X-ray and MRI examinations (with contrast agent). The results indicated that there was no joint degeneration; however, the ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may be caused by insufficient rest, leading to sympathetic nervous system activation, which in turn affects blood pressure and causes muscle tension. According to current medical trends, rehabilitation combined with regenerative therapy can address some joint...[Read More] Understanding Dizziness: Exploring Causes and Seeking Solutions
Muscle Twitches and Anxiety: Understanding Your Symptoms
Muscle twitching seems to be related to anxiety? Hello doctor, I have been experiencing muscle twitching for over three months, but this week it has significantly decreased to about three to five times an hour, with each twitch lasting one to two seconds. The affected areas are m...
Dr. Jiang Junyi Reply:
Hello: I suggest that you consider consulting a psychologist first, as many symptoms are related to autonomic nervous system instability. Generally speaking, the autonomic nervous system is regulated by the sympathetic and parasympathetic nervous systems, with one acting as the a...[Read More] Muscle Twitches and Anxiety: Understanding Your Symptoms
Understanding Facial Numbness and Twitching: Is It Trigeminal Neuralgia?
Left facial pain, with twitching of the upper left lip? Doctor, I have been experiencing a tingling sensation in the upper left corner of my mouth recently, and sometimes it twitches like a spasm. There is also soreness around the inner side of my left cheekbone. Could this be tr...
Dr. Cai Zongzhang Reply:
Hello, if your symptoms persist, it is recommended to visit a neurology outpatient clinic for further evaluation and treatment.[Read More] Understanding Facial Numbness and Twitching: Is It Trigeminal Neuralgia?
Understanding Epilepsy: Risks, Management, and Avoiding Seizures
Symptoms of epilepsy Hello, I would like to inquire whether epilepsy can lead to a vegetative state, and under what circumstances this might occur. For individuals who are already on a regular medication regimen, how can they avoid further seizures? Is it completely uncontrollabl...
Dr. Cai Zongzhang Reply:
Hello, epilepsy is a clinical manifestation caused by abnormal electrical discharges in brain cells. The primary prevention focuses on reducing any damage to the brain. Therefore, conditions such as hypertension, diabetes, heart disease, hyperlipidemia, and gout should be treated...[Read More] Understanding Epilepsy: Risks, Management, and Avoiding Seizures
Understanding Uncontrolled Muscle Contractions: A Neurological Perspective
The body may experience uncontrollable urges to exert force? I experience episodes infrequently, during which I am conscious and able to talk, but my body is uncontrollable. Sometimes it affects specific areas, while other times it is generalized. I feel my muscles tightening, wi...
Dr. Cai Zongzhang Reply:
Hello, it is recommended that you consult a neurologist or a rehabilitation physician for further evaluation and treatment.[Read More] Understanding Uncontrolled Muscle Contractions: A Neurological Perspective
Understanding Epilepsy: Managing Symptoms and Seeking Solutions
Questions about epilepsy? Hello, Doctor. I was diagnosed with abnormal brain wave activity due to sleepwalking and other factors when I was five years old, and I started medication until middle school. I discontinued the medication in middle school as my symptoms improved. Howeve...
Dr. Cai Zongzhang Reply:
Hello, based on your description, it seems to be symptoms of epilepsy. There may be an adjustment period during the medication process, so I recommend that you continue to communicate with your physician.[Read More] Understanding Epilepsy: Managing Symptoms and Seeking Solutions