Skin or Nerve Issues? Understanding Your Itchy Symptoms After Sun Exposure
Skin or neurological issues? Two weeks ago, I worked on the rooftop and was exposed to the sun for six hours. That night, my skin started to itch, and it was so severe that I couldn't sleep. I went to a dermatology clinic, and they diagnosed me with a UV allergy. After takin...
Dr. Jiang Junyi Reply:
Hello: You mentioned the sensation of itching on the skin, which may be related to stimulation of the nerve endings. If there is numbness, it could indicate nerve compression. In the case of itchy scalp, conditions like herpes zoster, which involve abnormal sensory nerve response...[Read More] Skin or Nerve Issues? Understanding Your Itchy Symptoms After Sun Exposure
Head Trauma and Sleep Issues: When to Seek Medical Attention
I would like to inquire about being hit hard on the back of the head and sleep issues? Hello Doctor, here’s the situation: I just had a conflict with my mother at home, and she hit the back of my head twice with her hand. I personally think it was quite hard. After being hit, I f...
Dr. Cai Zongzhang Reply:
Hello, both of the aforementioned symptoms require further examination. It is recommended that you visit a neurologist for evaluation.[Read More] Head Trauma and Sleep Issues: When to Seek Medical Attention
Understanding Leg Weakness: Causes and When to Seek Help
Weakness in the legs? Hello: For a long time, I have felt weakness in my lower legs while sleeping, making it difficult for me to fall asleep. I have to rub my legs together until I get tired enough to sleep. I have been accustomed to sleeping on my right side, but since last yea...
Dr. Cai Zongzhang Reply:
Hello, based on your symptoms, it is recommended that you visit the neurology outpatient clinic for nerve conduction studies and electromyography for further diagnosis.[Read More] Understanding Leg Weakness: Causes and When to Seek Help
Understanding Chronic Dizziness and Visual Disturbances: When to Seek Help
Chronic dizziness and impaired visual acuity? Hello Doctor, I was diagnosed with a tendency to feel dizzy from hunger as a child, often without realizing it (not feeling hungry or wanting to eat). Now, I eat three meals on time, but I still experience dizziness for no apparent re...
Dr. Jiang Junyi Reply:
Hello: Your symptoms seem to be more related to neurology. Regarding the central nervous system: 1. You experience motion sickness almost every time you are in a vehicle, and strong odors also make you feel dizzy (possibly a variant of migraine?). 2. You often choke when drinking...[Read More] Understanding Chronic Dizziness and Visual Disturbances: When to Seek Help
Insomnia and Weight Training: Understanding the Connection and Solutions
The relationship between insomnia and weight training, as well as management strategies? Hello Dr. Jiang, I usually sleep from 2:00 AM to 10:00 AM. Recently, I've been experiencing occasional difficulties falling asleep, taking about 1 to 2 hours to do so after lying in bed...
Dr. Jiang Junyi Reply:
1. I have been weight training regularly for two years. Although I occasionally experienced insomnia in the past, I am unsure why there seems to be a particularly noticeable causal link between the two recently. Could it be due to overtraining or muscle soreness (delayed onset mu...[Read More] Insomnia and Weight Training: Understanding the Connection and Solutions
Unexplained Dizziness, Fatigue, and Heat: Seeking Answers in Neurology
Headache, dizziness, head pressure, unexplained fever, irritability, fatigue? Since May 20, after finishing breakfast, I suddenly felt very dizzy, similar to heat exhaustion. My body felt unusually hot and restless, but I was also sweating cold. My colleagues thought I was suffer...
Dr. Jiang Junyi Reply:
Hello: Your symptoms should first consider the possibility of an infection. If the infection is caused by a virus, it has been a week since 5/28, and your body should be mostly recovered by now. During the summer, due to increased fluid loss, it is important to stay well-hydrated...[Read More] Unexplained Dizziness, Fatigue, and Heat: Seeking Answers in Neurology
Understanding Neck and Shoulder Pain: Causes and Solutions
Headache and neck and shoulder pain? Hello, doctor... I often have trouble sleeping and experience a lot of stress, which causes me to toss and turn at night and adopt poor sleeping positions. This has led to frequent shoulder and neck pain. A week ago, I woke up with severe sore...
Dr. Jiang Junyi Reply:
Hello, based on your description, the most common cause of neck pain is cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscle in the back of the neck, resulting in neck and shoulder discomfort. Sometimes, headaches may extend to t...[Read More] Understanding Neck and Shoulder Pain: Causes and Solutions
Understanding One-Sided Headaches: When to Worry and When to Relax
Headache issues I would like to ask if I should be concerned about experiencing a unilateral headache (on the right side near the temple) that was initially quite painful (about the level of accidentally kicking something with my foot), but it was slightly more painful than usual...
Dr. Jiang Junyi Reply:
Hello, based on your description, it is important to consider that the cervical myofascial pain may extend to the head, potentially leading to symptoms such as pain, discomfort, muscle stiffness, or a feeling of heaviness. Symptoms may worsen with changes in weather and can be al...[Read More] Understanding One-Sided Headaches: When to Worry and When to Relax
Understanding Post-Fever Symptoms: Ear Ringing and Brain Damage Risks
Follow-up on sequelae after fever? Hello, doctor. Thank you for addressing the issue of tinnitus after fever in your previous response to #144833! In addition to the tinnitus question, I would like to ask: 1. Could the fever have exceeded 41 degrees Celsius, and with the thick bl...
Dr. Jiang Junyi Reply:
Hello: 1. Is it possible that the situation involved a fever exceeding 41 degrees Celsius, and under the condition of being covered with thick blankets, the high temperature caused brain damage, which led to the onset of tinnitus? A: Hearing should be assessed for any damage. 2. ...[Read More] Understanding Post-Fever Symptoms: Ear Ringing and Brain Damage Risks
Understanding Visual Hallucinations and Sleep Paralysis: A Medical Perspective
Yin-Yang Eyes and Sleep Paralysis Hello doctor, my girlfriend is 19 years old. She says she has been able to see spirits since her first year of high school. Now in her second year of college, she sometimes mentions seeing someone watching her from beside her bed while she sleeps...
Dr. Jiang Junyi Reply:
Hello: The symptoms you mentioned occurring during sleep may need to be considered as symptoms of REM sleep disorders (the phase when dreaming occurs). The hallucinations you described could be very realistic dreams. I recommend that you take your girlfriend to a sleep center at ...[Read More] Understanding Visual Hallucinations and Sleep Paralysis: A Medical Perspective
Neck Tension and Headaches: Seeking Relief from Chronic Pain
Neck tightness and pain, headache? Hello Doctor: My neck started feeling tight and stiff, which then led to severe headaches. It has been a week, and the pain is so intense that I can't sleep or work. The clinic prescribed anti-inflammatory and pain relief medication, which ...
Dr. Jiang Junyi Reply:
Based on your description, it may be necessary to consider tension-type headache or cervicogenic headache caused by cervical myofascial inflammation. The more common cause is tension-type headache, which has the following symptoms: (1) It is usually bilateral, located in the occi...[Read More] Neck Tension and Headaches: Seeking Relief from Chronic Pain
Concerns About Children Sleeping with Two Medical Masks: Risks and Safety
Children wearing two layers of medical masks while sleeping? Hello Doctor: My son recently slept with two layers of medical masks on. Although he seemed fine upon waking, I still have some concerns about whether wearing two masks could obstruct his breathing and potentially cause...
Dr. Jiang Junyi Reply:
Hello: I am not sure why your son needs to wear two layers of medical masks while sleeping. If it is due to allergies, you should consult a rheumatologist or immunologist to identify the allergens. Regarding your concern about oxygen deficiency, I recommend purchasing a fingertip...[Read More] Concerns About Children Sleeping with Two Medical Masks: Risks and Safety
Experiencing Electric Shock Sensations After Surgery: What to Know
The body feels like it has been electrocuted? Hello Doctor, I underwent anal fistula surgery at the end of November 2018. Since then, I have frequently experienced sudden vibrations in my chest, followed by a sensation on the right side of my body that feels like an electric shoc...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are more indicative of neuropathic pain, which is typically caused by damage or disease affecting the somatosensory nervous system. It particularly resembles peripheral nervous system disorders, where symptoms may include tingling or electric shock-like sensa...[Read More] Experiencing Electric Shock Sensations After Surgery: What to Know
Understanding Post-Fever Complications: Insights from Neurology
Post-fever sequelae Hello, doctor. After I had an eye stone removed from my upper eyelid, I may not have had clean hands and rubbed my eyes. The next morning, I started to have a fever. At that time, I was home alone and couldn't find a thermometer. I felt very tired and wan...
Dr. Jiang Junyi Reply:
Hello: According to your description, there are many causes of tinnitus, including external auditory canal inflammation, foreign body obstruction, and earwax buildup, all of which can lead to tinnitus. Even tooth extraction and temporomandibular joint inflammation can trigger tin...[Read More] Understanding Post-Fever Complications: Insights from Neurology
Understanding Scalp Sensations and Discomfort During Naps in Young Adults
During napping, I often experience scalp irritation, and sometimes I feel discomfort between my eyebrows? Hello, doctor. I am a 22-year-old university student currently taking mirtazapine 30mg for anxiety, and I am in my second month of treatment. Although I have experienced simi...
Dr. Jiang Junyi Reply:
Hello: The medication you mentioned, mirtazapine 30mg, is classified as an antidepressant that enhances the neurotransmission of norepinephrine and serotonin in the central nervous system. Such medications typically require 2-4 weeks to achieve stable therapeutic effects. Common ...[Read More] Understanding Scalp Sensations and Discomfort During Naps in Young Adults
Unexplained Muscle Twitches: Seeking Answers for Neurological Symptoms
Involuntary muscle contractions? Hello Doctor: My muscles involuntarily twitch every day, including my face, and I often feel weakness in my limbs. I have visited two medical centers to see a neuromuscular specialist, but the doctors could not find a cause and suggested it might ...
Dr. Jiang Junyi Reply:
Hello, based on your description of limb weakness and muscle twitching pain, the causes may include not only muscle and nerve issues but also some metabolic disorders such as thyroid dysfunction and sleep disorders, among others. I recommend that you consistently visit the same h...[Read More] Unexplained Muscle Twitches: Seeking Answers for Neurological Symptoms
Understanding Dopamine Deficiency and Its Impact on Anxiety Medications
Dopamine deficiency and medications such as Levodopa and Clonazepam? In mid-August last year, I started experiencing noticeable symptoms where sometimes while walking, my left foot would suddenly start to twitch involuntarily (possibly due to anxiety or other reasons), or my left...
Dr. Hong Weibin Reply:
You are very diligent! You've done a lot of homework. Occasionally, you experience muscle twitching in your left leg, sometimes accompanied by a tingling sensation, followed by pain in your left thigh. My thought is that it may be due to lumbosacral radiculopathy. Lumbosacra...[Read More] Understanding Dopamine Deficiency and Its Impact on Anxiety Medications
Understanding Hand Weakness: When to See a Neurologist
Occasionally experiencing weakness in both hands? Hello doctor, since early February, I have been experiencing occasional mild pain and soreness in the thumbs and the web spaces of both hands. Sometimes, my upper arms also feel weak and fatigued, and I occasionally notice muscle ...
Dr. Jiang Junyi Reply:
Hello: You mentioned that the symptoms may need to consider cervical nerve root compression at the sixth level causing paresthesia. As for the symptoms of amyotrophic lateral sclerosis (ALS): the primary manifestation of fasciculations is due to the degeneration of lower motor ne...[Read More] Understanding Hand Weakness: When to See a Neurologist
Understanding Involuntary Body Twitches During Sleep: Causes and Solutions
Involuntary muscle contractions? Recently, I have been experiencing involuntary twitching on the left side of my body (arms and legs) while sleeping at night. Each episode lasts for 2-3 minutes, and this has been happening for a while. Last night was more severe, lasting for 2-3 ...
Dr. Jiang Junyi Reply:
Hello, based on your description, there are many potential causes for muscle twitching, such as muscle atrophy and lumbar nerve compression, which require examination. Regarding the tingling sensation in your legs, it may be worth considering the possibility of restless legs synd...[Read More] Understanding Involuntary Body Twitches During Sleep: Causes and Solutions
Understanding Lower Abdominal Pain: Possible Causes and Diagnosis
Lower abdominal pain? Since I was in elementary school, I have experienced this symptom about 1 to 3 times a month. It occurs when my pelvis tilts forward, and when I stretch, particularly when my lower abdomen is extended, I feel a sharp pain that runs from my navel to my genita...
Dr. Jiang Junyi Reply:
Hello: The symptoms you mentioned may be due to nerve root compression at the twelfth thoracic or first lumbar vertebra, which can cause neuropathic pain. This is often observed during exertion or when there is an increase in abdominal pressure. I recommend consulting a neurologi...[Read More] Understanding Lower Abdominal Pain: Possible Causes and Diagnosis