Managing Nerve Pain After Surgery: Tips for Better Sleep and Comfort
Experiencing nerve pain when lying down, along with abnormal sensitivity to temperature changes? Two months after hemorrhoid surgery, I started experiencing pain in the groin area near the incision site, which only occurs when I lie down to sleep. The doctor mentioned that the sc...
Dr. Jiang Junyi Reply:
Hello: You mentioned experiencing sharp or aching pain around the surgical site, which may initially suggest muscle tissue inflammation. If you are experiencing numbness or a tingling sensation, it may indicate nerve compression. A rehabilitation physician can arrange for a muscl...[Read More] Managing Nerve Pain After Surgery: Tips for Better Sleep and Comfort
Understanding Pituitary Tumors: Impact on Health and Treatment Options
Pituitary tumor The father is 77 years old and has heart disease (arrhythmia, mitral valve insufficiency). According to the cardiologist, his heart function is only at 20%. His kidney function is poor but has not yet reached the stage of requiring dialysis. Currently, he can walk...
Dr. Jiang Junyi Reply:
Hello: Based on your description, you mentioned that the issue with the pituitary tumor was noted three years ago. If you are concerned about the tumor enlarging, a visual field test can be arranged. If the visual field test shows an increase in defects, an MRI can be scheduled f...[Read More] Understanding Pituitary Tumors: Impact on Health and Treatment Options
Can Multivitamins and B-Complex Harm Your Liver?
Is taking a multivitamin along with B vitamins harmful to the liver? Good evening, Dr. Jiang. Thank you very much for your advice regarding the numbness in my toes. I have hypertension and hyperlipidemia, so I take one tablet of Amlodipine and Rosuvastatin each morning. Additiona...
Dr. Jiang Junyi Reply:
Hello: The underlying concern you have may be metabolic syndrome. I wonder if you have issues with being overweight? I'm also curious if you have sleep disorders such as sleep apnea. Compared to the Rosuvastatin you are taking, B vitamins and multivitamins have limited effec...[Read More] Can Multivitamins and B-Complex Harm Your Liver?
Could Your Sleep Issues Be Narcolepsy? Understanding the Symptoms
Is it narcolepsy? Hello Dr. Jiang: For the past two months, I have been feeling like I have been dreaming a lot almost every night and not getting enough sleep. Sometimes, even though I am fully aware, my limbs feel paralyzed and it takes a moment for them to return to normal. Ad...
Dr. Jiang Junyi Reply:
Hello: It seems that you may have a sleep disorder, but narcolepsy is somewhat different from your condition. Diagnosing narcolepsy typically requires a detailed medical history, as narcolepsy is usually not directly related to the sleep quality of the previous night. In a sleep ...[Read More] Could Your Sleep Issues Be Narcolepsy? Understanding the Symptoms
Why Am I Always Tired? Understanding Sleep Patterns and Fatigue
Always feeling sleep-deprived? Hello, doctor. I usually go to sleep between 2 and 3 AM and wake up around 9 to 10 AM, which means I get about 7 hours of sleep. However, I still feel drowsy during the day. I have to set my alarm an hour earlier; otherwise, I tend to hit the snooze...
Dr. Jiang Junyi Reply:
Hello: Your sleep schedule appears to be irregular, as melatonin is secreted during sleep and is suppressed when it gets light outside. The latter part of your sleep may be affected by external environmental factors that influence sleep depth. Additionally, I would like to know a...[Read More] Why Am I Always Tired? Understanding Sleep Patterns and Fatigue
Exploring Nerve or Muscle Damage After Orthognathic Surgery: A Case Study
Nerve damage or muscle damage? Three years after orthognathic surgery, I have been experiencing pain and pressure behind my eyes, eye fatigue, blurred vision, and mental exhaustion, with no improvement over the past three years. Muscle relaxants and pain medications have been ine...
Dr. Jiang Junyi Reply:
Hello: I'm not sure if you have any refractive issues, such as myopia or presbyopia due to aging of the ciliary muscle, which may require more effort to focus when using your eyes. Since the distance from the sinuses to the eyeball is considerable, and the extraocular muscle...[Read More] Exploring Nerve or Muscle Damage After Orthognathic Surgery: A Case Study
Understanding Chronic Calf Pain and Weakness: Causes and Treatments
Chronic calf pain and weakness? Hello Doctor, I have been experiencing persistent pain and weakness in my calves. Initially, it was occasional, but now it has become more frequent. Each time I experience this pain and weakness, I feel that my calf muscles are very tight, and my t...
Dr. Jiang Junyi Reply:
Hello: Your symptoms seem to be related to the accumulation of lactic acid in your calves, causing soreness. You may want to consider your posture as a contributing factor. Additionally, it might be worth considering issues with venous blood flow in the lower extremities, as arte...[Read More] Understanding Chronic Calf Pain and Weakness: Causes and Treatments
Understanding Sleep Disorders: Nightmares and Body Movements Explained
Sleep concerns? Since elementary school, I have experienced nightmares where my body moves as I wake up, usually involving my legs or body. I can remember the last scene of the dream, and when I feel my body move, I immediately wake up with a racing heart. I often find myself rea...
Dr. Jiang Junyi Reply:
Hello, based on your description, if the body movements during the rapid eye movement (REM) sleep are caused by Parkinson's disease, patients typically have difficulty recalling the events upon waking. Your issue may warrant consideration of obstructive sleep apnea: this con...[Read More] Understanding Sleep Disorders: Nightmares and Body Movements Explained
Understanding Persistent Mild Headaches: When to Seek Further Evaluation
Mild headache persisting for 4 days? Hello, Doctor. I have rarely experienced headaches throughout my life, only occasionally having them for half a day to a day when I haven't slept well. About five days ago, I had a headache for a day, with a pain level of about four, and ...
Dr. Jiang Junyi Reply:
Hello: Based on your description, we should first consider tension-type headache or myofascial inflammatory headache. The symptoms of tension-type headache include: (1) Typically bilateral, located in the occipital and parietal regions, sometimes with widespread pain. The nature ...[Read More] Understanding Persistent Mild Headaches: When to Seek Further Evaluation
Understanding Persistent Muscle Twitches: Causes and Concerns
Muscle twitching for several consecutive days, lasting for a few hours each day? Dear Doctor, My wife suddenly informed me last Saturday night that she was experiencing muscle twitching in her upper arm. After observing the condition for several hours without any relief, we wen...
Dr. Hong Weibin Reply:
There are many causes for muscle twitching, among which electrolyte imbalances, anemia, dehydration, and radiculopathy are common. The diagnosis of benign fasciculation syndrome is typically made after excluding electrolyte imbalances, anemia, and neuromuscular issues. As for amy...[Read More] Understanding Persistent Muscle Twitches: Causes and Concerns
Understanding Unexplained Dizziness: Causes, Symptoms, and Solutions
Unknown dizziness Hello doctor, I have been experiencing dizziness for over two years. In 2016 and 2017, I underwent numerous tests, including brain MRI, CT scans, neck CT, EEG, intracranial blood flow studies, eye movement tests, ECG, 24-hour Holter monitoring, exercise ECG, ech...
Dr. Jiang Junyi Reply:
Hello: It seems that you have undergone many examinations, yet you still experience poor sleep. I wonder if you have had a sleep study done? Many symptoms such as dizziness, elevated blood pressure, and difficulty concentrating could potentially be explained by obstructive sleep ...[Read More] Understanding Unexplained Dizziness: Causes, Symptoms, and Solutions
Understanding Muscle Twitches and Weakness: A Neurological Perspective
Muscle twitching and weakness? Hello, doctor. Last Tuesday, I visited the neurology department with complaints of facial nerve dysfunction and decreased dexterity in my right hand. During my follow-up appointment this Tuesday, my right hand is still not functioning well. I am ver...
Dr. Jiang Junyi Reply:
Hello: The symptoms you mentioned, combined with sensory abnormalities, may suggest peripheral nerve inflammation. Amyotrophic lateral sclerosis (ALS) primarily affects motor neurons and typically does not present with sensory abnormalities. Regarding fasciculations, they are ass...[Read More] Understanding Muscle Twitches and Weakness: A Neurological Perspective
Understanding Fragmented Memory Loss in Neurological Conditions
Loss of episodic memory My grandmother suddenly asked about some things related to my grandfather last night, but those events happened a long time ago. She seems to have forgotten about my grandfather's current situation and only remembers past events about him. However, th...
Dr. Jiang Junyi Reply:
Hello: If neurological symptoms occur for a very short duration, it may be necessary to consider cerebrovascular diseases (such as stroke or hemorrhage affecting memory areas). However, it could also be transient global amnesia, which is often associated with changes in blood flo...[Read More] Understanding Fragmented Memory Loss in Neurological Conditions
Why Do I Feel Dizzy When Walking? Understanding Your Symptoms
Feeling dizzy while walking? I have had tinnitus for many years, and recently I've been experiencing mild dizziness when walking. It’s not a spinning sensation, and I don’t feel nauseous. Sleeping is the most comfortable position, and I don’t feel dizzy while sleeping. I hav...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may be related to disturbances or dysfunction of the inner ear balance system, which commonly occurs in individuals while traveling. Dizziness can trigger sympathetic nervous system responses such as gastrointestinal discomfort, nausea, vomiting, vertigo, pal...[Read More] Why Do I Feel Dizzy When Walking? Understanding Your Symptoms
Understanding Chronic Head Pressure and Dizziness: Causes and Solutions
Heavy head, pressure in the head, dizziness, and stiffness and soreness in the shoulders and neck? Hello Dr. Jiang, my questions are as follows, please help me answer them: ● Medical History 1. For the past five years, I have almost daily experiences of head heaviness, dizziness...
Dr. Jiang Junyi Reply:
Hello: The most important thing for your condition is to cultivate the parasympathetic nervous system. 1. Do I need to have another brain MRI? Under what circumstances should dizziness warrant an MRI? A: Generally, if there are no new neurological symptoms, repeating an MRI is...[Read More] Understanding Chronic Head Pressure and Dizziness: Causes and Solutions
Is Your Hip Pain Caused by Sciatica or Cartilage Injury?
Is the pain in the buttocks due to injury to the sciatic nerve or cartilage? Due to my job, I often have to squat down or bend over to lift heavy items, and I perform these actions daily. As a result, I experience significant pain in my left hip area, to the point where I hesitat...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may be related to a coccygeal fracture or damage to nearby tissues. If the sciatic nerve were being compressed, you would typically experience referred pain; however, your symptoms present as localized pain points, which are less characteristic of nerve root ...[Read More] Is Your Hip Pain Caused by Sciatica or Cartilage Injury?
Persistent Dizziness After Cold: What Could Be the Cause?
Dizziness throughout the day? Hello, Doctor Jiang... Three weeks ago, I had a cold with fever, sore throat, cough, and overall body weakness and aches. After two weeks, most of the symptoms improved, leaving only a slight cough. However, since last Wednesday, I have been feeling ...
Dr. Jiang Junyi Reply:
Hello: There are many factors that can cause symptoms of dizziness, such as anemia, autonomic dysfunction, and inner ear imbalance. Since your symptoms appeared after a cold, it is important to first rule out side effects from medications (many decongestants or cold symptom relie...[Read More] Persistent Dizziness After Cold: What Could Be the Cause?
Understanding Sleep Paralysis: Causes and Solutions for Your Nighttime Struggles
Sleep issues Hello Doctor: Recently, almost every week, I experience a strange sensation while sleeping, where I feel completely awake but my body cannot move, and I am unable to speak. Then, I hear a low-frequency buzzing sound in my ears. After a while, I can slowly move again....
Dr. Jiang Junyi Reply:
Hello: Your symptoms may indicate sleep paralysis, which is a type of sleep disorder. It typically occurs when a person is transitioning into sleep or waking up. Patients often feel as if they have just awakened; they can open their eyes and see their surroundings as well as hear...[Read More] Understanding Sleep Paralysis: Causes and Solutions for Your Nighttime Struggles
Understanding Headaches: Risks and When to Seek Medical Attention
I would like to inquire about issues related to headaches? Hello Doctor, my wife often experiences headaches when she is overly fatigued or sleep-deprived, and she frequently needs to take pain relievers to fall asleep. I would like to ask: 1. Are there any potential risks associ...
Dr. Jiang Junyi Reply:
Hello: Regarding the symptoms of headaches, if there are neurological abnormalities such as unilateral limb numbness or weakness, or if there is a thunderclap headache, it is essential to visit a neurology clinic for examination. The more common causes of headaches in women are t...[Read More] Understanding Headaches: Risks and When to Seek Medical Attention
Understanding Childhood Epilepsy: Is It Truly Benign After Years Without Seizures?
Inquiry about epilepsy issues? Hello, Dr. Jiang. I have a question to ask you: I had epilepsy when I was a child, and I took my medication regularly, gradually reducing and eventually stopping it around the time I was in the third year of junior high school. Since then, I have no...
Dr. Jiang Junyi Reply:
Hello: Your symptoms resemble benign childhood epilepsy. The clinical symptoms of benign childhood epilepsy typically occur between the ages of 3 and 13, with the most common age range being 6 to 9 years. The symptoms primarily consist of focal twitching of the face and limbs. Mo...[Read More] Understanding Childhood Epilepsy: Is It Truly Benign After Years Without Seizures?