Understanding Sharp, Lightning-Like Pain in the Ankle: Causes and Solutions
Sharp, lightning-like needle sensations? Hello Dr. Jiang: In the past week, I have been experiencing intermittent sharp, lightning-like pain on the inner side of my left ankle. The frequency is irregular, and if it occurs while I am sleeping, it wakes me up. I also feel a crawlin...
Dr. Jiang Junyi Reply:
Dear Ms. Yen, Based on your description of experiencing a crawling sensation in your limbs and a lightning-like prickling feeling on the inner side of your right ankle, it is important to consider the possibility of lumbar nerve root compression. Symptoms of peripheral nerve com...[Read More] Understanding Sharp, Lightning-Like Pain in the Ankle: Causes and Solutions
Severe Morning Headaches: Understanding Nocturnal Pain and Its Causes
Severe headache on one side at a specific time during sleep? Since last week, I have been waking up in severe pain around five or six in the morning. The pain starts from my left temple and radiates to the entire left side of my face, lasting about five minutes before subsiding f...
Dr. Jiang Junyi Reply:
Dear Ms. Qianyu, You mentioned that "you are often awakened by severe pain around five or six in the morning, starting from the left temple." Your symptoms may suggest a consideration of sinus headache. Typically, there is a feeling of pressure or fullness around the e...[Read More] Severe Morning Headaches: Understanding Nocturnal Pain and Its Causes
Understanding Left Back and Thigh Discomfort: A Neurological Perspective
When sitting and lying flat, there is something unusual in the left back area and the left thigh? Hello, doctor! This issue has been troubling me for two years, but it has become particularly severe in the past few months. When I sit upright (with my back relatively straight) and...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, it cannot be ruled out that they are related to deep muscle issues. If you are feeling very troubled, you may consider going to a major hospital to check your muscle enzymes, or consult with your physician about whether an MRI is necessary. Thank yo...[Read More] Understanding Left Back and Thigh Discomfort: A Neurological Perspective
Is It Autonomic Nervous System Disorder? Understanding Your Symptoms
Could this be classified as autonomic nervous system dysfunction? Hello, doctor. I am 23 years old, with a height of 157 cm and a weight of 65 kg. (Personal experience: I have had nasal allergies since childhood, but the condition has not been severe as I grew up, experiencing oc...
Dr. Cai Zongzhang Reply:
Hello J: Based on the symptoms mentioned, it is recommended to visit an otolaryngologist to check if nasal issues are causing difficulty in ventilation. The symptoms described are not caused by autonomic nervous system disorders, and regular exercise may help improve the conditio...[Read More] Is It Autonomic Nervous System Disorder? Understanding Your Symptoms
Understanding Chronic Fatigue: Causes and Solutions for Brain Fog
Feeling fatigued no matter what you do? Doctor, I sleep at least 8 hours every day. Usually, when I wake up in the morning, I don't feel refreshed. Sometimes on my days off, even after sleeping for 8 or 9 hours, I still feel very sleepy and can't go back to sleep. In th...
Dr. Cai Zongzhang Reply:
Hello Junjun: Based on the symptoms mentioned, it is recommended to first visit a family medicine clinic to check for any thyroid disorders. If none are found, it is advised to continue exercising to strengthen cardiovascular function, which can enhance physical stamina.[Read More] Understanding Chronic Fatigue: Causes and Solutions for Brain Fog
Understanding Chest Discomfort: Causes and Concerns for Nighttime Symptoms
Chest tightness and a feeling of pressure, with sudden episodes of anxiety, rapid heartbeat, and shortness of breath occurring before sleep in the early morning or at midnight, leading to awakening? Two years ago, I visited a cardiologist and underwent X-rays and an electrocardio...
Dr. Cai Zongzhang Reply:
Hello Mr. Wei: The symptoms mentioned may be indicative of a autonomic nervous system disorder. It is recommended that you visit a neurology outpatient clinic for an examination.[Read More] Understanding Chest Discomfort: Causes and Concerns for Nighttime Symptoms
Understanding Body Tremors: When to Seek Medical Attention
Body tremors Hello doctor, yesterday while I was sleeping, I suddenly noticed that the left side of my body and my left hand were trembling. I was abruptly awakened by the shaking, and the symptoms lasted for several seconds. After waking up, I found that the entire left upper ha...
Dr. Cai Zongzhang Reply:
Hello, Song: The symptoms mentioned above may indicate a neurological disorder. It is recommended to visit a neurology outpatient clinic for examination.[Read More] Understanding Body Tremors: When to Seek Medical Attention
Understanding Tiny Acute Ischemic Infarcts: Causes and Management
Physical examination revealed signs of a previous minor stroke? Hello Doctor: Last month, the MRI results for my brain were interpreted as follows: Z719 Counseling, unspecified, V6540 Counseling, not otherwise specified, ||cre:0, eGFRr:0 Imaging findings: Brain MRI study without ...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned "A tiny acute ischemic infarct, left occipital subcortical white." An elder relayed that it was a concussion; could this have related effects? MRI primarily detects cerebral infarctions within a month. It cannot explain events that occurred muc...[Read More] Understanding Tiny Acute Ischemic Infarcts: Causes and Management
High Frequency Muscle Twitches and Fatigue in a 14-Year-Old: Possible Causes
Frequent muscle twitching throughout the body and a feeling of weakness? Muscle twitching occurs frequently, with some localized spasms. It intensifies when I feel restless. I experience a tingling sensation similar to being electrocuted when sitting or lying down. I feel fatigue...
Dr. Jiang Junyi Reply:
Hello Mr. Pao, You mentioned experiencing a sensation similar to being electrocuted when sitting or lying down, which is a symptom of peripheral nerve compression. This is not indicative of amyotrophic lateral sclerosis (ALS), which is a type of motor neuron disease. ALS present...[Read More] High Frequency Muscle Twitches and Fatigue in a 14-Year-Old: Possible Causes
Understanding Involuntary Muscle Twitches: Causes and Concerns
Involuntary muscle twitching? I am a 35-year-old male, non-smoker, non-drinker, and I do not consume betel nut or coffee. I am 180 cm tall and weigh 55 kg. I have a regular exercise routine that includes both strength training and aerobic exercises. Over two years ago, I suddenly...
Dr. Jiang Junyi Reply:
Hello Mr. Hsuan, You mentioned experiencing "twitching in your toes, similar to after finishing a hike, a jog, walking a long distance, or sitting on a specific sofa..." The muscle twitching you are experiencing may be related to several factors: exercise, acute viral ...[Read More] Understanding Involuntary Muscle Twitches: Causes and Concerns
Understanding Unexplained Tremors and Fatigue: When to Seek Help
Feeling extremely fatigued and on the verge of fainting, with involuntary body tremors? I would like to consult a doctor. Recently, I have been experiencing involuntary body tremors at night before sleep. I am unsure if this is due to excessive tension. My eyelids also twitch int...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, there are currently no specific findings and no neurological localization. Additionally, since the symptoms occur at specific times, the likelihood of a stroke is low. Furthermore, smoking is detrimental to your health, so please quit smoking immedi...[Read More] Understanding Unexplained Tremors and Fatigue: When to Seek Help
Understanding Groin Pain: Causes and Treatment Options for Nerve Issues
Inguinal pain accompanied by burning and weakness in the inner thigh and spermatic cord? Hello, Doctor. About 2-3 years ago, I started experiencing dull pain in the right inguinal region, which radiates to the right side of the scrotum and causes a burning sensation on the inner ...
Dr. Cai Zongzhang Reply:
Hello Mr. Chen: The symptoms mentioned may be indicative of neuropathic pain. It is recommended that you visit a neurology outpatient clinic for further evaluation to determine the cause.[Read More] Understanding Groin Pain: Causes and Treatment Options for Nerve Issues
Understanding Lip Numbness: Causes and Relief Strategies
Numbness in the lower lip? This month, the patient has experienced lip numbness twice, with episodes lasting approximately one to two hours, occurring just before sleep. What should be noted and how can it be alleviated?
Dr. Jiang Junyi Reply:
Dear Ms. Chiu, You mentioned that "your husband is experiencing lip numbness." Are there any other symptoms, such as numbness in the limbs or unilateral weakness? First, we should consider "hyperventilation syndrome," which can lead to decreased carbon dioxid...[Read More] Understanding Lip Numbness: Causes and Relief Strategies
Understanding Sleep Breathing Issues: Causes and Solutions
Sleep breathing disorders Hello Doctor, yesterday while I was sleeping, I woke up gasping for air due to a lack of oxygen. This situation occurs about once every six months; although the frequency is low, it is always very uncomfortable, and I worry about the possibility of suffo...
Dr. Jiang Junyi Reply:
Hello Mr. Hsu: You mentioned that "the sleep study showed an RDI of 1.9 and a minimum blood oxygen level of 84." These values do not meet the criteria for obstructive sleep apnea (OSA), which is greater than 5. Symptoms of sleep apnea include insomnia, nightmares, irrit...[Read More] Understanding Sleep Breathing Issues: Causes and Solutions
Understanding Dizziness, Rapid Heartbeat, and Weight Loss Symptoms
Dizziness, increased heart rate, and a sensation of weightlessness? Hello doctor, for the past six months, I have often felt inexplicably anxious over minor issues, with an increased heart rate, sometimes accompanied by cold sweats and nausea. Recently, I have also experienced di...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, it appears that you may have Generalized Anxiety Disorder. You can refer to this article: https://wwwv.tsgh.ndmctsgh.edu.tw/unit/10058/17028. If you have any questions, you may also consult the psychiatry outpatient clinic. Thank you for your inquir...[Read More] Understanding Dizziness, Rapid Heartbeat, and Weight Loss Symptoms
Understanding Head Pressure: When to Seek Neurological Help
Inquiry about Head Pressure Until yesterday, I had been staying up late for a week to complete assignments, with a sleep schedule of going to bed at 8 AM and waking up at 3 PM. For the past two nights, I experienced significant swelling in my head (above the temples on both sides...
Dr. Jiang Junyi Reply:
Dear Mr. Wood, You mentioned that "after a week of continuous late nights... my head is very swollen (above the temples on both sides)," and we should first consider tension-type headache. The symptoms of this type of headache are as follows: 1. It is often bilateral...[Read More] Understanding Head Pressure: When to Seek Neurological Help
Feeling Breathless Before Sleep: Understanding Sleep Disruptions
Waking up feeling like you've forgotten to breathe just as you're about to fall asleep? For the past couple of days, I've been experiencing a sensation of forgetting to breathe just as I'm about to fall asleep. I wake up briefly, feel alert for a while, and th...
Dr. Cai Zongzhang Reply:
Hello, the symptoms mentioned may indicate sleep apnea; however, there are other potential causes. It is recommended to visit a neurology outpatient clinic.[Read More] Feeling Breathless Before Sleep: Understanding Sleep Disruptions
Morning Headaches: Causes, Concerns, and When to Seek MRI
Waking up with a headache every morning? I have been experiencing headaches for about two years, and in recent months, I have been waking up almost every morning with a throbbing pain in my head. After getting up and moving around, the pain tends to ease, but I continue to feel d...
Dr. Wu Mukhan Reply:
Hello, the most common causes of chronic headaches are migraines and tension-type headaches, which are functional issues of the nervous system. Generally, they can be diagnosed without imaging studies, and most cases can improve with outpatient treatment. If the headache is cause...[Read More] Morning Headaches: Causes, Concerns, and When to Seek MRI
Understanding Arm Numbness Upon Waking: Causes and Risks
Causes and Potential Risks of Experiencing Numbness in the Arm Upon Waking Up Hello, Doctor! Recently, I have noticed that sometimes while sleeping, I unconsciously raise one arm above my head (resting it on the pillow behind my head rather than pressing it underneath). When I wa...
Dr. Jiang Junyi Reply:
Dear Mr. Awei, Your symptoms, as you described, are due to nerve compression. You mentioned, "If this happens often, could it be harmful? For example, could my hand become necrotic one day and require amputation?" This is typically a consequence of vascular obstruction...[Read More] Understanding Arm Numbness Upon Waking: Causes and Risks
Understanding Abnormal Sensations in Feet: Causes and Solutions
Abnormal sensation Hello Doctor, I have recently been experiencing a strange sensation in my feet, where they often feel cold (or hot? It's a peculiar feeling that starts from my toes and extends upwards). Although my feet feel cold, their actual temperature seems normal. I&...
Dr. Jiang Junyi Reply:
Hello Student H: You mentioned that "the neurologist said an MRI was not necessary, and only advised me to exercise more, maintain a regular sleep schedule, and eat more B vitamins, without prescribing any medication. At that time, I did not have the unusual symptom of coldn...[Read More] Understanding Abnormal Sensations in Feet: Causes and Solutions