Understanding Post-Hyperventilation Symptoms: Headaches and Dizziness
After excessive hyperventilation, my wife has been experiencing headaches, dizziness, and a feeling of tightness in her head for several days, and lying down makes her feel even worse? Hello Dr. Jiang: As mentioned, my wife has been experiencing these symptoms for a week after th...
Dr. Jiang Junyi Reply:
Hello Mr. Huang: You mentioned that your wife experiences "headaches and dizziness for several days after hyperventilation, along with a tight feeling in her head, which worsens when lying down." In addition to cervical spine issues, it may be necessary to consider prim...[Read More] Understanding Post-Hyperventilation Symptoms: Headaches and Dizziness
Understanding Cervical X-rays: Accuracy and Anomalies Explained
Cervical spine X-ray Hello, I had a cervical spine X-ray taken in 2019, and the neurologist at that time did not mention anything specific. Now, in 2022, another neurologist has told me that I have nerve compression issues in both my cervical and lumbar spine. Is it accurate to r...
Dr. Jiang Junyi Reply:
Hello Ms. Chen, You mentioned, "Is this accurate? Shouldn't I have another cervical spine X-ray? Also, it seems that most people have 6 cervical vertebrae, but I have 8; is that normal?" Humans typically have 7 cervical vertebrae. The important aspect regarding ...[Read More] Understanding Cervical X-rays: Accuracy and Anomalies Explained
Understanding Hand Numbness: Sympathetic vs. Nerve Compression Issues
Numbness in the hands? Hello Doctor, I have visited you before and was diagnosed with abnormalities in the parasympathetic nervous system. Currently, I am taking Fluxel and related vitamins. I went back to the rehabilitation department where I was previously diagnosed with cervic...
Dr. Jiang Junyi Reply:
Dear Mr. Sheng, You mentioned that "the numbness in your right thumb and index finger has not improved," which may indicate the need to consider compression of the median nerve rather than an issue with the autonomic nervous system. The median nerve is responsible for ...[Read More] Understanding Hand Numbness: Sympathetic vs. Nerve Compression Issues
Severe Neck Pain: When to Seek Emergency Care?
If you are experiencing sudden, severe pain that prevents you from moving, you should go to the emergency room? Sudden neck pain that makes it difficult to breathe, with pain persisting even at rest, inability to move the head, weakness in the neck, and a sensation of breathlessn...
Dr. Jiang Junyi Reply:
Hello, You mentioned 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. Initially, resting may alleviate the pain, but over time, it can worsen and affect da...[Read More] Severe Neck Pain: When to Seek Emergency Care?
Understanding Dizziness and Neck Issues: When to Seek Further Evaluation
Cervical spine, dizziness Hello Doctor, I started experiencing dizziness and hand numbness on January 17. I initially went to a general clinic where my blood pressure and heart rate were normal. After taking medication, my dizziness improved slightly, but I still occasionally fee...
Dr. Cai Zongzhang Reply:
Hello, cervical spine pain can cause nerve or vascular compression, leading to the symptoms mentioned above. It is recommended to consult a neurologist for evaluation and examination.[Read More] Understanding Dizziness and Neck Issues: When to Seek Further Evaluation
Understanding Arm Numbness: Possible Causes and Treatment Options
Questions about arm numbness? Hello Doctor, for the past month or so, I have been experiencing a sensation in my upper arm, specifically in the deltoid area, that feels similar to the numbness one gets after sleeping on their arm. Sometimes there is also a soreness, while other t...
Dr. Jiang Junyi Reply:
Dear Mr. JAM, You mentioned, "Are there other issues such as cubital tunnel syndrome or other neurological disorders that could produce similar symptoms? Or can we almost definitively conclude that it is a cervical spine issue?" Typically, symptoms resulting from nerve...[Read More] Understanding Arm Numbness: Possible Causes and Treatment Options
Neck Compression and Sleep Issues: Choosing the Right Pillow
Cervical spine compression and sleep issues? Hello, doctor. I have compressed nerves in my cervical spine. After rehabilitation, the pain has subsided, but I still experience occasional hand numbness and intermittent neck pain while sleeping. In this condition, are there any spec...
Dr. Jiang Junyi Reply:
Hello Mr. Ben, You mentioned that you still experience intermittent hand numbness and neck pain while sleeping. I would like to know which cervical vertebrae you have issues with. I recommend using a supportive neck pillow, as cervical spine disorders are closely related to the ...[Read More] Neck Compression and Sleep Issues: Choosing the Right Pillow
Understanding Tongue Pain: Neurological Insights and Causes
Tongue issues? Three years ago, I started experiencing pain in my tongue and mouth, usually on the right side near the base of the tongue and the foliate papillae. I have visited a teaching hospital for an examination, where both the attending physician and the chief physician ev...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "the symptoms usually occur after taking a shower in the evening (with the neck bent while washing hair)," which may suggest that cervical instability is causing compression of the vagus nerve and hypoglossal nerve, leading to oral burning...[Read More] Understanding Tongue Pain: Neurological Insights and Causes
Understanding Weakness and Tremors in Hand Grip: A Neurology Perspective
Weakness and numbness in the hands? Hello doctor, recently I have been experiencing difficulty in gently making a fist with both hands. When I try to make a light fist, my hands feel very weak and slightly tremble, similar to the weakness I feel in the morning upon waking up (fee...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "when not using your arms, there may be a slight feeling of soreness or weakness in the arm muscles (especially when lying down or sitting)." It is important to consider cervical nerve root compression. The fascia around the cervical spine has ...[Read More] Understanding Weakness and Tremors in Hand Grip: A Neurology Perspective
Understanding Neck Discomfort: Causes and Solutions for Relief
Neck discomfort? About one to two weeks ago, I started feeling a strange sensation in the front of my neck, but it wasn't painful, so I didn't pay much attention to it. However, in the last two to three days, I've noticed a tight feeling in my neck, with slight num...
Dr. Jiang Junyi Reply:
Dear Ms. A-Zhu, You mentioned feeling a slight tightness and mild numbness in your neck, which may indicate a cervical spine issue. I recommend the following: 1. **Change Positions**: Change your posture every 15 minutes to allow the neck tissues to rest. Maintaining any positi...[Read More] Understanding Neck Discomfort: Causes and Solutions for Relief
Head Injury from Bathroom Fall: When to See a Neurologist?
I fell in the bathroom around noon and hit the back of my right head? Hello Doctor: I slipped and hit my head in the bathroom around noon. Since the bathroom is small, I didn't fall flat on my back; instead, my head struck the wall behind me at a nearly vertical angle. I ins...
Dr. Jiang Junyi Reply:
Dear Miss Emma, You mentioned experiencing "chest tightness that feels better with deep breaths, and mild swelling in your right hand. I would like to ask if you need to visit the neurology or surgery outpatient clinic tomorrow?" Generally speaking, if there is no loss...[Read More] Head Injury from Bathroom Fall: When to See a Neurologist?
Understanding Post-Impact Head Discomfort: Causes and Concerns
Head trauma Hello, doctor. In the first half of 2020, I had two upper molars extracted, and since then, I have experienced discomfort in my head. I started seeing doctors, but they all said it was unrelated to the tooth extraction, attributing it to anxiety and sleep issues. I ha...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned, "Has the impact to the head caused internal bleeding or delayed bleeding? It has been a year and a half; could it last this long? Additionally, could the earlier tooth extraction have affected the brain? After all, I have been experiencing discomfo...[Read More] Understanding Post-Impact Head Discomfort: Causes and Concerns
Understanding Nerve Pain: Left Hand and Foot Tingling and Weakness
Numbness and tingling in the left hand and left foot, accompanied by weakness? Hello Doctor, The first symptoms appeared on February 27. After attending a wedding banquet that afternoon, I stepped out of the venue and experienced a sudden, electric shock-like tingling in my lef...
Dr. Jiang Junyi Reply:
Hello Ms. Yang, You mentioned that "my left hand and left foot feel like they are being electrocuted, experiencing intermittent tingling and numbness." This condition may suggest symptoms of neuropathic pain. If it occurs only on one side, it may be necessary to consid...[Read More] Understanding Nerve Pain: Left Hand and Foot Tingling and Weakness
Understanding Nerve Pain: Left Hand and Foot Tingling and Weakness
Numbness and tingling in the left hand and left foot, accompanied by weakness? Hello Doctor, The first symptoms appeared on February 27th. After attending a wedding banquet that afternoon, I stepped out of the venue and suddenly felt a tingling sensation in my left hand and lef...
Dr. Jiang Junyi Reply:
Hello Ms. Yang, You mentioned that "my left hand and left foot feel like they are being electrocuted, with intermittent tingling and numbness." This condition may suggest symptoms of neuropathic pain. If it is only present on one side, it may be necessary to consider l...[Read More] Understanding Nerve Pain: Left Hand and Foot Tingling and Weakness
Understanding Unusual Brain Sensations: When to Seek Neurological Help
Cerebrovascular events feel like an electric shock? Doctor, I have been experiencing sensations in my head that feel like pressure on my blood vessels or like an electric shock. It's similar to the feeling of stepping on a water pipe or compressing it, and it happens frequen...
Dr. Jiang Junyi Reply:
Hello Ms. Hsiao-Yu, You mentioned that your head feels like it's being compressed, similar to pressure on a blood vessel or an electric shock, akin to stepping on a water pipe and squeezing it. This may warrant consideration of cervical headache. The small muscles connected...[Read More] Understanding Unusual Brain Sensations: When to Seek Neurological Help
Understanding Muscle Pain and Fasciculations: Possible Neurological Causes
Muscle fasciculations and muscle soreness with weakness? Since 2019, I have experienced occasional muscle soreness in my limbs (about once every 3 to 6 months, lasting approximately 1.5 weeks). My hand strength has decreased, and when I go shopping and lift items weighing 2 to 5 ...
Dr. Hong Weibin Reply:
Hello: Based on your symptoms, it is recommended that you seek assistance from a neurologist specializing in neuromuscular diseases at a major hospital. They may arrange for blood tests, electromyography (EMG), and other evaluations. Cervical spine compression or myasthenia gravi...[Read More] Understanding Muscle Pain and Fasciculations: Possible Neurological Causes
Sudden Electric Shock Sensation in Buttocks: What Could It Be?
The flesh on the buttocks feels like it has been punctured? About a month ago, I started experiencing a sensation in my left buttock while sitting, like an electric shock that lasts for about two seconds. This occurs occasionally, sometimes once a day or every two to three days, ...
Dr. Jiang Junyi Reply:
Hello, Ms. Gui: You mentioned experiencing a sensation in your buttock that feels like an electric shock lasting about two seconds, specifically on the left side. This symptom is more indicative of peripheral nerve compression. It may be worth considering "piriformis syndro...[Read More] Sudden Electric Shock Sensation in Buttocks: What Could It Be?
Understanding Coma: Causes, Treatments, and Recovery in Elderly Patients
Coma scale score of 4? My mother is 86 years old. After a nap on January 8, she could not be awakened. That evening, her blood sugar was measured at 183, her blood oxygen level was 89, and her blood pressure was normal. On January 19, she still could not be awakened in the mornin...
Dr. Jiang Junyi Reply:
Dear Ms. Vicky, You mentioned, "Doctors only treat infections with antibiotics. I really want to ask, for a comatose patient like this, do we just have to wait aside from antibiotic treatment? Are there no more aggressive treatment options?" In clinical practice, the m...[Read More] Understanding Coma: Causes, Treatments, and Recovery in Elderly Patients
Understanding Right-Side Numbness: Causes and Concerns in Neurology
Numbness in the right side of the face, hands, and feet? Hello, I initially experienced numbness in my right hand's ring and little fingers, as well as numbness on the right side of my face. Sometimes, I feel saliva pooling in my mouth. I consulted a neurologist who performe...
Dr. Jiang Junyi Reply:
Hello Ms. Ping, You mentioned that "the ring finger and little finger are numb," which is more indicative of ulnar nerve pathology. You also mentioned that "the MRI of the spine shows mild disc herniation." Often, because the MRI is performed while lying down...[Read More] Understanding Right-Side Numbness: Causes and Concerns in Neurology
Understanding Nerve Pain: When to See a Neurologist or Specialist
Pain and numbness in the hands and feet? Hello doctor, I have pain from my lower back to my buttocks and down to my calves, with pain in my heels and soles. My fourth toe has an angle that causes discomfort, possibly due to tight shoes compressing it, which feels like it might be...
Dr. Jiang Junyi Reply:
Dear Mr. Ming-Ting, You mentioned that the pain from the lower back to the buttocks, down to the calves, and from the heels to the soles of the feet resembles a condition related to the sciatic nerve. Additionally, the tingling and numbness in your ring and little fingers are mo...[Read More] Understanding Nerve Pain: When to See a Neurologist or Specialist