Understanding Persistent Numbness in Hands and Feet: Possible Causes and Solutions
Numbness in the hands and feet? Hello Doctor, since September 25th, I have been experiencing numbness in my fingers upon waking up. Initially, I thought it would resolve on its own, but by September 26th, the numbness extended to my toes and the soles of my feet. As of now, Octob...
Dr. Jiang Junyi Reply:
Dear Ms. Apple, You mentioned that "blood tests, nerve conduction studies, and spinal tap examinations all reported normal results, and the cerebrospinal fluid analysis was also normal, with only a noted slowing of nerve conduction." You pointed out abnormal sensory ne...[Read More] Understanding Persistent Numbness in Hands and Feet: Possible Causes and Solutions
Understanding Paresthesia and Skin Bumps in the Right Leg: Causes and Concerns
Sometimes there are goosebumps on the right foot? Why does my right foot sometimes have goosebumps and a tingling sensation? I have also experienced occasional sharp pain in my right chest; could this indicate a nerve issue or a sign of a potential stroke? Previously, I never exp...
Dr. Jiang Junyi Reply:
Dear Ms. Hui, You mentioned that "after the activity, there was a persistent soreness in the entire right arm until the next day," which may warrant consideration of cervical nerve or peripheral nerve compression issues. Peripheral neuropathy caused by nerve compressio...[Read More] Understanding Paresthesia and Skin Bumps in the Right Leg: Causes and Concerns
Understanding Recovery from Hemorrhagic Stroke: What to Expect
Minor stroke with cerebral hemorrhage? Hello, doctor. My father was diagnosed with a hemorrhagic stroke due to hypertension on October 9th of this year. The blood clot is 25cc, and the doctor mentioned waiting for the clot to be reabsorbed, which should take about three months. C...
Dr. Jiang Junyi Reply:
Dear Mr. Hsiao, You mentioned that "currently, the left side is numb, vision is blurred, I can take care of myself, and my speech is normal. I would like to ask if the symptoms will gradually improve after the blood clot is absorbed?" The possible site of bleeding is i...[Read More] Understanding Recovery from Hemorrhagic Stroke: What to Expect
Understanding Paresthesia and Skin Bumps in the Right Leg: Causes and Concerns
Sometimes, there are goosebumps on the right foot? Why does my right foot sometimes have goosebumps and a tingling sensation? I have also experienced occasional sharp pain in my right chest; could this indicate a nerve issue or a potential stroke? Previously, I never experienced ...
Dr. Jiang Junyi Reply:
Dear Ms. Hui, You mentioned that "after the activity, my entire right hand felt sore until the next day," which may indicate a potential issue with cervical nerve compression. Peripheral neuropathy caused by nerve compression may present with the following characterist...[Read More] Understanding Paresthesia and Skin Bumps in the Right Leg: Causes and Concerns
Understanding Neck and Back Pain: When to Worry About Serious Conditions
Pain in the occipital region of the neck? Hello Doctor: I have been experiencing symptoms such as neck pain and upper back pain since early last year. I have consulted with rehabilitation and neurology specialists, and underwent several neurological and X-ray examinations, which ...
Dr. Hong Weibin Reply:
Hello: Based on your description, it may be related to neck muscle stiffness. It is recommended to relax the muscles.[Read More] Understanding Neck and Back Pain: When to Worry About Serious Conditions
Improving Memory Issues After Aneurysmal Subarachnoid Hemorrhage
Memory issues after a cerebral aneurysm rupture? I have undergone surgery for a cerebral aneurysm rupture and it has been three months since the operation. I am currently hospitalized for rehabilitation, and my limbs have regained about 60% of their function. I do not feel any ph...
Dr. Jiang Junyi Reply:
Hello Mr. Wang: You mentioned whether "Suliqing" is helpful. May I ask the location of your cerebral hemorrhage? Is it in the left basal ganglia? If financially feasible, I recommend administering it for 1-3 weeks to supplement amino acids for the brain. Clinical experi...[Read More] Improving Memory Issues After Aneurysmal Subarachnoid Hemorrhage
Understanding Alcohol-Related Neurological Symptoms: Stroke or Intoxication?
Inability to move the limbs and facial twitching after consuming alcohol? After consuming less than a small beer glass of whiskey, the individual experienced inability to move their limbs (hands making an "OK" gesture but unable to move), facial twitching, weakness in t...
Dr. Peng Shiwei Reply:
Hello Mr. Huang, based on your symptoms, both epilepsy and transient ischemic attack are possible. The likelihood of alcohol intoxication is relatively low. If you have any concerns, please come to the hospital for a thorough evaluation by a physician. It is also advisable for yo...[Read More] Understanding Alcohol-Related Neurological Symptoms: Stroke or Intoxication?
Understanding Lip Numbness: COVID-19 Symptoms or Stroke Warning?
Numbness of the lips? Hello, doctor. During my COVID-19 diagnosis at the end of August, I experienced lip numbness, which has since become more frequent, often lasting over a day. The numbness is located on the outer part of my lips. Is this a symptom of COVID-19, or could it be ...
Dr. Jiang Junyi Reply:
Dear Ms. Liang, You mentioned that "the numbness in your lips is located on the outer edge." I would like to know if you are experiencing any other symptoms of numbness or tingling in your limbs. Similar symptoms are commonly seen in cases of hyperventilation. This occ...[Read More] Understanding Lip Numbness: COVID-19 Symptoms or Stroke Warning?
Understanding Persistent Head Sensations: Dizziness, Pressure, and Sleep Issues
Sensation of swaying, feeling of an earthquake, heaviness in the back left side of the head? Hello Doctor, for the past two weeks, I have been experiencing a sensation of my head shaking throughout the day, whether I am sitting or standing. Sometimes, I feel like there is an eart...
Dr. Cai Zongzhang Reply:
Hello, Ruid: The symptoms mentioned above are suggestive of balance dysfunction. If appropriate rest and sleep do not improve the symptoms, it is recommended to visit a neurology outpatient clinic for evaluation.[Read More] Understanding Persistent Head Sensations: Dizziness, Pressure, and Sleep Issues
Understanding Stroke Symptoms: When to Seek Emergency Care for Your Loved One
Dizziness, inability to measure blood pressure in the right arm, cold fingers, and numbness and soreness in the hand? The mother, aged 83, suffered a stroke while sleeping before the Mid-Autumn Festival. The doctor determined that it was beyond the 3-hour window for administering...
Dr. Hong Weibin Reply:
Hello: Please go to the emergency department as soon as possible, as there may be a peripheral artery occlusion.[Read More] Understanding Stroke Symptoms: When to Seek Emergency Care for Your Loved One
Do Brain Health Medications Affect Blood Thinning During Checkups?
Chronic dizziness Dear Doctor, I have been experiencing long-term dizziness, and a doctor prescribed me a medication called Naoqing. Recently, I am considering undergoing a comprehensive health check-up, and I was advised not to take any anticoagulant medications. Could you pleas...
Dr. Jiang Junyi Reply:
Hello Ms. Lychee, You mentioned experiencing "long-term dizziness, and a doctor prescribed me medication for brain clarity. Recently, I want to undergo a full health check-up, and I was advised not to take any anticoagulant medications. Could you please tell me if Flunarizi...[Read More] Do Brain Health Medications Affect Blood Thinning During Checkups?
Understanding Scalp and Facial Numbness: Possible Neurological Concerns
Tingling sensations in the scalp and face? Hello, doctor. This year I have experienced tingling in my scalp and face, mostly in the upper right side of my scalp and right cheek, with occasional sensations on the left side. I also have experienced tingling and pain in my chest, wh...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned whether there is a greater possibility of stroke or brain tumor issues. I wonder if you have any problems related to hypertension, diabetes, or hyperlipidemia? Generally, the risk factors for cerebral artery embolism include older age, diabetes, hyperte...[Read More] Understanding Scalp and Facial Numbness: Possible Neurological Concerns
Understanding TIA: Insights from Carotid Ultrasound Results
TIA - Carotid Ultrasound Examination Issues Hello Dr. Hong, I would like to ask the following questions: Q1: Have the results and conditions from the two ultrasound examinations worsened? (1) 2021/9/14 (2) 2022/8/16 Q2-1: If I consume too much salt, I experience dizziness. Is ...
Dr. Hong Weibin Reply:
Hello: 1. The results from the two carotid ultrasounds show that both the peak systolic velocity (PSV) and end diastolic velocity (EDV) as well as the flow are normal. 2. Consuming too much salt can lead to dehydration, and when the body is dehydrated, it can cause brain fog and ...[Read More] Understanding TIA: Insights from Carotid Ultrasound Results
Understanding TIA: Insights from Carotid Ultrasound Results
TIA - Carotid Ultrasound Examination Issues Hello Dr. Hong, I would like to ask the following questions: Q1: Have the results and conditions from the two ultrasound examinations worsened? (1) September 14, 2021 (2) August 16, 2022 Q2-1: If I consume too much salt, I feel dizzy...
Dr. Hong Weibin Reply:
Hello: 1. The results from two carotid ultrasounds show that both the peak systolic velocity (PSV) and end diastolic velocity (EDV) as well as the flow are normal. 2. Consuming too much salt can lead to dehydration, and when the body is in a dehydrated state, it can cause brain f...[Read More] Understanding TIA: Insights from Carotid Ultrasound Results
Understanding Dizziness: Causes and Concerns in Neurology
Dizziness and lightheadedness, feeling like being on a boat? Hello Dr. Jiang, thank you for clarifying things for the public; you are a great doctor, and I appreciate your hard work! Dr. Jiang, for the past week, I have been experiencing sudden dizziness while standing, similar t...
Dr. Jiang Junyi Reply:
Hello Nick, You mentioned experiencing a sudden dizziness lasting 2-10 seconds after bending down, sometimes feeling a swaying motion. Your symptoms may suggest Benign Paroxysmal Positional Vertigo (BPPV), characterized by brief episodes of dizziness related to changes in head p...[Read More] Understanding Dizziness: Causes and Concerns in Neurology
Understanding Medication Side Effects: When to Consult Your Doctor
Drug side effects Hello Doctor: I have migraines and have seen a doctor who prescribed me an anticonvulsant medication (Topiramate). The doctor informed me that it might cause hand numbness. I have been taking it for about a week and only experienced hand numbness, but today I su...
Dr. Jiang Junyi Reply:
Dear Ms. Liu, You mentioned, "Is this a normal side effect of the medication, or should I inform my doctor immediately or stop taking it? Am I at risk of having a stroke?" If you do not smoke, use birth control pills, or have a history of hypertension, diabetes, or oth...[Read More] Understanding Medication Side Effects: When to Consult Your Doctor
Understanding the Differences Between Brain MRI and Head MRI: A Comprehensive Guide
The difference between a brain MRI and a head MRI lies primarily in the focus of the imaging. A brain MRI specifically targets the brain tissue, providing detailed images of the brain's structure, including the cerebral cortex, cerebellum, and The first time I sought medical...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned "dizziness, vertigo, unilateral tinnitus, and wanting to check for Alzheimer's atrophy, whether there is a stroke, acoustic neuroma, or brain tumor; what kind of imaging should be done for a comprehensive evaluation?" These issues can gen...[Read More] Understanding the Differences Between Brain MRI and Head MRI: A Comprehensive Guide
Understanding Limb and Facial Numbness: When to Seek Neurological Care
Numbness in the limbs extending to the face? Hello, doctor. Yesterday, while using my computer, I suddenly experienced numbness in my limbs. I had a similar episode in March and consulted a rehabilitation physician. Due to insurance coverage limitations, they only performed an X-...
Dr. Cai Zongzhang Reply:
Hello, the symptoms mentioned may indicate cervical spine discomfort. It is recommended to maintain proper sitting posture and correct neck positioning. If the symptoms do not improve, it is advisable to consult a neurologist for further evaluation.[Read More] Understanding Limb and Facial Numbness: When to Seek Neurological Care
Could It Be a Stroke? Understanding Symptoms and Risks
Is it a stroke? In recent months, I have experienced occasional unsteadiness while walking, sudden drooling from the right corner of my mouth while doing tasks, slight tremors in my hands when holding objects, and an increased sense of fatigue. My daily routine is chaotic, often ...
Dr. Jiang Junyi Reply:
Dear Mr. Ating, You mentioned that your hands tremble slightly when holding objects and that you easily feel fatigued, and you are concerned about a possible stroke, which is a cerebrovascular disease. Given your age, if you experience persistent neurological deficits, it is imp...[Read More] Could It Be a Stroke? Understanding Symptoms and Risks
Understanding Symptoms of Possible Mini-Stroke: When to Seek Help
Regarding suspected mini-strokes? Hello, doctor. The day before yesterday afternoon, while I was using my phone, I suddenly felt dizzy (a light-headed sensation) and nauseous. I also felt unsteady while walking, leaning towards the left side. Other than that, I had no other sympt...
Dr. Cai Zongzhang Reply:
Hello, if the dizziness symptoms persist, it is recommended to visit a neurology outpatient clinic for evaluation.[Read More] Understanding Symptoms of Possible Mini-Stroke: When to Seek Help