Understanding Autonomic Nervous System Disorders: Symptoms and When to Seek Help
Autonomic nervous system dysfunction I would like to ask. I have stomach pain (I have undergone an endoscopy and have a gastric ulcer), chest tightness, difficulty breathing, and recently I've been experiencing dizziness, tingling sensations, and stiffness in my shoulders an...
Dr. Cai Zongzhang Reply:
Hello Ms. Chang: It is recommended to visit the neurology outpatient clinic for an examination to confirm the cause of your condition.[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and When to Seek Help
Understanding Neurological Symptoms: When to Seek Further Testing
Electroencephalogram (EEG) brain wave examination? Hello Doctor: In May, I suddenly experienced severe dizziness, feeling as if I was about to die, unable to breathe, with a tingling sensation in my head and a near-death feeling. After visiting the emergency room, all tests came ...
Dr. Jiang Junyi Reply:
Dear Mr. Ren-Zhang, You mentioned that in May, there was a day when you suddenly felt dizzy, as if you were about to die, experiencing difficulty breathing, numbness, and a sensation of near-death. I would like to know if your symptoms have recurred. If this was an acute episode...[Read More] Understanding Neurological Symptoms: When to Seek Further Testing
Understanding Nerve Sensations After Injections: Causes and Concerns
Numbness in the leg after an injection? Hello, doctor. A neurosurgeon administered glucose prolotherapy to me, injecting it into the back of my knee. During the injection, it stimulated a nerve, causing my calf to go numb all the way to the sole of my foot. I reported this to the...
Dr. Jiang Junyi Reply:
Hello Ms. Mi: You mentioned that "it only takes about 30 seconds to trim my toenails while bending my knees, and when I stretch my legs, I feel a tingling sensation in the soles of my feet." Your symptoms seem to be posture-related, and it may be worth considering perip...[Read More] Understanding Nerve Sensations After Injections: Causes and Concerns
Understanding Numbness in the Thumb and Back: Causes and Concerns
Mild numbness in the right thumb and slight numbness in the back? Doctor, I started experiencing a slight tingling sensation around my right thumb yesterday (similar to the feeling of a foot falling asleep but not going away, though it's mild and only noticeable when touched...
Dr. Jiang Junyi Reply:
Dear Mr. Fook Chi, You mentioned that "there is a slight tingling sensation around the right thumb... and that you have seen a doctor for shoulder and neck pain, which was diagnosed as a herniated disc at the C6 level." It is important to consider that the C6 nerve roo...[Read More] Understanding Numbness in the Thumb and Back: Causes and Concerns
Understanding Muscle Twitches: Possible Neurological Concerns and ALS
Muscle twitching In May, I noticed that my heels felt numb when I got out of bed, but the sensation disappeared after I walked around for a bit. This symptom lasted for about one to two weeks. However, in August, the numbness returned and lasted for another one to two weeks. In m...
Dr. Jiang Junyi Reply:
Hello Ms. Yeh: Amyotrophic lateral sclerosis (ALS) is a term that encompasses a group of motor neuron diseases. Typically, there are no significant sensory abnormalities, such as the tingling sensations you mentioned. Motor neurons control muscle movement; generally, the motor ne...[Read More] Understanding Muscle Twitches: Possible Neurological Concerns and ALS
Understanding Facial Twitching and Arm Symptoms: When to Seek Medical Advice
Facial twitching? Hello, Doctor Jiang. I have two questions to ask. About two years ago, I was rehabilitating at home for frozen shoulder when I suddenly noticed that my right cheek would involuntarily twitch while performing a stretching exercise that involved making large cir...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "the right cheek still has noticeable involuntary twitching. After testing, it was found that the twitching of the right cheek is triggered by movements involving the left arm," which may indicate a neurological dysfunction affecting the motor ...[Read More] Understanding Facial Twitching and Arm Symptoms: When to Seek Medical Advice
Understanding Muscle Twitches: Causes, Concerns, and When to Seek Help
Muscle twitching Hello Doctor, I previously visited a neurologist due to mild tingling sensations in my limbs and underwent nerve conduction studies for my upper and lower extremities (but did not have an electromyography). The doctor said the results were very normal. Recently, ...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: You mentioned experiencing a "slight tingling sensation in your limbs," which may suggest symptoms of hyperventilation syndrome. Hyperventilation can lead to a decrease in carbon dioxide levels in the blood, resulting in an increased pH, a condition know...[Read More] Understanding Muscle Twitches: Causes, Concerns, and When to Seek Help
Numbness from Foot to Outer Calf: Possible Causes and Concerns
Numbness from the dorsum of the foot to the lateral side of the calf? Hello, Doctor. I would like to consult you. About six months ago, I noticed a tingling sensation on the outer side of my right calf extending to the dorsum of my right foot (approximately from the middle toe to...
Dr. Cai Zongzhang Reply:
Hello, Hsiao-Ting: The symptoms mentioned above may indicate a peripheral neuropathy. Please visit a neurologist for an examination to determine the underlying cause for appropriate treatment.[Read More] Numbness from Foot to Outer Calf: Possible Causes and Concerns
Post-Vaccine Numbness: Understanding Neurological Reactions
Numbness after vaccine injection? Hello, Dr. Jiang. This morning (9/27), after receiving the BNT vaccine, I experienced a tingling sensation in my head and face in the afternoon (including the back of my head, above my mouth, and my cheeks). I looked up the vaccine information an...
Dr. Jiang Junyi Reply:
Hello Mr. JAM: You mentioned the sensation of "numbness in the head and face (including the back of the head, above the mouth, and the cheeks)" which is different from facial nerve paralysis. Facial nerve paralysis primarily affects the seventh cranial nerve, mainly cha...[Read More] Post-Vaccine Numbness: Understanding Neurological Reactions
Understanding Numbness and Neck Pain in Seniors: A Guide
Numbness in the mouth and pain in the shoulders and neck? Hello Doctor: My grandmother is 66 years old and recently she has been experiencing some numbness in her mouth, along with shoulder and neck pain. She suddenly feels very uncomfortable for a period of time. I would like to...
Dr. Jiang Junyi Reply:
Dear Ms. Wen, Your grandmother is experiencing a sensation of "tingling in her mouth." I would like to know if there are similar symptoms in other parts of her body. If she is experiencing a bitter taste in her mouth, it may be worth considering that medication could b...[Read More] Understanding Numbness and Neck Pain in Seniors: A Guide
Understanding Nerve Sensations: Tingling in the Outer Thigh from Knee Pressure
Pressing on the outer side of the right knee causes a slight tingling sensation (similar to the feeling of ants crawling) on the outer side of the right thigh? When pressing on the outer side of the right knee, there is a slight tingling sensation (similar to ants crawling) on th...
Dr. Jiang Junyi Reply:
Dear Ms. Cc, Your symptoms, which include numbness, may indicate compression of the fifth lumbar nerve root. Typical discomfort associated with lumbar radiculopathy includes pain radiating from the buttocks down to the legs, as well as numbness, tingling, and weakness in the toe...[Read More] Understanding Nerve Sensations: Tingling in the Outer Thigh from Knee Pressure
Understanding Back Pain: Causes of Numbness and Discomfort
Back numbness and shooting pain? Hello doctor: I have a patch of skin on my upper back (near the shoulder blade) that feels unusual to the touch. It hurts when I press on it, and I often feel a tingling sensation along with occasional sharp pain. Sometimes, there is also a burnin...
Dr. Jiang Junyi Reply:
Dear Mr. Anderson, You mentioned that "a patch of skin feels strange... it often feels numb and occasionally has a burning sensation." This is more likely indicative of nerve root compression at the C7-C8 or T1 levels. Typically, this occurs due to prolonged poor postu...[Read More] Understanding Back Pain: Causes of Numbness and Discomfort
Numbness on the Outer Left Calf: Possible Causes and When to Seek Help
Numbness is felt when touching the outer side of the left calf? Recently, I have noticed a tingling sensation when I touch the area on the outer side of my left calf, near the middle point. There are no issues when I'm not touching it, but I feel a slight tingling sensation ...
Dr. Jiang Junyi Reply:
Dear Ms. Tsai, You mentioned that there is a tingling sensation in the area on the outer side of your left calf, near the midpoint. This is indicative of a sensory nerve abnormality, and it is important to consider potential compression of the peripheral nerves. This could be du...[Read More] Numbness on the Outer Left Calf: Possible Causes and When to Seek Help
Understanding Upper Back Numbness and Burning Sensation: Possible Causes and Next Steps
Numbness, tingling, and a burning sensation in the back? Hello, Doctor. Since the end of June, I have been experiencing a tingling sensation in my upper left back (around the area of the "Gao Huang" point), similar to a mild electric current. Gradually, by the evening, ...
Dr. Jiang Junyi Reply:
Dear Ms. Cherry, Your symptoms may suggest cervical radiculopathy. Prolonged periods of looking down can lead to overuse of the trapezius muscles in the neck, resulting in neck and shoulder pain. Initially, resting may alleviate the pain, but over time it can worsen and affect y...[Read More] Understanding Upper Back Numbness and Burning Sensation: Possible Causes and Next Steps
Left-Side Numbness and Dizziness: Understanding Neurological Concerns
Numbness on the left side and dizziness? In the past two to three days, I've been experiencing a tingling and aching sensation in my left palm, arm, back, and rib area. My jaw also feels a bit unusual and uncomfortable, which I can't quite describe. For the past month, ...
Dr. Jiang Junyi Reply:
Hello, Miss: Your symptoms may be indicative of cervical nerve root compression. If the nerve compression leads to peripheral neuropathy, the following characteristics may be present: 1. Pain with a burning or electric shock-like quality. 2. Symptoms with a specific dermatomal di...[Read More] Left-Side Numbness and Dizziness: Understanding Neurological Concerns
Can You Get the COVID Vaccine with Frequent Headaches and Heart Issues?
If you frequently experience headaches, dizziness, numbness in your hands and feet, and a rapid heartbeat, it is important to consult with a healthcare professional before receiving the COVID-19 vaccine. They can evaluate your symptoms and medical history to determine if vaccinat...
Dr. Jiang Junyi Reply:
Hello, Miss: Propranolol works by reducing sympathetic nervous system activity and is commonly used clinically as a preventive medication for migraines. Your symptoms may need to be considered in the context of migraine attacks that can cause visual disturbances. Our autonomic ne...[Read More] Can You Get the COVID Vaccine with Frequent Headaches and Heart Issues?
Understanding Pain Near the Ear: Possible Neurological Causes
Pain near the ear? Recently, I have been experiencing pain near my ear, including sharp and stabbing sensations. There is also pain when pressure is applied near the occipital nerve at the back of my head. Additionally, I feel a cool, burning, and tingling sensation in and around...
Dr. Jiang Junyi Reply:
Hello, sir: Your symptoms may suggest a peripheral nerve issue, as you are experiencing tingling sensations. The common cause of neck pain behind the ear is cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscle in the back of the ...[Read More] Understanding Pain Near the Ear: Possible Neurological Causes
Understanding Thumb Numbness After a Minor Injury: What to Do?
Numbness in the hand after hitting the outer side of the thumb? Hello Doctor, yesterday afternoon while I was swatting a bug, I accidentally hit the outer side of my right thumb, which may include the joint and the area connected to the palm. At first, I didn't feel anything...
Dr. Jiang Junyi Reply:
Dear Ms. Mo, Based on your description, it seems there are two issues: one is acute nerve compression of the right radial nerve in the thumb, and the other is chronic cervical nerve compression. I recommend that you increase your intake of B vitamins and remind yourself to get u...[Read More] Understanding Thumb Numbness After a Minor Injury: What to Do?
Understanding Urethral Pain After Lithotripsy: Causes and Treatments
Urethral pain I underwent extracorporeal shock wave lithotripsy on June 5th of this year. Recently, during a follow-up ultrasound, the doctor mentioned that there is only a small white spot left, which should be able to pass out with hydration. However, I have another concern. Be...
Dr. Jiang Junyi Reply:
Hello Peter, The symptoms you mentioned seem to suggest a consideration of perineal neuropathy. I wonder if you have a habit of long-distance cycling? Additionally, do you have any issues related to the prostate? At this point, antibiotic treatment may be necessary. Before using...[Read More] Understanding Urethral Pain After Lithotripsy: Causes and Treatments
Understanding Restless Legs Syndrome: Causes, Symptoms, and Treatments
Restless Legs Syndrome (RLS) Hello doctor, lately I've been experiencing a tingling sensation in my legs when I sleep or lie down, which makes me feel restless and has disrupted my sleep for the past few days. I found online that this might be Restless Legs Syndrome (RLS), b...
Dr. Jiang Junyi Reply:
Hello, sir: Your age is under 20 years. The likelihood of developing Restless Legs Syndrome (RLS) is lower. The average age of onset is 41 years. The pathophysiology of RLS is not yet fully understood; however, since patients respond well to iron and dopamine supplementation, it ...[Read More] Understanding Restless Legs Syndrome: Causes, Symptoms, and Treatments