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?
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
Understanding Dizziness and Excessive Sleepiness: A Neurological Perspective
During episodes of dizziness, there may be persistent drowsiness? My daughter was recently diagnosed with vertigo, and the doctor advised her to avoid certain foods, such as chocolate, citrus fruits, tomatoes, dairy products, and pizza. She takes medication to manage her vertigo ...
Dr. Hong Weibin Reply:
Hello: Dizziness can be classified based on the lesion as peripheral or central. If the dizziness is more indicative of a central type during episodes, it may affect the brainstem's ability to maintain wakefulness (reticular activating system), causing the patient to feel mo...[Read More] Understanding Dizziness and Excessive Sleepiness: A Neurological Perspective
Understanding Deep Foot Pain: Causes and Solutions for Your Symptoms
Deep pain in the soles of both feet? Hello, Doctor. I would like to ask you: A few days ago, I started experiencing mild pain in the soles of both feet, which has progressed to localized pain today. The affected area includes the five toes (with the big toe experiencing more stab...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest Tarsal Tunnel Syndrome, as the posterior tibial nerve is compressed while passing through the tarsal tunnel behind the medial malleolus. Common clinical symptoms include numbness, burning sensations, tingling, and other abnormal sensations in the ...[Read More] Understanding Deep Foot Pain: Causes and Solutions for Your Symptoms
Understanding Muscle Twitches and EMG Results: A Neurology Perspective
Muscle twitching and electromyography-related issues? Hello Doctor, Since around June 2017, I began to notice slight tremors in both of my hands, and when lying flat, I felt a sensation of my body vibrating. In July, I visited a neurologist for the first time, and the doctor ob...
Dr. Jiang Junyi Reply:
Hello: Generally speaking, about 70% of patients with motor neuron disease present with limb weakness, while around 20% exhibit weakness in the bulbar region as their clinical manifestation. In terms of limb involvement, the initial presentation is usually asymmetric hand weaknes...[Read More] Understanding Muscle Twitches and EMG Results: A Neurology Perspective
Understanding Nerve Sensations: Tingling in the Left Pinky Toe
Tingling sensation in the left little toe when going down the stairs? Hello doctor, recently I have been experiencing a tingling sensation in my left little toe when going down the stairs. If I jump on my left foot, the little toe also feels tingling. Additionally, after standing...
Dr. Jiang Junyi Reply:
Hello: Numbness in the left little toe may indicate nerve compression, with the first consideration being compression of the lateral plantar nerve, which is often associated with uneven pressure on the foot, such as ill-fitting shoes. Additionally, it may be necessary to consider...[Read More] Understanding Nerve Sensations: Tingling in the Left Pinky Toe
Understanding Essential Tremor: Causes, Treatments, and Next Steps
Tremors in the hands, feet, and body? Hello, doctor: I would like to ask about my condition. I noticed that my left hand has been trembling since high school, and now my right hand also has slight tremors. When I extend my five fingers forward, they tremble significantly. When I ...
Dr. Jiang Junyi Reply:
Hello, essential tremor: The exact cause of the tremor cannot be determined; it may be due to a specific constitution or hereditary tremor. Typically, the tremor is more pronounced when holding objects, while some individuals may experience shaking when writing or performing spec...[Read More] Understanding Essential Tremor: Causes, Treatments, and Next Steps
Unusual Sensations in the Ring Toe: What Could It Mean?
The toe (ring toe) feels very strange? I experience a strange sensation in both of my toes when my ring fingers are touched or intentionally moved. It's not an itch that makes me want to scratch; rather, it's an odd feeling that's hard to describe, and it doesn...
Dr. Jiang Junyi Reply:
Hello, based on your description, the cause of toe numbness should first consider peripheral nerve compression. This uncomfortable sensation may feel like crawling, pain, itching, or tingling. It is recommended that you consult a neurologist for discussion, examination, and treat...[Read More] Unusual Sensations in the Ring Toe: What Could It Mean?
Understanding Nerve Compression Symptoms: Insights and Concerns
Nerve compression symptoms Hello Dr. Jiang, I previously experienced lower back pain due to prolonged standing and heavy lifting at work. A month ago, I consulted with traditional Chinese medicine, orthopedics, and neurosurgery. All the doctors indicated that my spinal X-ray res...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms should first consider lumbar nerve pathology, which is usually accompanied by decreased ankle and plantar reflexes. The calves often exhibit congestion and swelling, with sensory abnormalities on the outer side of the lower leg belo...[Read More] Understanding Nerve Compression Symptoms: Insights and Concerns
Understanding Nerve Issues: Why Are My Limbs Numb and Twitching?
Multiple areas of numbness throughout the body - Poor blood circulation? Hello, Doctor. Recently, I've noticed that when I sleep with my arms bent over my chest, my hands become numb. In the past, certain positions didn't cause this numbness, but it has changed in the l...
Dr. Jiang Junyi Reply:
Hello, your symptoms may be related to hyperventilation syndrome. Rapid or deep breathing can lead to excessive carbon dioxide elimination from the body, resulting in respiratory alkalosis, which is characterized by an elevated blood pH. This condition can disrupt the normal elec...[Read More] Understanding Nerve Issues: Why Are My Limbs Numb and Twitching?
Understanding Nerve Pain and Muscle Twitches: When to Seek Help
Numbness in the limbs and nerve twitching? Recently, I have been experiencing a tingling and painful sensation in my left pinky finger and the last three toes of my right foot. Prior to these symptoms, I often felt muscle twitches in various areas, but I'm not sure if there&...
Dr. Jiang Junyi Reply:
Hello, you mentioned that the discomfort in your hand's nerves may be a symptom of ulnar nerve injury, which is most commonly associated with numbness in the areas supplied by the ulnar nerve (the little finger, half of the ring finger, and the corresponding area of the palm...[Read More] Understanding Nerve Pain and Muscle Twitches: When to Seek Help
Post-Surgery Recovery After Brain Surgery: Symptoms and Concerns
Postoperative care after brain surgery? The brain sustained a concussion, and the occipital bone was removed due to intracranial hemorrhage with injury to the cerebellum. Other than that, there was a fracture of the big toe. The patient was conscious before surgery and was transf...
Dr. Jiang Junyi Reply:
Hello: I'm not sure if the patient you mentioned belongs to the elderly population, but when there is a change in consciousness in the intensive care unit, delirium should be considered. This is an acute confusional state that commonly occurs in hospitalized patients aged 65...[Read More] Post-Surgery Recovery After Brain Surgery: Symptoms and Concerns
Understanding Numbness in the Middle Toe: Causes and Diagnosis
Numbness in the middle toe? Hello, doctor... I noticed a tingling sensation in my left middle toe and its joint over ten years ago. Now, it has become very pronounced, with a feeling of numbness extending from my left middle toe to the entire toe, especially noticeable when I was...
Dr. Jiang Junyi Reply:
Hello, the lumbar nerve root compression you mentioned commonly presents with symptoms such as numbness and pain radiating to one side of the lower limb. If the numbness is limited to the middle finger, it may be necessary to consider peripheral nerve compression or inflammation ...[Read More] Understanding Numbness in the Middle Toe: Causes and Diagnosis
Understanding Toe Twitching After Fibula Fracture: Causes and Concerns
Toe twitching Hello doctor, I recently suffered a closed fibula fracture near my ankle. I have been in a cast for three weeks. Since then, I have mostly been lying flat or sitting up in bed with my leg elevated. Yesterday, I suddenly felt a slight tingling sensation in my big toe...
Dr. Jiang Junyi Reply:
Hello: The symptoms you described may suggest a peripheral nerve disorder. If your toe twitching is accompanied by pain or numbness, it could indicate nerve compression. The deep peroneal nerve and superficial peroneal nerve innervate the peroneus longus and brevis muscles, tibia...[Read More] Understanding Toe Twitching After Fibula Fracture: Causes and Concerns
Understanding Numbness in Hands and Feet: Causes and Concerns
Numbness in the palms and soles? About two weeks ago, I experienced numbness in my fingers and toes (both hands and feet). It was more pronounced when lying down or sitting, but not when standing. A few days later, the symptoms disappeared, but this week they have returned, exten...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to first consider hyperventilation syndrome. The typical symptoms include chest tightness, chest pain, palpitations, shortness of breath, and numbness in the hands and feet, as well as scalp tingling. Physical examination may ...[Read More] Understanding Numbness in Hands and Feet: Causes and Concerns
Why Does My Left Foot Shake While Sitting? Understanding Tremors
Trembling of the legs while sitting? Hello doctor, I have noticed that when I sit and elevate my feet, only my left foot trembles. Sometimes I also experience involuntary shaking in my hands and feet. However, I have heard that with thyroid issues, when you raise both hands, they...
Dr. Jiang Junyi Reply:
Hello, based on your description, the symptoms of leg tremors occurring while on tiptoes may suggest peripheral nerve injury or muscle contractions due to fatigue. Clinically, a neurological assessment and nerve conduction studies (electromyography) can assist in the diagnosis. I...[Read More] Why Does My Left Foot Shake While Sitting? Understanding Tremors
Can Antibiotics Cause Peripheral Neuropathy? Symptoms and Treatment Options
Peripheral neuropathy? Doctor: Hello, may I ask if antibiotics (such as Levofloxacin) can potentially cause peripheral neuropathy? If it does occur, what relief and treatment options are available? I have experienced peripheral neuropathy after taking antibiotics for an extended ...
Dr. Jiang Junyi Reply:
Hello, based on your description, your report mentions polyneuropathy, but cervical radiculopathy cannot be ruled out. There are many potential causes, and in addition to medications, some internal diseases such as diabetes can also lead to neuropathy. I recommend that you consul...[Read More] Can Antibiotics Cause Peripheral Neuropathy? Symptoms and Treatment Options
Understanding Numbness in Left Toes: Causes and Treatment Options
Numbness in the toes of the left foot? Hello Dr. Jiang, I have a question I would like to ask you. I have a mild scoliosis, which has caused the muscles in my left upper back to be more prominent, and I experience more frequent soreness in that area. Since the beginning of this y...
Dr. Jiang Junyi Reply:
Hello, based on your description, subtle nerve injury and inflammation may sometimes not be detectable through nerve conduction studies, and are primarily assessed through physical examination. Given your issue with scoliosis, it may also be necessary to consider lumbar nerve roo...[Read More] Understanding Numbness in Left Toes: Causes and Treatment Options
Is Your Neck Discomfort a Sign of Stroke? Understanding the Symptoms
Is the risk of stroke high? Hello, Dr. Jiang: On October 14th, I felt a pressure in the left side of my neck below the ear, which was uncomfortable. On the morning of October 15th, when I woke up, my vision suddenly went black for about 20 seconds before turning white, and I felt...
Dr. Gao Chunde Reply:
Neck compression can be a sensation or the presence of a palpable mass. If there is an issue with the neck vessels, the most concerning condition is arterial dissection, such as carotid or vertebral artery dissection, which can occur due to external trauma or severe neck twisting...[Read More] Is Your Neck Discomfort a Sign of Stroke? Understanding the Symptoms
Understanding Persistent Numbness in the Left Middle Toe: Causes and Treatments
Numbness in the left foot's middle toe for an extended period? Dear Doctor, I have been experiencing significant numbness in the middle toe of my left foot for nearly ten years (the right foot is unaffected). This sensation is particularly uncomfortable when I walk barefoot...
Dr. Gao Chunde Reply:
In principle, the nerves in this area are quite peripheral, and it may not be easy to identify a specific nerve during examination. Compression refers to situations where shoes are too tight, causing the toes to be squeezed together, especially in pointed shoes. It can also refer...[Read More] Understanding Persistent Numbness in the Left Middle Toe: Causes and Treatments