Uncontrollable Limb Movements: When to See a Neurologist?
Involuntary limb movements? Hello Dr. Jiang, on the morning of May 23rd, I experienced uncontrollable, forceful movements of my limbs while in a semi-conscious state. I struggled to stay awake but could not control the movements of my limbs, and my fingers felt weak. After much e...
Dr. Jiang Junyi Reply:
Dear Ms. Enid, You mentioned experiencing "uncontrollable vigorous movements of the limbs while in a semi-conscious state." Your symptoms may warrant consideration of extrapyramidal syndrome or focal epilepsy. Extrapyramidal syndrome is typically caused by medication a...[Read More] Uncontrollable Limb Movements: When to See a Neurologist?
Understanding Lingual Numbness and Jaw Pain: A Neurological Perspective
Numbness at the base of the tongue and pain in the lower jaw? Hello Doctor, about three days ago I woke up with pain in the right lower jaw (around the area of the second/first molar). When I press on my cheek, it hurts slightly. I have also been experiencing persistent numbness ...
Dr. Jiang Junyi Reply:
Dear Ms. Si, You mentioned that "the right side of my tongue root has been numb continuously, and sometimes the right corner of my mouth also feels numb." Your symptoms may suggest the possibility of trigeminal neuralgia affecting the mandibular branch of the trigemina...[Read More] Understanding Lingual Numbness and Jaw Pain: A Neurological Perspective
Uncontrollable Tongue Movement While Speaking: Possible Causes Explained
The tongue may uncontrollably protrude while speaking? A few days ago, I suddenly experienced an inability to control my tongue while speaking, resulting in a lisping effect. I have undergone a CT scan, and there are no issues with my brain. The oral and maxillofacial surgeon als...
Dr. Jiang Junyi Reply:
Hello Mr. Xiao Hei, You mentioned that "your tongue tends to uncontrollably stick out while speaking, leading to a lisping phenomenon." Your symptoms may indicate an abnormality in tongue muscle tone, resulting in a specific posture. This is primarily due to the impact...[Read More] Uncontrollable Tongue Movement While Speaking: Possible Causes Explained
Understanding Nerve Pain: When to Seek Medical Attention for Numbness
Numbness and tingling extending to the back, face, and tongue? Hello, doctor. I have been experiencing numbness in my limbs and neck pain. Initially, I thought it was due to excessive computer use over several days, and I believed that rest and exercise would help. After a day, I...
Dr. Huang Hongling Reply:
Hello, it is important to observe what conditions are more likely to cause numbness, as well as the duration of the numbness. It is recommended to visit a neurology clinic for further clarification of symptoms or to assess whether any tests are necessary.[Read More] Understanding Nerve Pain: When to Seek Medical Attention for Numbness
Assessing Stroke Risk: Are Neurological Tests Accurate?
Is the stroke test accurate? Hello, Doctor. I have a few questions to ask you. 1. Recently, when I am working or talking to others, I sometimes suddenly speak with a regional accent or experience a slip of the tongue, similar to a verbal error. Could this be due to speaking too...
Dr. Jiang Junyi Reply:
Hello Ms. Lin, You mentioned, "Is slurred speech a sign of a stroke?" Acute stroke refers to a sudden neurological deficit caused by abnormalities in the brain's blood vessels. The symptoms resulting from a stroke are related to the area of the brain that is affec...[Read More] Assessing Stroke Risk: Are Neurological Tests Accurate?
Understanding Progressive Sensory Abnormalities: A Neurological Concern
Abnormal sensations on the right side are gradually spreading? Hello Doctor, last Saturday, February 24th, I experienced mild numbness in my right lip, right finger, and half of my palm. By Monday, the numbness worsened, so I visited a family medicine doctor who prescribed medica...
Dr. Jiang Junyi Reply:
Dear Miss Lily, You mentioned that on March 2nd, you woke up and noticed abnormal sensations in your scalp, the back of your head, and your eyelids. Additionally, the numbness in your hands has spread to your entire palm, and you can no longer distinguish objects by touch. You a...[Read More] Understanding Progressive Sensory Abnormalities: A Neurological Concern
Understanding Facial Numbness: Possible Causes and When to Seek Help
Stroke causes neurological damage? Hello, Doctor! Four months after getting my front tooth crown, I started experiencing a tingling sensation in my right nostril, right cheekbone, and right ear. Sometimes, the right side of my head also feels this way. What could be the cause? Tw...
Dr. Jiang Junyi Reply:
Hello Ms. Vivi, You mentioned experiencing "numbness on the right side of your face? This past six months, you've also had issues with slurred speech and a thick tongue." These symptoms do not seem to be explainable by cervical degeneration or herniated discs. It ...[Read More] Understanding Facial Numbness: Possible Causes and When to Seek Help
Left Tongue Numbness and Loss of Taste: Understanding Neurological Issues
Numbness on the left side of the tongue with diminished taste sensation? Hello doctor, my left tongue has been uncomfortable for three days, and then I experienced facial nerve dysfunction on the left side of my face. Four weeks later, my face is almost recovered, but my left ton...
Dr. Cai Zongzhang Reply:
Hello, Huang Xiaoming: The symptoms mentioned above are typical of facial nerve paralysis. It is recommended to visit a neurology outpatient clinic.[Read More] Left Tongue Numbness and Loss of Taste: Understanding Neurological Issues
Understanding Autonomic Nervous System Disorders and Muscle Tremors
Autonomic nervous system dysfunction and muscle (exercise) tremors? Hello, Doctor: I would like to inquire about two aspects related to abnormal neurological and muscular movements: A. When I hold a pen with my right hand to write, I experience involuntary tremors that lead to ...
Dr. Peng Shiwei Reply:
Hello, it is recommended that you visit a neurology or pain management clinic for evaluation. Thank you.[Read More] Understanding Autonomic Nervous System Disorders and Muscle Tremors
Managing Parkinsonism and Orofacial Dyskinesia in Elderly Stroke Patients
Parkinson's disease, oromandibular dystonia? Dear Doctor, My father has been living with the effects of a stroke for 12 years now. Approximately 9 years ago, he became reliant on others for care. Initially, he was able to communicate and eat without issues, but as he aged ...
Dr. Peng Shiwei Reply:
Parkinson's disease is a degenerative disorder that can be managed with medication to slow the progression, but it cannot be cured. The cause of oromandibular dystonia also requires evaluation by a neurologist. Due to the inconvenience of going out for medical care, it is re...[Read More] Managing Parkinsonism and Orofacial Dyskinesia in Elderly Stroke Patients
Head Injury Concerns: Understanding Symptoms and Risks After a Fall
Hit the back of the head on the right side? Hello Doctor, I am the lady who bumped into the rolling iron door last time. Yesterday, I discovered that I might have hit the back of my head, but at that moment, my head retracted a bit, causing my neck to be somewhat immobile, and I ...
Dr. Jiang Junyi Reply:
Hello: You mentioned "cerebral hemorrhage, intracranial hemorrhage" if the symptoms persist or worsen. It is recommended to undergo imaging studies, such as a CT scan of the brain. It is advisable to visit a neurology outpatient clinic for further evaluation and follow-...[Read More] Head Injury Concerns: Understanding Symptoms and Risks After a Fall
Understanding Right-Sided Head Pain: Possible Causes and Solutions
Only the right side of my head feels uncomfortable? Hello, doctor. For the past three days, I've been experiencing pain on the right side of my temple, teeth, ear, and back of my neck. The pain is intermittent and persistent. I have seen a dentist, but they said there is no ...
Dr. Jiang Junyi Reply:
Hello Mr. Lu: You mentioned that you are experiencing pain in your teeth, ears, and the back of your neck, which may suggest considering cervical myofascial pain. The myofascia around the cervical spine has small muscles that connect to the head, while the larger superficial musc...[Read More] Understanding Right-Sided Head Pain: Possible Causes and Solutions
Managing Trigeminal and Facial Nerve Repair: Expert Insights and Treatment Options
Trigeminal and Facial Nerve Repair Hello, Doctor. I initially experienced hearing loss and headaches, so I consulted an otolaryngologist for a month, which caused me to miss the critical treatment window. Later, I discovered left facial paralysis and was referred to a neurologist...
Dr. Peng Shiwei Reply:
Hello, based on your description, I believe the treatment your physician has provided is appropriate. The residual effects of facial numbness may not always fully resolve. I recommend that you continue with your current treatment and observe for 1-3 months. As for the dizziness, ...[Read More] Managing Trigeminal and Facial Nerve Repair: Expert Insights and Treatment Options
Understanding Seizures: When to Worry and What to Monitor
Time interval between seizures? Hello, doctor. My husband is 30 years old. He had a seizure in October 2019 when I was not present. The doctor examined him and said everything was fine. A few days later, he saw another doctor who diagnosed him with influenza type A. I'm not ...
Dr. Jiang Junyi Reply:
Dear Ms. Lisa, You mentioned that your husband "suddenly stared in one direction, then let out a low growl, with his eyes rolling back and his arms extending and twitching." These are typical symptoms of epilepsy, as the eye deviation may indicate abnormal electrical d...[Read More] Understanding Seizures: When to Worry and What to Monitor
Addressing Soft Palate Dysfunction After Stroke: Seeking Solutions
My dad's soft palate is not moving? Hello, Doctor. My father suffered a stroke affecting the left and right corona radiata, which has resulted in very unclear speech, significant nasal voice, excessive drooling, inability to elevate his tongue, and weakness in elevating the ...
Dr. Peng Shiwei Reply:
Hello, from a neurology perspective, both limb weakness and soft palate weakness can be caused by a stroke. Therefore, it is recommended to focus on rehabilitation. I am not sure if your father is undergoing speech therapy. Generally, the first 3 to 6 months after a stroke is con...[Read More] Addressing Soft Palate Dysfunction After Stroke: Seeking Solutions
Understanding Pain After Taking Acetaminophen: Causes and Concerns
Feeling unwell after taking Panadol? Hello doctor, I experienced severe pain during my menstrual period that prompted me to buy medication from the pharmacy. The pain reliever I took contained acetaminophen. When I took the first pill, it didn't provide much relief. After ab...
Dr. Jiang Junyi Reply:
Hello, miss: I'm not sure which medication you are taking and what additional ingredients it contains. Allergic reactions to acetaminophen are rare; most cases are caused by other combination medications. 1. Cold medications: These may contain multiple ingredients, and it&#x...[Read More] Understanding Pain After Taking Acetaminophen: Causes and Concerns
Why Mixing Medications Can Lead to Severe Headaches
Taking medications together can cause headaches? Hello, doctor. I have previously taken both Tylenol and antibiotics without any issues, but whenever I take two or more medications together, I experience headaches. It doesn't matter if they are pain relievers or antibiotics;...
Dr. Jiang Junyi Reply:
Dear Miss Yoda, You mentioned "antibiotics... headaches, orbital pain, tongue pain, pain inside the ears, and pain on almost half of the face." I am unsure of the specific antibiotic you are referring to. If it is a fluoroquinolone, headaches can indeed occur as a side...[Read More] Why Mixing Medications Can Lead to Severe Headaches
Is Tongue Tension Linked to Anxiety and Emotions?
Tongue issues? Is the constant tightness and urge to move the tongue upward caused by anxiety? Is it related to emotions?
Dr. Cai Zongzhang Reply:
Hello, Jiayu: In addition to anxiety, there may be other possible causes for the symptoms mentioned above. If there is no improvement in the symptoms, it is recommended to consult a neurologist for further evaluation.[Read More] Is Tongue Tension Linked to Anxiety and Emotions?
Am I Experiencing Epilepsy or a Brain Tumor? Understanding My Symptoms
Do I have epilepsy? Could I possibly have a brain tumor? Hello Doctor, I have two questions to ask you, regarding headaches and epilepsy. Most importantly, I am very worried that I might have a brain tumor or something similar, and I hope to receive some advice. Regarding epile...
Dr. Cai Zongzhang Reply:
Hello, Student C: The symptoms mentioned may be related to sleep apnea. It is recommended to visit a neurologist for a detailed examination to determine the underlying cause.[Read More] Am I Experiencing Epilepsy or a Brain Tumor? Understanding My Symptoms
Understanding Neurological Disorders: Symptoms and Concerns Explained
Neurodisorder Hello Doctor, my recent condition is as follows: On the night of November 2nd, I experienced tinnitus and dizziness. On the morning of November 3rd, I woke up with muscle cramps and palpitations, and I began to feel numbness in my tongue. On the night of November 6t...
Dr. Cai Zongzhang Reply:
The above symptoms are related to dysfunction of the right facial nerve. It is recommended to visit a neurology outpatient clinic for examination and treatment.[Read More] Understanding Neurological Disorders: Symptoms and Concerns Explained