Understanding Autonomic Nervous System Disorders and Trigeminal Neuralgia
Autonomic nervous system dysfunction, trigeminal neuralgia? Hello Doctor, my recent condition is as follows: On the night of November 2, I experienced tinnitus and dizziness. On the morning of November 3, I woke up with muscle cramps and palpitations, and I began to feel numbness...
Dr. Cai Zongzhang Reply:
The above symptoms are related to the function of the right facial nerve, and it is recommended to visit a neurology outpatient clinic for treatment.[Read More] Understanding Autonomic Nervous System Disorders and Trigeminal Neuralgia
Understanding Systemic Neuropathy: Symptoms, Diagnosis, and Next Steps
Systemic neuropathy Hello Doctor, I received the AZ vaccine on August 9th last year and experienced redness, swelling, heat, and pain in my knee. Then on September 8th, I had a burning sensation in my palms and soles, followed by numbness and electric sensations in my hands. This...
Dr. Jiang Junyi Reply:
Hello: You mentioned symptoms of "burning in the feet, sometimes extending to the thighs, or sensations that fluctuate between warmth and coolness." These symptoms may indicate peripheral nerve issues. Common characteristics of peripheral nerve symptoms include: 1. Pain...[Read More] Understanding Systemic Neuropathy: Symptoms, Diagnosis, and Next Steps
Understanding Balance Issues: The Impact of Stress on Neurological Health
Body swaying, unstable center of gravity? Hello, doctor. Two months ago, I was under a lot of stress and only sleeping six hours a day. I often experienced nasal congestion, had canker sores on my tongue, and noticed white spots on almost every fingernail (which I hadn't exp...
Dr. Cai Zongzhang Reply:
Hello: I have been experiencing dizziness for over a month. Ear examinations showed no abnormalities, and I was advised to see a neurologist for further evaluation.[Read More] Understanding Balance Issues: The Impact of Stress on Neurological Health
Understanding Your Facial Pain: Possible Neurological Issues Explained
Could you please specify which symptoms you are referring to in order to determine which aspect of the nervous system may be involved? Hello Doctor, for the past few months, I have been experiencing pain in the gums of the last tooth on the left side at the back. Sometimes the pa...
Dr. Jiang Junyi Reply:
Dear Ms. Lee, You mentioned that "the acidic pain in the mouth can extend to the cheeks and then to the ears, and it can also radiate to the muscles of the tongue and the upper and lower jaws," which suggests trigeminal neuralgia. The diagnostic criteria for trigeminal...[Read More] Understanding Your Facial Pain: Possible Neurological Issues Explained
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
Understanding Right Mouth Corner Spasms After Eating Spicy Foods
Twitching and numbness in the right corner of the mouth? Doctor, after I eat spicy food, the right corner of my mouth experiences muscle spasms and numbness for about a few seconds. This happens especially around noon, approximately every two weeks, or three times a month. Howeve...
Dr. Jiang Junyi Reply:
Hello Mr. Hsiao-Chih: You mentioned that "after eating spicy food, the right corner of my mouth experiences spasms and numbness for about a few seconds," which may indicate instability of the trigeminal nerve. Typical trigeminal neuralgia usually occurs unilaterally and...[Read More] Understanding Right Mouth Corner Spasms After Eating Spicy Foods
Understanding Sleep Jerks: Causes of Involuntary Body Movements
Involuntary muscle contractions? Experiencing twitching or jerking movements just before falling asleep, accompanied by nasal sounds similar to sneezing, may be indicative of a phenomenon known as hypnic jerks or sleep starts. These involuntary muscle contractions can occur as on...
Dr. Jiang Junyi Reply:
Hello Mr. Shui Wun Ping, You mentioned that "every time you are about to fall asleep, you start to make nasal sounds and have twitching." Your symptoms may suggest the possibility of obstructive sleep apnea (OSA). OSA is the most common type, accounting for about 90% o...[Read More] Understanding Sleep Jerks: Causes of Involuntary Body Movements
Severe Pain in the Back of the Head Radiating to Ear and Tongue: Causes Explained
Pain in the back of the head radiating to the ear and tongue? While lying down preparing to sleep, I suddenly experienced severe sharp pain in the lower left side of the back of my head (near the neck), which then radiated to my ear and tongue (near the throat). After a while, I ...
Dr. Jiang Junyi Reply:
Dear Miss Pei Pei, You mentioned that "after a while, I feel tightness in the muscles near the back of my head close to my neck, and the lymph nodes in my lower jaw also hurt during the process of tilting my head back." Your symptoms may suggest issues with the cervica...[Read More] Severe Pain in the Back of the Head Radiating to Ear and Tongue: Causes Explained
Severe Pain in the Back of the Head Radiating to Ear and Tongue: Causes Explained
Pain in the back of the head radiating to the ear and tongue? While lying down and preparing to sleep, I suddenly experienced severe pain in the lower left part of the back of my head (near the neck). The pain then radiated to my ear and tongue (near the throat). After a while, I...
Dr. Jiang Junyi Reply:
Dear Miss Pei Pei, You mentioned that "after a while, I feel tightness in the muscles at the back of my head near my neck, and there is pain in the lymph nodes of my lower jaw during the process of tilting my head back." Your symptoms may suggest issues related to the ...[Read More] Severe Pain in the Back of the Head Radiating to Ear and Tongue: Causes Explained
Understanding Accompanying Symptoms of Facial Nerve Paralysis
Symptoms accompanying facial nerve paralysis? Hello Dr. Jiang, after undergoing brain tumor surgery last year, I experienced postoperative complications such as facial paralysis. Recently, in addition to the typical symptoms of facial paralysis, including incomplete closure of th...
Dr. Jiang Junyi Reply:
Dear Mr. Zolt, Due to the occurrence of "tingling and burning sensations on the tip of the tongue," it may be necessary to consider lesions in the brainstem or cranial nerves. You mentioned, "Does the addition of these symptoms indicate a progression of the diseas...[Read More] Understanding Accompanying Symptoms of Facial Nerve Paralysis
Understanding Tongue Twitches: Causes and Anxiety Connection
Tongue twitching Hello doctor, my tongue keeps twitching in the middle, and the entire tongue feels very tense and cannot relax. It feels a bit numb, and I constantly have the urge to swallow saliva. What could be the reason for this? I have a history of anxiety disorder; could t...
Dr. Cai Zongzhang Reply:
Hello, Wan-Ting: It is recommended to visit a neurologist for an examination of possible causes.[Read More] Understanding Tongue Twitches: Causes and Anxiety Connection
Understanding Tongue Tremors: Causes and Anxiety Connections
Tongue twitching Hello Doctor: My tongue cannot relax and feels very tense; it keeps wanting to twitch. Sometimes I also feel a tightness in my throat. I would like to know what the cause of this might be. I have a history of anxiety disorder; could this be related to my anxiety?
Dr. Cai Zongzhang Reply:
Hello Wan-Ting: If the symptoms mentioned above appeared after starting psychiatric medication, please discuss with your physician whether the medication may be the cause. If you have not taken any medication, it is recommended to visit a neurology clinic.[Read More] Understanding Tongue Tremors: Causes and Anxiety Connections
Understanding Widespread Numbness and Tingling: Possible Causes and Insights
Generalized body pain? Hello, I started experiencing numbness from the soles of my feet to my upper body about two weeks ago. This has now extended to my face, including my eyes, throat, tongue, and lips. I have intermittent numbness and tingling throughout my entire body. The nu...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to continue follow-up treatment in the neurology department.[Read More] Understanding Widespread Numbness and Tingling: Possible Causes and Insights
Understanding Neurological Symptoms: Seeking Answers for Persistent Discomfort
Struggling for nearly six months? Hello Dr. Jiang, I started experiencing chest tightness and pain in my pectoral muscles last October, accompanied by weakness, shoulder pain, and numbness in my back during certain movements, with a sensation like electric shocks. When I raise my...
Dr. Jiang Junyi Reply:
Dear Mr. Wu, You mentioned "multiple sclerosis," which affects fewer than 5 people per 100,000 in Taiwan, making it a rare disease. The diagnosis of multiple sclerosis is based on clinical history and examinations that reveal multiple lesions in the nervous system. A d...[Read More] Understanding Neurological Symptoms: Seeking Answers for Persistent Discomfort
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 Lip Numbness: Possible Causes and Treatments
Numbness of the lips? Hello, doctor. I would like to ask some questions. My father started taking heart medication about six months ago, and since then, his lips have been almost constantly numb, sometimes feeling like they are going to crack. The cardiologist prescribed a topica...
Dr. Jiang Junyi Reply:
Dear Miss Hsiao-Chuan, You mentioned that your lips feel numb almost all day and sometimes have a sensation of cracking. However, you find that applying Nincort oral gel alleviates the numbness for several hours. The active ingredients in Nincort oral gel are steroids and some m...[Read More] Understanding Lip Numbness: Possible Causes and Treatments
Understanding Unexplained Cool Sensation at the Corner of the Mouth
Occasionally, there is a "cool sensation at the corners of the mouth" (without saliva)? Dear Dr. Jiang, Thank you very much for taking the time to respond to my concerns. Recently, I have been experiencing a "cool sensation at the corners of my mouth" (withou...
Dr. Jiang Junyi Reply:
Dear Mr. Chen, You mentioned that you have recently experienced a "cool sensation at the corners of your mouth" (without saliva), particularly noticeable after meals. You are currently on the 14th day of treatment for prostatitis with levofloxacin. First, we should con...[Read More] Understanding Unexplained Cool Sensation at the Corner of the Mouth
Understanding Unilateral Eye Closure Issues: Causes and Next Steps
Issues with Eye Closure Hello Doctor, currently I am experiencing symptoms where I cannot close my left eye independently, but I can close both eyes simultaneously and also close my right eye alone. When I smile, my left side of the face appears significantly weaker. Additionally...
Dr. Jiang Junyi Reply:
Hello Mr. Sun: You mentioned that "the left side of your face is noticeably weaker when you smile, and there is also tinnitus in your left ear." This may indicate a left-sided facial nerve injury. Facial nerve paralysis is quite similar, primarily affecting the seventh ...[Read More] Understanding Unilateral Eye Closure Issues: Causes and Next Steps
Sudden Tongue Numbness and Facial Redness After Exercise: Causes and Advice
Numbness of the tongue accompanied by facial flushing? Recently, about an hour after dinner, while doing aerobic exercise at home, I suddenly experienced numbness in my tongue, followed by facial flushing and swelling. I quickly stopped and rested for about an hour, after which I...
Dr. Jiang Junyi Reply:
Hello Mr. Lin, You mentioned that "suddenly my tongue went numb, followed by facial flushing and swelling. I quickly stopped and rested for about an hour, which improved a bit, but the numbness in my tongue is severe, making it difficult to speak." I would like to know...[Read More] Sudden Tongue Numbness and Facial Redness After Exercise: Causes and Advice
Understanding Persistent Throat Pain: Is It a Neurological Issue?
Is there a problem with the nervous system? Hello Doctor, I have been experiencing a sensation of a foreign body and sharp pain in my oral and pharyngeal walls, which becomes particularly pronounced when swallowing saliva. There is also sharp pain and a foreign body sensation nea...
Dr. Jiang Junyi Reply:
Dear Miss Lin, Regarding the "medication for post-nasal drip" you mentioned, it may cause discomfort such as dry mouth. Additionally, it is important to consider female hormones and autoimmune issues. Since your symptoms are atypical and you have sought multiple medica...[Read More] Understanding Persistent Throat Pain: Is It a Neurological Issue?