Understanding Swallowing Difficulties: A Neurological Perspective
Swallowing difficulties Hello, five months ago I suddenly experienced chest pain and neck pain while sleeping. I went to the hospital, and the doctor prescribed muscle relaxants. After taking them for two to three days, I began to have difficulty swallowing, but this improved on ...
Dr. Hong Weibin Reply:
Hello: Swallowing difficulties are related not only to neurological issues but also to muscle coordination. If a swallowing study shows that food remains on the tongue and in the throat during swallowing, there may be a muscular problem. It is recommended to seek assistance from ...[Read More] Understanding Swallowing Difficulties: A Neurological Perspective
Understanding Facial Twitching: Concerns and Neurological Insights
Facial spasms Hello Doctor, on October 7th, I experienced a twitch near my nose, and the next day, I started to notice slight twitching in some areas of my face, both sides. By October 13th, it had improved significantly, but in the afternoon, my mouth corner twitched again. Howe...
Dr. Jiang Junyi Reply:
Dear Mr. Lin, You mentioned, "Could it evolve into facial nerve dysfunction, causing my mouth to droop?" What you are concerned about likely refers to facial nerve paralysis. The clinical symptoms can include a tingling or stiff sensation in the face. Due to the inabil...[Read More] Understanding Facial Twitching: Concerns and Neurological Insights
Understanding Late-Stage Parkinson's Disease: Symptoms and Care Challenges
Parkinson's disease Hello, Doctor. My mother-in-law has been suffering from Parkinson's disease for several decades and has undergone deep brain stimulation surgery. Over the past year, she has frequently had difficulty swallowing saliva, which causes her to keep her mo...
Dr. Hong Weibin Reply:
Hello, It is highly likely that my mother-in-law is in the advanced stages of Parkinson's disease, which has resulted in significant muscle rigidity, including in her facial muscles and swallowing muscles. As a result, she is unable to close her mouth and has difficulty sw...[Read More] Understanding Late-Stage Parkinson's Disease: Symptoms and Care Challenges
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 Infantile Epilepsy: Diagnosis, Treatment, and Developmental Concerns
I would like to inquire about the diagnosis and medication for epilepsy in infants and young children? Hello Doctor: My daughter was born in mid-June this year, with good development in utero, weighing nearly 3800 grams, head circumference at 40 weeks, and delivered via cesarean ...
Dr. Jiang Junyi Reply:
Dear Ms. Sherry, First of all, I want to acknowledge that the process of providing support is truly not easy. Regarding pediatric epilepsy, I recommend consulting a pediatric neurologist, as they have more extensive experience in this area. Generally, the common treatment princi...[Read More] Understanding Infantile Epilepsy: Diagnosis, Treatment, and Developmental Concerns
Unraveling Mysterious Tongue Pain: A Neurological Perspective
Strange and puzzling medical conditions? Three years ago, after drinking a bottle of Pom juice one night, I started experiencing pain in my tongue. At that time, several areas were red but without any sores, and the pain persisted. I went to a teaching hospital for an examination...
Dr. Jiang Junyi Reply:
Hello, Sir: The issues you mentioned may be related to rheumatologic and immunologic disorders. It might be worth considering Behçet's Disease, which has the following major diagnostic criteria: recurrent oral ulcers, skin lesions such as erythema nodosum, subcutaneous venou...[Read More] Unraveling Mysterious Tongue Pain: A Neurological Perspective
Understanding Occasional Facial Numbness: Is It Related to Nerve Issues?
Occasional facial numbness? Last night, while lying flat in bed, I suddenly felt a tingling and numb sensation on the left side of my face and around my ear. It felt somewhat cool and was different from the numbness caused by posture issues. It was only slightly uncomfortable, bu...
Dr. Jiang Junyi Reply:
Dear Ms. Cherry, You mentioned that "facial movements are normal," which is less indicative of facial nerve damage. Facial nerve damage primarily affects the seventh cranial nerve, with clinical symptoms including a sensation of stiffness in the face and loss of motor ...[Read More] Understanding Occasional Facial Numbness: Is It Related to Nerve Issues?
Understanding Throat and Oral Symptoms: A Guide to Neurological Concerns
Oral and throat issues? Hello Doctor, I would like to consult you. I have difficulty describing the exact location of my symptoms, but I will try to explain. For the past few months, the area around my uvula and the posterior pharyngeal wall (below the nasopharynx) has been in a ...
Dr. Jiang Junyi Reply:
Dear Ms. Lin, You have many symptoms that seem to be related to gastroesophageal reflux disease (GERD) or sleep apnea. I wonder if you have any issues with metabolic syndrome? From a neurological perspective, I recommend improving autonomic nervous system function to regulate ga...[Read More] Understanding Throat and Oral Symptoms: A Guide to Neurological Concerns
Understanding Symptoms of Cerebellar Herniation: Headaches, Dizziness, and Neck Pain
Dizziness, headache, and tightness and pain in the shoulder and cervical spine? Hello, doctor. I started experiencing severe headaches, dizziness, neck tightness and pain, and numbness in my hands and feet around July of last year. I initially thought it was due to fatigue or hea...
Dr. Jiang Junyi Reply:
Hello, Miss: In addition to your original issues, we may need to consider vascular headaches, which could be related to your menstrual cycle. Furthermore, since you mentioned a connection to posture, we should consider "intracranial hypotension headache." The primary sy...[Read More] Understanding Symptoms of Cerebellar Herniation: Headaches, Dizziness, and Neck Pain
Understanding Tongue Pain: Is It Related to Nerve Issues?
Tongue pain and oral pain? Could damage to the C5 vertebra or stiffness in the neck and shoulders lead to tongue pain or a burning sensation in the mouth? Three years ago, I started experiencing tongue pain due to stress, and I have consulted with oral and ENT specialists multipl...
Dr. Jiang Junyi Reply:
Hello, sir: Your symptoms may suggest autonomic nervous system dysfunction, particularly excessive activation of the sympathetic nervous system. Generally, the autonomic nervous system is regulated by the sympathetic and parasympathetic nervous systems, where one acts as the acce...[Read More] Understanding Tongue Pain: Is It Related to Nerve Issues?
Sudden Facial Drooping After Injury: Understanding Possible Causes
Waking up suddenly with a crooked mouth? Hello Doctor: I have a history of hypertension. Last Wednesday, I was hit on the left big toe by a piece of wood, which turned black and caused me intense pain that nearly made me faint. That evening, I noticed some twitching on the left s...
Dr. Jiang Junyi Reply:
Hello, Ms. Juan: Your symptoms are very similar to peripheral facial nerve palsy, primarily affecting the seventh cranial nerve. The clinical symptoms include occasional numbness or stiffness in the face. Due to the inability to close the eyelids, tearing may also occur. Sometim...[Read More] Sudden Facial Drooping After Injury: Understanding Possible Causes
Understanding Facial Numbness: Is It Related to Trigeminal Nerve Issues?
I would like to ask some questions? Three days ago, I started experiencing a tingling sensation when touching the right lower lip and chin. There is also a small area on the front of the right side of my tongue that feels tingly. My cheek and chin feel slightly warm. What could b...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest trigeminal neuralgia, which is typically unilateral. Pain is most commonly experienced in the maxillary and mandibular branches (your symptoms are in the mandibular branch). The pain is characterized by severe, superficial, sharp, paroxysmal episo...[Read More] Understanding Facial Numbness: Is It Related to Trigeminal Nerve Issues?
Is It a Stroke? Understanding Neurological Symptoms and Concerns
Could it be a stroke? Or is it another disease? I usually use a ventilator to sleep at night due to my issue with sleep apnea. However, I also have nasal congestion (the left nostril is partially open while the right is completely blocked). When I use the ventilator, I wake up th...
Dr. Cai Zongzhang Reply:
Hello, Lin! It is recommended to visit the neurology outpatient clinic![Read More] Is It a Stroke? Understanding Neurological Symptoms and Concerns
Understanding Facial Nerve Palsy: Symptoms, Treatments, and Next Steps
Hello, I would like to inquire about facial nerve paralysis? Hello, thank you very much for taking the time to respond. About two days ago, I noticed some abnormalities in my face, which I would like to describe: I am experiencing weakness on the right side of my face, such as be...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are very similar to peripheral facial nerve palsy, primarily affecting the seventh cranial nerve. The clinical symptoms include occasional numbness or stiffness in the face. Due to the inability to close the eyelids, tearing may also occur. Sometimes, patient...[Read More] Understanding Facial Nerve Palsy: Symptoms, Treatments, and Next Steps
Understanding Post-Concussion Symptoms: Seeking Expert Advice
Dr. Cheng, I would like to ask you again? Hello, since my head was injured from a collision on July 14, 2020, I have experienced dizziness, blurred vision, a feeling of pressure in my head, vomiting, numbness in my limbs, tongue numbness, left facial numbness, and high blood pres...
Dr. Jiang Junyi Reply:
Hello: It is recommended that you seek treatment at the same hospital for more comprehensive information. If there are physical injuries caused by trauma, you may consider adding hyperbaric oxygen therapy to accelerate the body's healing process. Hyperbaric oxygen therapy is...[Read More] Understanding Post-Concussion Symptoms: Seeking Expert Advice
Understanding Post-Concussion Symptoms: Seeking Answers and Next Steps
Concussion inquiry 🙏 Hello, I experienced a head injury from a collision on July 14, 2020, and have since been suffering from dizziness, blurred vision, a feeling of pressure in my head, vomiting, numbness in my limbs, tongue numbness, left facial numbness, and elevated blood pre...
Dr. Jiang Junyi Reply:
Hello: Based on your description, it seems that in addition to the brain, issues related to the cervical musculoskeletal system should also be considered. The symptoms related to the brain include facial and tongue numbness, as well as difficulty in immediately recognizing past p...[Read More] Understanding Post-Concussion Symptoms: Seeking Answers and Next Steps
Understanding Carotid Artery Stenosis: Symptoms, Risks, and Management
Carotid artery stenosis? Hello Doctor, this month I underwent an MRI due to a pituitary tumor issue, and the report included a finding related to the carotid artery. When I inquired about the report, the doctor mentioned that it was just a narrowing and that the risk of stroke wa...
Dr. Cai Zongzhang Reply:
Hello: If there is only vascular stenosis without any cerebral infarction lesions, it is recommended to manage risk factors such as blood pressure, blood sugar, and lipid levels, and to follow up at a neurology outpatient clinic.[Read More] Understanding Carotid Artery Stenosis: Symptoms, Risks, and Management
Understanding Chronic Headaches in Children: Causes and Solutions
My child frequently experiences headaches? I have a son who frequently experiences headaches, which are often accompanied by severe nausea, vomiting, and dizziness. He reports that his headaches initially cause some blurriness in his vision, followed by numbness in his hands and ...
Dr. Cai Zongzhang Reply:
Based on the symptom description, these symptoms are paroxysmal and not persistent, and the cause may not be identifiable upon examination. It is recommended to seek immediate medical attention (neurology) during the onset of symptoms.[Read More] Understanding Chronic Headaches in Children: Causes and Solutions
Understanding Numbness and Tingling: Causes and When to Seek Help
Numbness in the head and face? Hello, doctor! Recently, I have been experiencing a sensation of vibration near my chest. I'm not sure how to describe it; it feels very chaotic and uncomfortable, like a buzzing or tingling sensation. Upon closer examination, I notice that thi...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest hyperventilation syndrome. Hyperventilation leads to a decrease in carbon dioxide levels in the blood, resulting in an increased pH, a condition known medically as "respiratory alkalosis." This can cause systemic reactions and symptoms, ...[Read More] Understanding Numbness and Tingling: Causes and When to Seek Help
Understanding Facial Nerve Paralysis: Pain Management and Recovery Insights
Facial nerve paralysis with left-sided facial pain during treatment? Hello Doctor, I started experiencing an imbalance and paralysis in my face on August 1st. After seeking treatment at the hospital on August 3rd, I have been undergoing a combination of Western medication and acu...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are very similar to peripheral facial nerve palsy, primarily affecting the seventh cranial nerve. The clinical symptoms include occasional numbness or stiffness in the face. Due to the inability to close the eyelids, tearing may also occur. Sometimes patients...[Read More] Understanding Facial Nerve Paralysis: Pain Management and Recovery Insights