Understanding Tardive Dyskinesia: Risks, Symptoms, and Treatment Options
Tardive dyskinesia Psychiatry: Before bedtime: Leeyo (ESCITALOPRAM) 10mg * 2 tablets, Lendormin 0.25mg * 2 tablets, Eurodin 2mg * 2 tablets, Lorazepam 0.5mg * 4 tablets. Dermatology: Before bedtime Doxepin 25mg * 2 tablets, Lyrica (Pregabalin) 75mg * 2 tablets, Xyzal 5mg (for ski...
Dr. Jiang Junyi Reply:
Hello: Generally speaking, extrapyramidal symptoms (EPS) are more common in patients using Primperan or certain antipsychotic medications, and are somewhat related to individual constitution. Children and the elderly are also more susceptible. Essentially, to enhance intestinal m...[Read More] Understanding Tardive Dyskinesia: Risks, Symptoms, and Treatment Options
Understanding Numbness in Limbs: Possible Causes and Concerns
Causes of Limb Numbness Hello Doctor, I have been experiencing numbness in my limbs for about two to three weeks. It started one night when I woke up, and the previous evening I had taken a steam bath. Sometimes it is painful and feels like an electric shock. About 80% of the tim...
Dr. Hong Weibin Reply:
Hello: Your symptoms indeed suggest the possibility of multiple sclerosis; another potential diagnosis could be polyneuropathy. Typically, further examinations are required to confirm the diagnosis, which may include nerve conduction studies, evoked potentials, lumbar puncture, a...[Read More] Understanding Numbness in Limbs: Possible Causes and Concerns
Understanding Sudden Limb Weakness and Numbness: Possible Causes
Numbness in the limbs, weakness, generalized muscle flaccidity, and tongue numbness? Hello doctor, my mother is 49 years old. Recently, for the past four days, she suddenly started experiencing gradual weakness in her limbs, along with numbness in her limbs and tongue. The sympto...
Dr. Hong Weibin Reply:
Hello: This is likely acute inflammatory demyelinating polyradiculoneuropathy, also known as Guillain-Barré syndrome. It is an autoimmune condition where antibodies attack the myelin sheath of nerve cells in the body. Prompt monitoring of vital signs and nerve conduction studies ...[Read More] Understanding Sudden Limb Weakness and Numbness: Possible Causes
Understanding Oral Discomfort: Is It Neurological or Hormonal?
Oral issues Hello Doctor, I have already inquired about the report, and it has come out. The MRI with contrast shows no tumors in the brain, and some blood test issues seem to be minor. However, the doctor suspects it might be an ovarian issue. I told the doctor that I had visite...
Dr. Jiang Junyi Reply:
Hello, regarding the issues you mentioned, I have some suggestions. The endocrinologist suspects ovarian degeneration and advised me to continue medication and observe for six months before returning for blood tests. Now, I would like to ask the doctor if my oral discomfort sympt...[Read More] Understanding Oral Discomfort: Is It Neurological or Hormonal?
Post-Wisdom Tooth Extraction: Addressing Tongue Numbness and Pain
Tongue issues after wisdom tooth extraction? I had my upper and lower right wisdom teeth extracted in early July. The lower one was a horizontal impaction embedded in the gums. After the extraction, the right side of my mouth became numb, and I haven't felt anything for over...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms may suggest a trigeminal nerve disorder, particularly since they occurred after surgery, which could be related to tissue swelling from the procedure. I recommend that you consult an oral surgeon to check for any signs of infection ...[Read More] Post-Wisdom Tooth Extraction: Addressing Tongue Numbness and Pain
Persistent Jaw Muscle Twitching: Seeking Answers and Next Steps
The muscles of the upper jaw are twitching continuously? Hello! My upper jaw near the throat has been twitching continuously, and I can hear the muscle twitching with a clicking sound in my ears. When I open my mouth, I can see the muscle twitching, and when I look down, my eyes ...
Dr. Cai Zongzhang Reply:
Hello, if you do not see significant improvement through neurology, it is recommended that you seek assistance from an otolaryngologist.[Read More] Persistent Jaw Muscle Twitching: Seeking Answers and Next Steps
Understanding Neurological Symptoms: Seeking Answers for Lingering Issues
Brain issues Hello, doctor. I have previously detailed my symptoms. Now I have some questions to ask. I had a brain MRI done before, which showed no abnormalities. However, during a brainstem function test, it was found that the function values on the left side of my brainstem we...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest sympathetic nervous system hyperactivation, leading to mucosal dryness. Additionally, estrogen instability can cause similar symptoms. It is recommended to consult a gynecologist to check for any premenopausal symptoms that may exacerbate the exis...[Read More] Understanding Neurological Symptoms: Seeking Answers for Lingering Issues
Understanding Neurological Symptoms: Seeking Answers for Oral and Brain Issues
Brain issues Hello Doctor, I have previously detailed my symptoms <a href="https://adoctor.tw/article/146754">#146754</a>. Now I have some questions to ask. I had a brain MRI done before, which showed no abnormalities. However, during a brainstem function te...
Dr. Jiang Junyi Reply:
Hello: The 24-hour urine test you mentioned may be for measuring cortisol levels. Elevated cortisol levels are associated with adrenal tumors, pituitary tumors, or ectopic ACTH-producing tumors. Conditions such as pregnancy, estrogen therapy, and severe stress can also stimulate ...[Read More] Understanding Neurological Symptoms: Seeking Answers for Oral and Brain Issues
Understanding Unexplained Oral Symptoms: A Neurological Perspective
Please clarify what the issue is? Hello, Dr. Jiang. I have some unusual symptoms. In January, I had my second molar extracted, and since then, I have had an ulcer that has not healed for a month. I have been very worried that it might be something serious. I keep checking my gums...
Dr. Jiang Junyi Reply:
Hello: Because your age group is more susceptible to certain rheumatic and autoimmune diseases, I wonder if you have undergone any examinations related to this. Wishing you good health and peace. Dr. Jiang, Department of Internal Medicine, Taoyuan Hospital, cares about you.[Read More] Understanding Unexplained Oral Symptoms: A Neurological Perspective
Understanding Facial Nerve Paralysis: Steroid Use and Recovery Insights
Facial nerve paralysis Hello, doctor! My father-in-law has been diagnosed with facial nerve paralysis... but he only took steroids for one day and then stopped. The doctor said that the inflammation of the nerve does not require further steroid treatment and that we should wait f...
Dr. Jiang Junyi Reply:
Hello: Peripheral facial nerve palsy primarily affects the seventh cranial nerve. The clinical symptoms include sensations of numbness or stiffness in the face. Due to the inability to close the eyelids, tearing may also occur. Sometimes, patients may notice an increased sensitiv...[Read More] Understanding Facial Nerve Paralysis: Steroid Use and Recovery Insights
Is Forgetfulness a Sign of Dementia? Understanding Early Symptoms
Dementia in the elderly Hello Dr. Hong, yesterday afternoon at work, I suddenly couldn't remember my computer's login password, which I've been using daily for the past five or six years; in fact, I had used it that morning. It took me over two hours to recall it. ...
Dr. Hong Weibin Reply:
Hello: This indicates that there may be an issue with the retrieval aspect of your memory, which is a normal part of aging. The phenomenon where you can't quite find the words you want to say is known as the "tip-of-the-tongue" phenomenon, and it is not a disease; ...[Read More] Is Forgetfulness a Sign of Dementia? Understanding Early Symptoms
Understanding Hand Weakness: When to See a Neurologist
Occasionally experiencing weakness in both hands? Hello doctor, since early February, I have been experiencing occasional mild pain and soreness in the thumbs and the web spaces of both hands. Sometimes, my upper arms also feel weak and fatigued, and I occasionally notice muscle ...
Dr. Jiang Junyi Reply:
Hello: You mentioned that the symptoms may need to consider cervical nerve root compression at the sixth level causing paresthesia. As for the symptoms of amyotrophic lateral sclerosis (ALS): the primary manifestation of fasciculations is due to the degeneration of lower motor ne...[Read More] Understanding Hand Weakness: When to See a Neurologist
Understanding Muscle Twitches: Could It Be ALS or Just Anxiety?
Fasciculation in amyotrophic lateral sclerosis (ALS)? I have been experiencing continuous muscle twitching all over my body for a month (in the soles and tops of my feet, backs of my hands, arms, elbows, shoulders, back, and face). A few days ago, my left calf twitched continuous...
Dr. Jiang Junyi Reply:
Hello: The condition you are concerned about, commonly known as amyotrophic lateral sclerosis (ALS), primarily involves issues with motor neurons, and most patients do not have a family history. Motor neurons control muscle movement; those in the brain are referred to as upper mo...[Read More] Understanding Muscle Twitches: Could It Be ALS or Just Anxiety?
Understanding Heavy Head Sensation: Neurological Insights and Causes
My head feels very heavy? About a month ago, I suddenly experienced a bout of dizziness (the spinning kind), but fortunately, I managed to hold on. Following that, I felt lightheaded, with a heavy head and light legs. It felt like my head was so heavy that I could faint if I beca...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are not very typical, but common causes for such symptoms may include issues related to cervical myofascial pain or sleep disorders. I wonder if you have a problem with being overweight, as men are more prone to obstructive sleep apnea. Obstructive sleep ap...[Read More] Understanding Heavy Head Sensation: Neurological Insights and Causes
Is Ear Pain Normal During Recovery from Facial Nerve Disorder?
Is it common to experience pain in front of and behind the ear during the recovery process from facial nerve dysfunction? Hello Dr. Jiang, one week ago (Monday), I sought medical attention due to symptoms of right-sided muscle weakness and facial drooping. After a CT scan of the ...
Dr. Jiang Junyi Reply:
Hello: You mentioned peripheral facial nerve paralysis, which primarily affects 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 may notice...[Read More] Is Ear Pain Normal During Recovery from Facial Nerve Disorder?
Understanding Muscle Twitches and Weakness: A Neurological Perspective
Muscle twitching and weakness? Hello, doctor. Last Tuesday, I visited the neurology department with complaints of facial nerve dysfunction and decreased dexterity in my right hand. During my follow-up appointment this Tuesday, my right hand is still not functioning well. I am ver...
Dr. Jiang Junyi Reply:
Hello: The symptoms you mentioned, combined with sensory abnormalities, may suggest peripheral nerve inflammation. Amyotrophic lateral sclerosis (ALS) primarily affects motor neurons and typically does not present with sensory abnormalities. Regarding fasciculations, they are ass...[Read More] Understanding Muscle Twitches and Weakness: A Neurological Perspective
Is It Really Dementia? Understanding Cognitive Decline in Elderly Patients
Is it really dementia? My grandfather is 80 years old and has been in poor health due to a stroke he suffered two years ago. Recently, he was hospitalized for malnutrition, but the doctor mentioned that my grandfather has dementia, which has caused him to forget how to eat and dr...
Dr. Hong Weibin Reply:
Hello: Dementia is a syndrome, not a single disease (for example, influenza is a disease caused by the influenza virus; however, acquired immunodeficiency syndrome is a syndrome with multiple manifestations, such as pneumocystis pneumonia, fungal infections, tumors, etc.). When a...[Read More] Is It Really Dementia? Understanding Cognitive Decline in Elderly Patients
Understanding Facial Nerve Palsy: Causes, Symptoms, and Treatment Options
Facial nerve paralysis Hello, doctor. On March 14th, I suddenly felt pain in the right side of my neck, which didn't feel like a muscle strain but rather like nerve pain. However, it improved by the evening. On the morning of March 15th, the pain returned and lasted all day ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms indicate peripheral facial nerve paralysis, primarily affecting the seventh cranial nerve (if it were due to cervical nerve compression, it would not affect the face). Clinically, symptoms may include pain behind the ear 1-2 days prior to the onset. There may...[Read More] Understanding Facial Nerve Palsy: Causes, Symptoms, and Treatment Options
Understanding Fasciculations: Causes, Concerns, and When to Seek Help
Fasciculation Hello, Doctor: Over the past two months, I have been experiencing intermittent muscle twitching in various parts of my body, sometimes in my arms, calves, thighs, and buttocks. I am very concerned about whether this could indicate any serious illness. During this tw...
Dr. Jiang Junyi Reply:
Hello: The symptoms of amyotrophic lateral sclerosis (ALS) you mentioned, such as fasciculations, are indicative of lower motor neuron (LMN) involvement, which affects motor neurons located in the brainstem and spinal cord. This is typically accompanied by muscle atrophy, often s...[Read More] Understanding Fasciculations: Causes, Concerns, and When to Seek Help
Understanding Facial and Scalp Tightness and Pain: A Neurology Perspective
Tightness and tingling pain in the face and scalp? The area around the left eye, forehead, and scalp feels tight, with a prickling sensation upon touch. The eyes can close tightly, and daily activities are normal with low stress levels and regular exercise. This symptom has persi...
Dr. Jiang Junyi Reply:
Hello: The location you described may suggest trigeminal neuralgia, as touching the area can cause a sharp, stabbing sensation. Trigeminal neuralgia is more common in women than in men and typically occurs in adults around the age of 50. The primary cause is often due to vascular...[Read More] Understanding Facial and Scalp Tightness and Pain: A Neurology Perspective