Understanding Facial Paresthesia: Causes, Symptoms, and Concerns
Facial paresthesia Over two months ago, I first noticed a slight tingling sensation in my lips while I was seriously reading analytical articles. Later, I also experienced tinnitus. More than a month ago, after the tinnitus disappeared, one morning I felt that my mouth was slight...
Dr. Lan Shengxing Reply:
Dear Little D, functional issues are not impossible. Although the likelihood of epilepsy is low, it cannot be completely ruled out, so it would be advisable to consult a neurologist for an examination. The idea of practicing martial arts leading to obsession is more akin to an ur...[Read More] Understanding Facial Paresthesia: Causes, Symptoms, and Concerns
Post-Cold Speech Issues: Understanding Neurological Concerns and Recovery
After catching a cold, my speech has become slurred? I would like to ask the doctor: After catching a cold, I noticed that I have lost my sense of taste for spicy foods, and I also have a problem with slurred speech. I am worried that it might be due to taking too many Western me...
Dr. Jiang Junyi Reply:
Hello, based on your description, there are many causes for taste loss, such as saliva deficiency, the effects of certain medications (e.g., steroids, anesthesia from surgery), nutritional deficiencies (e.g., zinc), injuries to the tongue or oral cavity (e.g., periodontal disease...[Read More] Post-Cold Speech Issues: Understanding Neurological Concerns and Recovery
Understanding Tongue Issues: Neurological Connections and Concerns
Tongue issues? Hello Doctor, I would like to inquire about an issue related to my tongue. Since February, I have felt something unusual on the surface of the front of my tongue, similar to the rough sensation after being scalded by hot water. I also feel that my taste sensitivity...
Dr. Huang Yongquan Reply:
Hello: The sensations of touch and taste on the tongue are governed by different cranial nerves. If both issues occur simultaneously, it is often due to peripheral nerve damage affecting the taste buds on the surface of the tongue, which can be caused by dietary habits, stress, o...[Read More] Understanding Tongue Issues: Neurological Connections and Concerns
Understanding Left-Sided Brain Pain: Causes and Solutions
There is a sharp pain in a vein on the left side of the brain? In recent days, I have noticed a sharp pain in the left side of my brain, which intensifies when I swallow saliva with my left ear. It feels like there is a lot of heat in my body. Could you please provide some insigh...
Dr. Gao Chunde Reply:
At this age, there is a common type of ice pick headache that occurs sporadically, resembling neuralgia, but the cause is not very clear. It usually resolves on its own after a few days. However, if there is soreness in the back of the neck or numbness in the scalp, one should be...[Read More] Understanding Left-Sided Brain Pain: Causes and Solutions
Understanding Head Pain: Scalp Sounds and Neurological Concerns
Headache with a rubber band-like sensation in the scalp? Because my symptoms include similar headaches, a rubbing sound from the muscles on the right side of my scalp, and my right cheek is also atrophied, stiff, and painful. My right ear feels noticeably protruding, and I experi...
Dr. Huang Yongquan Reply:
Hello: In response to your question, your symptoms do not appear to be directly related to cerebral blood vessels, and the MRI seems to have ruled out any significant concerns. Blood vessels outside the scalp are less likely to cause any diseases. It is recommended to gently mass...[Read More] Understanding Head Pain: Scalp Sounds and Neurological Concerns
Understanding Uncomfortable Reactions After Medication in Neurology
Adverse reactions after taking medication? Hello, Doctor: Is it normal to experience discomfort after taking medication? Symptoms and background: 1. At the beginning of January, I was hit on the left side of my body by a motorcycle, resulting in a concussion, accompanied by dizzi...
Dr. Gao Chunde Reply:
Suanli tablets can improve microcirculation in nerves and tissues; however, side effects may include palpitations and facial flushing. The medication taken before bedtime is a muscle relaxant, and its side effects may include drowsiness. The pain and sensitivity in your molars ma...[Read More] Understanding Uncomfortable Reactions After Medication in Neurology
Facial Numbness and Inability to Close Eye: Possible Neurological Issues?
Facial numbness and inability to close the eyelids? Hello Doctor: My right side of the face, mouth, and tongue feel numb, and when I smile, the mouth on that side becomes stiff. The right side of my mouth appears slightly droopy, and I cannot fully close my right eye, which revea...
Dr. Lan Shengxing Reply:
Dear Stacy: This condition may be related to a previous facial nerve issue on the right side of your face. Please visit the neurology outpatient clinic for evaluation and treatment.[Read More] Facial Numbness and Inability to Close Eye: Possible Neurological Issues?
Is My Hand Tremor a Sign of Early Parkinson's Disease?
Could this be a sign of Parkinson's disease? Hello Doctor: I am 29 years old and about two years ago, I noticed that my right index finger would occasionally tremble slightly. This usually occurs after actions that engage the muscles of the index finger, such as opening bott...
Dr. Zeng Kongyan Reply:
Hello: In response to your question, based on the description provided in your letter, it does not appear to be Parkinson's disease, as the tremors associated with this condition typically occur at rest and have a frequency of 4-8 Hz. If Dr. Mackay diagnosed it as essential ...[Read More] Is My Hand Tremor a Sign of Early Parkinson's Disease?
Understanding Gastrointestinal Disorders: A Neurological Perspective
Gastrointestinal dysregulation Hello, Doctor. After binge eating in 2008, I experienced stomach bloating in the afternoon, loss of appetite, and underwent gastroscopy which showed no issues. I tried traditional Chinese medicine for treatment but saw no improvement. In 2009, I had...
Dr. Gao Chunde Reply:
The condition commonly referred to as autonomic nervous system dysfunction primarily indicates an imbalance between the sympathetic and parasympathetic nervous systems, particularly when the sympathetic nervous system is overactive. Symptoms may include palpitations, diarrhea, tr...[Read More] Understanding Gastrointestinal Disorders: A Neurological Perspective
Understanding Tongue Cramps: Causes, Symptoms, and Treatments
Tongue cramp Hello Doctor: I occasionally experience cramps in the back of my tongue. It starts with a sharp, stabbing pain, followed by pain when swallowing, and then the pain intensifies. Each episode lasts about thirty seconds, but they occur repeatedly every two to three minu...
Dr. Ye Boshou Reply:
Hello: It could be pharyngeal neuralgia. Medications for treating neuralgia are recommended, but it is advised to undergo an examination for confirmation first.[Read More] Understanding Tongue Cramps: Causes, Symptoms, and Treatments
Understanding the Sensory Functions of the Facial Nerve (Cranial Nerve VII)
Feeling Hello, I have a question: Cranial Nerve VII, the facial nerve, is primarily a motor nerve, but it also has sensory components. Are the sensory components located deeper in the nose or deeper in the cheek? Regarding the sensory part of Cranial Nerve VII, where on the face ...
Dr. Ye Boshou Reply:
Hello: The sensory distribution of the facial nerve includes the anterior two-thirds of the tongue (taste), while facial sensation is primarily governed by the trigeminal nerve.[Read More] Understanding the Sensory Functions of the Facial Nerve (Cranial Nerve VII)
Understanding Neuromuscular Tension: Causes and Recommended Tests
Neuromuscular tension I have been experiencing persistent neuromuscular tightness in my right neck, right shoulder, right arm, and right lower limb. Recently, I have also started to notice neuromuscular tightness on the right side of my face, and I have clearly observed that my t...
Dr. Ye Boshou Reply:
Hello: Please visit the neurology outpatient clinic for an examination as soon as possible.[Read More] Understanding Neuromuscular Tension: Causes and Recommended Tests
Understanding Nocturnal Seizures: When to Seek Medical Help for Your Child
Suspected epilepsy Hello, Doctor Huang. My child experiences episodes at night that resemble seizures, during which he drools and is unaware of his surroundings, even falling off the bed without realizing it. When I try to wake him, he doesn't respond and later, when I ask h...
Dr. Huang Yingzhe Reply:
Dear Director Huang Ying-Che of the Neurology Department at Tainan Hospital, Executive Yuan Health Department: Hello, Shu-Ling. Based on your description, it appears to be more like an epileptic seizure. However, please bring the patient to the Neurology Department for further c...[Read More] Understanding Nocturnal Seizures: When to Seek Medical Help for Your Child
Uncontrolled Tongue Movements and Speech Clarity Issues After Brain Surgery
The tongue exhibits involuntary movements and disturbances while speaking? I have a question to ask. About six months ago, my mother noticed that her speech became unclear, similar to having a "thick tongue," and her tongue would move involuntarily while speaking, which...
Dr. Lin Zijing Reply:
Involuntary movements of the tongue or mouth are often manifestations of tardive dyskinesia, a type of movement disorder that can occur after long-term use of antipsychotic medications or certain drugs that promote gastrointestinal motility or antiemetics. In some cases, the caus...[Read More] Uncontrolled Tongue Movements and Speech Clarity Issues After Brain Surgery
How to Identify a Stroke: Simple Steps Everyone Should Know
How to recognize a stroke? Hello Doctor: Recently, I came across an article online about stroke recognition, and since it's being widely circulated, I wanted to confirm its accuracy with you to avoid misinformation that could lead to daily calls to emergency services. Thank ...
Dr. Zhuang Yumin Reply:
Dear Jerry, The three actions you proposed are indeed commonly performed by clinicians for patients. I believe that certain types of strokes can be detected through these three actions; however, many cases may present with other symptoms. For instance, some strokes may manifest ...[Read More] How to Identify a Stroke: Simple Steps Everyone Should Know
Understanding Lumbar Disc Herniation: Questions and Concerns
Hello! I would like to inquire about my issue with a herniated disc? Hello, Dr. Yeh: I apologize for the rush during the consultation; I have many questions to ask, but it seems there isn’t enough time. I have a medical history of 6 years. In 2006, an MRI report showed a herniate...
Dr. Ye Boshou Reply:
Hello: The decision to perform an MRI depends on the clinical examination for any abnormalities; it cannot be determined here. It is best to bring previous imaging studies to the outpatient clinic. The purpose of the imaging is to determine whether surgery is needed and its locat...[Read More] Understanding Lumbar Disc Herniation: Questions and Concerns
Understanding Facial Nerve Disorders: Symptoms and When to Seek Help
Facial nerve Hello, Director Yeh. I have an urgent question to ask you. A couple of days ago, I noticed that saliva would leak out when I drink water or rinse my mouth, but it wasn't very severe. Then I realized that my eyelid has been twitching; at first, I didn't thin...
Dr. Ye Boshou Reply:
Hello: It may be facial nerve paralysis. I recommend that you visit a neurology clinic for further treatment. Thank you![Read More] Understanding Facial Nerve Disorders: Symptoms and When to Seek Help
Understanding Tremors and Numbness: A Guide to Neurological Symptoms
I'm sorry Doctor, my hands and feet tremble, and my muscles twitch randomly—sometimes in my knees, sometimes in my legs, sometimes my eyelids, and other times in my chest and mouth. My hands and feet also feel numb, my tongue can feel numb, and sometimes my face feels tingly...
Dr. Huang Yingzhe Reply:
Dear Director Huang Ying-Che of the Neurology Department at Tainan Hospital, Executive Yuan Health Department: Although your symptoms sound like descriptions of neuromuscular issues, they seem to be variable and not sufficiently precise. A detailed medical history and neurologic...[Read More] Understanding Tremors and Numbness: A Guide to Neurological Symptoms
Understanding the Connection Between Head Injuries and Lower Back Pain
Brain issues and lower back pain? Hello Dr. Yeh, I would like to ask two questions. I have previously experienced a head injury and often have nosebleeds. I have consulted a traditional Chinese medicine practitioner who mentioned that my brain may have sustained damage and that ...
Dr. Ye Boshou Reply:
1. If there are signs of a stroke, please first consult a neurologist. 2. It is advisable to engage in more back exercises and apply heat therapy. If there is no improvement, further evaluation by a neurologist or a rehabilitation specialist is still necessary.[Read More] Understanding the Connection Between Head Injuries and Lower Back Pain
Understanding Dizziness, Numbness, and Nausea: A Neurology Perspective
Dizziness, body numbness, nausea? Hello, Doctor. I have been suffering from insomnia for several years, and I often experience headaches, dizziness, nausea, and pain in the left side of my neck and shoulder. Since the beginning of this year, I have been seeing a neurologist and h...
Dr. Huang Yingzhe Reply:
Dear Dr. Huang Ying-Che, Director of the Neurology Department at Tainan Hospital, Ministry of Health and Welfare: The symptoms you described are quite unusual, and it is difficult to determine what might be happening based solely on this information. I recommend that you visit a...[Read More] Understanding Dizziness, Numbness, and Nausea: A Neurology Perspective