Understanding Persistent Ear Congestion and Hearing Loss: Insights from Neurology
Ear fullness and difficulty hearing? Hello Dr. Jiang, In February 2022, I woke up one morning to find that I was experiencing ear fullness. I went to an otolaryngologist, and after a week of treatment, the ear fullness resolved. However, a week later, the ear fullness returned, ...
Dr. Jiang Junyi Reply:
Dear Mr. Hsiao Cheng, You mentioned experiencing symptoms such as "ear fullness, difficulty hearing, and dizziness... and that your brain MRI results were normal." Your symptoms may suggest Eustachian tube dysfunction. This issue can often present normal results in var...[Read More] Understanding Persistent Ear Congestion and Hearing Loss: Insights from Neurology
Understanding Body Tingling and Vibrations: When to See a Neurologist
Feeling slight numbness and mild vibrations in the body? Hello, doctor. A few days ago, I experienced some palpitations, and occasionally felt a slight vibration and mild numbness in my lower back (especially around the coccyx), legs, and chest while sitting, standing, or lying d...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, I believe it would be advisable to monitor the situation for a while longer. However, if you find it very concerning, you may also consider consulting a neurologist. Thank you.[Read More] Understanding Body Tingling and Vibrations: When to See a Neurologist
Post-Surgery Nerve Pain: Understanding Ankle Fracture Complications
Seven months after undergoing surgery for a fracture above the left ankle with the placement of a metal plate, there is still persistent numbness and tingling below the ankle? Hello Doctor, I am writing on behalf of my father. He is 56 years old. Last September, he had an acciden...
Dr. Jiang Junyi Reply:
Hello: You mentioned that your father is experiencing peripheral nerve damage. If the peripheral neuropathy is caused by nerve compression, it may exhibit the following characteristics: 1. The pain is described as burning or electric-like. 2. Symptoms have a specific dermatomal d...[Read More] Post-Surgery Nerve Pain: Understanding Ankle Fracture Complications
Managing Low White Blood Cell Count in Myasthenia Gravis Patients
Myasthenia gravis with leukopenia? Hello: My mother is a patient with myasthenia gravis, specifically type I, which only affects the ocular muscles, resulting in muscle weakness around the eyes, leading to ptosis and diplopia. Since recovering from herpes zoster three months ago,...
Dr. Peng Shiwei Reply:
Hello, in response to your questions: 1. Currently, there are no specific foods that can increase white blood cell counts. Typically, blood cell counts will gradually return to normal after the acute phase of an illness has passed. However, it is still recommended to consume nu...[Read More] Managing Low White Blood Cell Count in Myasthenia Gravis Patients
Understanding Jaw Pain: Is It TMJ Disorder or Trigeminal Neuralgia?
Temporomandibular joint disorder (TMJ disorder)? Trigeminal neuralgia? Hello Doctor, recently I have been experiencing pain when biting down on the right side of my teeth, with a sensation of soreness and weakness. When the pain and tingling become severe, it radiates to the area...
Dr. Cai Zongzhang Reply:
Hello: Trigeminal neuralgia can vary in severity. The symptoms mentioned may still indicate trigeminal neuralgia. It is recommended to visit a neurology clinic for examination and treatment.[Read More] Understanding Jaw Pain: Is It TMJ Disorder or Trigeminal Neuralgia?
Understanding Ear Issues Post-COVID: Tinnitus and Heartbeat Sounds Explained
Ear problems? Three months ago, I was diagnosed with COVID-19. I experienced loud tinnitus in my left ear, along with a pronounced heartbeat sound when I turned my head to the right. I consulted an otolaryngologist at a major hospital, who listened to the blood flow in my ear and...
Dr. Peng Shiwei Reply:
Hello, based on your description, your symptoms have improved by 80%. What you should do now is to maintain the current state and relax. Engaging in more physical activity is also beneficial. Wishing you a speedy recovery, and thank you for your question.[Read More] Understanding Ear Issues Post-COVID: Tinnitus and Heartbeat Sounds Explained
Understanding Persistent Dizziness and Chest Discomfort: A Patient's Journey
Dizziness issues? Hello, Doctor. I am the person who asked question #191468. Thank you for your advice. I later underwent HRV testing, and the report was normal. However, I have recently felt that my condition has worsened, both physically and mentally. Currently, I feel dizzy wh...
Dr. Jiang Junyi Reply:
Hello Miss Enola: "The HRV test results are normal." Heart Rate Variability (HRV) is actually a dynamic data point. It is recommended to monitor it using wearable devices like the Apple Watch. You mentioned, "I have always wanted to find the cause, but it’s contrad...[Read More] Understanding Persistent Dizziness and Chest Discomfort: A Patient's Journey
Neck Movement Causing Stiffness and Pain in the Back of the Head
Neck rotation causing stiffness and pain in the occipital region of the head? Hello, doctor. I have a question. When I turn my neck at certain fixed angles, it causes stiffness and pain in the back of my head, especially on the left side, which is more painful. The pain also radi...
Dr. Hong Weibin Reply:
Hello: For neck pain, you can consult either a neurologist or an orthopedic specialist. Poor posture over a long period is the most common cause of neck pain and stiffness in the occipital region. It is recommended to limit the use of electronic devices and to avoid looking down ...[Read More] Neck Movement Causing Stiffness and Pain in the Back of the Head
Understanding Nerve Issues: Hand Numbness, Facial Tingling, and Tinnitus
Numbness in the hands and face accompanied by tinnitus? Previously, I visited a traditional Chinese medicine practitioner for a stiff neck, and after some time, my shoulder and neck pain improved. However, I suddenly started experiencing numbness in my hands, so I went to a nearb...
Dr. Jiang Junyi Reply:
Hello Mr. Hsu: You mentioned that "sometimes when I wake up, I find my hands completely numb, and it takes about a few seconds to recover. The rehabilitation doctor said that invasive tests are needed to understand the symptoms." It may be necessary to consider compress...[Read More] Understanding Nerve Issues: Hand Numbness, Facial Tingling, and Tinnitus
Understanding Recovery from Hemorrhagic Stroke: What to Expect
Minor stroke with cerebral hemorrhage? Hello, doctor. My father was diagnosed with a hemorrhagic stroke due to hypertension on October 9th of this year. The blood clot is 25cc, and the doctor mentioned waiting for the clot to be reabsorbed, which should take about three months. C...
Dr. Jiang Junyi Reply:
Dear Mr. Hsiao, You mentioned that "currently, the left side is numb, vision is blurred, I can take care of myself, and my speech is normal. I would like to ask if the symptoms will gradually improve after the blood clot is absorbed?" The possible site of bleeding is i...[Read More] Understanding Recovery from Hemorrhagic Stroke: What to Expect
Understanding Nerve Pain and Weakness in Hands and Feet: A Patient's Journey
Numbness and tingling in both hands, weakness in both legs? Since March of last year, I started feeling a foreign sensation behind my occiput upon waking up one day. I consulted a doctor and took medication, but it did not improve. Later, the foreign sensation suddenly disappeare...
Dr. Jiang Junyi Reply:
Dear Miss Vicky, You mentioned "Multiple sclerosis? Neuritis? Autoimmune diseases? Diabetes? Herniated disc? Amyotrophic lateral sclerosis? CIDP?... Which specialty should I consult to thoroughly identify and resolve the issue?" You also noted that "the discomfort...[Read More] Understanding Nerve Pain and Weakness in Hands and Feet: A Patient's Journey
Understanding Right Arm Pain and Numbness: When to Seek Medical Help
Right arm swelling and pain extending to finger numbness? Hello, I have been working in the food industry for a long time, and recently my right wrist appears more swollen compared to my left wrist and is less flexible. It hurts whenever I exert force, and I even struggle to push...
Dr. Jiang Junyi Reply:
Hello, Ms. Ruby: The symptoms you mentioned seem to indicate two issues combined. You noted that "the palms and fingers also feel numb, and at their worst, even the vibrations while riding a bike can cause the entire palm to go numb and unable to grip." This symptom re...[Read More] Understanding Right Arm Pain and Numbness: When to Seek Medical Help
Understanding Left Lower Back and Hip Pain: Causes and Solutions
Left lumbar and hip pain? Hello doctor, I have been experiencing lower back pain for the past ten years due to sitting for long periods during exams and suddenly lifting heavy objects. Since then, my back occasionally hurts, and I need to stretch it. Typically, it takes about a m...
Dr. Jiang Junyi Reply:
Hello Ms. KOKO: You mentioned that after doing squats with an empty barbell, you felt some discomfort in your lower back. Upon returning home and resting, you found that even walking caused pain. After a night of rest, you felt slightly better, but the next day, even sneezing cau...[Read More] Understanding Left Lower Back and Hip Pain: Causes and Solutions
Persistent Shoulder and Neck Pain: When to Seek Neurology Care?
Shoulder and neck pain? I have been experiencing shoulder and neck pain (without numbness, just a tight sensation and discomfort) for over four months. I have tried physical therapy, traditional Chinese medicine, chiropractic care, and even massage, but my condition has not impro...
Dr. Jiang Junyi Reply:
Dear Miss Yu, You mentioned that you have been experiencing "shoulder and neck pain (without numbness, just a tight feeling and discomfort) for over four months, and have visited rehabilitation, traditional Chinese medicine, and out-of-pocket chiropractic doctors..." Y...[Read More] Persistent Shoulder and Neck Pain: When to Seek Neurology Care?
Understanding One-Sided Scalp Pain: When to See a Neurologist
Unilateral scalp pain? Hello Doctor: I would like to ask about some symptoms I've been experiencing. About a week ago, I noticed pain and tightness on the right side of my scalp. Later, the pain extended to my right neck, where I also developed something that looks like a pi...
Dr. Jiang Junyi Reply:
Hello Miss Piggy: You mentioned that "there are things that look like pimples and cannot be turned," which may suggest a skin rash caused by the herpes virus. I recommend that you consult a dermatologist to discuss examination and treatment, as neurology typically addre...[Read More] Understanding One-Sided Scalp Pain: When to See a Neurologist
Managing Chronic Liver Issues and New Ear Symptoms: A Neurology Perspective
Long-term liver function abnormalities and bronchial sensitivity have recently led to increased ear ringing and worsening headaches? Hello, Doctor. Here is a summary of my pre-existing conditions and the issues that have arisen this past week. I have been a carrier of hepatitis B...
Dr. Jiang Junyi Reply:
Dear Miss Chiu, You mentioned that "the frequency of the popping sound in my left ear has decreased, but there are sudden sharp pains on the right side of my head, which are not the usual occasional dull aches. The pain is severe enough to furrow my brow and make my express...[Read More] Managing Chronic Liver Issues and New Ear Symptoms: A Neurology Perspective
Understanding Ankle Numbness: When to See a Neurologist or Orthopedist
Numbness in the ankle? Doctor, lately when I lie down, I feel a noticeable tingling and swelling sensation on the outer sides of both ankles. Since I often sprain my ankles, I went to a traditional Chinese medicine clinic for an examination, and they mentioned it might be a herni...
Dr. Jiang Junyi Reply:
Dear Ms. Hsiao-Leh, You mentioned, "With a herniated disc, should I see a neurologist or an orthopedic specialist?" The spine is subjected to repetitive stress, particularly from improper activities such as bending to pick things up or prolonged bending and twisting, w...[Read More] Understanding Ankle Numbness: When to See a Neurologist or Orthopedist
Unexplained Health Issues: Seeking Answers for Persistent Dizziness and Pain
Many health issues with no identifiable cause? Hello Dr. Jiang: I would like to ask about my condition. About a year or two ago, I underwent tooth extraction for orthodontic treatment and had bone grafting done at the same time. The next day, I experienced severe dizziness and ne...
Dr. Jiang Junyi Reply:
Dear Mr. Hsiao-Kang, You mentioned that "lying down and changing positions causes dizziness," which may initially suggest benign paroxysmal positional vertigo (BPPV). The symptoms are characterized by brief episodes of vertigo related to changes in head position, such ...[Read More] Unexplained Health Issues: Seeking Answers for Persistent Dizziness and Pain
Understanding Systemic Tingling: Possible Causes and Next Steps
Generalized tingling and numbness? Hello Dr. Jiang, this is Mr. Wu, who inquired about multiple sclerosis last time. I had a follow-up appointment on May 6th, and the cervical MRI report showed normal results. I informed the physician about the tingling sensation in the soles of ...
Dr. Jiang Junyi Reply:
Hello: You are currently on too many medications, and many gastrointestinal drugs can actually be adjusted. For example, the side effects of EPILON may include dry mouth, vomiting, constipation, urinary retention, blurred vision, headache, fatigue, and skin flushing, among others...[Read More] Understanding Systemic Tingling: Possible Causes and Next Steps
Understanding Autonomic Nervous System Disorders and Their Impact on Health
Autonomic nervous system dysfunction Hello, doctor. I have developed a habit of masturbation over the past nine months. Initially, I would do it once or twice a day, but during one instance when I reached orgasm, my hands started to shake intensely. After about ten minutes, the s...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to visit a neurology outpatient clinic to check for any underlying conditions that may be causing the aforementioned symptoms.[Read More] Understanding Autonomic Nervous System Disorders and Their Impact on Health