Understanding Coma: Causes, Treatments, and Recovery in Elderly Patients
Coma scale score of 4? My mother is 86 years old. After a nap on January 8, she could not be awakened. That evening, her blood sugar was measured at 183, her blood oxygen level was 89, and her blood pressure was normal. On January 19, she still could not be awakened in the mornin...
Dr. Jiang Junyi Reply:
Dear Ms. Vicky, You mentioned, "Doctors only treat infections with antibiotics. I really want to ask, for a comatose patient like this, do we just have to wait aside from antibiotic treatment? Are there no more aggressive treatment options?" In clinical practice, the m...[Read More] Understanding Coma: Causes, Treatments, and Recovery in Elderly Patients
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 Pudendal Nerve Issues: Symptoms, Diagnosis, and Treatment Options
Pudendal nerve The patient is experiencing neurological discomfort in the female genital area, characterized by a persistent sensation of being touched that is not related to sexual arousal. This has led to abnormal erections and discomfort that radiates to the right leg, persist...
Dr. Jiang Junyi Reply:
Hello, You mentioned that "there may even be discomfort extending to the right leg..." which may warrant consideration of lumbar nerve root compression. Typical symptoms associated with lumbar nerve root pathology include pain radiating from the buttocks down the leg,...[Read More] Understanding Pudendal Nerve Issues: Symptoms, Diagnosis, and Treatment Options
Understanding Pudendal Nerve Issues: Symptoms, Diagnosis, and Treatment
Pudendal nerve The patient is experiencing neurological discomfort in the female genital area, characterized by a persistent sensation of being touched that is not driven by sexual desire. This condition has led to abnormal erections and discomfort radiating down the right leg, p...
Dr. Jiang Junyi Reply:
Hello, You mentioned that "there may even be discomfort radiating down the right leg..." which may indicate compression of the lumbar nerve roots. Typical symptoms associated with lumbar nerve root pathology include pain radiating from the buttocks down the leg, as we...[Read More] Understanding Pudendal Nerve Issues: Symptoms, Diagnosis, and Treatment
Understanding Pudendal Nerve Issues: Symptoms, Diagnosis, and Treatment Options
Pudendal nerve The patient is experiencing neurological discomfort in the female genital area, characterized by a persistent sensation of being touched that is not related to sexual arousal. This has led to abnormal erections and discomfort extending to the right leg, lasting for...
Dr. Jiang Junyi Reply:
Hello, You mentioned that "there may even be discomfort extending to the right leg..." which may indicate compression of the lumbar nerve roots. Typical symptoms associated with lumbar nerve root pathology include pain radiating from the buttocks down the leg, as well...[Read More] Understanding Pudendal Nerve Issues: Symptoms, Diagnosis, and Treatment Options
Numbness from Foot to Outer Calf: Possible Causes and Concerns
Numbness from the dorsum of the foot to the lateral side of the calf? Hello, Doctor. I would like to consult you. About six months ago, I noticed a tingling sensation on the outer side of my right calf extending to the dorsum of my right foot (approximately from the middle toe to...
Dr. Cai Zongzhang Reply:
Hello, Hsiao-Ting: The symptoms mentioned above may indicate a peripheral neuropathy. Please visit a neurologist for an examination to determine the underlying cause for appropriate treatment.[Read More] Numbness from Foot to Outer Calf: Possible Causes and Concerns
Understanding Neurological Symptoms: Numbness, Pain, and Anxiety in Young Adults
Four limbs numbness, neck pain, headache, various minor ailments? Hello Dr. Jiang, this is Ms. Li who inquired about some issues at the beginning of September. Since early September, I have been experiencing tingling and numbness in my entire arms and legs, along with occasional ...
Dr. Jiang Junyi Reply:
Dear Ms. Li, I am not sure if there is a medical center near your residence. The examination of neurological diseases requires a period of follow-up for comparison. For instance, if a score drops from 80 to 70, it may still be considered passing from a 60-point perspective. The ...[Read More] Understanding Neurological Symptoms: Numbness, Pain, and Anxiety in Young Adults
Persistent Throat Discomfort and Vision Issues: A Neurological Perspective
Feeling of a lump in the throat, sensation of foreign body, difficulty breathing, blurred vision, eyelids often feel sticky as if sweating, fatigue, hair loss, and poor skin condition? Hello, doctor. My family member is experiencing significant discomfort, so I would like to inqu...
Dr. Jiang Junyi Reply:
Hello: I see that your family has undergone numerous examinations. I would like to suggest a principle to follow, which is the concept of "local healthcare." As we age and experience various symptoms, the recommended approach is to find a nearby hospital with an emergen...[Read More] Persistent Throat Discomfort and Vision Issues: A Neurological Perspective
Head Injury and Thrombocytopenia: When to Seek Medical Attention?
Head trauma with purpura (thrombocytopenia) I have thrombocytopenia (usually below 10,000 platelets) and accidentally bumped my head against the corner of a table while standing up (it hurt quite a bit at the moment), specifically on the left side towards the middle of my scalp. ...
Dr. Jiang Junyi Reply:
Dear Ms. Hsien, Generally speaking, if there is no loss of consciousness, no anticoagulant use, or obvious localized hematoma, head trauma is mostly mild. However, due to your condition of thrombocytopenia, it is important to pay special attention to clinical symptoms. If you ex...[Read More] Head Injury and Thrombocytopenia: When to Seek Medical Attention?
Understanding Limb Numbness and Pain: Vaccine Concerns and Treatment Options
Numbness, tingling, and weakness in the limbs? Hello Dr. Jiang, this is Ms. Li. On September 17, I inquired about symptoms of transient and recurrent cramping, numbness, tingling, and weakness in my limbs, as well as occasional burning sensations in the soles of my feet. I apprec...
Dr. Jiang Junyi Reply:
Dear Ms. Li, I apologize for the delay in my response. You mentioned that you received the first dose of the AZ vaccine on September 22, and today, September 23, is likely when you are feeling the most uncomfortable. I recommend that you drink plenty of water and get ample rest....[Read More] Understanding Limb Numbness and Pain: Vaccine Concerns and Treatment Options
Is It Autonomic Nervous System Disorder or Something Else?
Is it autonomic nervous system dysfunction or another condition? Hello doctor, I started experiencing symptoms suggestive of autonomic nervous system dysfunction last year. During episodes, I experience palpitations, chest tightness, shortness of breath, dizziness, and abdominal ...
Dr. Jiang Junyi Reply:
Dear Ms. Wang, You mentioned that you have been frequently waking up due to hand numbness and purple nails (even without any pressure), which may indicate carpal tunnel syndrome. Carpal tunnel syndrome typically occurs in individuals who perform repetitive wrist movements, such ...[Read More] Is It Autonomic Nervous System Disorder or Something Else?
Understanding Cold Hands and Feet: Neurological Concerns Explained
Cold or numb hands and feet? Doctor, I have a question. When I was hiking, my hands would sometimes feel numb or cold. Taking a break would help, but it would happen again as soon as I continued hiking. Eventually, I started experiencing this even at work when I was in a hurry. I...
Dr. Jiang Junyi Reply:
Hello, sir: Your symptoms may indicate hyperventilation syndrome. Hyperventilation can lead to a decrease in carbon dioxide levels in the blood, resulting in an increased pH, a condition known medically as "respiratory alkalosis." This can trigger systemic reactions and...[Read More] Understanding Cold Hands and Feet: Neurological Concerns Explained
Persistent Headache with Nausea and Fever: When to Seek Further Medical Help
Headache, nausea, and fever? I have been experiencing headaches for over a week. Initially, the pain was not severe, but it has recently intensified. The main location of the pain is at the right back of my head, and I feel a sensation similar to having a fever throughout my body...
Dr. Jiang Junyi Reply:
Hello: Generally speaking, headaches associated with a cold are classified as tension-type headaches. The symptoms of tension-type headaches include: (1) Typically bilateral, located in the occipital and parietal regions, sometimes with widespread pain. The nature of the pain is ...[Read More] Persistent Headache with Nausea and Fever: When to Seek Further Medical Help
Understanding Hand Tremors: Possible Causes and Treatment Options
Tremor issues? Hello, Doctor! My father is 49 years old and a year ago he noticed that his right hand trembles when at rest, and it has become less agile. He also does not swing his right arm much while walking. He visited a neurologist once, but the mildest Parkinson's medi...
Dr. Jiang Junyi Reply:
Dear Ms. Hsiao-Hui, Your father began experiencing movement disorders at the age of 49, which seems somewhat early, as such conditions typically manifest around the age of 60. It may be necessary to differentiate this from a stroke. A stroke generally occurs acutely and is accom...[Read More] Understanding Hand Tremors: Possible Causes and Treatment Options
Is It Autonomic Dysfunction or Heart Issues? Understanding Your Symptoms
Is it an autonomic nervous system issue or a heart problem? Hello, doctor. About three years ago, I visited a psychosomatic specialist who diagnosed me with panic disorder. I experienced symptoms like numbness in my hands and head, discomfort throughout my body, and rapid heartbe...
Dr. Cai Zongzhang Reply:
Hello! It is recommended to visit a neurologist for an examination.[Read More] Is It Autonomic Dysfunction or Heart Issues? Understanding Your Symptoms
Is It Autonomic Dysfunction or Heart Issues? Understanding Your Symptoms
Is it an autonomic nervous system issue or a heart problem? Hello, doctor. About three years ago, I consulted a psychiatrist who diagnosed me with panic disorder. I experience symptoms like numbness in my hands and head, discomfort throughout my body, and increased heart rate in ...
Dr. Cai Zongzhang Reply:
Hello! It is recommended to see a neurologist for an examination.[Read More] Is It Autonomic Dysfunction or Heart Issues? Understanding Your Symptoms
Understanding Leg Numbness and Back Pain: Possible Causes and Solutions
Leg numbness and lower back pain? Hello Doctor: About a month ago, I started experiencing a tingling sensation in my foot, but it would go away quickly. After receiving acupuncture treatment from a traditional Chinese medicine practitioner, the tingling became more persistent. Ab...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider symptoms related to a herniated disc compressing the nerves. A herniated disc can also occur due to sudden injuries, such as twisting the waist abruptly, bending to lift heavy objects, or experiencing sudden excess...[Read More] Understanding Leg Numbness and Back Pain: Possible Causes and Solutions
Understanding Widespread Pain: When to See a Specialist for Neurological Issues
Multiple areas of pain in a short period of time? Over the past month, I have been experiencing various pains throughout my body. Initially, I consulted a specialist, but due to the wide range of symptoms and the duration of the issue, I began to wonder if it might be related to ...
Dr. Jiang Junyi Reply:
Hello: It is recommended that you print out the detailed description and discuss it with your physician. Based on your description, fibromyalgia should be considered. Clinically, it is differentiated from other conditions that present with widespread pain, such as inflammatory or...[Read More] Understanding Widespread Pain: When to See a Specialist for Neurological Issues
Understanding Eye Twitching and Facial Muscle Spasms: Causes and Solutions
Eyelid twitching and facial muscle spasms? I have been experiencing eyelid twitching in my right eye for about two weeks. After a week of twitching, I visited an ophthalmologist who reassured me that the twitching would eventually resolve and advised me not to worry. A few days l...
Dr. Jiang Junyi Reply:
Hello: The majority of causes of eyelid spasms are unknown, with females being affected approximately three times more than males. Common causes include dry eye syndrome, high levels of stress, eye inflammation, light sensitivity, consumption of caffeine and tobacco, dysfunction ...[Read More] Understanding Eye Twitching and Facial Muscle Spasms: Causes and Solutions
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