Understanding Food Sensitivities and Neurological Symptoms: A Patient's Journey
Discomfort after consuming certain foods? Hello, doctor. I am 29 years old, and I started experiencing abnormal symptoms around February of last year (2019). Initially, I had difficulty breathing when lying down, feeling as if I couldn't catch my breath. I went to a clinic, ...
Dr. Hong Weibin Reply:
Hello: If all test results show no abnormalities, it is possible that there are no specific physiological issues. It is important to consider psychological, environmental, and stress-related factors. You may want to seek further evaluation and assistance from a psychiatrist. Wish...[Read More] Understanding Food Sensitivities and Neurological Symptoms: A Patient's Journey
Understanding Lip Tremors: Causes and When to Seek Medical Advice
Trembling of the lower lip? Hello Dr. Jiang, my mother (65 years old) has been experiencing occasional tremors in her lower lip over the past two months, which she is not aware of. She has not had this issue before. In May of this year, she developed urticaria and was on corticos...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider essential tremor. If it does not affect your daily life, medication treatment is not required. The causes of tremors can be categorized into four types: physiological tremors, psychological tremors, essential tremo...[Read More] Understanding Lip Tremors: Causes and When to Seek Medical Advice
Uncoordinated Walking and Dizziness: Understanding Neurological Symptoms
Feeling uncoordinated and dizzy when starting to walk? Hello Doctor, I previously asked you whether I consider myself to have autonomic nervous system dysfunction. During this follow-up period, I have been running or brisk walking for an average of one hour a day or two, and get...
Dr. Jiang Junyi Reply:
Hello, based on your description of limb weakness and pain, the causes could include not only muscle and nerve issues but also some metabolic disorders such as thyroid dysfunction and sleep disorders, among others. MRI is primarily used to rule out structural problems in the brai...[Read More] Uncoordinated Walking and Dizziness: Understanding Neurological Symptoms
Muscle Twitches and Anxiety: Understanding Your Symptoms
Muscle twitching seems to be related to anxiety? Hello doctor, I have been experiencing muscle twitching for over three months, but this week it has significantly decreased to about three to five times an hour, with each twitch lasting one to two seconds. The affected areas are m...
Dr. Jiang Junyi Reply:
Hello: I suggest that you consider consulting a psychologist first, as many symptoms are related to autonomic nervous system instability. Generally speaking, the autonomic nervous system is regulated by the sympathetic and parasympathetic nervous systems, with one acting as the a...[Read More] Muscle Twitches and Anxiety: Understanding Your Symptoms
Understanding Cervical Spine Issues and Their Impact on Health
Consultation on cervical spine and related issues? Hello Dr. Jiang, I have been experiencing significant discomfort in my neck recently, so I came to seek your advice. Last week, due to a month-long episode of dizziness and lightheadedness, I visited Chang Gung Memorial Hospital ...
Dr. Jiang Junyi Reply:
Hello: 1. Is there really a concept of congenital straight cervical spine? It seems that there are differing opinions between neurologists and orthopedic doctors. 2. If there is indeed a congenital straight cervical spine, would it affect muscle stiffness? I have noticed that ...[Read More] Understanding Cervical Spine Issues and Their Impact on Health
Understanding Myasthenia Gravis: Symptoms, Treatment, and Lifestyle Tips
Myasthenia Gravis Hello, doctor. Recently, I have been experiencing double vision and hand tremors. I first went to an ophthalmologist, who said my eyes were fine and recommended that I see a neurologist. After several follow-up visits, the neurologist diagnosed me with myastheni...
Dr. Jiang Junyi Reply:
Hello: You mentioned that this disease is lifelong? A: It may be necessary to identify the underlying causes and other diagnoses. If it is a thymoma, surgery may effectively control the disease. What are the side effects of frequently taking Pyridostigmine besides diarrhea? A: Th...[Read More] Understanding Myasthenia Gravis: Symptoms, Treatment, and Lifestyle Tips
Understanding Muscle Twitching: Causes and Concerns in Young Adults
Involuntary muscle twitching at irregular locations? Hello Doctor, about a month ago, I started experiencing twitching in my right eye bag and my left calf. After an EEG, the doctor said it was normal, so my family suggested I get blood tests for thyroid function. I might be over...
Dr. Hong Weibin Reply:
Hello: If you experience visible persistent muscle twitching and pain, you can seek assistance from a neurologist to determine if an electromyography (EMG) is necessary. Muscle twitching can have many causes that require differential diagnosis, and not all causes are as alarming ...[Read More] Understanding Muscle Twitching: Causes and Concerns in Young Adults
Understanding Internal Tremors: When to Seek Neurological Help
Internal tremors Hello, doctor. I have a question. When I wake up from sleep and lie flat, I feel a tremor in my body, although there is no visible shaking. It feels as if there are two hearts beating inside me, accompanied by numbness in my palms upon waking. Occasionally, I als...
Dr. Jiang Junyi Reply:
Hello: Your first question concerns body tremors. It may be necessary to consider that muscle tension is excessively high due to an inability to relax. Clinically, symptoms are often improved through relaxation training or the use of sedative medications. It is recommended that y...[Read More] Understanding Internal Tremors: When to Seek Neurological Help
Understanding Prolonged Muscle Tremors: Causes and Concerns
Muscle twitching has been persistent for a long time? Hello Doctor, last week I experienced some hand numbness, hand tremors, and unusual hyperactivity. Since my family has a history of thyroid issues, I underwent an ultrasound and blood tests. The results came back normal, but I...
Dr. Hong Weibin Reply:
Hello: Muscle twitching involves many factors to consider in neurology, including electrolyte imbalances, metabolic disorders, muscle diseases, neuropathies, or excessive tension, among others. It is recommended that you consult a neurologist specializing in muscle disorders for ...[Read More] Understanding Prolonged Muscle Tremors: Causes and Concerns
Understanding Hand Tremors: When to See a Neurologist and Treatment Options
Finger tremors? Hello, I have been researching but haven't found a similar issue. My job requires me to use a computer for 8-9 hours a day, and over time, I am unsure if the excessive use of my fingers for fine motor tasks (such as writing, using chopsticks, or turning pages...
Dr. Cai Zongzhang Reply:
Hello, if your symptoms are interfering with your daily life or work, it is advisable to seek further evaluation or treatment from a neurologist.[Read More] Understanding Hand Tremors: When to See a Neurologist and Treatment Options
Understanding Acute Intracerebral Hemorrhage: Recovery and Rehabilitation Insights
Acute intracerebral hemorrhage Dr. Tsai, I hope you don’t mind me asking. My mother suddenly fainted while working, with left-sided movement, tremors, and urinary incontinence. She was urgently taken to the hospital, where it was immediately discovered that she had a right-sided ...
Dr. Cai Zongzhang Reply:
Hello, I understand that you are very anxious about your mother's condition and are seeking a second medical opinion. I recommend that you proactively discuss your concerns with your mother's attending physician. If you have any doubts, you can ask the medical team to p...[Read More] Understanding Acute Intracerebral Hemorrhage: Recovery and Rehabilitation Insights
Understanding Involuntary Eye and Limb Movements: A Neurology Perspective
Involuntary twitching of the eyes and a feeling of weakness in the limbs? Hello Doctor, Two weeks ago, I started experiencing twitching in the area under my right eye, which has continued until now. A few days later, I noticed frequent twitching in the back of my left foot and ...
Dr. Cai Zongzhang Reply:
Hello, you have many concerns about your symptoms. You have undergone relevant examinations, and it is recommended that you follow up with your physician based on the test results. Until a diagnosis is confirmed, try to relax and not let worry affect your mood.[Read More] Understanding Involuntary Eye and Limb Movements: A Neurology Perspective
Understanding Muscle Twitches: Causes, Concerns, and When to Seek Help
Muscle twitching Hello Doctor, I am a 23-year-old student. Two weeks ago, I experienced persistent twitching in the area under my right eye, which has since improved. However, I then started to have frequent twitching in my left foot and the top of my foot, so I went to see a neu...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are more indicative of sympathetic nervous system hyperactivity. The ALS you are concerned about primarily refers to issues with motor neurons, which control muscle movement. Generally, the motor neurons in the brain are referred to as upper motor neurons, wh...[Read More] Understanding Muscle Twitches: Causes, Concerns, and When to Seek Help
Understanding Hand Tremors: Causes and Concerns in Neurology
Tremor issues? Is it normal for a doctor to experience hand tremors recently? The main occurrence time is unclear, but it mostly happens after using the restroom (for a bowel movement), after breakfast (which includes a cup of green tea), or during moments of anger or stress. How...
Dr. Jiang Junyi Reply:
Hello, based on your description, the most common cause to rule out first is thyroid abnormalities. The causes of tremors can be categorized into four types: physiological tremors, psychological tremors, essential tremors, and pathological tremors. 1. **Physiological Tremors**:...[Read More] Understanding Hand Tremors: Causes and Concerns in Neurology
Understanding Hand Tremors and Weakness: When to Seek Medical Advice
Tremors, feelings of depression, blood pressure 168/74? Hello doctor, I sometimes experience weakness in my hands and feet (I eat normally three meals a day), averaging about two days a month with this condition. This symptom started around the fifth grade of elementary school. W...
Dr. Jiang Junyi Reply:
Hello, based on your description, the more common causes to rule out include thyroid abnormalities and the possibility of sympathetic nervous system instability. The causes of tremors can be categorized into four types: 1. Physiological tremors: These do not occur regularly and...[Read More] Understanding Hand Tremors and Weakness: When to Seek Medical Advice
Understanding Dizziness and Back Pain: A Guide to Autonomic Nervous System Disorders
Dizziness, back pain, and sweating of the hands? Hello Doctor, I have been experiencing dizziness frequently in the mornings, around 8 to 10 AM, which makes it difficult for me to concentrate at work. Before the dizziness occurs, I often feel a soreness in my back or a sensation ...
Dr. Jiang Junyi Reply:
Hello, based on your description: in addition to autonomic nervous system issues, it may be necessary to consider the possibility of arrhythmias. Furthermore, sleep apnea could also exacerbate the symptoms. Our autonomic nervous system is regulated by the sympathetic and parasymp...[Read More] Understanding Dizziness and Back Pain: A Guide to Autonomic Nervous System Disorders
Understanding Neck Pain and Muscle Tension: When to See a Specialist
Physical issues Hello, doctor. For the past 3-4 months, I initially experienced pain and tightness in the left side of my neck. I had an X-ray, and the orthopedic specialist said that the bones appear to be fine, suggesting that it might be due to tight muscles, particularly arou...
Dr. Jiang Junyi Reply:
Hello, based on your description, the common cause of left-sided neck pain is cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscle at the back of the neck, resulting in neck and shoulder discomfort. Initially, resting may allevia...[Read More] Understanding Neck Pain and Muscle Tension: When to See a Specialist
Understanding Internal Tremors: Possible Causes and Insights
Feeling internal tremors in the body? Hello, Dr. Jiang. I have been experiencing intermittent muscle twitching in my limbs (arms, legs, chest, back, etc.), so I went to the hospital for a consultation. The doctor arranged a complete blood test (Hb, Hct, MCH, MCHC, MCV, MPV, Plt, ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest an issue with proprioception, which can sometimes be related to neurological instability that initially does not affect motor nerves. It is usually important to consider whether there is a problem with the conduction of signals in the spinal nerve...[Read More] Understanding Internal Tremors: Possible Causes and Insights
Exploring the Relationship Between CBD and Parkinson's Disease Relief
CBD and Parkinson's Disease Hello Doctor, I previously inquired about surgery for Parkinson's disease. I would like to ask you again about the relationship between CBD and the alleviation of Parkinson's symptoms. I tried searching online, but the information I foun...
Dr. Hong Weibin Reply:
Hello: CBD (Cannabidiol) is a cannabis product that is currently illegal in Taiwan. There is no rigorous research evidence showing its effectiveness in the treatment of Parkinson's disease. For the management of dyskinesia associated with Parkinson's disease, treatment ...[Read More] Exploring the Relationship Between CBD and Parkinson's Disease Relief
Understanding Fasciculations: Causes, Concerns, and Next Steps in Diagnosis
Fasciculation Hello Doctor: I often experience intermittent involuntary tremors in my body and facial muscles, and sometimes I feel a lack of strength. However, I still maintain a routine of strength training at the gym twice a week. I have been under the care of a neurologist at...
Dr. Jiang Junyi Reply:
Hello: The motor neuron disease you are concerned about generally involves upper motor neurons in the brain and lower motor neurons in the brainstem and spinal cord. When motor neurons become damaged, our muscles do not receive adequate nutrients and chemicals, which can lead to ...[Read More] Understanding Fasciculations: Causes, Concerns, and Next Steps in Diagnosis