Understanding Dizziness and Leg Discomfort: A Neurological Perspective
Increased dizziness, swelling in the left leg, and occasional numbness in both hands, with the left hand being more affected? Hello, doctor. Basically, I'm experiencing dizziness and issues with my left leg (the hot weather affects me significantly; my dizziness worsens and ...
Dr. Jiang Junyi Reply:
Hello: The vascular stenosis you mentioned, if identified through a neck ultrasound, refers to the extracranial vessels, with the vertebral artery typically being more associated with dizziness. Controllable risk factors for stroke include metabolic syndrome, and your overweight ...[Read More] Understanding Dizziness and Leg Discomfort: A Neurological Perspective
Understanding Right-Sided Neck and Head Pain: Is It a Stroke Warning?
Tightness in the right posterior part of the head, along with shoulder and neck pain, which is also causing discomfort in the eyes? Hello, doctor. I would like to ask you a question. My husband is 40 years old and works in a physically demanding job. He has a smoking habit and ha...
Dr. Jiang Junyi Reply:
Hello: Your husband is a smoker, which places him in a high-risk group for stroke. If he experiences sudden neurological deficits such as unilateral limb weakness or slurred speech, cerebrovascular disease should be the first consideration. Other causes of limb pain, such as cerv...[Read More] Understanding Right-Sided Neck and Head Pain: Is It a Stroke Warning?
Understanding Essential Tremor: Causes, Treatments, and Next Steps
Tremors in the hands, feet, and body? Hello, doctor: I would like to ask about my condition. I noticed that my left hand has been trembling since high school, and now my right hand also has slight tremors. When I extend my five fingers forward, they tremble significantly. When I ...
Dr. Jiang Junyi Reply:
Hello, essential tremor: The exact cause of the tremor cannot be determined; it may be due to a specific constitution or hereditary tremor. Typically, the tremor is more pronounced when holding objects, while some individuals may experience shaking when writing or performing spec...[Read More] Understanding Essential Tremor: Causes, Treatments, and Next Steps
Understanding Hand Tremors: Why Writing Triggers Wrist Shaking
The wrist occasionally experiences vibrations? When writing, my hand always trembles, but it’s fine when I'm not writing.
Dr. Jiang Junyi Reply:
Hello: Your symptoms are more indicative of essential tremor, where the exact cause of the tremor cannot be determined. It may be due to a specific constitution or hereditary tremor. Typically, the tremor is more pronounced when holding objects, while some individuals may experie...[Read More] Understanding Hand Tremors: Why Writing Triggers Wrist Shaking
Understanding Muscle Tremors: Causes, Diagnosis, and Treatment Options
Muscle tremors Hello, doctor. Recently, I visited a traditional Chinese medicine practitioner for body adjustment and weight loss. After about two weeks, I started experiencing tremors in the muscles at the back of my left upper arm. The shaking comes and goes; sometimes it doesn...
Dr. Jiang Junyi Reply:
Hello: There are many reasons for muscle twitching. In addition to nerve conduction issues, it may be necessary to consider metabolic disorders such as hyperthyroidism and electrolyte imbalances. It is recommended that you discuss further treatment and examinations with your atte...[Read More] Understanding Muscle Tremors: Causes, Diagnosis, and Treatment Options
Understanding Muscle Tremors: Causes and When to Seek Help
Muscle twitching Hello, I would like to ask about a condition I've been experiencing for the past two weeks. I've been feeling slight tremors in my body that are not visible externally, but I can sense them, similar to a low-frequency vibration as if a machine is nearby...
Dr. Jiang Junyi Reply:
Hello, the causes of tremors can be categorized into four types: physiological tremors, psychological tremors, essential tremors, and pathological tremors. 1. Physiological tremors: These do not occur under normal circumstances and only arise in specific situations such as stre...[Read More] Understanding Muscle Tremors: Causes and When to Seek Help
Understanding Left Thumb Twitching and Muscle Weakness: A Neurology Perspective
Twitching of the left thumb with muscle spasms and a feeling of weakness? For the past couple of days, my left thumb has been twitching frequently (as if it were being shocked), and sometimes my hand experiences slight tremors. Additionally, for the past six months, my entire bod...
Dr. Jiang Junyi Reply:
Hello, you may want to first rule out physiological tremors, which can occur in certain situations such as stress, anxiety, or anger. Other factors, such as side effects from certain medications or the consumption of beverages like coffee, tea, or cola, may also trigger this. If ...[Read More] Understanding Left Thumb Twitching and Muscle Weakness: A Neurology Perspective
Understanding Tremors: Could They Be Primary Essential Tremor?
The body may tremble? My symptoms are as follows: 1. My hands tremble. I've had this for a long time (since around middle school). When I lift a cup to drink, my hands shake, and my head shakes as well. When typing or using the mouse, both hands tremble, with my left hand sh...
Dr. Hong Weibin Reply:
Hello: Based on your inquiry, in addition to primary tremor, physiological tremor may also be a possible cause. A consultation with a neurologist can help clarify the situation. If it does not affect your daily life, there is generally no need for excessive concern.[Read More] Understanding Tremors: Could They Be Primary Essential Tremor?
Understanding Nerve Issues: Causes of Numbness and Muscle Cramps
Easy numbness in hands and feet along with twitching? I would like to ask about my previous experience with bronchodilator medication, which caused severe side effects such as palpitations and tremors, leading me to discontinue its use. Since then, those symptoms have resolved. H...
Dr. Jiang Junyi Reply:
Hello, based on your description, women tend to have smaller skeletal structures, which can lead to a higher risk of nerve compression. Maintaining proper posture is very important. If you frequently experience numbness, it is advisable to supplement with B vitamins during the da...[Read More] Understanding Nerve Issues: Causes of Numbness and Muscle Cramps
Unexplained Hand or Foot Tremors: When to Seek Medical Advice
Uncontrollable trembling of the hands or feet? My boyfriend first noticed it when he felt a slight twitch in my hand while I was sitting relaxed on the back of his motorcycle. He asked if I was cold, wondering why I twitched. I said no and didn't realize I was twitching. Rec...
Dr. Jiang Junyi Reply:
Hello: You mentioned that muscle spasms are rapid involuntary muscle contractions, resembling a jolt. While in more severe cases, myoclonus can be a physical condition that affects a person's normal life, physiological myoclonus (such as hiccups, sleep myoclonus, and muscle ...[Read More] Unexplained Hand or Foot Tremors: When to Seek Medical Advice
Understanding Thumb Tremors: Causes and Concerns for Young Adults
The thumb is experiencing persistent twitching? Hello, I am a 27-year-old female. My right thumb has been twitching for about a month. Initially, the twitching lasted only a few seconds at a time, but now it can continue for three to four hours. Recently, I have also felt the twi...
Dr. Hong Weibin Reply:
Hello: Muscle twitching is often associated with lesions of the lower motor neurons; however, there are many diseases affecting the lower motor neurons, and they are not necessarily related to amyotrophic lateral sclerosis (ALS) or Parkinson's disease. Conditions such as ele...[Read More] Understanding Thumb Tremors: Causes and Concerns for Young Adults
Can Rivotril and NORINA Be Safely Combined for Neurological Issues?
Rivotril and NORINA Hello Doctor, I recently experienced involuntary muscle twitching and hand tremors. A neurologist prescribed Rivotril 0.5 mg (21-day supply, 11 tablets, take half a tablet once). However, due to personal reasons, I need to take NORINA tablets 5 mg to delay my ...
Dr. Jiang Junyi Reply:
Hello, based on your description, Rivotril is a long-acting sedative within the benzodiazepine (BZD) class, with a typical dosage range of 0.25-10 mg. It is generally recommended to start with a low dose. When using higher doses, it is important not to abruptly discontinue the me...[Read More] Can Rivotril and NORINA Be Safely Combined for Neurological Issues?
Sudden Hand Weakness: Understanding Possible Neurological Issues
Sudden weakness in the hand? Recently, an elder in my family has been experiencing sudden hand weakness and trembling for a brief period (about 1 to 2 minutes) while holding objects. However, they are able to keep hold of the items without dropping them. What could be the cause o...
Dr. Jiang Junyi Reply:
Hello: Sudden tremors may be caused by a lack of coordination in muscle and nerve function, commonly referred to as "movement disorders." The muscle groups involved in executing a movement include the agonist and antagonist muscles, which coordinate to produce posture o...[Read More] Sudden Hand Weakness: Understanding Possible Neurological Issues
Understanding Dizziness, Palpitations, and Headaches: A Neurological Perspective
Headache, dizziness, and increased heart rate? Hello Doctor, about a year and a half ago, I had a severe cold, after which I began experiencing symptoms of premature ventricular contractions. I underwent an echocardiogram, which showed normal results, but the arrhythmia has persi...
Dr. Jiang Junyi Reply:
Based on your description: You mentioned symptoms of dizziness, which may need to consider a drop in blood pressure or cerebral vasoconstriction leading to reduced cerebral blood flow, resulting in cerebral hypoxia. Syncope is more likely to occur when a person is standing. Many ...[Read More] Understanding Dizziness, Palpitations, and Headaches: A Neurological Perspective
Why Does My Left Foot Shake While Sitting? Understanding Tremors
Trembling of the legs while sitting? Hello doctor, I have noticed that when I sit and elevate my feet, only my left foot trembles. Sometimes I also experience involuntary shaking in my hands and feet. However, I have heard that with thyroid issues, when you raise both hands, they...
Dr. Jiang Junyi Reply:
Hello, based on your description, the symptoms of leg tremors occurring while on tiptoes may suggest peripheral nerve injury or muscle contractions due to fatigue. Clinically, a neurological assessment and nerve conduction studies (electromyography) can assist in the diagnosis. I...[Read More] Why Does My Left Foot Shake While Sitting? Understanding Tremors
Understanding Emotional Triggers: Why Anger Causes Tremors and Body Movements
Why do our hands shake and our bodies move involuntarily when we experience intense emotions or anger? Hello Doctor: Why do I start to shake my hands and sway my body back and forth whenever I get angry or emotionally agitated? Sometimes, I unconsciously grab my head, and after m...
Dr. Jiang Junyi Reply:
Based on your description, it may be necessary to consider symptoms of hyperventilation associated with emotional intensity. Hyperventilation can lead to a sensation of suffocation and affect organ blood flow. When blood flow to the nervous system decreases, symptoms such as head...[Read More] Understanding Emotional Triggers: Why Anger Causes Tremors and Body Movements
Flashing Lights Behind Closed Eyes: Possible Neurological Causes
Seeing something flashing with closed eyes? Hello doctor, I would like to ask you about something. Recently, when I sleep, I often see flashes of light in front of my eyes, sometimes blue and sometimes transparent. I went to an ophthalmologist, but no abnormalities were found. Th...
Dr. Hong Weibin Reply:
Hello: Besides the sensation of light and shadow flickering when closing your eyes, in what other situations might similar symptoms occur? Is it more likely to happen when you are fatigued or have stayed up late? Does it also occur during a midday nap, aside from nighttime sleep?...[Read More] Flashing Lights Behind Closed Eyes: Possible Neurological Causes
Understanding Tremors: Is It Parkinson's Disease or Something Else?
Parkinson's disease Hello doctor, my father is about 56 years old. He is taking medication for diabetes and high blood pressure, but sometimes his hands tremble involuntarily. I would like to know if this could be Parkinson's disease.
Dr. Hong Weibin Reply:
Hello: Tremor is defined as a repetitive and rhythmic movement occurring in a two-dimensional plane, characterized by a certain frequency. There are many potential causes of tremors; aside from Parkinson's disease, the most common is essential tremor. Other causes of tremors...[Read More] Understanding Tremors: Is It Parkinson's Disease or Something Else?
Facial Muscle Tremors When Smiling: Possible Causes and Concerns
Facial muscle twitching when laughing? Hello, doctor. For the past two months, I've noticed that sometimes when I smile, the muscles around my smile area twitch, but it doesn't happen every time I smile. Could you please tell me what this situation might be? Is it relat...
Dr. Gao Chunde Reply:
Muscles are prone to twitching after extensive use, but resting will usually resolve the issue. However, if you notice facial asymmetry, it is important to seek medical attention for further evaluation.[Read More] Facial Muscle Tremors When Smiling: Possible Causes and Concerns
Understanding Parkinson's Disease: Symptoms and Diagnosis Clarified
Parkinson's disease My mother is 59 years old and was diagnosed with Parkinson's disease a year ago. At that time, the doctor informed us that medication would be highly effective for Parkinson's disease. However, my mother sometimes has quick reactions and other t...
Dr. Gao Chunde Reply:
The symptoms of Parkinson's disease do not necessarily include tremors or rigidity; however, bradykinesia refers to slowness of movement, not to the slowness in speech or difficulty in recalling words. When a physician prescribes Parkinson's medication, it can cause dis...[Read More] Understanding Parkinson's Disease: Symptoms and Diagnosis Clarified