Understanding Hand Tremors: Could It Be Cerebellar Atrophy?
Tremors in the hands can be treated with muscle relaxants? Hello doctor, I recently noticed that my fingers seem to tremble when I try to touch things, and the shaking appears to worsen the farther I extend my hand. I visited a hospital a while ago, and the doctor prescribed Chlo...
Dr. Jiang Junyi Reply:
Hello Mr. Huang: You mentioned that "my fingers seem to tremble when touching things... usually the further I stretch my hand, the more it shakes." This symptom resembles physiological tremors, which typically do not occur under normal circumstances but may arise in spe...[Read More] Understanding Hand Tremors: Could It Be Cerebellar Atrophy?
Essential Tests and Specialist Consultations for Epilepsy Management
In addition to your current evaluation for epilepsy, what other tests or specialist consultations would be beneficial for me? Frequent occurrences of symptoms: dizziness, headaches, chest tightness, unsteady gait, headaches, muscle cramps, fainting, hand tremors, cold extremities...
Dr. Jiang Junyi Reply:
Dear Mr. Q, You mentioned that you are taking a variety of medications: Diphenhydramine, Amantadine, Clonazepam, Fentanyl, H2 antagonists, Colchicine, Depakote, Topiramate, Venlafaxine, Aripiprazole, thyroid preparations, Aniracetam, and Ritalin. You also reported experiencing s...[Read More] Essential Tests and Specialist Consultations for Epilepsy Management
Understanding Autonomic Nervous System Dysregulation Symptoms
Suspected autonomic nervous system dysfunction but uncertain? Hello, Doctor. I apologize for the interruption during your busy schedule. I am at the age of menopause and unable to supplement hormones due to breast-related issues. Recently, I experienced heightened emotions, durin...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to consult a neurologist for an examination to confirm the cause.[Read More] Understanding Autonomic Nervous System Dysregulation Symptoms
Understanding Rapid Jaw Tremors: Causes and Management
Rapid up-and-down shaking of the chin? Hello Dr. Tsai, Yesterday, my mother experienced involuntary rapid shaking of her jaw (over 100 times per minute) and excessive drooling. Today, the shaking continues (over 60 times per minute), but she no longer drools. Could you please a...
Dr. Cai Zongzhang Reply:
Hello, Li Shiyi: It is recommended to visit the neurology outpatient clinic nearby.[Read More] Understanding Rapid Jaw Tremors: Causes and Management
Understanding Intermittent Hand Tremors: Causes and Types Explained
The hands tremble intermittently? Hello doctor, I have a question. When I press buttons with my hand, it seems to shake (but it doesn't shake when I touch my nose), especially my left hand, which is more noticeable. However, my hand trembles sometimes and not at other times ...
Dr. Hong Weibin Reply:
Hello: Tremors can indeed occur intermittently and may be triggered by certain factors such as fatigue, hunger, or caffeine, among others. The most common type of tremor caused by cerebellar dysfunction is "essential tremor," which often has a genetic component. Intenti...[Read More] Understanding Intermittent Hand Tremors: Causes and Types Explained
Understanding Essential Tremor: When to See a Neurologist or Psychologist?
Tremor issues Hello Doctor: My hands have been shaking since I was young. When I eat with a spoon or chopsticks, or when I use scissors or a utility knife, my hands tremble. Recently, I've also noticed some shaking when holding objects or keys (though not every time). Curren...
Dr. Jiang Junyi Reply:
Hello Benson: The essential tremor you mentioned is also known as primary tremor, where the exact cause of the tremor cannot be identified. It may be due to a specific constitution or hereditary tremor. Typically, individuals experience more tremors when holding objects, while so...[Read More] Understanding Essential Tremor: When to See a Neurologist or Psychologist?
Understanding Muscle Tremors: Causes and Solutions for Your Concerns
Muscle twitching Hello, I have noticed that my arms and thighs experience slight tremors when they are suspended, exerted, or stretched at certain angles, similar to the shaking sensation when stretching. Essentially, I can feel the tremors while exerting myself and when my limbs...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: You mentioned that "after playing the piano, my fingers shake more severely after movement or exertion." Your symptoms may suggest benign muscle tremors. Certain situations in daily life can trigger this issue, such as exercise, acute viral infections, a...[Read More] Understanding Muscle Tremors: Causes and Solutions for Your Concerns
Understanding Muscle Twitches: Possible Neurological Concerns and ALS
Muscle twitching In May, I noticed that my heels felt numb when I got out of bed, but the sensation disappeared after I walked around for a bit. This symptom lasted for about one to two weeks. However, in August, the numbness returned and lasted for another one to two weeks. In m...
Dr. Jiang Junyi Reply:
Hello Ms. Yeh: Amyotrophic lateral sclerosis (ALS) is a term that encompasses a group of motor neuron diseases. Typically, there are no significant sensory abnormalities, such as the tingling sensations you mentioned. Motor neurons control muscle movement; generally, the motor ne...[Read More] Understanding Muscle Twitches: Possible Neurological Concerns and ALS
Is It Normal to Experience Hand Tremors After Waking Up?
I would like to ask if this is normal? When I just wake up in the morning and lie in bed, I can move my hands without any issues, but when I try to bend them, they shake. However, once I actually get out of bed, this problem disappears. Now, I have developed a habit of lingering ...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to visit the neurology outpatient clinic for an examination.[Read More] Is It Normal to Experience Hand Tremors After Waking Up?
Understanding Finger Tremors: Could It Indicate Cerebellar Issues?
Only one finger trembles? I recently noticed that my right index finger shakes when I press the water dispenser at work. Could this possibly be related to cerebellar dysfunction? I have tried the finger-to-nose test, and my finger does not shake during that. If it were cerebellar...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: You mentioned that "when I need to use the water dispenser at work, it seems like my right index finger shakes." This may indicate a possibility of postural tremor. Issues related to the cerebellum typically do not manifest in just one finger. Tremors ca...[Read More] Understanding Finger Tremors: Could It Indicate Cerebellar Issues?
Understanding Hand Tremors: Causes and Diagnosis in Neurology
Tremor issues? I would like to consult a doctor about a situation where one finger on my hand trembles, particularly when it is about 1 centimeter away from the surface of a table. The tremor seems to be most pronounced in the index finger, and it worsens when my hand is resting ...
Dr. Jiang Junyi Reply:
Dear Mr. Hsu, You mentioned that "the tremor is more severe when resting on the lap, while it is less noticeable when placed on a table at shoulder height." This may suggest a consideration of postural tremor. When maintaining the hands in a fixed position, or extendin...[Read More] Understanding Hand Tremors: Causes and Diagnosis in Neurology
Understanding Hand Tremors: Causes and Concerns for Your Left Hand
The left hand trembles when trying to touch objects? Hello doctor, I recently noticed that my left hand sometimes shakes when I try to touch something, especially when I want to point at an object. What could be the possible issues? Could stress or autonomic nervous system dysfun...
Dr. Jiang Junyi Reply:
Hello Mr. Huang: You mentioned "high stress or autonomic nervous system dysfunction." The tremors caused by these factors usually occur bilaterally. However, your symptoms are only present in your left hand. It may be necessary to consider abnormalities in the local ner...[Read More] Understanding Hand Tremors: Causes and Concerns for Your Left Hand
Understanding Eyelid Twitching: When to Seek Neurological Evaluation
Eyelid twitching? Hello doctor, my left lower eyelid has been twitching for over a month. I consulted an ophthalmologist who confirmed that my eyes are normal and there are no issues. The twitching frequency varies, and it doesn't cause my entire eye to close, nor do other a...
Dr. Jiang Junyi Reply:
Dear Miss Jill, You mentioned "twitching of the lower left eyelid." Generally, eyelid movements are controlled by the facial nerve. If the eyelid is twitching continuously, the physician will first carefully observe the patient's face. If, aside from the eyelid, n...[Read More] Understanding Eyelid Twitching: When to Seek Neurological Evaluation
Managing Parkinson's Disease: Medication Challenges and Control Strategies
Medication Issues in Parkinson's Disease Hello Doctor: I was diagnosed with Parkinson's disease this August. Currently, I am experiencing frequent and significant tremors in my left foot, and during severe episodes, my big toe tends to curl inward. Additionally, I have ...
Dr. Hong Weibin Reply:
Hello: The tremors associated with Parkinson's disease are mostly resting tremors, which can typically be temporarily controlled by willpower or by maintaining a tense posture (such as raising the legs). However, once the individual relaxes, the tremors reappear, which is re...[Read More] Managing Parkinson's Disease: Medication Challenges and Control Strategies
Understanding Symptoms: Dizziness, Headaches, and Optic Nerve Swelling
Dizziness, headache, and optic nerve edema? Hello Doctor, since May 20th of this year, I have experienced symptoms such as blurred vision, dizziness, headaches, a sensation of something stuck in my throat, and difficulty breathing. After visiting an ENT clinic, the doctor suggest...
Dr. Jiang Junyi Reply:
Dear Ms. Wu, There are many causes of headaches. If your headaches are related to your menstrual cycle, the likelihood of migraines is higher. However, conditions such as anemia, autonomic dysfunction, and inner ear imbalance may also contribute to your symptoms. First, it is im...[Read More] Understanding Symptoms: Dizziness, Headaches, and Optic Nerve Swelling
Understanding Dizziness and Muscle Tremors: When to Seek Neurological Help
Dizziness, muscle twitching? Hello Doctor: I have been experiencing dizziness (I have taken Diphenidol but it hasn't been very effective). Since the onset of dizziness, I occasionally feel soreness in my cheeks, my limbs' muscles tend to twitch, and my eyelids also twit...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "the muscles in your hands and feet easily tremble, your eyelids also twitch frequently, and recently your lips and chin have started to tremble." This may warrant consideration of structural issues in the brain or metabolic diseases. Wou...[Read More] Understanding Dizziness and Muscle Tremors: When to Seek Neurological Help
Understanding Hand Tremors: Causes and When to Seek Help
Body tremors? Hello doctor, I have recently been experiencing slight tremors in my hands, especially when holding objects. I also feel a bit shaky when bending down or leaning forward, and when I lie flat, my body seems to pulse in rhythm with my heartbeat.
Dr. Cai Zongzhang Reply:
Hello, Ms. Chiu! It is recommended that you visit the neurology outpatient clinic.[Read More] Understanding Hand Tremors: Causes and When to Seek Help
Unexplained Head Tremors: When to See a Neurologist for Evaluation
Involuntary head shaking? Hello Doctor, I’m not sure when it started (maybe two or three years ago), but I’ve noticed that my mother (62 years old) has been experiencing slight involuntary head shaking, a very subtle side-to-side movement that is visible to the naked eye. I’m won...
Dr. Cai Zongzhang Reply:
Hello Heidi! It is recommended to visit the neurology outpatient clinic for an examination.[Read More] Unexplained Head Tremors: When to See a Neurologist for Evaluation
Understanding Parkinson's Disease: Treatment, Symptoms, and Future Insights
Parkinson's disease issues? Dear Dr. Jiang, I previously consulted you regarding my father's hand tremors. After he underwent examinations at the hospital, the doctor diagnosed him with early-stage Parkinson's disease. The dopamine transporter scan revealed an ora...
Dr. Jiang Junyi Reply:
Dear Ms. Hsiao-Hui, Regarding your concerns about your father's future, it is indeed difficult to address each question individually. However, the key point is to avoid the apoptosis of dopamine neurons. In addition to medication, certain neuroprotective dietary options can...[Read More] Understanding Parkinson's Disease: Treatment, Symptoms, and Future Insights
Understanding Body Tremors When Rising: Causes and Concerns
Whole-body tremors when rising from a sitting or lying position? The frequency of episodes is very low, occurring about two to three times a year. I often experience dizziness and blackouts after squatting or sitting, but I can still manage to stand steadily until the blackout en...
Dr. Jiang Junyi Reply:
Hello, Ms. Jiu: Your symptoms may suggest a concern regarding syncope. The most common causes are reflex syncope, which can occur due to excessive stimulation of the vagus nerve, leading to bradycardia and decreased cardiac output. Other triggers include transitioning from a supi...[Read More] Understanding Body Tremors When Rising: Causes and Concerns