Understanding ALS: Coping with Muscle Twitches and Anxiety
About Amyotrophic Lateral Sclerosis (ALS) I consulted a doctor regarding my muscle twitching, and he said it is unlikely to be Parkinson's disease. He prescribed medication and ordered blood tests to check my ion levels. I have a follow-up appointment on April 30 to review t...
Dr. Jiang Junyi Reply:
Hello: It is recommended that you engage in stretching exercises and strength training. Avoid the intake of tobacco, alcohol, and coffee to reduce muscle tremors. It is advisable to consult a neurologist (peripheral nerve specialist) to discuss examinations and treatment. Wishing...[Read More] Understanding ALS: Coping with Muscle Twitches and Anxiety
Understanding Muscle Tremors: Causes and Concerns in Neurology
Body tremors Hello, doctor. In the past few days, I've suddenly felt a kind of tremor sensation in the inner part of my left thigh near the groin area, similar to where the line of a thong would be. It feels a bit tingly, like a vibrating massage, and it's not localized...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are more indicative of lumbar nerve compression causing tingling and shooting sensations. It is recommended that you take breaks while studying to do some stretching exercises. If the symptoms persist, it is advisable to consult a neurologist or a rehabilitat...[Read More] Understanding Muscle Tremors: Causes and Concerns in Neurology
Understanding ALS: Your Concerns and Next Steps for Diagnosis
The last time I asked you about the issue of amyotrophic lateral sclerosis (ALS)? Hello, doctor. I am the one who asked you about ALS last time. Based on your response, do you mean that it is possible I might have it, and I should go get checked? Should I schedule an electromyogr...
Dr. Jiang Junyi Reply:
Hello: It is advisable not to consider amyotrophic lateral sclerosis (ALS) at this time, as this disease is more commonly seen around the age of 40, peaking at 70 years old. It is recommended that you engage in more stretching exercises to reduce body tremors. It would also be be...[Read More] Understanding ALS: Your Concerns and Next Steps for Diagnosis
Understanding Muscle Tremors: Symptoms, Concerns, and Next Steps
About muscle twitching? Hello Doctor, I have recently noticed a lack of sensation in a specific area at the back of my throat, which made me worried enough to see a doctor. The doctor reviewed my previous reports, tested my reflexes with a hammer, conducted a consultation, and ha...
Dr. Jiang Junyi Reply:
Hello: You are concerned about Parkinson's disease, which typically does not occur in your age group unless there are familial genetic factors involved. Instead, you should consider drug-induced extrapyramidal syndrome, which occurs when the body's motor system is disru...[Read More] Understanding Muscle Tremors: Symptoms, Concerns, and Next Steps
Managing Neck Pain and Hand Tremors: When to See a Neurologist
Tremors and neck and shoulder pain issues? Hello, Doctor! I would like to ask you about my condition. Due to long-term computer use and carrying heavy books, I experienced shoulder and neck pain three months ago and visited an orthopedic clinic. The doctor diagnosed me with shoul...
Dr. Jiang Junyi Reply:
Hello: If you experience hand numbness after lifting objects, it may be necessary to consider carpal tunnel syndrome. This condition typically occurs in individuals who perform repetitive wrist movements, such as mechanics, carpenters, typists, and homemakers, particularly affect...[Read More] Managing Neck Pain and Hand Tremors: When to See a Neurologist
Understanding Hand Tremors in Seniors: When to Seek Medical Advice
Elderly individuals may experience hand tremors recently? Hello Doctor: My mother is currently 65 years old and runs a small eatery with my father, who has not yet retired. Recently, when I returned home, I noticed that while she was serving vegetables to customers, one hand was ...
Dr. Jiang Junyi Reply:
Hello, based on your description, it seems that your mother may have a tremor issue. Additionally, early-stage dementia should be considered. The causes of tremors can be categorized into four types: physiological tremors, psychological tremors, essential tremors, and pathologica...[Read More] Understanding Hand Tremors in Seniors: When to Seek Medical Advice
Understanding Body Tremors: Possible Causes and Concerns
Body tremors Hello Doctor: Recently, I have been experiencing a tremor-like sensation in the bones on the side of my right breast and in the area around my armpit. I can also feel movement when I press on it with my hand. I would like to ask what possible causes this could be...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest benign muscle twitching. Certain situations in daily life can contribute to this issue, such as exercise, acute viral infections, anxiety, and medication use. Among these, prolonged exercise is one of the primary causes of muscle twitching. Additi...[Read More] Understanding Body Tremors: Possible Causes and Concerns
Understanding Body Tremors: Possible Causes and Connections to Scoliosis
Body tremors Hello Doctor: For the past six months, I have been experiencing a pulsating sensation on the upper right side of my body. I can feel it by touch, and sometimes it feels not only like a pulsation but also like rolling or shifting. Occasionally, I also experience numbn...
Dr. Jiang Junyi Reply:
Hello, based on your description, we should first consider the possibility of spinal nerve compression. The uncomfortable sensations you are experiencing, such as crawling, pain, itching, and tingling, are indicative of this condition. Typically, clinical judgment is sufficient f...[Read More] Understanding Body Tremors: Possible Causes and Connections to Scoliosis
Understanding Body Shaking: Possible Neurological Concerns Explained
Recently, I have been experiencing body tremors? It has been 5 days since I started experiencing shaking. Initially, I felt a bit dizzy, but gradually it felt like my body was swaying. I perceive it as my center of gravity shifting back and forth, which is especially noticeable w...
Dr. Jiang Junyi Reply:
Hello: You mentioned experiencing acute body tremors, which should first consider issues related to proprioception or metabolic disorders such as thyroid problems. Generally speaking, the cerebellum is the center for balance, responsible for fine-tuning bodily equilibrium. If sym...[Read More] Understanding Body Shaking: Possible Neurological Concerns Explained
Understanding Hand Tremors: Possible Causes and Insights
Causes of Hand Tremors Hello doctor, I've recently noticed that my hand seems to shake when I use chopsticks, but it only happens at certain angles. Specifically, when I'm trying to pick something up with the chopsticks and it's in the middle of the motion, my hand...
Dr. Jiang Junyi Reply:
Hello, based on your description, it is important to first consider physiological and psychological tremors. The electromyography and CT scan of the head are normal. 1. Physiological tremors: These do not occur regularly and only manifest in certain situations such as stress, t...[Read More] Understanding Hand Tremors: Possible Causes and Insights
Understanding Hand Tremors: Causes and Diagnostic Tests Explained
Tremors and examination issues? Hello Doctor, I am Mr. Weng, the one who just asked a question. I forgot to mention that only my right hand shakes, and it seems to tremble more when I lift heavy objects. Could this possibly be due to nerve compression or muscle overuse? It has be...
Dr. Jiang Junyi Reply:
Hello: What you mentioned may refer to the examination of Hoffman’s sign: with one hand, pinch the middle finger with the index finger, and tap the nail of the middle finger with the thumb. If there is a reflexive flexion of the four fingers, it is considered positive, indicating...[Read More] Understanding Hand Tremors: Causes and Diagnostic Tests Explained
Understanding Hand Tremors: Causes, Concerns, and Management Tips
I would like to inquire about the issue of hand tremors? Hello Dr. Jiang, I would like to ask you about my hand tremors. About 4-5 years ago, my family noticed that one of my fingers would shake when I used chopsticks, and it would also tremble slightly when I tried to straighten...
Dr. Jiang Junyi Reply:
Hello: The physician should examine the eyes to rule out Wilson's disease, which is an autosomal recessive genetic disorder. It results in a deficiency of ceruloplasmin, a copper-carrying protein in the plasma, leading to abnormal copper metabolism and excessive copper depos...[Read More] Understanding Hand Tremors: Causes, Concerns, and Management Tips
Understanding Fainting and Tremors During Blood Draws: A Neurology Perspective
Loss of consciousness during blood draw, accompanied by whole-body tremors and wide-open eyes? Whenever I have a slightly larger blood draw (or if I haven't eaten before the blood draw), I experience a series of symptoms: my vision goes dark, I lose consciousness, my eyes wi...
Dr. Cai Zongzhang Reply:
This symptom is likely neurogenic syncope; it is recommended to undergo a detailed examination by a neurologist.[Read More] Understanding Fainting and Tremors During Blood Draws: A Neurology Perspective
Navigating Brain Tumor Diagnosis: MRI, CT, and PET/CT Options Explained
Brain tumor, brain cancer I have a history of type 2 diabetes for 8 years and depression for 15 years. I have been taking tricyclic antidepressants DOXEPIN 50MG, LYRICA 20MG, and sleeping pills for at least 15 years. I have suffered from insomnia for 15 years and I smoke. My medi...
Dr. Hong Weibin Reply:
1. It is recommended that you directly inquire with the hospital's health examination center for clearer information. The same type of examination can have different modalities, and the purpose and results may vary. 2. Generally, a CT scan or MRI with contrast agent should b...[Read More] Navigating Brain Tumor Diagnosis: MRI, CT, and PET/CT Options Explained
Understanding Hand Tremors: Causes and When to Seek Medical Help
Tremors in the fingers during exertion? Hello, doctor. When I exert force with my right index finger, it shakes (all five fingers do). When I place my hand on my thigh, it does not shake. When I exert force with my right biceps, I can clearly see the skin on the right side of the...
Dr. Jiang Junyi Reply:
Hello, based on your description, 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 but may arise in specif...[Read More] Understanding Hand Tremors: Causes and When to Seek Medical Help
Understanding Jaw Tremors Linked to Neck Artery Pulsations
Recently discovered? Hello Doctor: Recently, I have noticed that when I open my mouth and move it side to side, the carotid artery in my neck pulsates continuously, causing my mouth to tremble as well.
Dr. Cai Zongzhang Reply:
Hello: It is recommended to visit the neurology outpatient clinic for examination.[Read More] Understanding Jaw Tremors Linked to Neck Artery Pulsations
Understanding Hand Tremors: Is Your Right Hand's Shake a Sign of Parkinson's?
Experiencing hand tremors while using chopsticks with the right hand? Hello doctor, I have a question. When I use chopsticks with my right hand, it shakes a bit (only the right hand). It's not to the extent that I can't eat, but it feels shaky. In Parkinson's disea...
Dr. Hong Weibin Reply:
Hello: There are many causes of tremors. In addition to Parkinson's disease, there are essential tremor, physiological tremor, tremors induced by substances or medications, and tremors due to cerebellar lesions. Since tremors are classified as movement disorders, it is best ...[Read More] Understanding Hand Tremors: Is Your Right Hand's Shake a Sign of Parkinson's?
Understanding Brain Tumors: Symptoms, Diagnosis, and MRI Options
Brain cancer brain tumor I have a history of type 2 diabetes for 8 years and depression for 15 years. I have been taking tricyclic antidepressants DOXEPIN 50MG, LYRICA 20MG, and sleeping pills for at least 15 years. I have suffered from insomnia for 15 years and have a smoking hi...
Dr. Jiang Junyi Reply:
Hello: Here is the answer to your question. It is recommended to first undergo a non-contrast MRI to assess the lesions. (Generally, cerebrovascular diseases and brain tumors can be initially differentiated. As for dental issues, after the MRI, we can evaluate whether they signif...[Read More] Understanding Brain Tumors: Symptoms, Diagnosis, and MRI Options
Understanding Facial Twitching: Stress and Neurological Concerns
Facial twitching at the corners of the mouth may be related to stress issues? I personally have polycystic ovary syndrome (related to stress, obesity, and hormones). I have experienced sudden involuntary body tremors for a long time without paying much attention to them since the...
Dr. Jiang Junyi Reply:
Hello, based on your description, the causes of facial muscle twitching can include not only muscle and nerve issues but also some metabolic disorders such as thyroid dysfunction and sleep disorders. It is recommended that you consult a neurologist to discuss examination and trea...[Read More] Understanding Facial Twitching: Stress and Neurological Concerns
Understanding Dementia Screening: Key Tests and Considerations
Dementia Assessment Items I have a history of type 2 diabetes for 8 years and depression for 15 years. I have been taking tricyclic antidepressants DOXEPIN 50MG, LYRICA 20MG, and sleeping pills for at least 15 years. I have suffered from insomnia for 15 years and do not sleep wel...
Dr. Jiang Junyi Reply:
Hello: MRI contrast agents typically do not cause common allergic reactions unless there is impaired kidney function. It is recommended to first perform an MRI without contrast to evaluate the lesions. You may consider consulting a neurologist for discussion and examination. Wish...[Read More] Understanding Dementia Screening: Key Tests and Considerations