Understanding Nighttime Headaches: Causes and Solutions
Waking up with a headache in the middle of the night versus waking up with a headache in the morning? Hello, Dr. Jiang! Regarding my headache issue, I have undergone an MRI, and the neurologist said there were no abnormalities. However, I still wake up in pain during the night. T...
Dr. Jiang Junyi Reply:
Hello: The headache you mentioned may be related to issues with the cervical myofascia. Many primary headaches do not show abnormalities on MRI, primarily caused by abnormal activation of the trigeminal nerve. Brain imaging is performed to rule out structural problems such as tum...[Read More] Understanding Nighttime Headaches: Causes and Solutions
Understanding Numbness and Neck Pain in Seniors: A Guide
Numbness in the mouth and pain in the shoulders and neck? Hello Doctor: My grandmother is 66 years old and recently she has been experiencing some numbness in her mouth, along with shoulder and neck pain. She suddenly feels very uncomfortable for a period of time. I would like to...
Dr. Jiang Junyi Reply:
Dear Ms. Wen, Your grandmother is experiencing a sensation of "tingling in her mouth." I would like to know if there are similar symptoms in other parts of her body. If she is experiencing a bitter taste in her mouth, it may be worth considering that medication could b...[Read More] Understanding Numbness and Neck Pain in Seniors: A Guide
Understanding Occasional Facial Numbness: Is It Related to Nerve Issues?
Occasional facial numbness? Last night, while lying flat in bed, I suddenly felt a tingling and numb sensation on the left side of my face and around my ear. It felt somewhat cool and was different from the numbness caused by posture issues. It was only slightly uncomfortable, bu...
Dr. Jiang Junyi Reply:
Dear Ms. Cherry, You mentioned that "facial movements are normal," which is less indicative of facial nerve damage. Facial nerve damage primarily affects the seventh cranial nerve, with clinical symptoms including a sensation of stiffness in the face and loss of motor ...[Read More] Understanding Occasional Facial Numbness: Is It Related to Nerve Issues?
Understanding Mysterious Headaches: Causes and Concerns
Unexplained headache Dr. Jiang: Hello! A couple of days ago at work, I experienced a sharp, electric-like pain located about 2 to 3 centimeters above my left eyebrow. The pain comes and goes, and it has persisted for two and a half days. The location of the pain has shifted from ...
Dr. Jiang Junyi Reply:
Dear Mr. Wu, Regarding the symptoms you mentioned, if dental issues are ruled out, it may be necessary to consider trigeminal neuralgia. According to the International Classification of Headache Disorders, Third Edition (ICHD-3), the diagnostic criteria for trigeminal neuralgia ...[Read More] Understanding Mysterious Headaches: Causes and Concerns
Understanding Numbness in the Jaw: Possible Causes Beyond Nerve Issues
Numbness in the chin? The right side of my jaw sometimes feels numb. After undergoing a nerve conduction study in the neurology department, the results were normal. Could there be other issues?
Dr. Jiang Junyi Reply:
Hello Mr. Chang: The symptoms of tingling in the chin may be related to the mandibular branch of the trigeminal nerve, the third cervical nerve root, or peripheral nerve compression. However, these areas are not easily assessed through nerve conduction studies. It is necessary to...[Read More] Understanding Numbness in the Jaw: Possible Causes Beyond Nerve Issues
Understanding Facial and Scalp Numbness: Possible Causes and Concerns
Tingling sensation in the scalp and face? I'm not sure if I have hypertension, hyperlipidemia, or diabetes. I experienced facial numbness a couple of days ago, which was limited to my face, but today the numbness has spread to my entire head and face. I also noticed red stre...
Dr. Jiang Junyi Reply:
Dear Mr. Blue Sky, You have reached middle age, and the likelihood of developing metabolic syndrome and the three highs (hypertension, hyperlipidemia, and hyperglycemia) increases significantly. It is recommended that you take advantage of the free adult health checkups provided...[Read More] Understanding Facial and Scalp Numbness: Possible Causes and Concerns
Palpitations, Anxiety, and Neurological Symptoms: When to Seek Help
Palpitations, anxiety, and other symptoms? In February, I experienced palpitations for the first time and went to the emergency room. Blood tests showed no abnormalities, and follow-up with a cardiologist also indicated no issues. In March, I suddenly had a sharp pain on the left...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned experiencing "sharp pain on the left side of your face," which may warrant consideration of trigeminal nerve dysfunction. The diagnostic criteria for trigeminal neuralgia are as follows: - At least three attacks - Pain occurring in one or m...[Read More] Palpitations, Anxiety, and Neurological Symptoms: When to Seek Help
Understanding Tongue Pain: Is It Related to Nerve Issues?
Tongue pain and oral pain? Could damage to the C5 vertebra or stiffness in the neck and shoulders lead to tongue pain or a burning sensation in the mouth? Three years ago, I started experiencing tongue pain due to stress, and I have consulted with oral and ENT specialists multipl...
Dr. Jiang Junyi Reply:
Hello, sir: Your symptoms may suggest autonomic nervous system dysfunction, particularly excessive activation of the sympathetic nervous system. Generally, the autonomic nervous system is regulated by the sympathetic and parasympathetic nervous systems, where one acts as the acce...[Read More] Understanding Tongue Pain: Is It Related to Nerve Issues?
Understanding Facial Numbness: Is It Related to Trigeminal Nerve Issues?
I would like to ask some questions? Three days ago, I started experiencing a tingling sensation when touching the right lower lip and chin. There is also a small area on the front of the right side of my tongue that feels tingly. My cheek and chin feel slightly warm. What could b...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest trigeminal neuralgia, which is typically unilateral. Pain is most commonly experienced in the maxillary and mandibular branches (your symptoms are in the mandibular branch). The pain is characterized by severe, superficial, sharp, paroxysmal episo...[Read More] Understanding Facial Numbness: Is It Related to Trigeminal Nerve Issues?
Understanding Trigeminal Neuralgia: Symptoms, Diagnosis, and Treatment
Trigeminal neuralgia with toothache? Hello, doctor. I would like to inquire about a sudden pain in my right teeth that started a few weeks ago as I approach my 24th birthday. I often experience severe pain in the upper canine and lower areas, or occasionally in the entire right s...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are very similar to the second branch of trigeminal neuralgia. However, the underlying cause still requires further examination. The diagnostic criteria for trigeminal neuralgia are as follows: - At least three attacks - Pain occurring in one or more divisi...[Read More] Understanding Trigeminal Neuralgia: Symptoms, Diagnosis, and Treatment
Understanding Facial Numbness: Causes and When to Seek Help
Numbness on one side of the face? About a month ago, one night while lying in bed trying to sleep, I noticed a tingling sensation on my right cheek. It wasn't complete numbness, but rather a sensation similar to when your legs fall asleep from sitting cross-legged. The next ...
Dr. Cai Zongzhang Reply:
Based on the described symptoms, trigeminal nerve disorder is suspected. It is recommended to visit a neurology outpatient clinic.[Read More] Understanding Facial Numbness: Causes and When to Seek Help
Understanding Numbness in the Lower Lip: Possible Causes and Solutions
Numbness in the lower lip? Hello, I would like to ask about a recent issue I've been experiencing. When I brush my teeth, I feel a tingling sensation in my left lip, and when I touch the skin on my left jaw, I also feel a tingling sensation. Could you please explain what mig...
Dr. Cai Zongzhang Reply:
Hello: Based on the symptoms mentioned, it is suspected to be a trigeminal nerve disorder. It is recommended to consult a neurologist for examination and treatment.[Read More] Understanding Numbness in the Lower Lip: Possible Causes and Solutions
Understanding Trigeminal Neuralgia: Symptoms and Possible Causes
Trigeminal neuralgia? The patient has recently experienced pain in the upper right teeth, described as a dull ache, and visited a dentist. The dentist indicated that the teeth themselves are fine, but there is mild inflammation of the gums. However, the patient has noticed that s...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are very similar to trigeminal neuralgia, but a period of observation is needed. According to the International Classification of Headache Disorders, Third Edition (ICHD-3), the diagnostic criteria for trigeminal neuralgia are as follows: - At least three ep...[Read More] Understanding Trigeminal Neuralgia: Symptoms and Possible Causes
Post-Wisdom Tooth Extraction: Addressing Tongue Numbness and Pain
Tongue issues after wisdom tooth extraction? I had my upper and lower right wisdom teeth extracted in early July. The lower one was a horizontal impaction embedded in the gums. After the extraction, the right side of my mouth became numb, and I haven't felt anything for over...
Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms may suggest a trigeminal nerve disorder, particularly since they occurred after surgery, which could be related to tissue swelling from the procedure. I recommend that you consult an oral surgeon to check for any signs of infection ...[Read More] Post-Wisdom Tooth Extraction: Addressing Tongue Numbness and Pain
Understanding Neurological Symptoms: Seeking Answers for Lingering Issues
Brain issues Hello, doctor. I have previously detailed my symptoms. Now I have some questions to ask. I had a brain MRI done before, which showed no abnormalities. However, during a brainstem function test, it was found that the function values on the left side of my brainstem we...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest sympathetic nervous system hyperactivation, leading to mucosal dryness. Additionally, estrogen instability can cause similar symptoms. It is recommended to consult a gynecologist to check for any premenopausal symptoms that may exacerbate the exis...[Read More] Understanding Neurological Symptoms: Seeking Answers for Lingering Issues
Understanding Neurological Symptoms: Seeking Answers for Oral and Brain Issues
Brain issues Hello Doctor, I have previously detailed my symptoms <a href="https://adoctor.tw/article/146754">#146754</a>. Now I have some questions to ask. I had a brain MRI done before, which showed no abnormalities. However, during a brainstem function te...
Dr. Jiang Junyi Reply:
Hello: The 24-hour urine test you mentioned may be for measuring cortisol levels. Elevated cortisol levels are associated with adrenal tumors, pituitary tumors, or ectopic ACTH-producing tumors. Conditions such as pregnancy, estrogen therapy, and severe stress can also stimulate ...[Read More] Understanding Neurological Symptoms: Seeking Answers for Oral and Brain Issues
Understanding Oral Mucosa Issues: Could It Be Autonomic Nervous System Dysfunction?
Autonomic Nervous System Dysregulation Hello Doctor, I would like to consult you. I have been experiencing discomfort in my oral mucosa for a month and a half (since I had my upper left second molar extracted). The symptoms are a burning and stabbing sensation localized to the le...
Dr. Jiang Junyi Reply:
Hello: In addition to considering diseases of the immune system, your symptoms may also suggest trigeminal neuralgia, particularly given your neuropathic pain symptoms that may involve the mandibular branch. According to the International Classification of Headache Disorders, Thi...[Read More] Understanding Oral Mucosa Issues: Could It Be Autonomic Nervous System Dysfunction?
Understanding Unexplained Chest and Facial Symptoms: A Neurological Perspective
I'm not sure where the problem lies? Hello Doctor, I am currently experiencing the following symptoms: Two nights ago, before going to bed, I felt a tightness near my left chest close to the armpit. Last night, before going to bed, I experienced intermittent sharp pains in t...
Dr. Jiang Junyi Reply:
Hello: The symptoms you mentioned do resemble neuropathic pain, as paresthesia is characteristic of this condition. It may be necessary to consider cervical nerve root compression. The clinical symptoms of herpes zoster can be quite atypical, ranging from severe pain to paresthes...[Read More] Understanding Unexplained Chest and Facial Symptoms: A Neurological Perspective
Understanding Nerve Pain: A Case of Throat and Neck Discomfort
I got shocked and it hurts a lot? On the first day, I experienced dizziness, nausea, and a slightly elevated temperature of about 37.5°C. On the second day, I developed a fever of 38.5°C, and my throat began to hurt, accompanied by sharp pain on the right side of my neck (located...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are more indicative of neuropathic pain, which is typically caused by damage to the sensory nervous system. Particularly, peripheral nervous system disorders are common, such as postherpetic neuralgia, but some central nervous system diseases can also cause s...[Read More] Understanding Nerve Pain: A Case of Throat and Neck Discomfort
Should I See a Neurologist for My Mother's Eye and Facial Symptoms?
Should I schedule an appointment with a neurologist? About a month ago, my mother started experiencing excessive tearing in her eyes. Three weeks ago, the symptoms worsened, and she began to feel numbness from the lower part of her right eye to her upper lip. She first visited an...
Dr. Jiang Junyi Reply:
Hello: Your mother's symptoms may indicate inflammation of the tissues around the eyes, leading to compression of the trigeminal nerve. It is recommended to start by consulting the neurology department at the same hospital, where the physician can make a more accurate assess...[Read More] Should I See a Neurologist for My Mother's Eye and Facial Symptoms?