Understanding Cyclic Vomiting Syndrome in a 5-Year-Old Child
Periodic Vomiting Syndrome in a Five-Year-Old Child My son was born in April 2019, and when he was over a year old, he began experiencing vomiting, accompanied by abdominal pain, headaches, and weakness leading to falls. I recorded the dates of the episodes and observed a 42-day ...
Dr. Liu Qingshan Reply:
Based on your description, your son began experiencing vomiting at over one year old, accompanied by abdominal pain, headaches, and weakness leading to falls. He is currently taking Domperidone, Neuquinon, and Pelion to manage his symptoms. The possible causes and recommendations...[Read More] Understanding Cyclic Vomiting Syndrome in a 5-Year-Old Child
Understanding Nerve Pain and Tingling: Possible Rare Disease Insights
Numbness and pain in the hands and feet? Hello Doctor, I am a 43-year-old male. Eight years ago, I underwent an MRI that showed compression at the cervical intervertebral discs C3-4-5-6, which caused mild left arm pain, slight weakness, and numbness in the left fingers. After phy...
Dr. Chen Shunsheng Reply:
Hello, 1. It is evident that you require a comprehensive neurology consultation, which cannot be resolved online. 2. This is unrelated to multiple sclerosis. 3. Concurrently, there are multiple cervical and lumbosacral radiculopathies that need thorough investigation for unde...[Read More] Understanding Nerve Pain and Tingling: Possible Rare Disease Insights
Understanding ALS: Seeking Expert Advice for Muscle Weakness Concerns
Amyotrophic Lateral Sclerosis (ALS) and Expert Recommendations Hello, I started experiencing twitching in my right triceps and right calf on August 1st, which feels like something is crawling under the skin, but it is not painful. Additionally, I have gradually noticed weakness a...
Dr. Chen Shunsheng Reply:
Hello, you have already been evaluated by several physicians. You need to have a consultation with a subspecialty in neuromuscular medicine at a diagnostic medical center, which some centers refer to as peripheral neurology. In Taipei, I recommend: Professor Yang Zhi-Chao from Na...[Read More] Understanding ALS: Seeking Expert Advice for Muscle Weakness Concerns
Should I Get a Next-Generation Neuromuscular Disease Panel After Exome Testing?
Whole Exome Sequencing and National Taiwan University Next-Generation Neuromuscular Disease Panel Hello, Dr. Jian. I have been experiencing weakness in my limbs for over a year, and the neurology department has not been able to provide a diagnosis. I am considering genetic testin...
Dr. Jian Yingxiu Reply:
Hello: From a technical standpoint, the whole exome sequencing used in the National Taiwan University next-generation neuromuscular disease panel employs the same technology. If you have already undergone whole exome sequencing, there is no need to repeat the National Taiwan Univ...[Read More] Should I Get a Next-Generation Neuromuscular Disease Panel After Exome Testing?
Understanding Huntington's Disease: Risks, Inheritance, and Family Impact
Huntington's disease Hello Doctor, my mother has Huntington's disease, and my aunt passed away from it when she was young. My grandfather also died from Huntington's disease, and they all showed symptoms. However, my uncle did not develop the disease. I researched ...
Dr. Lai Xiangrong Reply:
In recent years, there have been further advancements in the genetics of chorea, particularly Huntington's disease, which can now be tested in Taiwan. The testing and diagnostic process involves numerous ethical considerations that need to be fully understood before proceedi...[Read More] Understanding Huntington's Disease: Risks, Inheritance, and Family Impact
Understanding Scalp Pain: Causes and Rare Conditions Explained
Scalp pain or scalp tenderness? Recently, I have been experiencing a tingling sensation on the scalp above my left ear. It is not persistent and not very painful.
Dr. Liu Qingshan Reply:
Based solely on the inquiry, it is not possible to determine the cause of scalp tingling. It is recommended to visit a hospital's dermatology or neurology department for evaluation.[Read More] Understanding Scalp Pain: Causes and Rare Conditions Explained
Understanding Left-Sided Weakness and Pain: Possible Causes and Solutions
Numbness and weakness in the left arm and from the calf to the knee? Hello, doctor. I am a 19-year-old student. Recently, I've been experiencing some issues on the left side of my body, and I would like to consult you. I've noticed weakness and a tingling sensation in m...
Dr. Chen Shunsheng Reply:
Please seek medical attention at a neurology center as soon as possible. This should not be related to posture, and it is important to rule out any potential lesions in the right hemisphere of the brain or cervical spinal cord. Please make an appointment promptly. The association...[Read More] Understanding Left-Sided Weakness and Pain: Possible Causes and Solutions
Exploring Rare Oral Health Issues: Symptoms, Diagnosis, and Treatment
Diagnosis and Treatment of Oral Health Issues Hello Doctor, I have been experiencing symptoms for over five months now, but recently the bloody taste in my mouth has intensified. Sometimes it feels like it's coming from my throat, and at other times I sense a bloody taste in...
Dr. Chen Shunsheng Reply:
Your issue is quite complex and involves multiple specialties. It is recommended that you visit a medical center's Department of Oral Medicine and Otolaryngology in person. The primary concern is to rule out the possibility of head and neck tumors.[Read More] Exploring Rare Oral Health Issues: Symptoms, Diagnosis, and Treatment
Understanding ALS: When Symptoms Persist Despite Normal Test Results
Suspecting that you have amyotrophic lateral sclerosis (ALS)? I started experiencing weakness in my hands and feet in December 2017, and it has progressively worsened. I feel that my limbs are becoming less agile, and I have also developed muscle twitching, numbness, and soreness...
Dr. Lai Xiangrong Reply:
Amyotrophic lateral sclerosis (ALS), also known as Lou Gehrig's disease, is characterized by significant muscle weakness and/or atrophy. Other prominent symptoms include difficulty swallowing, cramps, or muscle stiffness. Muscle weakness may affect the limbs and/or result in...[Read More] Understanding ALS: When Symptoms Persist Despite Normal Test Results
Understanding Rare Disease Treatment: Seeking Answers for Unexplained Symptoms
Treatment of Rare Diseases Hello Doctor: I became ill at the age of six or seven, and prior to that, everything was normal (I was able to move freely). After the onset of my illness, I experienced weakness in walking that was different from others (I often fell down, and later I ...
Dr. Huang Litong Reply:
The diagnosis may involve congenital or acquired peripheral nerve disorders or muscle issues, such as myasthenia gravis. A re-evaluation is necessary, and it may be required to perform nerve or muscle biopsy examinations. Since the patient is already an adult, it is recommended t...[Read More] Understanding Rare Disease Treatment: Seeking Answers for Unexplained Symptoms
Understanding Leg Weakness: Insights into Rare Muscle Disorders
Leg weakness Hello Dr. Chen: About a year ago, I gradually began to feel weakness in my leg muscles, and now even squatting and standing up is very difficult. I feel like I don't have enough strength to go up and down stairs. X-rays revealed herniation of the S5 and L1 inter...
Dr. Chen Shunsheng Reply:
It is a rare disease belonging to the field of neurology. For consultation, it is recommended to visit a nearby neurology training center: Northern Taiwan: National Taiwan University Hospital, Taipei Veterans General Hospital, Chang Gung Memorial Hospital... Central Taiwan: China...[Read More] Understanding Leg Weakness: Insights into Rare Muscle Disorders
Understanding Elevated Creatine Phosphokinase Levels in Infants: Causes and Concerns
Regarding the issue of elevated creatine phosphokinase levels in infants! Hello Dr. Chen, My younger brother is currently 1 year and 1 month old. On March 12, he had a blood test at Kaohsiung Chang Gung Memorial Hospital, and the results showed elevated total cholesterol levels...
Dr. Chen Shunsheng Reply:
For case management issues, it is advisable to consult the attending physician directly.[Read More] Understanding Elevated Creatine Phosphokinase Levels in Infants: Causes and Concerns
Navigating Rare Disease Care: Challenges with Acute Polyneuropathy Treatment
Thank you for your response? Hello, I am a patient with acute intermittent porphyria. You responded by saying (discuss with the attending physician, he will pay attention to the usage). I was diagnosed with this condition at Linkou Chang Gung Memorial Hospital, but when I went to...
Dr. Chen Shunsheng Reply:
Rare diseases require a highly specialized team. For your issue, I recommend Dr. Chih-Cheng Huang from the Department of Neurology, specializing in neuromuscular disorders. He has trained at the Mayo Clinic in the United States, is very nice, and most importantly, I have informed...[Read More] Navigating Rare Disease Care: Challenges with Acute Polyneuropathy Treatment
Understanding Leg Pain: Causes and Solutions for Discomfort
The area in the middle of my leg? I experience pain when I straighten my leg, and it has been hurting for several days. I'm not sure if it's muscle pain. What should I do to resolve this?
Dr. Chen Shunsheng Reply:
The description is not detailed enough, but it can be inferred to fall within the scope of neurology or rehabilitation medicine.[Read More] Understanding Leg Pain: Causes and Solutions for Discomfort
Understanding Osteogenesis Imperfecta: Neurological Impacts and Concerns
Neurology Hello Doctor: I am a patient with Osteogenesis Imperfecta (OI). In December 2004, I experienced a severe episode of dizziness that lasted for several days, extending over a month, after which it resolved on its own. However, around November 2006 until now, I have had si...
Dr. Chen Shunsheng Reply:
The condition is relatively complex with numerous questions. It is recommended to seek consultation at a medical center in your area, particularly for discussions with specialists in neurosurgery, neurology, and interventional radiology. If necessary, genetic testing may also be ...[Read More] Understanding Osteogenesis Imperfecta: Neurological Impacts and Concerns
Understanding Osteogenesis Imperfecta: Brain Abnormalities and Symptoms Explained
I'm sorry, but I need specific content to translate. Please provide the text Hello Doctor: I am a patient with Osteogenesis Imperfecta (OI). In December 2004, I experienced a severe episode of dizziness that lasted for several days and extended beyond a month, but it eventua...
Dr. Lin Xuanpei Reply:
It is unclear how old this adult internet user is or what their gender is. Osteogenesis imperfecta (OI) typically does not involve brain lesions. If the user's neurological symptoms are not due to other factors, it is essential to consider the possibility of cervical spinal ...[Read More] Understanding Osteogenesis Imperfecta: Brain Abnormalities and Symptoms Explained
Seeking Recommendations for Osteogenesis Imperfecta Specialists in Central Taiwan
Consult a physician? I have a friend who has Osteogenesis Imperfecta (OI). Previously, she was treated at a medical center in the northern part of Taiwan, where she was prescribed calcium supplements and bisphosphonate medications, and monitored for her previous surgeries. Since ...
Dr. Lin Xuanpei Reply:
I recommend Dr. Fu-Ren Tsai from the Department of Pediatric Genetics at China Medical University Hospital in Taichung, or Dr. Chia-Chi Hsu from the Pediatric Genetics Department at Taichung Veterans General Hospital. In Changhua, you can consult Dr. Yu-Yuan Ko or Dr. Hsuan-Pei L...[Read More] Seeking Recommendations for Osteogenesis Imperfecta Specialists in Central Taiwan
Finding Specialists for Osteogenesis Imperfecta in Central Taiwan
Congenital diseases I have a friend who has Osteogenesis Imperfecta (OI). She previously received treatment at a medical center in the northern part of Taiwan, where she was prescribed calcium supplements and bisphosphonate medications, and had follow-ups regarding her previous s...
Dr. Ke Yuyuan Reply:
As a physician specializing in genetics, I am quite familiar with other geneticists. Several medical centers in central Taiwan have geneticists who conduct research on Osteogenesis Imperfecta (OI). At Taichung Veterans General Hospital, there are Dr. Hsu Shan-Ching and Dr. Hsu Ch...[Read More] Finding Specialists for Osteogenesis Imperfecta in Central Taiwan
Seeking Specialists for Osteogenesis Imperfecta in Central Taiwan
Rare genetic disorders I have a friend who has Osteogenesis Imperfecta (OI). She previously received treatment at a medical center in the northern part of Taiwan, taking calcium supplements and bisphosphonate medications, and monitoring her previous surgeries. Traveling north for...
Dr. Jian Yingxiu Reply:
You can visit the outpatient clinics at China Medical University Hospital or other genetic counseling centers in central Taiwan.[Read More] Seeking Specialists for Osteogenesis Imperfecta in Central Taiwan
Recommendations for Osteogenesis Imperfecta Specialists in Central Taiwan
Neurological disorders I have a friend who has Osteogenesis Imperfecta (OI). She previously received treatment at a medical center in the northern part of Taiwan, where she was prescribed calcium supplements and bisphosphonate medications, and had follow-ups regarding her previou...
Dr. Chen Shunsheng Reply:
To China Medical University, Changhua Christian Hospital, or Veterans General Hospital.[Read More] Recommendations for Osteogenesis Imperfecta Specialists in Central Taiwan