Understanding Morning Seizures: Epilepsy or Other Neurological Issues?
Morning seizures Hello, I would like to ask about my wife, who is 30 years old and had two generalized seizures while sleeping half a month ago, leading to a diagnosis of epilepsy. Currently, all tests show no abnormalities. She is taking medication in the morning and evening, bu...
Dr. Jiang Junyi Reply:
Hello Mr. Huang, You mentioned that "my wife experiences abdominal tightness and cramping between 6:00 and 8:00 in the morning." This is not a symptom of ankylosing spondylitis. In addition to cerebral discharges, we should consider lumbar nerve root compression. I wou...[Read More] Understanding Morning Seizures: Epilepsy or Other Neurological Issues?
Understanding Morning Seizures: Epilepsy or Other Neurological Issues?
Morning seizures Hello, I would like to ask about my wife, who is 30 years old and had two generalized seizures while sleeping half a month ago, leading to a diagnosis of epilepsy. Currently, all tests show no abnormalities. She has been taking medication in the morning and eveni...
Dr. Jiang Junyi Reply:
Hello Mr. Huang, You mentioned that "my wife experiences abdominal tightness and cramping between 6:00 and 8:00 in the morning." This is not a symptom of ankylosing spondylitis. It resembles symptoms of localized cortical discharges. May I ask if this occurs before tak...[Read More] Understanding Morning Seizures: Epilepsy or Other Neurological Issues?
Unusual Urine Odor: Is It a Sign of Urinary Tract Infection?
Urine with an unusual odor? Hello, doctor. A few weeks ago, I took antibiotics for a urinary tract infection and recovered, with normal urine tests afterward. However, about two weeks later, I started to notice a strong odor in my urine, resembling a foul smell, but I do not have...
Dr. Li Xinyi Reply:
It sounds like there is no evidence of a urinary tract infection; the odor may be due to insufficient water intake or could originate from the vaginal area. If there is no improvement, it is advisable to seek further evaluation.[Read More] Unusual Urine Odor: Is It a Sign of Urinary Tract Infection?
Understanding Lower Back Pain After Surgery: Causes and Solutions
Lower back pain issues? Hello doctor, I have been experiencing lower back pain since my surgery in July (I had surgery on my left toe under spinal anesthesia; I also had surgery on my right foot earlier this year, also under spinal anesthesia). Today, I felt a recurrence of achin...
Dr. Peng Shiwei Reply:
Hello, issues with the lower back or intervertebral discs can still occur in young individuals. If you are concerned, you can visit a neurology clinic for consultation. Thank you for your question.[Read More] Understanding Lower Back Pain After Surgery: Causes and Solutions
Investigating Post-AZ Vaccine Neurological Issues: A Case of Myasthenia Gravis
Development of myasthenia gravis after receiving the AZ vaccine? Hello Doctor: After receiving my first dose of the AZ vaccine in mid to late July 2021, I noticed that I frequently fell from late July to early August. I initially thought it was due to not exercising for a long ti...
Dr. Hong Weibin Reply:
Hello: Currently, similar case reports can be found in the PubMed search engine of the National Library of Medicine at the National Institutes of Health in the United States.[Read More] Investigating Post-AZ Vaccine Neurological Issues: A Case of Myasthenia Gravis
Understanding Varicocele: Concerns About Exercise, Pain, and Sexual Health
Hello, doctor? Regarding the varicocele, last month I experienced hematospermia and hematuria during masturbation (I have since recovered), so I went to a urology clinic for an examination. The doctor prescribed me hemostatic medication, but later I felt discomfort in my testicle...
Dr. Du Shixi Reply:
Hello: Is it true that I cannot exercise with mild varicocele? -- Can I do 30 minutes of aerobic exercise or play baseball? -- Should I avoid intense activities, and will singing with abdominal effort worsen the condition? -- If the duration is long, could abdominal exertion stil...[Read More] Understanding Varicocele: Concerns About Exercise, Pain, and Sexual Health
Managing Neuropathy: Concerns About B12 and Vitamin Overdose
Myasthenia Gravis, medication issues? Hello Doctor: I previously experienced lumbar disc protrusion with lower back pain and ankle numbness. The doctor prescribed Methylcobalamin (B12) for nerve maintenance, but it doesn't seem to be effective. Is this considered a high-dose...
Dr. Peng Shiwei Reply:
Hello, in response to your inquiry, I can address it in two parts: 1. Can vitamin B complex be taken in excess? It is true that doctors often prescribe high doses of B12, but vitamins B and C are water-soluble vitamins. If the body takes in excess amounts, they are usually excr...[Read More] Managing Neuropathy: Concerns About B12 and Vitamin Overdose
Understanding Testicular Pain: Causes, Concerns, and When to Seek Help
Testicular and penile cavernous pain? Hello, doctor. Sometimes when I haven't ejaculated for a while (about a few days to a week), I experience soreness in my penis, testicles, perineum, and even in the groin and lower back. After researching online, I found that this could ...
Dr. Du Shixi Reply:
Hello: The situation you described is unlikely to cause injury. If discomfort persists, it is advisable to seek medical attention. Wishing you good health.[Read More] Understanding Testicular Pain: Causes, Concerns, and When to Seek Help
Understanding Cold Genital Symptoms: Causes and When to Seek Help
Cold genitalia Hello, doctor. Recently, the weather has turned cooler, and I feel that my penis and scrotum are cold all day, without any shrinkage; it's not a case of heat expansion and cold contraction. This wasn't the case before. My sexual function is inconsistent; ...
Dr. Li Minghui Reply:
Hello: The feeling of coldness may be related to vascular circulation. It is important to pay attention to overall health, such as exercise and diet. If sexual function is not satisfactory, it is advisable to seek medical attention for necessary examinations. Wishing you good hea...[Read More] Understanding Cold Genital Symptoms: Causes and When to Seek Help
Understanding Cold Sensation in the Penis and Scrotum: Causes and Solutions
The penis and scrotum feel cold? Hello doctor, the weather has been getting cooler lately, and I feel that my penis and scrotum are cold all day long, without any shrinkage; it's not a case of heat expansion and cold contraction. This didn't happen before. My sexual fun...
Dr. Du Shixi Reply:
Hello: The sensation of coldness may be related to vascular circulation. It is important to pay attention to overall health, such as exercise and diet. If sexual function is not satisfactory, it is advisable to seek medical attention for necessary examinations. Wishing you good h...[Read More] Understanding Cold Sensation in the Penis and Scrotum: Causes and Solutions
Understanding Urination Issues: When to Seek Medical Advice
Urinary problems Hello, doctor. My urination symptoms are a bit strange; sometimes they occur, and sometimes they are normal. I might urinate 7-8 times a day. I wake up at 7 AM and urinate once (about 200 mL). Before noon, I have a bowel movement and urinate 1-2 times (also about...
Dr. Du Shixi Reply:
Hello: The urinary situation you described is quite common; many people experience this. As long as you maintain a normal lifestyle and stay adequately hydrated, a follow-up examination in 1-2 years should be sufficient. Of course, if there are any significant changes, you should...[Read More] Understanding Urination Issues: When to Seek Medical Advice
Understanding Persistent Numbness in Hands and Feet: Possible Causes and Solutions
Numbness in the hands and feet? Hello Doctor, since September 25th, I have been experiencing numbness in my fingers upon waking up. Initially, I thought it would resolve on its own, but by September 26th, the numbness extended to my toes and the soles of my feet. As of now, Octob...
Dr. Jiang Junyi Reply:
Dear Ms. Apple, You mentioned that "blood tests, nerve conduction studies, and spinal tap examinations all reported normal results, and the cerebrospinal fluid analysis was also normal, with only a noted slowing of nerve conduction." You pointed out abnormal sensory ne...[Read More] Understanding Persistent Numbness in Hands and Feet: Possible Causes and Solutions
Understanding Ureteral Stricture: Symptoms, Diagnosis, and Treatment Options
Ureteral stricture Hello Doctor: I previously visited the urology department at the end of June due to fever and lower back pain. After examination, I was found to have microscopic hematuria (+1). Later, in mid-September, I underwent ureteroscopy, and the diagnosis revealed mild ...
Dr. Du Shixi Reply:
Hello: 1. If there is no renal edema but there is still microscopic hematuria, is it necessary to perform endoscopic surgery, or is regular follow-up sufficient? --》 Regular follow-up. 2. The physician has prescribed Buwecon 0.125mg/Tab, but the medication leaflet states that ...[Read More] Understanding Ureteral Stricture: Symptoms, Diagnosis, and Treatment Options
Understanding Erectile Dysfunction: Causes, Symptoms, and Solutions
Erectile dysfunction I have not had any sexual desire for the past two months, not even feeling anything when watching adult films, and I don't feel the urge to masturbate. Even when I do watch, I have no sexual arousal. My penis only becomes erect when I manually stimulate ...
Dr. Chen Jiansheng Reply:
Please seek medical attention.[Read More] Understanding Erectile Dysfunction: Causes, Symptoms, and Solutions
Understanding Neck Pain: Seeking Effective Treatment for Neurological Issues
Neck pain Hello, doctor! A year ago, I have been experiencing a heavy sensation in the back of my neck and occiput, along with fatigue. Sometimes, I also feel pain and swelling in my jaw, as well as partial numbness in my face. My left ear feels stuffy, and I have tinnitus, which...
Dr. Jiang Junyi Reply:
Hello Mr. Kuan, You mentioned that your left hand experiences numbness, tingling, soreness, and weakness, and that the rehabilitation clinic indicated it might be due to nerve compression. I'm curious about the specific area where you feel the numbness and tingling. Based o...[Read More] Understanding Neck Pain: Seeking Effective Treatment for Neurological Issues
Understanding Muscle Fasciculations: Causes, Symptoms, and Diagnosis
Fasciculation Hello doctor, I started experiencing muscle fasciculations on the outer side of my left thigh around October 3rd, which lasted continuously for half an hour. After that, it would occur every few days for a few minutes at a time, several times a day. I suspect this s...
Dr. Jiang Junyi Reply:
Dear Mr. Shang, You mentioned that you are "very anxious and worried whether it is ALS..." Your symptoms should still consider lumbar spine issues. ALS is a motor neuron disease, and your mention of "easily feeling numb" does not align with the characteristic...[Read More] Understanding Muscle Fasciculations: Causes, Symptoms, and Diagnosis
Understanding Nerve Pain and Weakness in Hands and Feet: A Patient's Journey
Numbness and tingling in both hands, weakness in both legs? Since March of last year, I started feeling a foreign sensation behind my occiput upon waking up one day. I consulted a doctor and took medication, but it did not improve. Later, the foreign sensation suddenly disappeare...
Dr. Jiang Junyi Reply:
Dear Miss Vicky, You mentioned "Multiple sclerosis? Neuritis? Autoimmune diseases? Diabetes? Herniated disc? Amyotrophic lateral sclerosis? CIDP?... Which specialty should I consult to thoroughly identify and resolve the issue?" You also noted that "the discomfort...[Read More] Understanding Nerve Pain and Weakness in Hands and Feet: A Patient's Journey
Understanding Involuntary Muscle Twitches: Causes and Concerns
Involuntary muscle twitching? Hello Doctor, I have recently been experiencing involuntary muscle twitching throughout my body (in my feet, calves, thighs, lower back, buttocks, etc.), with the highest frequency occurring in my right foot. The amplitude of the twitches varies, and...
Dr. Cai Zongzhang Reply:
Hello, Xiao Wu: If the above symptoms persist, it is recommended to visit a neurologist for further examination to determine the cause.[Read More] Understanding Involuntary Muscle Twitches: Causes and Concerns
Understanding White Floating Particles in Urine: When to Seek Further Help
The urine appears to have a layer of white floating particles? Hello Doctor, recently I have noticed small amounts of white substances floating in my urine. I visited a urologist over a week ago, and after a urinalysis, the doctor indicated there were no signs of infection, and p...
Dr. Xu Wencang Reply:
It is advisable to drink plenty of water; if there are any issues, follow up with an outpatient examination.[Read More] Understanding White Floating Particles in Urine: When to Seek Further Help
Understanding Saddle Area Sensory Loss: Causes and Concerns
Saddle area sensory loss or numbness? Hello, doctor. A few months ago, I strained my lower back, and since then, I've been experiencing pain in my lower back when sitting. About a month ago, I suddenly noticed a decrease in the urge to urinate and defecate, and my ability to...
Dr. Jiang Junyi Reply:
Hello Mr. Cheng, You mentioned that "lying on my right side for a few minutes causes numbness and loss of sensation in my buttocks, perineum, genitals, and adjacent thigh, with no pain even when pinched, while lying on my left side feels more normal." This may indicate...[Read More] Understanding Saddle Area Sensory Loss: Causes and Concerns