Understanding Muscle Cramps: Causes and Solutions for Your Symptoms
Frequent muscle cramps in the hands and feet? Hello Dr. Jiang, I have been experiencing severe cramps in my fingers, arms, and calves recently. I have visited the neurology, orthopedics, and metabolic departments at Taichung Chung Shan Hospital, where I underwent MRI scans of my ...
Dr. Jiang Junyi Reply:
Hello Mr. Chang, You mentioned experiencing "severe cramps from your fingers to your elbows and calves..." Cramps are caused by involuntary muscle contractions. Common causes include: Dehydration: Dehydration is a common cause of muscle cramps. When the body is lackin...[Read More] Understanding Muscle Cramps: Causes and Solutions for Your Symptoms
Understanding Hand Tremors: When to See a Neurologist
Hello Dr. Jiang: Regarding the issue of hand tremors? Hello Dr. Jiang: My right hand sometimes trembles involuntarily, but my left hand does not. My lips also exhibit similar symptoms, although they are milder. I am currently on psychiatric medication, but even after adjustments,...
Dr. Jiang Junyi Reply:
Hello Ms. Chen: You mentioned that "your right hand sometimes trembles involuntarily, but your left hand does not, and your lips have similar symptoms." This may indicate an abnormality in the signaling of the motor nervous system. Additionally, medication side effects ...[Read More] Understanding Hand Tremors: When to See a Neurologist
Understanding Retrograde Ejaculation After Urief 4mg Use: Recovery and Concerns
Urief 4mg / Duration of retrograde ejaculation Last week, I underwent extracorporeal shock wave lithotripsy due to ureteral stones. After the procedure, the doctor prescribed Urief/4mg, Rowapraxin/10mg, Transamin/250mg, and Tonlief/100mg. I took a dose at home, but on the same da...
Dr. Du Shixi Reply:
Hello: 1. Urief/4mg can cause retrograde ejaculation symptoms. After stopping the medication, how long might it take to recover? -- It is possible to experience either a lack of sperm or a decrease in semen volume, but since it was taken only once and still had effects three da...[Read More] Understanding Retrograde Ejaculation After Urief 4mg Use: Recovery and Concerns
Understanding Medication Side Effects: Impact on Sexual Health
Side effects of medications? I have been taking finasteride for almost three months due to my hair loss issue. My libido has not been affected, and the frequency of masturbation is about the same as before. The only noticeable change is a significant decrease in the frequency of ...
Dr. Sun Hongshun Reply:
Hello: A decrease in the frequency of morning erections may be related to medication use, but it does not necessarily indicate a health issue. Improving lifestyle habits such as going to bed early, waking up early, or exercising can certainly help you regain a more energetic stat...[Read More] Understanding Medication Side Effects: Impact on Sexual Health
Understanding Medication Side Effects in Urology: A Focus on Prostate Inflammation
Drug side effects Last week, I visited a urologist due to symptoms of frequent urination. After a digital rectal examination, the doctor suspected prostatitis and I am currently waiting for the urine test results. I was prescribed a seven-day course of Harnalidge D tablets 0.2 mg...
Dr. Du Shixi Reply:
Hello: Hanalidge may cause a decrease in semen volume, and if there is inflammation, it is likely to present with urinary symptoms. Wishing you good health.[Read More] Understanding Medication Side Effects in Urology: A Focus on Prostate Inflammation
Understanding Medication Side Effects for Enlarged Prostate Treatment
Could you please provide more details regarding the medication issues related to benign prostatic hyperplasia (BPH)? Hello Dr. Sun, thank you for taking the time to respond to my questions despite your busy schedule. I have a history of nasal allergies and hypertension, for which...
Dr. Sun Hongshun Reply:
Hello, concerned individual: Not all prostate medications cause nasal congestion! There are many different types of prostate medications, and you can ask your doctor to gradually adjust the medication to what suits you best (everyone experiences the effects of medication differen...[Read More] Understanding Medication Side Effects for Enlarged Prostate Treatment
Managing Epilepsy: Navigating Medication Side Effects and Emotional Health
Antiepileptic drugs I had surgery on my head due to a car accident during high school. I was fine for many years, but after 20 years, I developed post-traumatic epilepsy, which occurs occasionally when I am very tired. Initially, I was only taking one medication, but after experi...
Dr. Cai Zongzhang Reply:
Hello, regarding post-traumatic brain injury sequelae, seizures are quite common. Physicians often choose to use antiepileptic drugs; however, there are various medications available. It is advisable to discuss with your doctor whether the seizures are a side effect of the medica...[Read More] Managing Epilepsy: Navigating Medication Side Effects and Emotional Health
Understanding Leg Neuropathic Pain: Causes and Management Strategies
Leg neuropathy, polyneuropathy? Hello Doctor, I have consulted multiple physicians (in rehabilitation, orthopedics, neurosurgery, and neurology), but I still cannot identify the problem... I am 32 years old and work as a software engineer. My symptoms seem quite variable, and I h...
Dr. Jiang Junyi Reply:
Hello Mr. Zac, You mentioned that "when walking, the outer side of my left ankle feels like it's being electrified, and after this pain sensation appeared, my outer calf and the sole of my foot began to feel numb and tingly (which may indicate nerve damage)." This...[Read More] Understanding Leg Neuropathic Pain: Causes and Management Strategies
Understanding Medication Side Effects: When to Consult Your Doctor
Drug side effects Hello Doctor: I have migraines and have seen a doctor who prescribed me an anticonvulsant medication (Topiramate). The doctor informed me that it might cause hand numbness. I have been taking it for about a week and only experienced hand numbness, but today I su...
Dr. Jiang Junyi Reply:
Dear Ms. Liu, You mentioned, "Is this a normal side effect of the medication, or should I inform my doctor immediately or stop taking it? Am I at risk of having a stroke?" If you do not smoke, use birth control pills, or have a history of hypertension, diabetes, or oth...[Read More] Understanding Medication Side Effects: When to Consult Your Doctor
Managing Medication Side Effects and Dosage Reduction in Neurology
Drug side effects and dosage reduction issues? Hello Doctor: I previously inquired about my mother's condition, and you suggested that the tremors in her throat might be a side effect of her medications. Therefore, we have started to taper her current medications: Entacapone...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "after reducing the dosage for just one week, the aforementioned symptoms appeared. I wonder if the reduction time was too short or if the reduction caused the symptoms to recur." In clinical practice, medication adjustments should be accompani...[Read More] Managing Medication Side Effects and Dosage Reduction in Neurology
Understanding Dry Heaving: Is It a Sign of Brain Tumor?
The issue of dry heaving? Hello, doctor. I occasionally experience dry heaving, where I feel like vomiting but do not actually vomit. I have heard that brain tumors can cause vomiting, but they do not present with dry heaving or nausea. Is that correct?
Dr. Hong Weibin Reply:
Hello: Nausea and vomiting are very common symptoms that can be caused by a variety of conditions. These include gastrointestinal issues, neurological problems, medication side effects, liver and kidney diseases, and infections, among others. The most common causes are gastrointe...[Read More] Understanding Dry Heaving: Is It a Sign of Brain Tumor?
Uncontrollable Hand Movements During Meals: When to Seek Medical Advice?
The hand does not move back and forth? Hello Doctor: Recently, I noticed that my father’s hands involuntarily move back and forth while eating (for example, when he is picking up food, his hands sway back and forth) for a few seconds before returning to normal. When I asked him a...
Dr. Jiang Junyi Reply:
Hello, based on your description, involuntary shaking is typically associated with tremors or seizures. The causes of tremors can be categorized into four types: physiological tremors, psychological tremors, essential tremors, and pathological tremors. 1. Physiological tremors:...[Read More] Uncontrollable Hand Movements During Meals: When to Seek Medical Advice?
Managing Medication Side Effects in Urology: A Patient's Guide
Medication issues Hello, Doctor. I recently sought medical attention due to itching in my urethra. After a urinalysis, I was diagnosed with prostatitis, and the physician prescribed a two-week course of medication, including Pain Relief, Oxybutynin Extended-Release Tablets, and U...
Dr. Du Shixi Reply:
Hello: Many medications for the prostate can cause retrograde ejaculation, but the extent varies. If you are very concerned about the sensation of retrograde ejaculation, you can stop the medication, and it will often return to normal. If you still experience urethral itching, yo...[Read More] Managing Medication Side Effects in Urology: A Patient's Guide
Understanding Glans Pain: Eczema or Medication Side Effects?
I am #124860? Hello doctor, today while showering, I experienced pain when cleaning the glans and noticed three areas of broken skin. Could this be due to eczema, or is it related to the medication I applied? Can I still use corticosteroids? However, the eczema on the glans hasn&...
Dr. Du Shixi Reply:
Hello: If there is skin breakdown, you should return for a follow-up, as it could be another condition. Wishing you good health.[Read More] Understanding Glans Pain: Eczema or Medication Side Effects?
Dizziness and Spinning Sensation: Neurological Insights and Solutions
Dizziness and vertigo? In recent weeks, whenever I lie down and move my head, I experience dizziness, as if the room is spinning, and I also feel nauseous. Please provide an explanation, doctor.
Dr. Hong Weibin Reply:
Hello: Dizziness can generally be classified based on the location of the lesion into "peripheral dizziness" and "central dizziness." Peripheral dizziness refers to dysfunction in the structures of the inner ear that manage balance, such as the semicircular ca...[Read More] Dizziness and Spinning Sensation: Neurological Insights and Solutions
Understanding Medication Side Effects: Dizziness from Acemetacin and Doxycycline
Medication Issues Hello Doctor, I would like to ask you a few questions. I was previously taking Acemetacin and Doxycycline 100mg. At first, I didn't experience any side effects, but later I developed dizziness. It wasn't a spinning sensation, more like the feeling of b...
Dr. Sun Hongshun Reply:
Hello: Every medication has side effects, which can vary from person to person. Regarding medication adherence, it is important to follow the physician's instructions, especially for doxycycline, which is an antibiotic. You should not stop taking it on your own. If you exper...[Read More] Understanding Medication Side Effects: Dizziness from Acemetacin and Doxycycline
Understanding Medication Side Effects: Insights from a Neurology Perspective
Last question? Hello, Dr. Gao. (I apologize for pressing send before finishing my message yesterday.) I would like to ask about the medications I recently changed. These are the medications I received at the clinic: I take a 0.5 mg capsule of Mecobalamin (Nerve Growth Factor) in ...
Dr. Gao Chunde Reply:
Side effects of medications are inevitable, but it is important to weigh the benefits against the side effects to determine if the medication is worth taking. If a medication causes a tingling sensation in the head, one should consider the purpose of taking it. If it does not ser...[Read More] Understanding Medication Side Effects: Insights from a Neurology Perspective
Understanding Body Tremors Upon Waking: Neurological Insights
Waking up feeling shaky? Hello doctor, recently I have been feeling my body shaking while sitting, and it seems to be worse when I wake up. What could be the cause of this?
Dr. Jiang Junyi Reply:
Hello, based on your description, the symptoms seem to resemble physiological tremors, which can be categorized into four types: physiological tremors, psychological tremors, essential tremors, and pathological tremors. 1. Physiological tremors: These do not occur under normal ...[Read More] Understanding Body Tremors Upon Waking: Neurological Insights
Managing Medication Side Effects in Elderly Stroke Patients
Medication consultation Hello, my father is 75 years old. In April 2013, he underwent surgery for cancer, during which he experienced thrombosis and a stroke, resulting in weakness on the right side. After more than two years of rehabilitation, he can walk slowly. He did not see ...
Dr. Jiang Junyi Reply:
Hello, based on your description, Piracetam has a mild pharmacological profile. Syntam (Piracetam) 1200mg: The drug's prescribing information states that Piracetam acts on the central nervous system by regulating neurotransmission, promoting neuroplasticity, and protecting n...[Read More] Managing Medication Side Effects in Elderly Stroke Patients
Understanding Involuntary Head and Facial Movements: A Patient's Journey
Involuntary movements of the head include constant tension and shaking of the head, face, and ears throughout the day? Hello, Dr. Gao! I have been suffering from involuntary tension and shaking in my head, face, and ears for nearly fourteen years. It has been incredibly painful, ...
Dr. Gao Chunde Reply:
Based on your description, both neurology and psychiatry should be followed up with regular appointments for treatment. Additionally, participating in activities such as hospital volunteering or other programs that provide care and support to patients can be beneficial. By helpin...[Read More] Understanding Involuntary Head and Facial Movements: A Patient's Journey