Understanding Benign Muscle Twitches: When to Worry and When to Relax
Nervous tics Hello, Doctor! I would like to inquire about my muscles twitching or spasming almost every day. However, there is no pain; the twitching stops after a moment and then resumes later, which is noticeable. I have also been to the hospital for tests like electromyography...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "the hospital conducted tests such as electromyography, and the doctor said everything is normal with no concerning abnormalities, indicating that this is benign muscle twitching..." The causes of muscle twitching can include not only mus...[Read More] Understanding Benign Muscle Twitches: When to Worry and When to Relax
Understanding Facial Nerve Paralysis: Common Aftereffects and Treatment Options
Facial nerve paralysis sequelae? Hello, Dr. Jiang. Current symptoms: 1. When closing my left eye, the muscles below the left corner of my mouth are also pulled. 2. There is no facial twitching at the corners of my mouth during normal activities; it only occurs when I close my eye...
Dr. Jiang Junyi Reply:
Hello Mr. Lin: You mentioned the issue of "facial nerve paralysis." Is the inability to close the left eye and the pulling of the mouth corner a common sequela? This usually occurs in patients with more severe inflammation, such as when the eye cannot close during the e...[Read More] Understanding Facial Nerve Paralysis: Common Aftereffects and Treatment Options
Understanding Neuromyelitis Optica: Treatment Options and Risks
Neuromyelitis optica Hello, Dr. Huang! Thank you very much for your previous guidance! After following your advice, I immediately went to the emergency room for treatment. Due to the rapid deterioration of my condition and the resident physician's concern that the situation ...
Dr. Huang Hongling Reply:
Hello: Neuromyelitis optica is a condition in which the body produces antibodies that attack its own nervous system, thus requiring immunosuppressants for treatment. Both corticosteroids and mycophenolate mofetil are immunosuppressants that can lead to decreased immunity. Long-te...[Read More] Understanding Neuromyelitis Optica: Treatment Options and Risks
Understanding Cervical Disc Herniation and Spinal Cord Edema: A Patient's Journey
Cervical intervertebral disc herniation, cervical spinal cord edema? Hello Dr. Huang, thank you very much! I had an MRI on March 7 that confirmed cervical disc herniation. Additionally, I had a contrast-enhanced MRI on March 22, but the spinal cord edema could not be visualized. ...
Dr. Huang Hongling Reply:
Hello, if the neurosurgeon believes that the right hand numbness is not related to cervical disc herniation, they would still recommend that you consult a neurologist to thoroughly investigate the cause, in order to avoid unnecessary surgical risks. If your symptoms significantly...[Read More] Understanding Cervical Disc Herniation and Spinal Cord Edema: A Patient's Journey
Loss of Sensation in Fingers: Causes and Solutions for Nerve Issues
There is no sensation in the area of the back of the hand from the index finger to the middle finger? Hello Doctor, due to poor sleeping posture and a habit of sleeping on my stomach, I often experience numbness in my hands. On the morning of April 8th, I noticed that the area on...
Dr. Jiang Junyi Reply:
Dear Ms. Chen, You mentioned that there is a lack of sensation in the area from the index finger to the middle finger on the back of your right hand, which may be due to compression of the radial nerve while sleeping on your stomach. The diagnostic tool for radial nerve injury i...[Read More] Loss of Sensation in Fingers: Causes and Solutions for Nerve Issues
How to Determine Healing of Skin Tears Before Resuming Sexual Activity
How to determine if a skin abrasion has healed and when it is safe to engage in sexual activity? Hello Doctor, I had a circumcision two months ago, and later I applied steroids due to eczema, which made my skin thinner. After the circumcision healed completely, I engaged in sexua...
Dr. Du Shixi Reply:
Hello: Normally, if the skin during an erection appears normal, it should be fine for sexual activity. Generally, it is uncommon for condoms to break. Wishing you good health.[Read More] How to Determine Healing of Skin Tears Before Resuming Sexual Activity
Post-Injection Neck and Shoulder Pain: Causes and Recovery Time
Pain upon touch in the shoulder and neck after an intramuscular injection? Hello Doctor: I received injections in both my right and left arms about two days ago for allergies (steroids and antihistamines). At the time of the injection, I felt a sudden soreness in my neck, which I...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "after receiving an injection (steroid, antihistamine), I felt a sudden soreness in my neck... and I experience pain in my back, shoulders, neck, and the back of my head." The injection may have affected the neuromuscular system: typicall...[Read More] Post-Injection Neck and Shoulder Pain: Causes and Recovery Time
Understanding Possible Multiple Sclerosis Symptoms and Next Steps
Suspected multiple sclerosis? Hello Doctor, I have previously asked a question here, numbered <a href="https://adoctor.tw/article/206161">#206161</a>. To briefly summarize my condition: since mid-February, I have experienced numbness in the right side of my ...
Dr. Jiang Junyi Reply:
Dear Ms. Lily, You mentioned that "even going to the emergency room cannot expedite an MRI" due to the different scheduling between outpatient and emergency services. However, if your symptoms are progressing and worsening, you can return to the neurology outpatient cl...[Read More] Understanding Possible Multiple Sclerosis Symptoms and Next Steps
Understanding Neck Tension, Tremors, and Dizziness: Causes and Solutions
Neck tightness, tremors, and dizziness? Last week, I experienced a headache due to heatstroke and underwent cupping therapy (without cupping on the spine). However, the night after the treatment, I began to feel tightness in my neck when looking up or down, or in certain position...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned, "Recently, the weather has been changing significantly, and I have a slight cold. I'm not sure if this is related. My condition has neither worsened nor improved, so I would like to consult with a doctor to see if I need to go to the hospital ...[Read More] Understanding Neck Tension, Tremors, and Dizziness: Causes and Solutions
Exploring the Link Between Mitochondrial Diseases and Myasthenia Gravis
The relationship between mitochondrial diseases and myasthenia gravis? In April 2021, I noticed that my right eye had unilateral esotropia. After an ophthalmological examination, the doctor referred me to the neurology department for further evaluation. Since then, I have been re...
Dr. Peng Shiwei Reply:
You should discuss your concerns directly with your attending physician. If necessary, you can also bring a family member along for the medical evaluation. Thank you.[Read More] Exploring the Link Between Mitochondrial Diseases and Myasthenia Gravis
Understanding Recovery in CIDP: Symptoms, Treatments, and Prognosis
The recovery status of CIDP (Chronic Inflammatory Demyelinating Polyneuropathy)? My father was diagnosed with CIDP last year, and his condition has progressed to the point where he has difficulty walking and cannot use chopsticks with both hands. He has already received the first...
Dr. Peng Shiwei Reply:
Each person's condition is different, so it is advisable to discuss this with your father's attending physician. Thank you.[Read More] Understanding Recovery in CIDP: Symptoms, Treatments, and Prognosis
Understanding Recurrent Balanitis: Causes, Treatments, and Management
Regarding the follow-up on the previous issue of balanitis and phimosis? I'm sorry, Dr. Du. I am YY, who asked a question the day before yesterday (#204733). I have some additional questions regarding this condition: First, is the main cause of recurrence due to phimosis, wh...
Dr. Du Shixi Reply:
Hello: If it is eczema, it is prone to recurrence. If the skin has undergone changes, circumcision is recommended. As for topical ointments, they should generally be applied for a longer period even after symptoms have disappeared. It is crucial to pay attention to lifestyle fact...[Read More] Understanding Recurrent Balanitis: Causes, Treatments, and Management
Understanding Cerebrospinal Fluid Leaks: Symptoms and Treatment Options
Cerebrospinal fluid leak Hello, doctor: I received epidural analgesia during my natural childbirth, and since then, I have been experiencing unexplained headaches that do not improve with pain medication and can only be alleviated by lying down. I came across similar symptoms in ...
Dr. Jiang Junyi Reply:
Dear Ms. Fran, You mentioned that "taking painkillers does not improve the condition, and lying down is the only way to relieve it." We should consider headaches due to decreased intracranial pressure. Currently, you can take caffeine and low-dose corticosteroids to al...[Read More] Understanding Cerebrospinal Fluid Leaks: Symptoms and Treatment Options
Understanding Persistent Dizziness: Possible Causes and Treatment Options
Persistent dizziness and vertigo? Hello Doctor, I discovered over a year ago that I have poor hearing in my left ear, along with unilateral tinnitus, a feeling of fullness in the ear, and headaches. I began visiting an otolaryngologist for examinations, during which I underwent A...
Dr. Peng Shiwei Reply:
You should seek medical treatment at a neurology outpatient clinic for your symptoms. Thank you.[Read More] Understanding Persistent Dizziness: Possible Causes and Treatment Options
Managing Withdrawal Symptoms After Steroid Treatment: What to Expect
Withdrawal side effects Hello, doctor. In April 2023, I was diagnosed with edema at the seventh cervical vertebra and was treated with corticosteroids. I stopped taking corticosteroids at the end of October and have been prescribed B vitamins and B12 to continue. Currently, I am ...
Dr. Wu Mukhan Reply:
Hello, it is unclear from the article what caused your cervical spine edema (inflammation, infection, or injury are all possibilities), making it difficult to determine whether it is related to your current symptoms. I recommend consulting your original physician to clarify the c...[Read More] Managing Withdrawal Symptoms After Steroid Treatment: What to Expect
Understanding Eczema on the Glans: Symptoms, Treatment, and Concerns
Eczema issues Hello Doctor, on Saturday (10/21) I noticed a red spot on the glans while showering, but it was neither painful nor itchy, and there was no discharge. Today (10/24), I found several similar raised red spots nearby. I visited a doctor who diagnosed it as eczema and p...
Dr. Du Shixi Reply:
Hello: 1. Is it normal for my eczema to be neither painful nor itchy? --- It is possible. 2. Is eczema the same condition as balanitis? --- It should be considered a type of balanoposthitis. 3. Since I have herpes, will applying eczema ointment that contains steroids cause a recu...[Read More] Understanding Eczema on the Glans: Symptoms, Treatment, and Concerns
Facial Surgery Complications: Inability to Smile and Eye Closure Issues
After the facelift surgery, the left side of the face is unable to express emotions? I underwent a three-layer facelift surgery on September 19, and now the left side of my face cannot lift the corner of my mouth, causing my smile to be lopsided. The lower eyelid cannot close pro...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned the symptoms of "a crooked smile and the inability to close the lower eyelid," which may indicate inflammation of the facial nerve. During the acute phase, due to nerve damage, improvement of symptoms may take some time. The use of corticoster...[Read More] Facial Surgery Complications: Inability to Smile and Eye Closure Issues
Can New Miconazole Ointment and Antibiotics Treat Genital Herpes?
Genital herpes Due to a herpes sore that has not healed for a long time, I visited the doctor today. The doctor prescribed Neomycin ointment (green packaging) and an anti-inflammatory medication (Ibuprofen capsules) to be taken two capsules every six hours. Can these two medicati...
Dr. Du Shixi Reply:
Hello: Currently, there are two non-steroidal medications that are used for wound care. Wishing you good health.[Read More] Can New Miconazole Ointment and Antibiotics Treat Genital Herpes?
Understanding Skin Itching and Back Pain: Neurological Insights
Skin itching and lower back pain? Hello, doctor. A few months ago, I suddenly felt a tingling sensation in my mouth, and then I started experiencing itchy skin all over my body (like a prickling feeling). I visited a dermatologist, but the medication did not improve my condition;...
Dr. Cai Zongzhang Reply:
Hello Joanne: Based on the symptoms described, the tingling sensation in the mouth and the itchy feeling in the skin may be abnormal sensations caused by a neurological disorder. These symptoms are not exclusive to multiple sclerosis; brain tumors could also cause the aforementio...[Read More] Understanding Skin Itching and Back Pain: Neurological Insights
Managing Trigeminal and Facial Nerve Repair: Expert Insights and Treatment Options
Trigeminal and Facial Nerve Repair Hello, Doctor. I initially experienced hearing loss and headaches, so I consulted an otolaryngologist for a month, which caused me to miss the critical treatment window. Later, I discovered left facial paralysis and was referred to a neurologist...
Dr. Peng Shiwei Reply:
Hello, based on your description, I believe the treatment your physician has provided is appropriate. The residual effects of facial numbness may not always fully resolve. I recommend that you continue with your current treatment and observe for 1-3 months. As for the dizziness, ...[Read More] Managing Trigeminal and Facial Nerve Repair: Expert Insights and Treatment Options