Understanding Body Tingling: Possible Causes and Concerns
Tingling sensation in the body? Hello, doctor. Last night, I suddenly felt a tingling sensation on the left side of my torso, which went away while I was sleeping after about 4-5 hours. I have experienced this symptom occasionally in the past, and it usually resolves within 1-2 d...
Dr. Jiang Junyi Reply:
Dear Mr. Guang, You mentioned, "Is it possible that it's multiple sclerosis, or is it multiple neuritis? ... Could it be caused by issues with the cervical and lumbar spine?" Your symptoms may need to first consider problems with the cervical and lumbar spine. The...[Read More] Understanding Body Tingling: Possible Causes and Concerns
Can Neuromyelitis Optica Be Transmitted Through Bodily Fluids?
Neuromyelitis optica (NMO) is not transmitted through bodily fluids and does not pose a risk of infection affecting health in this manner? Hello, I have read about the causes of neuromyelitis optica and understand that it may be related to genetic factors or viral triggers. Howev...
Dr. Jiang Junyi Reply:
Dear Ms. R: You mentioned that "neuromyelitis optica" is usually the result of various factors leading to autoimmune responses in the body. The concern you have regarding fluid transmission does not occur with normal sexual activity. If a patient requires long-term ste...[Read More] Can Neuromyelitis Optica Be Transmitted Through Bodily Fluids?
Managing Recurrent Foreskin Tears: Best Treatment Options Explained
Recurrent tearing of the foreskin? Hello, doctor. I have been experiencing recurrent skin breakdown of the foreskin. I have visited three hospitals, and they prescribed me different ointments: Xinghui Meikang cream, Ziyin ointment, and Dalai cream. Previously, I used Meikang crea...
Dr. Du Shixi Reply:
Hello: The types of ointments are generally similar; it depends on the care of the wound. If not cared for properly, it may recur repeatedly. Maintaining cleanliness and dryness is crucial, and it must be done. Using antibiotics or steroids can cause the area to crack if pulled. ...[Read More] Managing Recurrent Foreskin Tears: Best Treatment Options Explained
Persistent Dizziness: Should You Worry About Serious Conditions?
Dizziness has persisted for a long time? Hello, Dr. Jiang. About two weeks ago, I experienced dizziness and instability one night. I don't feel like the world is spinning, but the dizziness is quite mild and persists throughout the day. I feel a bit unsteady while walking. I...
Dr. Jiang Junyi Reply:
Dear Mr. Harry, You are concerned about the possibility of a serious illness such as a stroke, correct? Your symptoms should first be considered in the context of vestibular neuritis. Vestibular neuritis is associated with vertigo and primarily occurs in young adults, often foll...[Read More] Persistent Dizziness: Should You Worry About Serious Conditions?
Should You Use B Vitamins and Zinc for Neuropathy or Choose Keener Capsules?
Medication Use Can nerve paralysis be treated with B-complex vitamins and zinc supplements, or is it better to take Enada capsules?
Dr. Jiang Junyi Reply:
Dear Mr. ZWS, You mentioned, "Can I take B-complex vitamins and zinc for nerve paralysis, or is it better to take Kenda capsules?" In the acute phase of facial nerve paralysis, symptoms improve over time due to nerve damage. The use of corticosteroids in the first week...[Read More] Should You Use B Vitamins and Zinc for Neuropathy or Choose Keener Capsules?
Understanding Muscle Twitches: Causes and When to Seek Help
Muscle twitching is common? For the past ten years, I have experienced frequent muscle twitching throughout my body. However, since each episode lasted only a short time, I did not pay much attention to it. Now, this twitching has not ceased over time, and I find it quite distres...
Dr. Jiang Junyi Reply:
Dear Mr. Peter Zhan, You mentioned that "the muscles throughout my body often twitch, but since each twitch does not last long, I haven't paid much attention to it. However, this twitching has not stopped over time." Muscle twitching is primarily related to severa...[Read More] Understanding Muscle Twitches: Causes and When to Seek Help
Understanding Polyneuropathy: Steroids vs. Immunoglobulin Treatment
Systemic neuropathy Dear Dr. Jiang, I visited a neurologist yesterday, and the doctor diagnosed me with "multiple neuritis." He prescribed corticosteroids for two weeks. I would like to ask whether it is more effective to receive intravenous immunoglobulin (IVIG) treatm...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "immunoglobulin" is clinically used in acute inflammatory demyelinating polyradiculoneuropathies (AIDP), also known as Guillain-Barré syndrome. The typical clinical symptoms include bilateral symmetric progressive weakness, limb pain, and tingl...[Read More] Understanding Polyneuropathy: Steroids vs. Immunoglobulin Treatment
Understanding Ear Pain, Headaches, and Dizziness: A Neurology Perspective
Ear pain, headache, and dizziness? I am 29 years old and a month ago I was diagnosed with acute sinusitis at the hospital. Currently, my symptoms of nasal congestion and post-nasal drip have improved. However, I have been experiencing persistent headaches accompanied by dizziness...
Dr. Jiang Junyi Reply:
Dear Ms. Liu, You mentioned that "the pain in your ears feels like it's coming from inside," which may still require ruling out sinusitis-related headaches. Consider the possibility of occipital sinusitis. When diagnosing "sinus headaches," the primary g...[Read More] Understanding Ear Pain, Headaches, and Dizziness: A Neurology Perspective
Understanding Muscle Cramps in Fingers During Daily Activities
The issue of experiencing cramps in the fingers while working with them in a bent position? In the past month, I have experienced muscle cramps in my fingers when using a toothbrush to brush my teeth, and also while washing dishes. Using dental floss causes even more severe cramp...
Dr. Jiang Junyi Reply:
Hello Mr. Kuo, You mentioned that your toes sometimes cramp during movement, and that most of the time, cramps occur when your fingers are bent or in use. Recently, you have been taking Prednisolone 5 mg for asthma treatment for about a month. Cramps are typically caused by musc...[Read More] Understanding Muscle Cramps in Fingers During Daily Activities
Understanding Neuromyelitis Optica: Symptoms, Relapse, and Management
Neuromyelitis optica spectrum disorder (NMOSD) Two years ago, my mother was first diagnosed with neuromyelitis optica spectrum disorder (NMOSD). She has been managing her condition with corticosteroids and immunosuppressants, and there have been no relapses during this time. Howe...
Dr. Jiang Junyi Reply:
Dear Miss Hsiao-Chi, You mentioned that your mother has some time until her next follow-up appointment and asked whether she should go to the emergency department. Can the emergency department quickly check if there is a relapse? How can we determine if there is a relapse? Is bl...[Read More] Understanding Neuromyelitis Optica: Symptoms, Relapse, and Management
Understanding Balanitis: Symptoms, Treatments, and When to Seek Surgery
Balanitis issues? Hello Doctor, I recently experienced symptoms of itchy red spots, but after seeing three different doctors, I received varying diagnoses—some said it was eczema, while others suggested balanitis. I was prescribed ointments (Miconazole and Clotrimazole), which he...
Dr. Du Shixi Reply:
Hello: 1. I have phimosis, but I can normally retract it for cleaning. After using the restroom, I always dry it, and at home, I even wash it with clean water when erect, although it feels a bit tight and painful. Is circumcision necessary? -- Generally, circumcision is not nee...[Read More] Understanding Balanitis: Symptoms, Treatments, and When to Seek Surgery
Understanding Lip Numbness: Possible Causes and Treatments
Numbness of the lips? Hello, doctor. I would like to ask some questions. My father started taking heart medication about six months ago, and since then, his lips have been almost constantly numb, sometimes feeling like they are going to crack. The cardiologist prescribed a topica...
Dr. Jiang Junyi Reply:
Dear Miss Hsiao-Chuan, You mentioned that your lips feel numb almost all day and sometimes have a sensation of cracking. However, you find that applying Nincort oral gel alleviates the numbness for several hours. The active ingredients in Nincort oral gel are steroids and some m...[Read More] Understanding Lip Numbness: Possible Causes and Treatments
Understanding Facial Nerve Paralysis: Symptoms, Steroid Side Effects, and Concerns
Facial nerve paralysis Hello Doctor, my daughter (15 years old) noticed on the afternoon of February 13 that she could not fully close her lips when drinking water, and her right face felt stiff when she opened her mouth wide. She visited the doctor on February 14 and was prescri...
Dr. Jiang Junyi Reply:
Hello, You Ma: You mentioned that "when drinking water, your lips cannot fully close, and your right face feels stiff when your mouth is wide open." You have been taking steroids and gastric medication for a week. Clinically, this may suggest facial nerve paralysis. In...[Read More] Understanding Facial Nerve Paralysis: Symptoms, Steroid Side Effects, and Concerns
Understanding Nerve Issues: Frequent Left Upper Back and Limb Numbness
Frequent numbness in the upper left back and numbness in the limbs while sleeping? Hello, doctor. I have the following main symptoms and I'm not sure if they are related: 1. I have frequent numbness in the upper left back area, which started about three years ago. X-rays a...
Dr. Jiang Junyi Reply:
Hello Mr. Wu, You mentioned, "Could the physician determine if the issue is due to thoracic nerve compression or a brain problem?" The symptoms include "involuntary muscle twitching in small, non-fixed areas of the body, visible to the naked eye, which has persist...[Read More] Understanding Nerve Issues: Frequent Left Upper Back and Limb Numbness
Can Low Adrenaline Levels Lead to Dementia Symptoms?
Is insufficient secretion of adrenaline (epinephrine) a cause of dementia? Hello: I would like to inquire whether insufficient secretion of adrenaline can cause symptoms of dementia. After treatment, can dementia be cured?
Dr. Hong Weibin Reply:
Hello: Insufficient secretion of adrenocorticotropic hormone can indeed lead to symptoms of cognitive impairment, which may affect memory. If steroid treatment is administered promptly, recovery should be possible. References: 1. Matsuo, Kinya, et al. "Cognitive Impairment C...[Read More] Can Low Adrenaline Levels Lead to Dementia Symptoms?
Understanding Facial Twitching: Causes and Solutions for Smile Control
Facial twitching? Hello, doctor. When I take pictures, the left corner of my mouth suddenly starts to twitch, but this doesn't happen normally. To prevent this from occurring, I practice smiling frequently, and during those times, I can control the corner of my mouth well. H...
Dr. Jiang Junyi Reply:
Hello Miss An An: You mentioned, "I practice smiling from time to time, and I can control the corners of my mouth well, but when taking a photo, my left mouth corner still twitches uncontrollably..." This may be indicative of common muscle fasciculation. Prolonged physi...[Read More] Understanding Facial Twitching: Causes and Solutions for Smile Control
Understanding Facial Twitching: Causes and Solutions for Your Smile
Facial twitching? Hello, Doctor. When I take pictures, the left corner of my mouth suddenly starts to twitch, but this doesn’t happen normally. To prevent this from occurring, I practice smiling frequently, and during those times, I can control the corner of my mouth well. Howeve...
Dr. Jiang Junyi Reply:
Hello Miss An: You mentioned, "I practice smiling often, and I can control the corners of my mouth well, but when taking a photo, my left mouth corner still twitches uncontrollably..." This may be indicative of common muscle fasciculations. Prolonged physical activity i...[Read More] Understanding Facial Twitching: Causes and Solutions for Your Smile
Understanding Unilateral Eye Closure Issues: Causes and Next Steps
Issues with Eye Closure Hello Doctor, currently I am experiencing symptoms where I cannot close my left eye independently, but I can close both eyes simultaneously and also close my right eye alone. When I smile, my left side of the face appears significantly weaker. Additionally...
Dr. Jiang Junyi Reply:
Hello Mr. Sun: You mentioned that "the left side of your face is noticeably weaker when you smile, and there is also tinnitus in your left ear." This may indicate a left-sided facial nerve injury. Facial nerve paralysis is quite similar, primarily affecting the seventh ...[Read More] Understanding Unilateral Eye Closure Issues: Causes and Next Steps
Understanding Dizziness, Headaches, and Nausea: Possible Causes
Dizziness, headache, and nausea? Hello, doctor. One night, I suddenly experienced a headache, dizziness, and nausea. The pain is concentrated in the front of my head, while the back of my head feels heavy. My neck is sore, but it goes away when I lie flat. This has been ongoing f...
Dr. Jiang Junyi Reply:
Hello, Ms. Hsiang: You mentioned experiencing "severe pain in the front of the head, a heavy feeling in the back of the head, and neck soreness that resolves when lying flat." In addition to common cervical myofascial inflammation, intracranial hypotension may need to ...[Read More] Understanding Dizziness, Headaches, and Nausea: Possible Causes
Do You Really Need Circumcision for Recurrent Foreskin Injuries?
Is circumcision necessary if the foreskin is prone to tearing or injury? I consider myself to have a condition similar to phimosis. Although my foreskin completely covers the glans when erect, I can retract it fully without any issues. I have never sought medical attention for pr...
Dr. Jian Weihong Reply:
Hello: The following information is for reference only and cannot replace a doctor's examination, assessment, or testing. However, I am currently a bit conflicted about whether a circumcision is necessary if this condition persists. --> It is not necessarily required. Are...[Read More] Do You Really Need Circumcision for Recurrent Foreskin Injuries?