Managing Chronic Headaches from Cerebrospinal Fluid Leak: What to Do?
Cerebrospinal fluid leak Four years ago, I experienced headaches when standing, which would alleviate when lying down. I was hospitalized for examination, and the doctor suggested that I might have a cerebrospinal fluid (CSF) leak, although the cause was unclear. A lumbar punctur...
Dr. Jiang Junyi Reply:
Hello: For headaches caused by cerebrospinal fluid leaks, if the symptoms persist, it may be necessary to consider "spontaneous intracranial hypotension" (SIH) as the cause of the headache. Treatment options include hydration and the intake of coffee or tea. Additionall...[Read More] Managing Chronic Headaches from Cerebrospinal Fluid Leak: What to Do?
Persistent Dizziness for Over a Month: Understanding Vestibular Neuritis
Dizziness for over a month? On the evening of August 25th, I experienced a bout of dizziness that nearly caused me to faint. I went to the emergency room for a blood test, which showed no significant issues. It might have been due to lack of sleep. A few days later, I visited a c...
Dr. Jiang Junyi Reply:
Based on your description: Hello, you mentioned experiencing near-fainting episodes. In addition to dizziness, it may be necessary to consider syncope. First, we should evaluate the symptoms of syncope, with the most common causes being reflex syncope: excessive stimulation of th...[Read More] Persistent Dizziness for Over a Month: Understanding Vestibular Neuritis
Managing Inflammation of the Glans and Foreskin: A Urology Perspective
Inflammation of the glans and foreskin? It seems that the inflammation of the glans is due to excessive cleaning, and the foreskin appears red when pulled back. I'm unsure how to clean it properly. Previously, I would push back the foreskin and rub off the white substance, b...
Dr. Du Shixi Reply:
Hello: Your condition has been ongoing for a while. Please pay attention to a few key points: 1) Rinse with clean water, ensuring the water is not too hot. Pat dry, and if there is any residue, gently wipe it away without applying too much pressure. Make sure to dry thoroughly; i...[Read More] Managing Inflammation of the Glans and Foreskin: A Urology Perspective
Understanding Phimosis: Treatment Options and Steroid Use
Prepuce issues Hello Doctor: I have a problem with phimosis. When not erect, I can pull the foreskin down past the coronal sulcus, but when erect, the foreskin can only sit below the glans. I can manually pull the foreskin to the coronal sulcus, but it cannot be pulled down furth...
Dr. Du Shixi Reply:
Hello: Please seek medical attention for prescriptions and avoid using over-the-counter medications indiscriminately. The effects of topical ointments may not be immediate; they do not work as quickly as some people might expect after just a few days of application. Wishing you g...[Read More] Understanding Phimosis: Treatment Options and Steroid Use
Long-Term Use of Mycomb Cream for Candida on the Glans: Risks and Concerns
White candidiasis on the glans penis? Hello Dr. Du: For the past few years, I have been experiencing issues with white candidiasis on the glans, which occasionally causes itching and results in a lot of white flakes. Currently, my main treatment is applying Mycomb Cream, and it h...
Dr. Du Shixi Reply:
Hello: No, just make sure to keep the foreskin clean and dry. If there is a family history of diabetes, it may be advisable to check fasting blood sugar levels. Wishing you good health.[Read More] Long-Term Use of Mycomb Cream for Candida on the Glans: Risks and Concerns
Understanding Facial Nerve Paralysis: Steroid Use and Recovery Insights
Facial nerve paralysis Hello, doctor! My father-in-law has been diagnosed with facial nerve paralysis... but he only took steroids for one day and then stopped. The doctor said that the inflammation of the nerve does not require further steroid treatment and that we should wait f...
Dr. Jiang Junyi Reply:
Hello: Peripheral facial nerve palsy primarily affects the seventh cranial nerve. The clinical symptoms include sensations of numbness or stiffness in the face. Due to the inability to close the eyelids, tearing may also occur. Sometimes, patients may notice an increased sensitiv...[Read More] Understanding Facial Nerve Paralysis: Steroid Use and Recovery Insights
Understanding Nerve Pain: A Journey Through Neurology and Rehabilitation
Numbness, soreness, and sensory perception? I previously experienced some numbness in my fingers, which progressed to numbness in my right palm, along with soreness and pain in my arm, and diminished sensation due to the numbness. I visited the neurology department at Chang Gung ...
Dr. Jiang Junyi Reply:
Hello: I understand your concerns. You seem to be caught in a misconception of seeking treatment from someone with the same professional background. Currently, if my patients encounter situations that I cannot resolve due to my limitations, I adopt a perspective of empathy, meani...[Read More] Understanding Nerve Pain: A Journey Through Neurology and Rehabilitation
Understanding and Managing Penile Frenulum Tears: A Guide
Tearing of the phimosis? Recently, I have experienced a tear at the tip of my foreskin. Initially, I purchased a steroid ointment from the pharmacy, and later I visited a hospital where the doctor prescribed another steroid ointment. The doctor advised me to apply it once a day f...
Dr. Cai Zhuorong Reply:
Although steroids cannot accelerate healing, they can prevent further contraction after the wound has healed, which could worsen phimosis. Circumcision is a consideration, and you are welcome to visit the outpatient clinic for consultation.[Read More] Understanding and Managing Penile Frenulum Tears: A Guide
Understanding Muscle Fasciculations: Causes, Effects, and Treatment Options
Fasciculation Hello Dr. Jiang, I would like to ask if prolonged muscle fasciculations can have any effects. I have been experiencing random muscle twitches throughout my body for over a year now. I have been visiting a neurologist regularly for a year, and I have undergone bloo...
Dr. Jiang Junyi Reply:
Hello: The exact cause of muscle fasciculations is still unclear. They can occur after exercise, during acute viral infections, due to anxiety, or as a result of medication use. Among these, prolonged exercise is one of the primary causes of muscle fasciculations. Common medicati...[Read More] Understanding Muscle Fasciculations: Causes, Effects, and Treatment Options
Understanding Facial Twitching: Causes and Concerns for Your Health
Facial spasms Recently, I've been experiencing twitching on the right side of my cheek frequently. I haven't been staying up late, and I can't recall the exact intervals of the twitching. I just remember that during the twitching, I suddenly recall that it seems to...
Dr. Jiang Junyi Reply:
Hello: Your symptoms seem more like simple facial twitching. It is generally recommended to reduce the intake of caffeine, which can stimulate the nervous system. Common causes of muscle twitching include acute viral infections, anxiety, and medications. Prolonged exercise is one...[Read More] Understanding Facial Twitching: Causes and Concerns for Your Health
Understanding Erectile Dysfunction: Causes and Solutions for Men
Erectile dysfunction during sexual activity? Hello Doctor, my situation is a bit complicated and I hope you can provide me with a more comprehensive response. About two years ago, I had phimosis and went to the hospital for an examination. The doctor suggested circumcision, but I...
Dr. Du Mingyi Reply:
You may still consider circumcision to reduce pain. As for the issue of erections, it's quite simple; there's no need to keep watching the videos.[Read More] Understanding Erectile Dysfunction: Causes and Solutions for Men
Understanding Facial Nerve Paralysis: Recovery and Symptoms Explained
Facial nerve paralysis Hello, Dr. Jiang. I sought medical attention on the second day of my illness, and the doctor diagnosed me with left-sided facial nerve paralysis. After a week of medication (steroids) and discontinuation of B vitamins, I began rehabilitation. However, after...
Dr. Jiang Junyi Reply:
Hello: In the acute phase of facial nerve paralysis, symptoms take time to improve due to nerve damage. The use of corticosteroids in the first week is primarily to control inflammation and reduce the extent of nerve injury. Other treatment options include medications such as vit...[Read More] Understanding Facial Nerve Paralysis: Recovery and Symptoms Explained
Understanding Glans Inflammation: Healing Progress and Concerns Explained
Balanitis, nearing recovery, with wrinkling of the glans and foreskin? Hello Doctor, I would like to ask some questions. I have phimosis, but I have no issues with retraction. I clean daily, but in early October, I noticed a red patch on the glans, which gradually expanded to cov...
Dr. Du Shixi Reply:
Hello: 1) Glans redness can vary; some cases are due to an active infection, while others may be from a chronic infection that hasn't completely resolved but is gradually improving. 2) The presence of many wrinkles on the glans is a result of prolonged inflammation, which ha...[Read More] Understanding Glans Inflammation: Healing Progress and Concerns Explained
Understanding Benign Tremors: Symptoms, Diagnosis, and Management Tips
Benign tremor Hello Doctor: Over the past year, I have been experiencing muscle twitching all over my body, and sometimes I also feel weakness, which makes me quite anxious. I have consulted many Western and traditional Chinese medicine doctors, but the symptoms persist, and I fe...
Dr. Jiang Junyi Reply:
Hello: Based on your description, it seems you are caught in a dilemma of seeking medical care from various sources. To address this issue, it is advisable to first select a medical center near your residence to consolidate your medical records, as cloud-based reports, while info...[Read More] Understanding Benign Tremors: Symptoms, Diagnosis, and Management Tips
Understanding Benign Tremors: Symptoms, Diagnosis, and Management Tips
Benign tremor Hello Doctor: Over the past year, I have been experiencing muscle twitching all over my body, and sometimes I feel weakness, which has made me quite anxious. I have consulted many Western and traditional Chinese medicine doctors, but the symptoms persist, and I feel...
Dr. Jiang Junyi Reply:
Hello: Based on your description, it seems you are caught in a dilemma of seeking medical care from various sources. To address this issue, it is advisable to first select a medical center near your residence to consolidate your medical information. While cloud-based reports can ...[Read More] Understanding Benign Tremors: Symptoms, Diagnosis, and Management Tips
Understanding Recovery Challenges After Orthognathic Surgery
Poor recovery status after orthognathic surgery? Hello, doctor... It has been over two years since my orthognathic surgery to advance my mandible, but the left side of my face is still experiencing muscle stiffness. When I smile, my face appears uneven, and the left side of my mo...
Dr. Jiang Junyi Reply:
Hello: Your description does not rule out issues related to peripheral facial nerve problems. Aside from corticosteroids, there is insufficient evidence to support the effectiveness of other treatment methods. After the acute phase, there are almost no medications that are defini...[Read More] Understanding Recovery Challenges After Orthognathic Surgery
Post-Surgery Facial Recovery: Addressing Concerns After Jaw Surgery
Poor recovery status after orthognathic surgery? Hello, doctor... It has been over two years since my orthognathic surgery to advance my mandible, but the left side of my face is still experiencing muscle stiffness. When I smile, my face is uneven, and the left side of my mouth f...
Dr. Jiang Junyi Reply:
Hello: Your description does not rule out issues related to peripheral facial nerve problems. Aside from corticosteroids, there is insufficient evidence to support the effectiveness of other treatment methods. After the acute phase, there are almost no medications that are defini...[Read More] Post-Surgery Facial Recovery: Addressing Concerns After Jaw Surgery
Can Facial Nerve Paralysis Aftermath Improve Over Time?
Facial nerve paralysis A year ago, I experienced facial nerve paralysis on the right side of my face. I went to the hospital for an examination and underwent relevant treatments for over a month at the time of the onset, and my condition improved significantly. However, there are...
Dr. Jiang Junyi Reply:
Hello: The peripheral facial nerve paralysis you mentioned is quite similar, primarily affecting the seventh cranial nerve. The clinical symptoms include occasional numbness or stiffness in the face. Due to the inability to close the eyelids, tearing may also occur. In the acute ...[Read More] Can Facial Nerve Paralysis Aftermath Improve Over Time?
Managing Cauliflower Warts: Treatment, Prevention, and Care Tips
Cauliflower issue I am currently undergoing treatment for warts, and after the first course of treatment, there has been significant improvement. 1. I am currently using Condylox (Podofilox). Since the warts have decreased, do I still need to continue using it? Should I switch ...
Dr. Du Shixi Reply:
Hello: This clinic cannot determine whether you can stop using Aldara without an examination. You need to consult a physician for a proper assessment. Generally, once the condition has improved, you do not need to continue applying the medication. Antiviral treatments should not ...[Read More] Managing Cauliflower Warts: Treatment, Prevention, and Care Tips
Is Ear Pain Normal During Recovery from Facial Nerve Disorder?
Is it common to experience pain in front of and behind the ear during the recovery process from facial nerve dysfunction? Hello Dr. Jiang, one week ago (Monday), I sought medical attention due to symptoms of right-sided muscle weakness and facial drooping. After a CT scan of the ...
Dr. Jiang Junyi Reply:
Hello: You mentioned peripheral facial nerve paralysis, which primarily affects the seventh cranial nerve. The clinical symptoms include occasional numbness or stiffness in the face. Due to the inability to close the eyelids, tearing may also occur. Sometimes, patients may notice...[Read More] Is Ear Pain Normal During Recovery from Facial Nerve Disorder?