Managing Trigeminal Neuralgia: Tips for Relief After Surgery
Trigeminal neuralgia Hello, I underwent a surgical excision of an odontogenic tumor four months ago. After the surgery, I started experiencing neuropathic pain, which was diagnosed as trigeminal neuralgia by a neurologist. I continue to have pain upon waking, and now I only exper...
Dr. Jiang Junyi Reply:
Dear Ms. Anne, You mentioned that your neurologist diagnosed you with trigeminal neuralgia, and that you experience persistent pain upon waking and are often awakened by pain during sleep. Your symptoms are affecting your sleep quality, and I recommend considering medication for...[Read More] Managing Trigeminal Neuralgia: Tips for Relief After Surgery
Understanding Persistent Headaches After Intense Exercise: Causes and Concerns
Persistent headaches after exercise? This evening, I did V-squats at the gym, and wanting to challenge myself, I increased the weight. During the squats, I forgot to breathe, and at the last rep, I felt a sensation like something in the back of my head was cracking or breaking. A...
Dr. Cai Zongzhang Reply:
Hello: Based on the symptoms mentioned, it is possible that there is a cervical disc displacement. It is recommended to visit a neurology outpatient clinic.[Read More] Understanding Persistent Headaches After Intense Exercise: Causes and Concerns
Understanding Neurological Symptoms: When to Seek Further Medical Help
Numbness in the head, facial numbness, and finger twitching, etc? Hello Dr. Tsai, a year and a half ago I experienced chest numbness, chin pain, pain in my left shoulder and left arm, and soreness in my left fingers and wrist. Subsequently, I developed numbness on the right side ...
Dr. Cai Zongzhang Reply:
Hello: Insufficient sleep can also trigger multiple neuropathic pain, making it harder to fall asleep and creating a vicious cycle. It is recommended to first improve sleep, which may also alleviate pain symptoms. Magnetic resonance imaging (MRI) has ruled out structural diseases...[Read More] Understanding Neurological Symptoms: When to Seek Further Medical Help
Understanding Bladder Reconstruction Surgery After Cancer Diagnosis
Bladder reconstruction surgery Hello Doctor, my mother is 77 years old and has been on dialysis for nearly twenty years, with no urine output. Recently, she was diagnosed with bladder cancer due to hematuria and has not yet undergone surgery. The stage of the cancer is currently ...
Dr. Li Minghui Reply:
Hello, ladies. 1. For patients with bladder tumors undergoing radical cystectomy who are also on dialysis due to renal failure, it is theoretically advisable to remove both kidneys to prevent future recurrence of the tumor in the kidneys and ureters. Additionally, reconstruction ...[Read More] Understanding Bladder Reconstruction Surgery After Cancer Diagnosis
Understanding Dizziness: Causes and Concerns After Neck Injury
Dizziness issues Bending down to wash my hair at a very low angle (almost similar to the yoga cat pose), I suddenly lost my sense of balance and felt dizzy, causing me to fall to the right side. However, I was still able to move my hands and feet freely, and I ended up in a posit...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that "the bending is very low (approximately similar to the angle of the yoga cat pose) and suddenly losing balance along with feelings of dizziness." This may indicate that we should first consider excessive traction on the cervical vertebrae&...[Read More] Understanding Dizziness: Causes and Concerns After Neck Injury
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
Finding Treatment for Syringomyelia: Hospitals and Specialists in Northern Taiwan
Syringomyelia I have symptoms of syringomyelia, including pain in my right neck, right shoulder, the area below the right shoulder, and pain in the right hand's thenar eminence, along with numbness in my left foot. Are there hospitals or doctors in the northern region that c...
Dr. Jiang Junyi Reply:
Dear Mr. A-Shan, You mentioned "the pain associated with syringomyelia..." The cause of syringomyelia is the accumulation of fluid within the spinal cord, which compresses the nerves and leads to symptoms such as sensory abnormalities, urinary and fecal incontinence, h...[Read More] Finding Treatment for Syringomyelia: Hospitals and Specialists in Northern Taiwan
Understanding Trigeminal Neuralgia: Insights from TMJ Disorders
Temporomandibular joint disorder causing trigeminal neuralgia? Hello, my symptoms began four years ago when I bit down on a hard object, resulting in a sudden electric shock-like pain in the left side of my face. Over the past few years, I have consulted with neurosurgeons, denti...
Dr. Jiang Junyi Reply:
Dear Mr. Kenny, You mentioned "trigeminal neuralgia." The cause of trigeminal neuralgia is primarily due to abnormal transmission of sensory signals by the trigeminal nerve. Approximately 80% of cases are caused by vascular compression of the trigeminal nerve at its en...[Read More] Understanding Trigeminal Neuralgia: Insights from TMJ Disorders
Memory Issues at 23: Seeking Help for Cognitive Decline
23 years old, experiencing memory impairment? Due to gastrointestinal issues, I have been taking traditional Chinese medicine for nearly five years. In 2022, I was diagnosed with COVID-19, and since then, I have noticed a decline in my memory. As a result, I have developed a habi...
Dr. Jiang Junyi Reply:
Hello Mr. Confuse: You mentioned, "Yesterday I went to 7-Eleven to buy dinner, but when I looked at the receipt today, I couldn't remember what I bought... This afternoon, I boiled water and let it cool, but in the evening, I forgot whether that pot of water had been bo...[Read More] Memory Issues at 23: Seeking Help for Cognitive Decline
Understanding Non-Traumatic Intracerebral Hemorrhage and Recovery Options
Non-traumatic cortical hemorrhage in the left frontal lobe? Hello, doctor. At the end of January this year, after flying back to Taiwan, I experienced mild headaches, cold sweats, and vomiting the next day, along with pale complexion, which prompted me to seek emergency medical c...
Dr. Peng Shiwei Reply:
Each individual's condition is different, and online consultations cannot replace in-person diagnoses. It is advisable to discuss subsequent treatment options with your primary physician. Thank you.[Read More] Understanding Non-Traumatic Intracerebral Hemorrhage and Recovery Options
Options for Salvage Treatment After Failed Proton Therapy for Prostate Cancer
For prostate cancer stage 2b, if proton therapy has failed, what alternative treatments are available? 1. I am 63 years old, diagnosed with prostate cancer T2b, grade group 2 (the measurable tumor is 1.3 cm, but there are scattered cells with approximately 80% on the left side an...
Dr. Lin Wenxu Reply:
Dear Mr. Yu, 1. The benefit of radical prostatectomy (surgery) is that all the tissue is removed, allowing for a more definitive pathological report (staging), but the risks are higher. 2. High-intensity focused ultrasound (HIFU) has a lower risk, but preoperative prostate curet...[Read More] Options for Salvage Treatment After Failed Proton Therapy for Prostate Cancer
Understanding Hematuria: Causes, Concerns, and Next Steps for Patients
Urinary occult blood Hello Doctor: In January, during the company health check, my urine test showed trace blood reaction ++. In February, I went to the hospital for further examination, and it also showed a trace blood reaction 3+, with red blood cells at 6-9 and bacteria at 1+....
Dr. Xu Wencang Reply:
Please consult your attending physician in person. Thank you.[Read More] Understanding Hematuria: Causes, Concerns, and Next Steps for Patients
Post-Surgery Memory Loss: When to Seek Help After Brain Tumor Removal
Recurrent amnesia after brain tumor surgery? Hello Dr. Tsai, my older brother was diagnosed with a brain tumor in the fifth grade (he is currently 29 years old) and underwent immediate surgical resection. Post-surgery, he occasionally experienced transient amnesia and dizziness, ...
Dr. Cai Zongzhang Reply:
Hello: Post-operative residual epilepsy is a common sequela of brain tumors. The aforementioned symptoms may be attributed to seizure activity, and it is recommended to visit a neurology outpatient clinic.[Read More] Post-Surgery Memory Loss: When to Seek Help After Brain Tumor Removal
Understanding Varicocele: When to See a Urologist or Nephrologist
Varicocele Hello, Dr. Du. Today I went to the hospital for an examination and was told that I might have a varicocele because only a physical examination and urinalysis were performed, and the urinalysis results were normal. I understand that a small part of the cause could be du...
Dr. Du Shixi Reply:
Hello: If there are any symptoms, please seek medical attention. If there are no symptoms, regular check-ups are recommended. Wishing you good health.[Read More] Understanding Varicocele: When to See a Urologist or Nephrologist
Understanding Intracerebral Hemorrhage and Venous Infarction After Surgery
Regarding cerebral hemorrhage and cerebral infarction? Hello, a family member recently underwent tumor resection surgery, during which there was intracranial bleeding. The CT scans on the day of and the day after the surgery indicated intracerebral hemorrhage (ICH). This informat...
Dr. Wu Mukhan Reply:
Hello, strokes can generally be classified into ischemic strokes and hemorrhagic strokes; however, ischemic strokes can also be complicated by bleeding. Ischemia in brain tissue can lead to damage to the blood-brain barrier, and if there is unstable blood pressure, the use of ant...[Read More] Understanding Intracerebral Hemorrhage and Venous Infarction After Surgery
Understanding Eye Pressure, Brain Pressure, and Vision Loss: A Patient's Journey
Intraocular pressure, intracranial pressure, and visual field loss? Hello, doctor. Since 2021, I have been regularly monitored at a hospital in central Taiwan due to elevated intraocular pressure. During this period, my eye pressure was normal for a while. After returning to Taip...
Dr. Jiang Junyi Reply:
Dear Mr. Huang, You mentioned that "high intracranial pressure" is often associated with significant and dangerous conditions. It is important to distinguish between acute and chronic increases in intracranial pressure. In cases of acute intracranial hypertension, pati...[Read More] Understanding Eye Pressure, Brain Pressure, and Vision Loss: A Patient's Journey
Understanding Anxiety in Elderly Patients with Constipation: Causes and Solutions
Elderly individuals experience high anxiety regarding "not having a regular daily bowel movement." My father is 82 years old and has been experiencing significant anxiety about bowel movements for the past year. If he does not have a bowel movement early in the morning,...
Dr. Jiang Junyi Reply:
Dear Ms. Zoe, You mentioned, "What could be the possible causes of anxiety related to 'constipation' (pseudoconstipation)? Is it related to dementia? How can family members assist? Which specialty should we consult?" Anxiety can activate the sympathetic nervo...[Read More] Understanding Anxiety in Elderly Patients with Constipation: Causes and Solutions
Understanding Right Lower Back Pain from Prolonged Lying and Urinary Issues
Prolonged lying down while holding in urine can cause pain in the lower right back? This symptom has been bothering me for six months. If I sleep for more than eight hours, I wake up in pain in the morning, feeling a persistent pain in a specific spot in my lower right back (abov...
Dr. Li Xinyi Reply:
Prolonged lying down or holding in urine can lead to discomfort in the body, especially holding in urine. It's important to recognize that when the body sends warning signals, we need to adjust our lifestyle to alleviate symptoms. For example, drink more water and urinate mo...[Read More] Understanding Right Lower Back Pain from Prolonged Lying and Urinary Issues
Understanding Neurological Changes After Influenza: Anxiety and Brain Health
Brain issues Hello, I would like to ask a question. Five years ago during the winter break, I contracted influenza A and had a high fever. After seeing a doctor, I felt somewhat better, but since that illness, I have felt strange. Sometimes I wake up very excited and chatty in th...
Dr. Jiang Junyi Reply:
Hello Mr. Jason: You mentioned, "I laugh when I laugh and get angry when I get angry," and you also asked if head injuries always lead to dizziness and vomiting. You previously had an MRI, and the doctor said everything was fine. You are concerned whether you might have...[Read More] Understanding Neurological Changes After Influenza: Anxiety and Brain Health
Understanding PSA and Free PSA Results: What to Expect Next
PSA/Free PSA, Free PSA/PSA values Hello Dr. Du, I recently received my company health check report, which indicated a PSA level of 4.430 (I am 50 years old, PSA <4). I was advised to undergo further examination. During the follow-up examination, the doctor performed an ultraso...
Dr. Du Shixi Reply:
Hello: There are many factors that can influence this. If the examination and ultrasound show no abnormalities, we will proceed with regular follow-up in three months. Most cases are benign. Wishing you good health.[Read More] Understanding PSA and Free PSA Results: What to Expect Next