Understanding Leg Pain and Numbness After Orthognathic Surgery
Swelling and pain in the calf, numbness in the dorsum of the foot? Hello Doctor, after undergoing orthognathic surgery (under general anesthesia for over 8 hours), I woke up to discomfort in my right leg, feeling similar to a calf cramp. I have intermittently visited traditional ...
Dr. Jiang Junyi Reply:
Dear Ms. Ruby, You mentioned that "the joint of the right big toe extends diagonally to the dorsum of the ankle, and touching it causes a tingling sensation, while not touching it does not elicit any numbness, although occasionally there is a sharp, electric pain in the mid...[Read More] Understanding Leg Pain and Numbness After Orthognathic Surgery
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
Understanding Autonomic Nervous System Disorders and Muscle Tremors
Autonomic nervous system dysfunction and muscle (exercise) tremors? Hello, Doctor: I would like to inquire about two aspects related to abnormal neurological and muscular movements: A. When I hold a pen with my right hand to write, I experience involuntary tremors that lead to ...
Dr. Peng Shiwei Reply:
Hello, it is recommended that you visit a neurology or pain management clinic for evaluation. Thank you.[Read More] Understanding Autonomic Nervous System Disorders and Muscle Tremors
Understanding EPS Symptoms After Gastroenteritis Treatment: A Neurology Perspective
Symptom Analysis Last week, after taking antiemetics for gastroenteritis, I experienced extrapyramidal symptoms (EPS). It started with my teeth chattering, followed by sudden jaw deviation. I immediately went to the emergency room for an injection, which corrected the jaw misalig...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: You mentioned, "Last night before bed, I took a muscle relaxant and my muscles started twitching involuntarily." Generally speaking, symptoms of extrapyramidal syndrome (EPS) caused by medication typically improve within three days after discontinuation....[Read More] Understanding EPS Symptoms After Gastroenteritis Treatment: A Neurology Perspective
Can MRI Detect Epilepsy Four Days After Seizure? Insights from Neurology
Can a test detect epilepsy four days after a seizure? I would like to ask you, during my first seizure, it occurred in the morning. The precursor was a feeling of fear, and then I lost consciousness. When I woke up, I was sitting on the sofa with a bump on my head. However, about...
Dr. Cai Zongzhang Reply:
Hello: During the first seizure, the physician will arrange for blood tests and brain imaging studies to diagnose the underlying cause of epilepsy. Typically, blood tests are completed immediately upon presentation, checking for any abnormalities in blood components. The purpose ...[Read More] Can MRI Detect Epilepsy Four Days After Seizure? Insights from Neurology
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 Jaw Numbness: Causes and Concerns in Neurology
Jaw issues? Hello, doctor. My chin suddenly feels a bit numb, but I haven't had orthognathic surgery, tooth extraction, or dental implants. I just suddenly feel some numbness in my chin, and recently I've also been experiencing issues with Eustachian tube dysfunction an...
Dr. Peng Shiwei Reply:
It is recommended that you seek medical treatment in the appropriate specialty department based on your discomfort. Thank you.[Read More] Understanding Jaw Numbness: Causes and Concerns in Neurology
Understanding Puberty: Common Urology Concerns in Adolescents
Puberty Issues Hello, doctor. I would like to consult about developmental issues. I have developed some pubic hair, a little bit of facial hair, but no underarm hair. My erect penis measures 10.5 cm in length and 2.5 cm in diameter, with the glans diameter being 2.8-3 cm. Is havi...
Dr. Cai Zhuorong Reply:
Normal.[Read More] Understanding Puberty: Common Urology Concerns in Adolescents
Understanding Tinnitus and Chronic Fatigue: Insights from Neurology
Tinnitus and fatigue issues? Hello Dr. Tsai, I am not only troubled by tinnitus, but I also experience fatigue and overall exhaustion. No matter what I do, I just can't seem to muster any energy; I feel very tired. I am not working and have no stress. My tinnitus was checked...
Dr. Cai Zongzhang Reply:
Hello Ms. Chen: There are many causes of tinnitus. If there are no abnormalities found during the examination by an otolaryngologist, you may consider seeing a neurologist for further evaluation.[Read More] Understanding Tinnitus and Chronic Fatigue: Insights from Neurology
Frequent Involuntary Toe Twitches: Should You Be Concerned?
Involuntary frequent twitching of the toes? I would like to ask the doctor, since last night until today, my left little toe has been twitching slightly every three minutes, mostly while sitting and lying down. Is this normal? The continuous repetition makes me very anxious. Than...
Dr. Peng Shiwei Reply:
It is recommended to visit a neurology outpatient clinic for evaluation. Thank you.[Read More] Frequent Involuntary Toe Twitches: Should You Be Concerned?
Managing Preputial Edema: When to See a Urologist
Treatment for preputial edema? Hello doctor, a couple of days ago I masturbated quite vigorously, and that day I experienced some pain in my left pelvic and thigh joint. I had a fever that night, which subsided the next day, but my foreskin has swollen up. It has been swollen for...
Dr. Du Shixi Reply:
Hello: You may have a fever, and it's important to get checked if you are experiencing pain. If you notice any redness, seek medical attention. Please keep the area clean and dry, and wear loose-fitting underwear. Wishing you good health.[Read More] Managing Preputial Edema: When to See a Urologist
Understanding HPV and Its Impact on Partners: A Urology Perspective
The partner has been diagnosed with genital warts by a gynecologist? Hello doctor, my partner went to see a physician and believes that I transmitted something to her. However, we have been engaging in unprotected intercourse for the past three months. Recently, in the last two w...
Dr. Chen Jiansheng Reply:
Please seek medical attention.[Read More] Understanding HPV and Its Impact on Partners: A Urology Perspective
Unexplained Wounds Under the Foreskin: A Urology Concern
Unidentified wound under the prepuce of the glans? The topic: I frequently experience lesions similar to acne, sometimes presenting as round wounds measuring 1-2 mm. This has been ongoing for five years. During the second year of the condition, I went to a major hospital for bloo...
Dr. Du Shixi Reply:
Hello: Such situations are not uncommon in clinical practice, but they usually occur a few times a year and resolve with treatment in 2-3 weeks. Therefore, it is generally advised to pay close attention to wound care when there is an injury, keep the area dry, ensure adequate res...[Read More] Unexplained Wounds Under the Foreskin: A Urology Concern
Is It Carpal Tunnel Syndrome? Understanding Symptoms and Diagnosis
Is this carpal tunnel syndrome? 1. I experience a tingling sensation in the interphalangeal joints, sometimes accompanied by a tearing pain that radiates downward. Additionally, when using a mouse or smartphone, I feel soreness in my wrist (the dorsal side), and my fingers are sw...
Dr. Jiang Junyi Reply:
Dear Mr. Wei, You mentioned the "tingling sensation in the metacarpophalangeal joint area... carpal tunnel syndrome will definitely cause numbness." This is because sensory nerves are usually affected first, so most patients present with a tingling sensation initially....[Read More] Is It Carpal Tunnel Syndrome? Understanding Symptoms and Diagnosis
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
Feeling Saliva on Your Face Without Actual Drooling: Possible Causes
Sometimes there is a sensation of drooling on the face, but when I touch it, it feels dry? Hello doctor, since last week I have frequently felt a sensation of drooling on my face. Sometimes it feels like saliva is flowing from the corner of my mouth down to my chin, but when I to...
Dr. Wu Mukhan Reply:
Hello, your symptoms may be related to a trigeminal nerve issue. If the symptoms do not improve, it is advisable to visit a hospital's neurology department for further evaluation.[Read More] Feeling Saliva on Your Face Without Actual Drooling: Possible Causes
Understanding Infection Risks After Intimate Encounters: A Urology Perspective
Infection risk Hello, doctor. Earlier, I visited an entertainment venue and engaged in activities with a woman, including being in the water together and sharing a light kiss. Following that, she performed oral sex on me without a condom. The woman used mouthwash beforehand, and ...
Dr. Du Shixi Reply:
Hello: You can refer to the following principles for categorizing sexual behaviors based on their risk levels. No-risk activities include masturbation, hugging, and touching areas other than the genitals; low-risk activities include mutual masturbation, light kissing, mutual rubb...[Read More] Understanding Infection Risks After Intimate Encounters: A Urology Perspective
Understanding Testicular Size: Normal Ranges and Differences Explained
Inquiry for clarification? Dear Dr. Du, Hello! Thank you very much for your previous responses and guidance regarding my questions about the testes. Recently, I inquired at the urology clinic where I had my consultation about the data from my testicular ultrasound. The clinic ph...
Dr. Du Shixi Reply:
Hello: The data should be normal; in fact, there is a significant variation among males, and the vast majority are unaffected. Wishing you good health.[Read More] Understanding Testicular Size: Normal Ranges and Differences Explained
Understanding Dizziness: Causes and Solutions for Neurological Issues
Recently, I have been frequently experiencing dizziness and lightheadedness? Hello Doctor, I have been experiencing frequent dizziness during the day, usually lasting one to two seconds. The situation worsens at night, where I feel increasingly dizzy, culminating in a sensation o...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that you often feel dizzy during the day, usually lasting one to two seconds. Your irregular lifestyle, with reversed day and night cycles, along with significant tobacco and alcohol use, is concerning. If the symptoms continue to progress, you may need ...[Read More] Understanding Dizziness: Causes and Solutions for Neurological Issues
Understanding Dizziness and Concentration Issues: Possible Causes and Treatments
Dizziness / tightness in the back of the head / difficulty concentrating? Hello Doctor, since mid-2021, I have been experiencing intermittent tightness and numbness in the back of my head, along with dizziness (similar to motion sickness), accompanied by difficulty concentrating ...
Dr. Cai Zongzhang Reply:
Hello Ms. Chen: Based on the above, after a thorough examination, including an MRI, it has been confirmed that there are no organ abnormalities. It is recommended to improve sleep quality and engage in moderate exercise, in conjunction with medication treatment.[Read More] Understanding Dizziness and Concentration Issues: Possible Causes and Treatments