Sudden Weakness and Unconsciousness in Elderly: Causes and Risks
Sudden paralysis and coma? The patient is 87 years old and has moderate Alzheimer's disease. At the end of 2022, he was diagnosed with aortic regurgitation, with no follow-up appointments. He has experienced two episodes (one year apart) of sudden loss of consciousness and w...
Dr. Jiang Junyi Reply:
Hello Ms. Huang, You mentioned experiencing "sudden loss of consciousness and weakness for about 5-10 minutes." I'm wondering if blood pressure and heart rate monitoring were conducted at that time? This symptom should be considered as a sign of syncope, with the ...[Read More] Sudden Weakness and Unconsciousness in Elderly: Causes and Risks
Overcoming Ejaculation Issues: Seeking Urology Solutions
Self-defense issues Hello doctor, I used to handle my genital area by lying down, but recently I've been trying to masturbate in a normal way and I'm unable to ejaculate. What can I do to resolve this? If I visit a urologist, what treatments or medications might be avai...
Dr. Liu Mingyue Reply:
Hello: Medication cannot be changed, so you need to take it slow. Change your habits, and I wish you good health.[Read More] Overcoming Ejaculation Issues: Seeking Urology Solutions
Can Toilet Seat Contact Lead to Infections? Urology Insights
Toilet-related issues? Hello doctor, may I ask if my clothes accidentally touch the toilet seat while using the restroom, will it cause an infection if I then touch other parts of my body or other areas? Thank you.
Dr. Du Shixi Reply:
Hello: There should be no issue with transmission. Wishing you good health.[Read More] Can Toilet Seat Contact Lead to Infections? Urology Insights
Can Toilet Seat Contact Lead to Infections? Urology Insights
Toilet-related issues? Hello doctor, may I ask if my clothes accidentally touch the toilet seat while using the restroom, and then I touch other areas or surfaces afterward, could this lead to an infection? Thank you.
Dr. Du Shixi Reply:
Hello: You shouldn't worry, you can rest assured. Wishing you good health.[Read More] Can Toilet Seat Contact Lead to Infections? Urology Insights
Struggling with Ejaculation: Urology Solutions for Sexual Health
Pressing on the genitals? Hello doctor, I used to manage my genital area by applying pressure while lying in bed, but recently I've been unable to ejaculate using a normal masturbation technique. What can I do to resolve this? If I visit a urologist, what treatment options m...
Dr. Du Shixi Reply:
Hello: Medication cannot be changed, so you need to take it slow. Change your habits, and I wish you good health.[Read More] Struggling with Ejaculation: Urology Solutions for Sexual Health
30 Days Post Circumcision: Addressing Concerns and Recovery Tips
30 days post circumcision? Hello Doctor, I have completed 30 days post circumcision and my recovery seems to be normal. My last follow-up appointment was on day 22, during which I asked the doctor why I still feel tight after the surgery and why the glans does not appear fully ex...
Dr. Lin Wenxu Reply:
Hello Mr. Anonymous: 1. Postoperative swelling of the foreskin should gradually improve over time. 2. Whether the frenulum is too tight can only be determined by a physician during an outpatient consultation. Dr. Lin Wen-Hsu, Urology Department, Nantou Hospital.[Read More] 30 Days Post Circumcision: Addressing Concerns and Recovery Tips
Understanding Your Neurology Report: Key Findings and Next Steps
Examination Report Hello Doctor, this is the examination I had done in June last year. I would like to ask for your help in reviewing it for any issues that I should be aware of, as I have diabetes and have recently been experiencing headaches, which makes me fearful of a stroke....
Dr. Cai Zongzhang Reply:
Hello, Xiaoping: The right side examination report shows no evidence of cerebral infarction, and the degree of carotid artery atherosclerosis is mild. It is recommended to actively manage diabetes and to follow up with carotid ultrasound annually.[Read More] Understanding Your Neurology Report: Key Findings and Next Steps
Understanding Right Neck and Shoulder Pain: When to Seek Neurology Help
Right shoulder and neck tightness and pain? Hello Doctor: For the past six months, I have been experiencing a tight and painful sensation on the right side of my neck, extending from my head down to a certain point on my shoulder, similar to a nerve issue. I have difficulty turni...
Dr. Cai Zongzhang Reply:
Hello Ms. Liu: It is recommended to visit the neurology department for a cervical spine examination.[Read More] Understanding Right Neck and Shoulder Pain: When to Seek Neurology Help
Understanding Dizziness and Body Shaking: When to Seek Neurological Help
Feeling of body swaying? Hello, doctor. Recently, I spent too much time at the computer maintaining a posture, and after getting up, I noticed stiffness in my neck muscles along with dizziness. I visited a traditional Chinese medicine practitioner who said my muscles were inflame...
Dr. Peng Shiwei Reply:
It is recommended that you visit a neurology outpatient clinic for evaluation and treatment by a specialist to determine if further examinations are necessary. Thank you.[Read More] Understanding Dizziness and Body Shaking: When to Seek Neurological Help
Understanding Post-Surgery Calf Issues: When to Seek Medical Help
Calf issues Hello Doctor, I underwent RF (radiofrequency) calf surgery 9 days ago and have been unable to stand on flat ground since then. When barefoot, I experience the following difficulties: I cannot stand upright, my knees cannot straighten, I cannot rise onto my toes, and I...
Dr. Peng Shiwei Reply:
It is uncertain what type of surgery you underwent. Please follow up with your surgeon for a discussion, or seek evaluation from a specialist in plastic surgery or neurology at a regional hospital or higher. Thank you.[Read More] Understanding Post-Surgery Calf Issues: When to Seek Medical Help
Head Injury Concerns: When to Seek Medical Attention After Trauma
Head issues Hello, doctor. My mother is 50 years old and was hit on the back of her head by a car door this morning. She is currently on anticoagulants due to vasculitis, and I am very concerned about the possibility of microvascular rupture and other issues. Which specialty shou...
Dr. Jiang Junyi Reply:
Hello Hue: It has been over 10 days now; how is your mother doing? If she is in her 50s and has not experienced loss of consciousness or significant localized hematoma, there may not be too much to worry about. Delayed intracranial hemorrhage typically occurs within 48 hours, wit...[Read More] Head Injury Concerns: When to Seek Medical Attention After Trauma
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 Finger Weakness: Causes and Solutions for Right Index Finger
Unable to lift fingers? I am unable to fully extend my right index finger to form the number "1." The finger often can only be raised halfway before I feel weakness and cannot straighten it further, although sometimes I can lift it a little higher. It varies throughout ...
Dr. Jiang Junyi Reply:
Dear Mr. Ren, You mentioned that your fingers often can only be raised halfway before becoming weak and unable to straighten. This may indicate an abnormality in the extensor indicis muscle, which is primarily innervated by the median nerve extending from the cervical spine. How...[Read More] Understanding Finger Weakness: Causes and Solutions for Right Index Finger
Leg Numbness and Weakness After Walking: Diabetes Concerns
On Saturday, after walking a longer distance, I experienced numbness and weakness in my calves and thighs? Hello Doctor, my mother has a nearly 30-year history of diabetes. Recently, her hemoglobin A1c was 7.8. After visiting the clinic on Saturday, she walked about 800 meters to...
Dr. Jiang Junyi Reply:
Dear Ms. Xiao Wei, You mentioned that your mother experienced symptoms of numbness and weakness in her thighs after walking approximately 800 meters on Sunday. If the numbness is in the thighs, we may need to consider lumbar nerve root compression. Symptoms of peripheral nerve c...[Read More] Leg Numbness and Weakness After Walking: Diabetes Concerns
Managing Nerve Pain and Swelling in Elderly Patients After Spine Surgery
Tightness in the thigh muscles, numbness, and mild edema in the legs? My mother, who is 88 years old, participated in a volunteer trip on November 14, where she walked too much, resulting in foot pain and nerve compression that prevented her from sleeping and standing. During thi...
Dr. Jiang Junyi Reply:
Dear Ms. Amy, You mentioned that your mother is experiencing numbness in her feet, along with a sensation that the tendons in her right foot seem to be pulling up towards her buttocks. This may indicate compression of the lumbar nerve roots. Post-surgery, it is common to encount...[Read More] Managing Nerve Pain and Swelling in Elderly Patients After Spine Surgery
Two Years of Dizziness: Unraveling the Mystery Behind Neurological Symptoms
Dizziness for two years with no identifiable cause? About three years ago, I had to take a break from school due to panic attacks caused by dizziness. During this time, I frequently visited the emergency room. After being diagnosed two years ago, I suddenly experienced severe diz...
Dr. Jiang Junyi Reply:
Dear Mr. Chen, You mentioned, "Could my dizziness be related to my long-standing high cholesterol?" Indeed, elevated cholesterol levels, particularly high LDL (low-density lipoprotein), can accelerate atherosclerosis. High concentrations of LDL in the bloodstream can a...[Read More] Two Years of Dizziness: Unraveling the Mystery Behind Neurological Symptoms
Understanding Penile Hard Lumps: Causes, Concerns, and Care
Glans penis hard lump Hello, I have a question I would like to ask. I noticed that after frequent masturbation over the past few days, a round hard lump appears near the glans of my penis (it is more noticeable when erect), and that area feels numb. However, after resting for a f...
Dr. Du Shixi Reply:
Hello: Based on your situation, penile cancer may present as a lump that may or may not be palpable at times. If a urologist has already examined you, then observation is appropriate. Wishing you good health.[Read More] Understanding Penile Hard Lumps: Causes, Concerns, and Care
Should You See a Urologist or Dermatologist for Glans Ulcer Issues?
Glans issues The glans appears ulcerated (without sexual activity). Should I definitely see a urologist, or can I consult a dermatologist? The nearest urology clinic is a large hospital that is at least an hour's drive from my home.
Dr. Chen Jiansheng Reply:
Please seek medical attention.[Read More] Should You See a Urologist or Dermatologist for Glans Ulcer Issues?
Understanding Pulsating Sensations in the Area from Scrotum to Anus
Twitching or pulsating sensations in the area from the scrotum to the anus? Hello, Dr. Jian: My symptoms occur in the area from below the scrotum to near the anus, where I sometimes experience twitching or pulsating sensations. I am wondering if this could be related to varicose ...
Dr. Jian Weihong Reply:
Hello: It may be caused by local nerve stimulation; the reason is difficult to determine, and it is mostly observed. Wishing you good health.[Read More] Understanding Pulsating Sensations in the Area from Scrotum to Anus
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