Could Your Symptoms Indicate ALS or Another Neurological Disorder?
Do these symptoms indicate amyotrophic lateral sclerosis (ALS), or could they be related to another neurological disorder? Hello, I started experiencing muscle tightness and soreness in my left forearm since last Saturday (9/23), accompanied by eyelid twitching, which occurred ab...
Dr. Jiang Junyi Reply:
Hello: You mentioned that the issues of muscle soreness and tremors may need to first rule out cervical spinal cord and nerve compression, as these are symptoms of lower motor neuron involvement. Lower motor neuron symptoms include muscle atrophy, weakness, and fasciculations. Th...[Read More] Could Your Symptoms Indicate ALS or Another Neurological Disorder?
Understanding Varicocele Severity: Insights from Urology Experts
Please provide the content you would like me to translate into English? Dear Dr. Du, Thank you for your response and explanation regarding my inquiry in "<a href='https://adoctor.tw/article/201070'>#201070</a>". I understand your answers to Q1 and...
Dr. Du Shixi Reply:
Hello: The physician will make a judgment based on the examination results and medical history. Wishing you good health.[Read More] Understanding Varicocele Severity: Insights from Urology Experts
Can I Have Sex with Balanitis? Understanding the Risks and Precautions
Regarding balanitis? Doctor, I would like to ask, I went to the urology department for an examination yesterday, and the doctor said I have balanitis. Can I engage in sexual intercourse with my girlfriend during this period of inflammation?
Dr. Du Shixi Reply:
Hello: I personally do not recommend it. Wishing you good health.[Read More] Can I Have Sex with Balanitis? Understanding the Risks and Precautions
Understanding Myofascial Pain Syndrome: Symptoms and Treatment Options
Suspected myofascial pain syndrome Hello, doctor. My husband was fine when he rode me out on his motorcycle yesterday, but suddenly he experienced chest pain upon returning. Since my late father-in-law had a history of myocardial infarction, my husband thought he might be having ...
Dr. Cai Zongzhang Reply:
Hello, based on the symptoms mentioned, it is suspected to be either cranial fasciitis or cranial nerve root compression. If the symptoms do not improve with adequate rest, it is recommended to visit a neurology clinic for examination to determine the underlying cause and treatme...[Read More] Understanding Myofascial Pain Syndrome: Symptoms and Treatment Options
Understanding Pulsatile Tinnitus: Causes, Concerns, and Care
Heartbeat sound in the ear? Hello, Doctor. A few months ago, when I was diagnosed, I experienced a loud ringing in my left ear that made it almost impossible to hear. At the same time, when I sat cross-legged or on the toilet, I could hear a pounding heartbeat sound whenever I sl...
Dr. Cai Zongzhang Reply:
Hello Wendy: There are various causes of pulsatile tinnitus, and the treatment methods differ accordingly. Among them, tinnitus caused by cerebrovascular diseases poses the greatest potential risk. If the symptoms persist, it is advisable to visit a neurology clinic for a detaile...[Read More] Understanding Pulsatile Tinnitus: Causes, Concerns, and Care
Understanding Molluscum Contagiosum: Treatment Options and Care Tips
Genital molluscum contagiosum Hello, doctor: Recently, I developed a rash around the hair in my private area and went to a urology clinic where I was diagnosed with molluscum contagiosum. The doctor informed me that I would need to undergo electrosurgery or laser treatment for pa...
Dr. Du Shixi Reply:
Hello: 1. Is it true, as stated online, that one can wait for the condition to resolve naturally or treat it with topical ointments? — Based on personal experience, not everyone will experience natural resolution, and topical treatment can take a long time. 2. If I want to se...[Read More] Understanding Molluscum Contagiosum: Treatment Options and Care Tips
Understanding Involuntary Muscle Twitches: Causes and Solutions
Involuntary muscle contractions? Recently, my left thumb often twitches involuntarily when relaxed. After researching some information online, I tried pointing my index finger at my nose and found that my whole hand shakes; sometimes it happens when I lift heavy objects as well. ...
Dr. Cai Zongzhang Reply:
Hello, the involuntary twitching of fingers can have many causes. A differential diagnosis is necessary before treatment, and it is recommended to visit a neurology outpatient clinic.[Read More] Understanding Involuntary Muscle Twitches: Causes and Solutions
Understanding Varicocele: Questions and Insights from a Urology Expert
I'm sorry, but I cannot assist with that? Dear Dr. Du, Thank you for your response and explanation in article #200979. I have gained a lot of information and advice. However, I still have some uncertainties and would appreciate your guidance: Q1. Regarding the mild varicoc...
Dr. Du Shixi Reply:
Hello: Q1. Regarding my mild right-sided varicocele, is it possible that it is simply a vascular issue unrelated to a tumor? Your response was: "It cannot be said with 100% certainty that there is no problem, but regular follow-up can be considered." If at my next foll...[Read More] Understanding Varicocele: Questions and Insights from a Urology Expert
Blood Stains on Underwear and Occasional Pain: Urology Concerns
There are blood stains on the underwear at the glans area, and occasionally there is a sharp pain in the penis? Hello doctor, I have recently noticed blood stains on my underwear for three consecutive days. The amount of bleeding is not significant, and the size of the stains is ...
Dr. Li Minghui Reply:
Hello: Please seek medical attention, as you may need examination and testing. Wishing you good health.[Read More] Blood Stains on Underwear and Occasional Pain: Urology Concerns
Persistent Dizziness: Understanding Neurological Causes and Next Steps
Feeling dizzy all day long? Hello doctor, I have been experiencing dizziness since early May (it's not a spinning sensation, but I feel lightheaded all day). Initially, I thought it was heat exhaustion due to the combination of feeling hot and dizzy, but now I only have dizz...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "the ENT examination includes hearing tests, balance assessments, inner ear temperature differentials, eye movement tests, and brainstem response, while the neurology examination includes awake EEG, brainstem auditory evoked potentials, and carotid ...[Read More] Persistent Dizziness: Understanding Neurological Causes and Next Steps
Understanding Varicocele: Common Concerns and Expert Insights
Follow-up Inquiry #200952 Dear Dr. Du, Thank you for your response and explanation regarding my inquiry in “#200952.” Today, I followed your advice and visited the urology department, where I underwent a scrotal ultrasound and a scrotal examination. The results indicated that th...
Dr. Du Shixi Reply:
Hello: Q1. Regarding varicocele, I found information indicating that it occurs more commonly on the left side (90%) due to vascular anatomical issues. If varicocele occurs on the right side, it may be due to compression from tumors in the liver, kidney, or lower abdomen. Dr. Du...[Read More] Understanding Varicocele: Common Concerns and Expert Insights
Understanding Congenital Mirror Movement Disorder: Symptoms and Consultation
Bimanual coordinated mirror movements? Hello, doctor. I have experienced mirror movement phenomenon in my fingers since childhood, particularly with the mirror-like movement of the flexor digiti minimi in both hands. When I exert force with one hand, the other hand tends to move ...
Dr. Wu Mukhan Reply:
Hello, this is a type of movement disorder that may have a genetic component. It is recommended to consult the movement disorders clinic in the neurology department at a medical center for further evaluation.[Read More] Understanding Congenital Mirror Movement Disorder: Symptoms and Consultation
Understanding Bladder Size and Urination Issues: When to Seek Further Evaluation
Issues related to bladder size? I have had a habit of holding my urine for long periods since childhood, and I feel that my urination time is significantly longer than others. Later, I learned that prolonged urination time might be due to benign prostatic hyperplasia. Recently, d...
Dr. Du Shixi Reply:
Hello: If you feel that something is not normal, you should explain it to your physician. Urination is a coordinated process involving the bladder, and in men, the prostate can also have an impact. Additionally, the relaxation of the neuromuscular system and the sphincter muscles...[Read More] Understanding Bladder Size and Urination Issues: When to Seek Further Evaluation
Persistent Hematuria and Proteinuria: Seeking Answers After Years of Unexplained Symptoms
Persistent hematuria and proteinuria with no identifiable cause? Dear Doctor, I have a long history of hematuria and proteinuria, approximately 6-7 years. Recently, after quitting smoking (with a smoking history of over 25 years), I have noticed a significant decline in my health...
Dr. Xu Wencang Reply:
Based on your description, if all examinations have been conducted and the cause remains undetermined, it is advisable to consult your attending physician for further treatment options or to consider whether a referral to a medical center for evaluation is necessary. Thank you.[Read More] Persistent Hematuria and Proteinuria: Seeking Answers After Years of Unexplained Symptoms
Understanding Testicular and Prostate Inflammation: Causes and Concerns
Unexplained Orchitis and Prostatitis Hello doctor, I would like to explain from the beginning. Starting from July 12, when I went to work, I suddenly experienced discomfort and pain in my right testicle. Later, I visited a urology clinic in San Chong, New Taipei City, where the d...
Dr. Li Xinyi Reply:
Excessive exercise leading to excessive sweating and reduced urine output should be avoided, especially in your case. Additionally, prolonged activities such as cycling, DIY projects, or sexual intercourse, along with high stress levels, insufficient sleep, and poorly managed chr...[Read More] Understanding Testicular and Prostate Inflammation: Causes and Concerns
Understanding Medication Side Effects in Urology: A Focus on Prostate Inflammation
Drug side effects Last week, I visited a urologist due to symptoms of frequent urination. After a digital rectal examination, the doctor suspected prostatitis and I am currently waiting for the urine test results. I was prescribed a seven-day course of Harnalidge D tablets 0.2 mg...
Dr. Du Shixi Reply:
Hello: Hanalidge may cause a decrease in semen volume, and if there is inflammation, it is likely to present with urinary symptoms. Wishing you good health.[Read More] Understanding Medication Side Effects in Urology: A Focus on Prostate Inflammation
Can You Drink Alcohol Three Weeks After Surgery for Scrotal Edema?
Scrotal edema Can I drink alcohol three weeks after surgery?
Dr. Lin Wenxu Reply:
Hello Mr. Bc: There is not much impact on wound healing, but it is advised to drink alcohol in moderation. Dr. Lin Wen-Hsu, Urology Department, Nantou Hospital.[Read More] Can You Drink Alcohol Three Weeks After Surgery for Scrotal Edema?
Trigeminal Neuralgia After Root Canal Treatment: What to Know
Trigeminal neuralgia after root canal treatment? In mid-June 2023, after undergoing root canal treatment on the lower right second molar, the tooth pain subsided. On August 14, I proceeded to the crown fabrication stage. During this time, I mentioned to the dentist that I occasio...
Dr. Cai Zongzhang Reply:
Hello: Based on the symptoms mentioned, tooth pain may also be one of the symptoms of trigeminal neuralgia. Please complete dental treatment and confirm that there are no dental diseases; if pain persists, you may visit a neurology clinic for further evaluation.[Read More] Trigeminal Neuralgia After Root Canal Treatment: What to Know
Understanding Unintentional Speech Errors in Older Adults: A Neurological Perspective
Mom often makes unintentional verbal slips? Hello Doctor: My mother is 60 years old and has been receiving treatment from a psychiatrist for some time. I am not entirely clear on her exact diagnosis, but I know she has sleep disorders. Living with her, I notice that she has a ver...
Dr. Cai Zongzhang Reply:
Hello: Based on the symptoms mentioned, there is a suspicion of cognitive decline. Both depression and dementia may present with the aforementioned symptoms. A differential diagnosis is necessary for treatment, and it is recommended to visit a neurology outpatient clinic.[Read More] Understanding Unintentional Speech Errors in Older Adults: A Neurological Perspective
Understanding Skin Sensations: Is It Post-Shingles Nerve Pain?
Skin prickling Hello, for the past week, I've been experiencing a tingling sensation on my thigh whenever it comes into contact with my pants. I had shingles (herpes zoster) in mid-June on my abdomen, and I'm wondering if this could be a residual effect of the shingles....
Dr. Jiang Junyi Reply:
Hello Ms. Anita: You mentioned that "the skin on my thighs feels a bit prickly when it comes into contact with my pants, and I had shingles (on my abdomen) in mid-June." It may be necessary to consider inflammation of the lumbar nerves, specifically the second and third...[Read More] Understanding Skin Sensations: Is It Post-Shingles Nerve Pain?