Which Specialist to Consult for Hand Coordination and Numbness Issues?
For issues related to fine motor skills in the hands and symptoms of numbness in the hands and feet, you should consult a neurologist for diagnosis and treatment? Hello Doctor, I would like to ask, I have had poor fine motor skills in my hands since childhood, and I also experien...
Dr. Peng Shiwei Reply:
Hello, I recommend that you visit a neurology outpatient clinic for consultation. Thank you for your inquiry.[Read More] Which Specialist to Consult for Hand Coordination and Numbness Issues?
Understanding Testicular Pain: Causes and Concerns in Urology
Testicular issues? Hello Doctor, since last year, I have been experiencing noticeable sharp and dragging pain in my right testicle (occasionally the left side hurts as well). The right testicle often feels like it is being pulled. I visited a nearby clinic and a urology departmen...
Dr. Du Shixi Reply:
Hello: It is common in outpatient settings to experience pain without a clear cause, which is often neuropathic pain. Wishing you good health.[Read More] Understanding Testicular Pain: Causes and Concerns in Urology
Understanding Painful Symptoms and Excessive Smegma: A Urology Concern
Penile pain and increased smegma? Doctor, please help me. I had sexual intercourse in February with a condom and received oral sex. Since then, I have been afraid to seek medical attention. My penis hurts and is red and swollen when I squeeze it, and I have an unusually high amou...
Dr. Du Shixi Reply:
Hello: Please seek medical attention. There may be an infection. Wishing you good health.[Read More] Understanding Painful Symptoms and Excessive Smegma: A Urology Concern
High Frequency Muscle Twitches and Fatigue in a 14-Year-Old: Possible Causes
Frequent muscle twitching throughout the body and a feeling of weakness? Muscle twitching occurs frequently, with some localized spasms. It intensifies when I feel restless. I experience a tingling sensation similar to being electrocuted when sitting or lying down. I feel fatigue...
Dr. Jiang Junyi Reply:
Hello Mr. Pao, You mentioned experiencing a sensation similar to being electrocuted when sitting or lying down, which is a symptom of peripheral nerve compression. This is not indicative of amyotrophic lateral sclerosis (ALS), which is a type of motor neuron disease. ALS present...[Read More] High Frequency Muscle Twitches and Fatigue in a 14-Year-Old: Possible Causes
Toilet Habits and Infection Risks: Urology Insights You Need
Toilet and infection issues? Hello, Doctor. 1. Can excessive cleaning of the intimate area cause slight pain when using the restroom? 2. When using public restrooms, if my hands touch the doorknob or faucet and then I touch my intimate area or anus, can this lead to infections...
Dr. Du Shixi Reply:
Hello: 1. Can excessive cleaning of the intimate area cause slight pain when using the restroom? --> It is possible. 2. If I touch a doorknob or faucet while using a public restroom and then touch my intimate area or anus, is there a risk of infection or disease transmissi...[Read More] Toilet Habits and Infection Risks: Urology Insights You Need
Understanding Muscle Twitching: Causes, Symptoms, and When to Seek Help
Involuntary muscle twitching? Hello doctor, over the past month, my muscles (not limited to any specific area, but mostly in my thighs and right shoulder) have been twitching involuntarily. The symptoms worsen during times of anxiety, tension, or panic. In the past few days, I&#x...
Dr. Jiang Junyi Reply:
Hello, Guo: You mentioned feeling "weakness in breathing, shallow breaths, and a sense of bodily weakness." Your concern about amyotrophic lateral sclerosis (ALS) primarily relates to issues with motor neurons. Motor neurons control muscle movement; generally, the moto...[Read More] Understanding Muscle Twitching: Causes, Symptoms, and When to Seek Help
Could My Symptoms Indicate ALS? Understanding the Risks and Next Steps
Is it amyotrophic lateral sclerosis (ALS)? Hello Doctor, last month a family elder was diagnosed with ALS, and blood tests are currently being analyzed to determine if there is a genetic mutation or hereditary cause. Since then, I have started to feel weakness in my right hand an...
Dr. Jiang Junyi Reply:
Dear Mr. Yu, You are concerned about ALS, which is a chronic muscle-wasting disease that can lead to muscle atrophy. If upper motor neurons die, abnormal signal transmission may cause muscle twitching. In the early stages, it is actually difficult to diagnose. Approximately only...[Read More] Could My Symptoms Indicate ALS? Understanding the Risks and Next Steps
Understanding Sudden Heat in the Right Ankle: Possible Causes and Concerns
Heat in the right ankle? Hello, doctor. Recently, I've been experiencing sudden warmth in my right ankle that goes away quickly, but then returns after a while. I would like to know what could be causing this. Is it possible that it could be due to a brain tumor pressing on ...
Dr. Jiang Junyi Reply:
Hello Mr. Long: You mentioned that the area around your right ankle suddenly feels warm. I wonder if you are experiencing any abnormal sensations such as tingling or numbness? Are there any other neurological symptoms? We may need to consider peripheral tissue issues, particularl...[Read More] Understanding Sudden Heat in the Right Ankle: Possible Causes and Concerns
Understanding Involuntary Muscle Twitches: Causes and Concerns
Involuntary muscle twitching? I am a 35-year-old male, non-smoker, non-drinker, and I do not consume betel nut or coffee. I am 180 cm tall and weigh 55 kg. I have a regular exercise routine that includes both strength training and aerobic exercises. Over two years ago, I suddenly...
Dr. Jiang Junyi Reply:
Hello Mr. Hsuan, You mentioned experiencing "twitching in your toes, similar to after finishing a hike, a jog, walking a long distance, or sitting on a specific sofa..." The muscle twitching you are experiencing may be related to several factors: exercise, acute viral ...[Read More] Understanding Involuntary Muscle Twitches: Causes and Concerns
Understanding the Reality of Neurological Sensations and Hallucinations
The sensation of a burning feeling in the brain? Recently, I have been considered to have a dissociative disorder and I wonder if it is caused by hallucinations, but they feel very real. I experience sensations of spinning, a line, and an inability to think; it feels like there a...
Dr. Jiang Junyi Reply:
Dear Mr. Hsueh, You mentioned "dissociative disorder, wondering if it is caused by hallucinations." Your symptoms may need to first rule out structural issues in the brain, as abnormal electrical discharges can sometimes present similar symptoms. I recommend that you v...[Read More] Understanding the Reality of Neurological Sensations and Hallucinations
Understanding Neurofibromatosis: When to Seek Further Testing for Your Child
The necessity of examination for neurofibromas? Hello Dr. Jiang, my child was not diagnosed with café-au-lait spots at birth, but we discovered more than six café-au-lait spots of various sizes when he turned one month old. There appear to be about a dozen spots visually. I have ...
Dr. Jiang Junyi Reply:
Hello, Ms. Jun: You mentioned, "Are the symptoms related to neurofibromatosis hereditary?" This can be assessed through genetic testing. Below is information from the Pediatric Neurology Department of Kaohsiung Veterans General Hospital. For infants and young children...[Read More] Understanding Neurofibromatosis: When to Seek Further Testing for Your Child
Understanding Muscle Twitches: Causes and Concerns in Strength Training
I would like to inquire about muscle twitching issues? A few days ago, I experienced muscle twitching in my shoulder that occurs intermittently. I have been weight training, and although my performance has not declined or changed, the twitching in my left shoulder gives me a slig...
Dr. Jiang Junyi Reply:
Hello Mr. CC: You mentioned that you have a slight feeling of weakness in your left hand, describing it as "soft and sore." This symptom may suggest cervical radiculopathy. This is a type of peripheral nerve abnormality that often presents with: 1. Pain characterized by...[Read More] Understanding Muscle Twitches: Causes and Concerns in Strength Training
Understanding Groin Pain: Causes and Treatment Options for Nerve Issues
Inguinal pain accompanied by burning and weakness in the inner thigh and spermatic cord? Hello, Doctor. About 2-3 years ago, I started experiencing dull pain in the right inguinal region, which radiates to the right side of the scrotum and causes a burning sensation on the inner ...
Dr. Cai Zongzhang Reply:
Hello Mr. Chen: The symptoms mentioned may be indicative of neuropathic pain. It is recommended that you visit a neurology outpatient clinic for further evaluation to determine the cause.[Read More] Understanding Groin Pain: Causes and Treatment Options for Nerve Issues
Is It Normal for One Testicle to Be Larger and Lower?
Testicular issues I recently noticed that my right testicle is larger and hangs lower than the left one. The right one is slightly bigger than my hand, while the left one is about the same size as my hand. I would like to ask if this is normal, as I haven't felt any noticeab...
Dr. Li Xinyi Reply:
Based on your description, it doesn't seem like there is a specific issue; however, if you have concerns, it is still advisable to undergo an ultrasound examination in the urology department and discuss it further with your physician.[Read More] Is It Normal for One Testicle to Be Larger and Lower?
Managing Swelling After Double J Catheter Removal: Urology Insights
Issues After Removal of Double J Stent After the removal of the double J stent, why is there swelling around the foreskin, and how should it be managed?
Dr. Du Shixi Reply:
Hello: It should not be a problem. If there is no redness and circulation is monitored, it should improve. However, if there is redness, it may indicate inflammation, and medical attention should be sought. Wishing you good health.[Read More] Managing Swelling After Double J Catheter Removal: Urology Insights
Managing Anticoagulants and PPI Use in Neurology Patients
Medication issues? Dear Doctor, I am currently taking anticoagulants (Pradaxa) twice daily due to a minor stroke. I am experiencing gastrointestinal discomfort and need to undergo an endoscopy. How long should I stop taking Pradaxa, and when can I resume it? Additionally, can I t...
Dr. Peng Shiwei Reply:
Hello, generally speaking, Prasugrel only needs to be discontinued for one day. However, if your kidney function is impaired, it may need to be stopped for 1.5 to 2 days. There is no specific interaction between Prasugrel and PPIs, so they can be used together.[Read More] Managing Anticoagulants and PPI Use in Neurology Patients
Should I Remove a 1.6cm Tumor on My Left Testicle or Monitor It?
There is a tumor in the lower left side of the testicle? Doctor, there is a 1.6 cm tumor in the lower left side of my testicle. I had blood tests done, and the doctor said the results were normal. Should I have it surgically removed, or should I observe it for a while?
Dr. Lin Wenxu Reply:
Hello Mr. Chen: It is recommended that you seek medical attention in person to address your concerns. Dr. Lin Wen-Hsu from the Urology Department at Nantou Hospital.[Read More] Should I Remove a 1.6cm Tumor on My Left Testicle or Monitor It?
Understanding Testicular Pain and Bladder Discomfort: Causes and Solutions
Abdominal pain and bladder discomfort? A few days ago, after my girlfriend finished her activities, I experienced severe pain in my left testicle. After a few minutes, the pain shifted to my vas deferens. I sought medical attention immediately, and the doctor said everything was ...
Dr. Lin Wenxu Reply:
Dear Mr. Daxiong: Since we are unable to ascertain your previous medical condition, it is advisable that if you continue to feel unwell, you should seek medical attention for a physician's evaluation. Dr. Lin Wen-Hsu, Urology Department, Nantou Hospital.[Read More] Understanding Testicular Pain and Bladder Discomfort: Causes and Solutions
Understanding Erectile Dysfunction: Causes, Symptoms, and Treatment Options
Erectile dysfunction, engorgement, rigidity, corpus cavernosum, endurance? Seven years ago, I sustained an injury to the lower right side of my penis and right testicle, resulting in bruising and hematoma. Now, when I urinate, the stream deviates to the left. I can still achieve ...
Dr. Lin Wenxu Reply:
Dear Mr. Weimashupei, I apologize, but I cannot speculate on your condition from seven years ago. I suggest you consider trying Viagra or Cialis. Dr. Lin Wen-Hsu, Urology Department, Nantou Hospital[Read More] Understanding Erectile Dysfunction: Causes, Symptoms, and Treatment Options
Red Spot on Glans: Causes and Treatment for Urological Concerns
There are erythematous lesions on the glans? Today, while showering and cleaning the glans, I noticed a red spot about 0.4 square centimeters next to the frenulum, which feels slightly painful to the touch. This just appeared today. I used a vibrating sex toy to stimulate the gla...
Dr. Lin Wenxu Reply:
Hello Mr. 666: If you are very concerned, you can visit the hospital for a consultation or monitor your symptoms and maintain cleanliness to see if they improve on their own. Dr. Lin Wen-Hsu, Urology Department, Nantou Hospital.[Read More] Red Spot on Glans: Causes and Treatment for Urological Concerns