Understanding Muscle Spasms and Chest Pain: When to Seek Help
Experiencing a seizure to the point of nearly fainting? It felt like a cramp, but I wasn't sure if it was actually a cramp. One moment I was in a good mood playing, and then I got on a motorcycle. Within a minute, I started feeling pain in the left pectoral muscle near the a...
Dr. Cai Zongzhang Reply:
Hello: The symptoms mentioned may be caused by a neurological disorder, and it is recommended to visit a neurology clinic for further evaluation.[Read More] Understanding Muscle Spasms and Chest Pain: When to Seek Help
Is It Nerve Pain? Understanding Symptoms and Causes of Ear Injury
Is it neuropathic pain? Hello, doctor: I accidentally strained my left ear, and now it hurts. Is it nerve pain? I have a constant throbbing pain on the left side, along with tingling and numbness. What should I do? What could be the cause, doctor?
Dr. Cai Zongzhang Reply:
Hello: The symptoms mentioned are indicative of a neurological disorder; however, the underlying cause needs to be investigated for confirmation. It is recommended to visit a neurology outpatient clinic.[Read More] Is It Nerve Pain? Understanding Symptoms and Causes of Ear Injury
Understanding Urinalysis: Interpreting Blood and Crystal Findings
Urinalysis Hello Doctor, ten years ago I had a ureteral stone and hematuria, for which I underwent extracorporeal shock wave lithotripsy. Recently, in February, I went to a clinic for a urine health check, and the report showed occult blood (++) 50 cells/uL, RBC 6-9 HPF, and calc...
Dr. Lin Wenxu Reply:
First, a urine test checks for hematuria, typically looking for red blood cells (RBC) greater than 5 per high power field (HPF), with a normal range of 0-5 HPF. The occult blood (OB) test may not be as accurate. Additionally, urine test results can vary (not every report will be ...[Read More] Understanding Urinalysis: Interpreting Blood and Crystal Findings
Understanding Frenulum Injuries: Causes and Concerns in Urology
Ligament injury Hello doctor, I previously had a tear in my frenulum during sexual intercourse with my girlfriend. Since the wound healed, I have noticed a small fleshy bump at the site of the tear that hurts when touched. I would like to know if this could be caused by a sexuall...
Dr. Cai Zhuorong Reply:
The formation of scabs on wounds can also lead to complications.[Read More] Understanding Frenulum Injuries: Causes and Concerns in Urology
Understanding Testicular Position: When to See a Doctor
Testicular issues I see that many people online say that it's normal for the left side to be lower and the right side to be higher, but I actually have a right-sided droop and a higher left side. Should I see a doctor? Thank you.
Dr. Cai Zhuorong Reply:
If you experience any discomfort, it is recommended to visit a urology clinic.[Read More] Understanding Testicular Position: When to See a Doctor
Understanding Post-Concussion Symptoms: Tremors, Dizziness, and Pain
Post-concussion syndrome includes symptoms such as sleep disturbances, limb tremors, and dizziness? Hello Doctor: Since the night of the car accident on January 6th, I have experienced sudden jerking movements in my left hand and foot shortly after falling asleep. I wake up and c...
Dr. Jiang Junyi Reply:
Dear Miss Rabbit, You mentioned that "since the night of the car accident on January 6th, my right eye has been blurry, and my left hand and foot have been experiencing spasms... I have never had these symptoms before." Your symptoms may warrant consideration of lesion...[Read More] Understanding Post-Concussion Symptoms: Tremors, Dizziness, and Pain
Understanding Urinary Urgency Issues: Causes and Concerns
Experiencing urination without the urge to urinate can be concerning, and there is a fear that it may harm the body? Hello, Doctor. I am Xiao He. Previously, I had difficulty urinating due to a lack of relaxation in the sphincter (mild benign prostatic hyperplasia). I found this ...
Dr. Cai Zhuorong Reply:
It is recommended that you undergo further examination.[Read More] Understanding Urinary Urgency Issues: Causes and Concerns
Understanding One-Sided Pupil Dilation and Its Neurological Implications
Headache and dizziness with unilateral pupil exhibiting mydriasis and loss of light reflex? Hello Doctor, I started experiencing some brain fog about a week ago, along with mild dizziness and a tight sensation in my head, though it’s not very painful. It feels like my head is bei...
Dr. Jiang Junyi Reply:
Hello Student H: You mentioned that "my right eye has symptoms of mydriasis, meaning it does not respond to light at all without the use of dilating drops, while the left eye is normal. This is because I had a viral infection in my right eye and underwent surgery when I was ...[Read More] Understanding One-Sided Pupil Dilation and Its Neurological Implications
Understanding One-Sided Pupil Dilation and Headache Symptoms
Headache and dizziness with unilateral pupil exhibiting mydriasis and loss of light reflex? Hello Doctor, I started experiencing some brain fog about a week ago, along with mild dizziness and a tight sensation in my head, though it’s not painful—more like a feeling of being const...
Dr. Jiang Junyi Reply:
Hello Student H: You mentioned that "my right eye has symptoms of mydriasis, meaning it does not respond to light at all without the use of dilating drops, while the left eye is normal. This is because I had a viral infection in my right eye and underwent surgery when I was ...[Read More] Understanding One-Sided Pupil Dilation and Headache Symptoms
Managing Daytime Sleepiness in Patients with Sleep Apnea
Easily feeling sleepy? I often feel sleepy during afternoon video courses, so I lie down and take short naps before continuing. I have sleep apnea and weigh 118 kg. What should I do about feeling sleepy?
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned the issue of "sleep apnea," which can lead to daytime inattention and frequent drowsiness. Obstructive sleep apnea is the most common type, accounting for about 90% of cases. Soft tissue near the throat obstructs the airway, causing the upper a...[Read More] Managing Daytime Sleepiness in Patients with Sleep Apnea
Overcoming Incontinence: Alternatives to Diapers for Better Comfort
Do I have to wear diapers all the time for urinary incontinence? Hello doctor, I live in Taoyuan City and I have been receiving treatment at a urology clinic in Taoyuan. I am unable to live without wearing diapers, as I often unintentionally wet them. I am a special education stu...
Dr. Li Xinyi Reply:
If the symptoms are related to the misuse of substances, such as amphetamines, it is essential to stop using them before considering treatment options. Based on your description, the symptoms seem quite severe, so I recommend that you visit a medical center's urology departm...[Read More] Overcoming Incontinence: Alternatives to Diapers for Better Comfort
Understanding Photosensitive Epilepsy and Its Impact on Neurotic Patients
Photosensitive epilepsy and individuals with neurosis? I have read many educational articles about photosensitive epilepsy, but I still have some confusion. Specifically, I would like to know if individuals with neurosis may also experience discomfort, such as neck twitching and ...
Dr. Jiang Junyi Reply:
Hello: Photosensitive epilepsy typically occurs during childhood and is rare in adults. Your symptoms may warrant consideration of cervical myofascial issues or sleep disorders. It is recommended that you visit a neurology outpatient clinic for further evaluation and follow-up. T...[Read More] Understanding Photosensitive Epilepsy and Its Impact on Neurotic Patients
Understanding Leg Pain After Aortic Dissection Surgery: When to Seek Help
Leg problems After the aortic dissection surgery, the incision site on the inner right thigh (near the groin) showed swelling a few days after the second follow-up visit, along with a tingling sensation in the front of the thigh (without pain or other symptoms). However, in recen...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that your mother is experiencing "numbness in the front of her thigh... and the lower part of her knee." This may be due to compression of the nerve root at the third lumbar vertebra, or a hematoma from a femoral artery puncture compressing the...[Read More] Understanding Leg Pain After Aortic Dissection Surgery: When to Seek Help
Can Thrombectomy Surgery Be Performed Four Months After a Stroke?
Thrombectomy surgery Hello, I am a patient who has suffered from a left hemisphere stroke. I have always wanted to know if thrombectomy can still be performed four months after the stroke.
Dr. Jiang Junyi Reply:
Dear Mr. Ting, You mentioned that "thrombectomy" typically refers to the mechanical thrombectomy procedure performed during acute thrombosis events. Health insurance coverage applies to large artery thrombosis within 8 hours for the anterior circulation and within 24 h...[Read More] Can Thrombectomy Surgery Be Performed Four Months After a Stroke?
Understanding Scalp Tingling: Is It a Sign of Stroke or Neck Issues?
Scalp tingling? Hello doctor, I have recently been experiencing occasional tingling sensations in the right back of my head (similar to the feeling of goosebumps). The frequency is not very high, and each episode lasts only a few seconds, but it continues to occur. Additionally, ...
Dr. Jiang Junyi Reply:
Hello Mr. TIM: You mentioned, "Is the tingling in the scalp more related to cervical spine issues or is it more likely related to a stroke?" Your symptoms should first consider cervical spine-related nerve compression. Typical discomfort symptoms associated with cervica...[Read More] Understanding Scalp Tingling: Is It a Sign of Stroke or Neck Issues?
Understanding Numbness in Hands and Feet: Causes and Concerns
Numbness in the hands and feet? Hello, doctor. I often experience numbness in my hands (sometimes extending to my wrists) or feet (approximately up to my ankles) during the winter and spring seasons, but my hands and feet do not feel cold. I would like to know what might be the c...
Dr. Jiang Junyi Reply:
Hello Mr. Tuna: You mentioned that your hands (sometimes extending to the wrist) or feet (approximately up to the ankle) experience numbness, which may require ruling out peripheral nerve compression issues, such as carpal tunnel syndrome. Symptoms of peripheral nerve compression...[Read More] Understanding Numbness in Hands and Feet: Causes and Concerns
Persistent Dizziness: Should You Worry About Serious Conditions?
Dizziness has persisted for a long time? Hello, Dr. Jiang. About two weeks ago, I experienced dizziness and instability one night. I don't feel like the world is spinning, but the dizziness is quite mild and persists throughout the day. I feel a bit unsteady while walking. I...
Dr. Jiang Junyi Reply:
Dear Mr. Harry, You are concerned about the possibility of a serious illness such as a stroke, correct? Your symptoms should first be considered in the context of vestibular neuritis. Vestibular neuritis is associated with vertigo and primarily occurs in young adults, often foll...[Read More] Persistent Dizziness: Should You Worry About Serious Conditions?
Understanding Abnormal Brain Waves: Causes and Concerns
Abnormal brain waves Hello Doctor: For the past six months, I have been experiencing a feeling of pressure in my head, and occasionally when I look down, my vision becomes blurry on both sides. Yesterday, the EEG report showed abnormalities with localized slow waves. I was diagno...
Dr. Jiang Junyi Reply:
Hello Ms. G: You mentioned that "the EEG report shows abnormalities with localized slow waves... I would like to ask if hormone therapy or sleeping pills could cause slow waves in the EEG?" Sleeping pills typically increase beta waves. Insufficient sleep may lead to the...[Read More] Understanding Abnormal Brain Waves: Causes and Concerns
Improving Tinnitus After COVID-19: What You Need to Know
Improvement of Tinnitus Issues Hello Doctor, three months ago I contracted COVID-19, and since then I have experienced significant tinnitus in my left ear, along with a loud heartbeat sound when I turn my head to the right. I visited an ENT specialist in Taoyuan, who advised me t...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned that "you can feel your heartbeat when turning your head," which may indicate compression of the vertebral artery in the cervical spine. It is advisable to avoid excessive neck twisting. I recommend visiting a neurology clinic to discuss the po...[Read More] Improving Tinnitus After COVID-19: What You Need to Know
Understanding Facial Twitches Before Sleep: Causes and Solutions
Facial twitching? Hello Doctor, I experience twitching from my left cheekbone to the corner of my mouth before going to sleep, but it does not occur while I am awake. The twitching usually lasts from half a second to four seconds and happens one to four times a night. This has be...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "the left cheekbone to the corner of your mouth is twitching." Your symptoms may suggest facial nerve spasms. The twitching of facial muscles is primarily associated with several factors: exercise, acute viral infections, anxiety, and med...[Read More] Understanding Facial Twitches Before Sleep: Causes and Solutions