Muscle Twitches and Weakness: Understanding Neurological Symptoms
Muscle twitching Hello, doctor. I am the patient who consulted you last time after hitting my head. I have been really busy at work and unable to visit the hospital for a check-up, so I have been observing my condition. I have noticed that from February 28 to now, March 14, I hav...
Dr. Jiang Junyi Reply:
Hello Mr. Pan: You mentioned "weakness in the limbs accompanied by muscle twitching and spasms." Generally speaking, the causes of limb weakness and muscle twitching can involve not only the muscles and nerves but also some metabolic disorders such as thyroid dysfunctio...[Read More] Muscle Twitches and Weakness: Understanding Neurological Symptoms
Understanding Lower Back Pain: When to Consult Urology or Nephrology
Continuation of the previous article on lower back pain issues? Hello, doctor. The day before yesterday, I asked about my left and right lower back pain online, and the doctor suggested that I first check for gynecological infections. Yesterday, I visited an obstetrician-gynecolo...
Dr. Du Shixi Reply:
Hello: If you are experiencing pain, you should seek medical attention, although the examination may still yield normal results. Wishing you good health.[Read More] Understanding Lower Back Pain: When to Consult Urology or Nephrology
Understanding Hard Chancre: Symptoms and Locations in Urology
Hard chancre Doctor, can a hard chancre appear in the lower abdomen near the inguinal region?
Dr. Du Shixi Reply:
Hello: Please seek medical attention, as it could be related to this or possibly other causes. Wishing you good health.[Read More] Understanding Hard Chancre: Symptoms and Locations in Urology
Understanding Nocturia: Causes and Solutions for Nighttime Urination
Nocturia is quite bothersome? Hello, doctor. For the past two months, I have been experiencing nocturia, waking up approximately every 3-5 hours to urinate. The urine is clear, and the urination process is smooth and forceful. However, I have noticed small bubbles in the toilet t...
Dr. Xu Wencang Reply:
It is recommended to consult a physician in the urology outpatient clinic in person. Thank you.[Read More] Understanding Nocturia: Causes and Solutions for Nighttime Urination
Understanding Involuntary Shoulder Twitches in Young Children: Causes and Concerns
Involuntary shoulder twitching? My grandson is currently three and a half years old, and I have recently noticed that his shoulders are often twitching involuntarily. What could be the reason for this?
Dr. Cai Zongzhang Reply:
Hello, Lianzi: It is not possible to determine the cause or whether treatment is needed based solely on the symptom description. It is recommended to visit a pediatric neurology clinic.[Read More] Understanding Involuntary Shoulder Twitches in Young Children: Causes and Concerns
Understanding Persistent Dizziness in Older Adults: A Neurological Perspective
Mom is experiencing dizziness, but the cause cannot be identified? Hello, doctor. My mother's symptoms include dizziness, where her vision sways side to side as if experiencing an earthquake. She feels unsteady whether standing or sitting, but the symptoms improve or disappe...
Dr. Jiang Junyi Reply:
Dear Mr. Afu, You mentioned that your mother experiences dizziness that feels like the ground is shaking, making it difficult for her to stand, and that she can only lie in bed all day, with occasional relief allowing her to walk. The improvement when lying down suggests that we...[Read More] Understanding Persistent Dizziness in Older Adults: A Neurological Perspective
Understanding Sudden Calf Nerve Pain: Causes and Relief Strategies
The calf may suddenly experience a sensation resembling nerve pain (the episode can be uncomfortable for at least an entire day)? Hello, Dr. Jiang. I have had a condition since childhood where my calves suddenly experience nerve pain and a bit of weakness. The location of the pai...
Dr. Jiang Junyi Reply:
Dear Miss Hsiao-Hsing, You mentioned that "most occurrences happen during seasonal transitions (when temperature changes are significant) and in winter (when it is too cold), and applying heat can slightly alleviate the pain at that moment." The symptoms you described ...[Read More] Understanding Sudden Calf Nerve Pain: Causes and Relief Strategies
Understanding Possible Multiple Sclerosis Symptoms and Next Steps
Suspected multiple sclerosis? Hello Doctor, I have previously asked a question here, numbered <a href="https://adoctor.tw/article/206161">#206161</a>. To briefly summarize my condition: since mid-February, I have experienced numbness in the right side of my ...
Dr. Jiang Junyi Reply:
Dear Ms. Lily, You mentioned that "even going to the emergency room cannot expedite an MRI" due to the different scheduling between outpatient and emergency services. However, if your symptoms are progressing and worsening, you can return to the neurology outpatient cl...[Read More] Understanding Possible Multiple Sclerosis Symptoms and Next Steps
Understanding Balanitis: Symptoms, Risks, and Treatment Options
Balanitis I did something foolish around February 15 of this year; I had unprotected oral sex with a sex worker, but I used a condom afterward. On my way back, I noticed some redness and swelling below the corona (it doesn't hurt or itch). On March 5, I went to a urology cli...
Dr. Du Shixi Reply:
Hello: This facility cannot provide a diagnosis; if there are no blisters or broken skin, it should not be a concern. Wishing you good health.[Read More] Understanding Balanitis: Symptoms, Risks, and Treatment Options
Is Autonomic Nervous System Disorder Linked to Cervical Spine Issues?
Is autonomic nervous system dysfunction caused by cervical spine issues? Hello, doctor. A couple of years ago, after sitting for a long time, I suddenly experienced symptoms such as chest tightness and sharp chest pain. After a while, I felt increasingly uncomfortable and fainted...
Dr. Cai Zongzhang Reply:
Hello Johnny: Based on the symptom description, it is recommended to visit a neurology outpatient clinic to check for any neurological pain.[Read More] Is Autonomic Nervous System Disorder Linked to Cervical Spine Issues?
Why Lying Down Can Trigger Nausea and Dizziness: When to Seek Help
Sleeping while lying down can cause nausea? Hello doctor, recently when I lie flat to sleep, I feel a sensation similar to motion sickness, experiencing dizziness and nausea, which is very uncomfortable. At the same time, I also feel a tightness in my neck, as if it is being pres...
Dr. Jiang Junyi Reply:
Dear Miss Hsiao-Ya, You mentioned that "when lying flat, I feel a sensation similar to motion sickness." It is important to consider benign paroxysmal positional vertigo (BPPV) as a potential cause. The characteristic symptoms include brief episodes of dizziness relate...[Read More] Why Lying Down Can Trigger Nausea and Dizziness: When to Seek Help
Why Lying Down Can Trigger Nausea and Dizziness: When to See a Doctor
Sleeping while lying down can cause nausea? Hello, doctor. Recently, when I lie flat to sleep, I experience a sensation similar to motion sickness, feeling dizzy and nauseous, which is quite uncomfortable. At the same time, I also feel a tightness in my neck, as if it is being co...
Dr. Jiang Junyi Reply:
Dear Miss Hsiao-Ya, You mentioned that "when lying flat, I feel a sensation similar to motion sickness." It is important to consider Benign Paroxysmal Positional Vertigo (BPPV) as a potential cause. The characteristic symptoms include brief episodes of dizziness relate...[Read More] Why Lying Down Can Trigger Nausea and Dizziness: When to See a Doctor
Understanding HIV Testing Accuracy After Unprotected Sex
HIV testing issues? Hello, doctor. Last month on February 27, I had unprotected sexual intercourse with a sex worker (referred to as A). I was unaware of whether A had any sexually transmitted infections, and I regretted it afterward. On the evening of February 29, I went to the ...
Dr. Du Shixi Reply:
Hello: There is a window period for HIV of 6 to 12 weeks, so symptoms may not be present. It is recommended to get tested again after 12 weeks. Wishing you good health.[Read More] Understanding HIV Testing Accuracy After Unprotected Sex
Understanding Pulsating Pain in the Back of the Head After Bathroom Visits
Sometimes after using the restroom, I experience a noticeable pulsating pain in the left posterior part of my head for a few seconds? Hello Doctor, I have been experiencing a pulsating pain in the left posterior part of my head for a few seconds after using the restroom or after ...
Dr. Jiang Junyi Reply:
Dear Mr. Tsai, You mentioned "fourth cranial nerve palsy." Generally speaking, strabismus is caused by abnormal function of the six extraocular muscles. In the case of nerve palsy, it may be necessary to identify the underlying cause of nerve inflammation. If symptoms ...[Read More] Understanding Pulsating Pain in the Back of the Head After Bathroom Visits
Understanding SPECT Cerebral Perfusion Scan Results for Dementia Diagnosis
CEREBRAL PERFUSION SCAN WITH SPECT Report Consultation Dear Doctor, Thank you for taking the time to answer my questions. Below are the results of my father's (78 years old) Cerebral Perfusion Scan with SPECT conducted on February 21, 2024. I would like to inquire about the...
Dr. Jiang Junyi Reply:
Dear Ms. Lin, Has your father’s condition progressed to Alzheimer's disease and Parkinson's disease due to his illness? The report you provided indicates that there seems to be a diagnosis of Alzheimer's based on imaging. There is a noted decrease in cerebral bloo...[Read More] Understanding SPECT Cerebral Perfusion Scan Results for Dementia Diagnosis
Understanding Progressive Sensory Abnormalities: A Neurological Concern
Abnormal sensations on the right side are gradually spreading? Hello Doctor, last Saturday, February 24th, I experienced mild numbness in my right lip, right finger, and half of my palm. By Monday, the numbness worsened, so I visited a family medicine doctor who prescribed medica...
Dr. Jiang Junyi Reply:
Dear Miss Lily, You mentioned that on March 2nd, you woke up and noticed abnormal sensations in your scalp, the back of your head, and your eyelids. Additionally, the numbness in your hands has spread to your entire palm, and you can no longer distinguish objects by touch. You a...[Read More] Understanding Progressive Sensory Abnormalities: A Neurological Concern
Understanding Neck Pain: Causes, Symptoms, and Treatment Options
Head and neck pain Recently, I bumped into a rolling iron door and went to the hospital for an examination, which revealed a mild compression of the cervical intervertebral discs at C3, C4, and C5. I underwent cervical traction, and although it relaxed the muscles, I noticed a sl...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "the pain is worst when lying down, and after two weeks, the pain extends to the back of the head." This may indicate compression of the cervical nerves and the occipital nerve. High cervical nerve root compression occurs at the first to ...[Read More] Understanding Neck Pain: Causes, Symptoms, and Treatment Options
Understanding Muscle Pain: Exploring Neurological and Cardiac Symptoms
Muscle pain There are several main issues: 1. Palpitations, occasionally feeling a strong heartbeat; 2. A sensation of electric shock throughout the body when startled; 3. Intermittent sharp pain and soreness in the left upper body; 4. Pain in the left upper body when exerting, w...
Dr. Jiang Junyi Reply:
Hello Mr. Lucas: You mentioned that "the pain is noticeably felt during pressure," which may indicate a muscular issue. It is advisable to consult a rehabilitation physician to discuss your daily posture. Pain specialists typically provide nerve block treatments after r...[Read More] Understanding Muscle Pain: Exploring Neurological and Cardiac Symptoms
Understanding Urology: Why Urine and Vaginal Tests May Differ
Current issue 206154? Doctor, I went to the hospital for a PCR test for gonorrhea, and my urine test came back negative. Why are the results different for the two specimens (urine and vaginal)? Aren't they related? As a woman, is it better to test vaginal secretions, or is t...
Dr. Du Shixi Reply:
Hello: The urethra can be infected with gonorrhea, and the vagina may also be susceptible to infection. The two are different, and the test results for the urethra and vagina may vary. If an infection is detected in the vagina, it indicates a vaginal infection. It is advisable to...[Read More] Understanding Urology: Why Urine and Vaginal Tests May Differ
Understanding the Mental Health of a 94-Year-Old: Self-Talk and Sleep Aids
A 94-year-old elderly person is talking to themselves with their eyes closed? The elderly person at home takes sleep aids like Eszopiclone and medication for prostate issues. He experiences hearing loss and during the day, he sits on the sofa with his eyes closed, talking to hims...
Dr. Peng Shiwei Reply:
It is recommended to take the elderly to a neurology outpatient clinic for evaluation by a physician. Thank you.[Read More] Understanding the Mental Health of a 94-Year-Old: Self-Talk and Sleep Aids