I have a severe headache?
Hello Dr.
Lai,
I apologize for the interruption.
Recently, I have been experiencing frequent headaches and insomnia at night.
Sometimes, even when I do fall asleep, I suddenly wake up, but I can easily fall back asleep, although I remain in a semi-conscious state.
I experience headaches whether I am sitting or lying down, which I have never experienced before.
The discomfort has been particularly noticeable over the past four days.
I work as a breakfast shop employee, and I have been in this job for six months.
Could this be related to my occupation? The headache feels like it is located in the center of my head.
I also feel tightness in my shoulders, and my right hand often feels weak and numb.
What can I do to alleviate my discomfort? If I need to see a specialist, which medical department should I consult?
Best regards,
Xiao Mei
Xiao Mei, 30~39 year old female. Ask Date: 2004/11/22
Dr. Lai Lunxiang reply Neurology
Hello, based on your description, I believe you may have two issues: 1.
Headaches due to poor sleep, and 2.
Numbness in your right hand, which could be related to another issue.
The stiffness in your shoulder may also be related to your sleep problems.
I recommend consulting a neurologist, psychiatrist, or orthopedic specialist.
Reply Date: 2004/11/22
More Info
Hello Xiaomei,
Thank you for reaching out with your concerns regarding your headaches and sleep issues. It sounds like you are experiencing a combination of symptoms that can be quite distressing, especially given your recent transition to working in a breakfast shop. Let's break down your situation and explore potential causes and solutions.
Understanding Your Symptoms
1. Headaches: The type of headache you describe, particularly if it feels like it is centered in the middle of your head, could be tension-type headaches. These are often associated with stress, poor posture, and muscle tension, especially in the neck and shoulders. Given that you mentioned feeling tightness in your shoulders and experiencing weakness and numbness in your right hand, it’s possible that muscle tension is contributing to your headaches.
2. Sleep Issues: Your difficulty falling asleep and the tendency to wake up frequently during the night can be attributed to several factors. Working in a breakfast shop may involve early hours, which can disrupt your circadian rhythm, especially if you are not accustomed to waking up early. Additionally, stress from adjusting to a new job can exacerbate sleep disturbances. The fact that you can fall back asleep easily but remain in a semi-awake state suggests that your sleep quality may be poor, possibly due to anxiety or discomfort.
3. Physical Symptoms: The sensations of weakness and tingling in your right hand could indicate nerve compression or tension in the neck and shoulder area. This is often seen in individuals who have poor ergonomics at work or who maintain a static posture for extended periods.
Potential Causes Related to Your Job
Working in a breakfast shop can be physically demanding and may require long hours of standing, which can lead to muscle fatigue and tension. If your work involves repetitive motions or awkward postures, this could also contribute to your headaches and shoulder tightness. Additionally, the stress of a new job can lead to increased muscle tension and anxiety, which can further impact your sleep and headache patterns.
Recommendations for Relief
1. Posture and Ergonomics: Pay attention to your posture while working. Ensure that your workstation is set up ergonomically to minimize strain on your neck and shoulders. If possible, take regular breaks to stretch and move around.
2. Stress Management: Incorporate stress-relief techniques into your daily routine. This could include deep breathing exercises, meditation, or yoga. Finding time to relax and unwind after work can help improve your overall well-being.
3. Sleep Hygiene: Establish a consistent sleep schedule by going to bed and waking up at the same time every day, even on your days off. Create a calming bedtime routine to signal to your body that it’s time to wind down. Avoid screens and stimulating activities before bed.
4. Hydration and Nutrition: Ensure you are staying hydrated and eating balanced meals. Dehydration and poor nutrition can contribute to headaches and fatigue.
5. Physical Activity: Engage in regular physical activity, which can help reduce stress and improve sleep quality. Even light exercises like walking or stretching can be beneficial.
When to Seek Medical Attention
If your symptoms persist or worsen, it would be wise to consult a healthcare professional. Given your symptoms, you might consider seeing a neurologist, especially if you continue to experience headaches and neurological symptoms like weakness or numbness. They can help rule out any underlying conditions and provide targeted treatment options.
In summary, your symptoms may be related to the physical and emotional demands of your new job. By addressing posture, managing stress, and improving sleep hygiene, you may find relief. However, do not hesitate to seek medical advice if your symptoms do not improve. Take care of yourself, and I hope you find relief soon.
Best wishes,
Doctor Q&A Teams
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