Understanding Nighttime Headaches: When to Seek Medical Attention
Nighttime headaches Hello, I have been experiencing headaches and dizziness around 11 PM recently, but it does not affect my sleep and I have no other symptoms. Should I specifically seek medical attention? Thank you.
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that you start experiencing headaches and dizziness around 11 PM. There are many causes of headaches, and if your headaches are related to your menstrual cycle, the likelihood of migraines is higher. However, conditions such as anemia, autonomic nervous...[Read More] Understanding Nighttime Headaches: When to Seek Medical Attention
Understanding Your Facial Pain: Possible Neurological Issues Explained
Could you please specify which symptoms you are referring to in order to determine which aspect of the nervous system may be involved? Hello Doctor, for the past few months, I have been experiencing pain in the gums of the last tooth on the left side at the back. Sometimes the pa...
Dr. Jiang Junyi Reply:
Dear Ms. Lee, You mentioned that "the acidic pain in the mouth can extend to the cheeks and then to the ears, and it can also radiate to the muscles of the tongue and the upper and lower jaws," which suggests trigeminal neuralgia. The diagnostic criteria for trigeminal...[Read More] Understanding Your Facial Pain: Possible Neurological Issues Explained
Should You Wake Someone Who Talks in Their Sleep? Expert Insights
Is it necessary to wake someone who is talking in their sleep? My brother (40 years old) talks in his sleep (very excitedly); should I wake him up? Is it correct that I shouldn't disturb his brain activity, as I've read online? Sometimes he also screams in his sleep (no...
Dr. Hong Weibin Reply:
Talking in one's sleep or exhibiting bodily movements during sleep does not require waking the individual if there is no risk to their own safety or that of their bed partner. Consultation with a sleep medicine specialist is recommended for further discussion. Generally, mel...[Read More] Should You Wake Someone Who Talks in Their Sleep? Expert Insights
Persistent Headaches After Head Injury: When to Seek Help?
Intermittent headaches following a head contusion? Hello, doctor. I was diagnosed with a head contusion after a car accident, and over a month later, I am still experiencing headaches. Recently, the frequency has increased, and I have pain about five days a week, all in the same ...
Dr. Jiang Junyi Reply:
Hello, Miss Xiaoshan. You mentioned, "I experience severe headaches during these exercises. What should I do? Which specialist should I see?" Your symptoms may suggest cervical spine disorders. External factors such as traffic accidents, falls, head impacts against hard...[Read More] Persistent Headaches After Head Injury: When to Seek Help?
Understanding Neck Pain: Seeking Effective Treatment for Neurological Issues
Neck pain Hello, doctor! A year ago, I have been experiencing a heavy sensation in the back of my neck and occiput, along with fatigue. Sometimes, I also feel pain and swelling in my jaw, as well as partial numbness in my face. My left ear feels stuffy, and I have tinnitus, which...
Dr. Jiang Junyi Reply:
Hello Mr. Kuan, You mentioned that your left hand experiences numbness, tingling, soreness, and weakness, and that the rehabilitation clinic indicated it might be due to nerve compression. I'm curious about the specific area where you feel the numbness and tingling. Based o...[Read More] Understanding Neck Pain: Seeking Effective Treatment for Neurological Issues
Understanding Lower Leg Pain: When to See a Neurologist
Painful tingling below the calf? Today, the temperature is 20 degrees Celsius, and the tingling sensation is mild, only slightly felt on the dorsum of my feet. A few days ago, when the weather was hot and the air conditioning was set to 27 degrees, the tingling became severe and ...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned that "the tingling has severely spread to the calves, and it also occurs while sleeping." This symptom may indicate that the lumbar nerve roots are being compressed. Typical discomfort associated with lumbar nerve root pathology includes pain r...[Read More] Understanding Lower Leg Pain: When to See a Neurologist
Understanding Muscle Fasciculations: Causes, Symptoms, and Diagnosis
Fasciculation Hello doctor, I started experiencing muscle fasciculations on the outer side of my left thigh around October 3rd, which lasted continuously for half an hour. After that, it would occur every few days for a few minutes at a time, several times a day. I suspect this s...
Dr. Jiang Junyi Reply:
Dear Mr. Shang, You mentioned that you are "very anxious and worried whether it is ALS..." Your symptoms should still consider lumbar spine issues. ALS is a motor neuron disease, and your mention of "easily feeling numb" does not align with the characteristic...[Read More] Understanding Muscle Fasciculations: Causes, Symptoms, and Diagnosis
Understanding Right-Sided Numbness: Causes and Treatment Options
Numbness in the right side of the limbs? Hello, I would like to ask about a condition I started experiencing about a week and a half ago. I began to feel a slight numbness in my right big toe (it's not painful, just a tingling sensation, more like a mild numbness without any...
Dr. Jiang Junyi Reply:
Hello Ms. Feny: You mentioned that "the second, third, and fourth toes of my right foot feel a bit numb, and then over the next two days, the numbness spread to the top of my foot, my calf, and my knee, and even my right hand started to feel numb, particularly around the fin...[Read More] Understanding Right-Sided Numbness: Causes and Treatment Options
Understanding Occipital Pain: Headaches and Neck Issues Explained
Occipital pain, headache, cervical spine issues? Hello Doctor: I would like to ask about my condition. I have been experiencing headaches for over four days (I usually do not have headaches). I have taken pain relievers, but the pain persists. The pain is mostly located at the ba...
Dr. Jiang Junyi Reply:
Dear Ms. Jun, You mentioned that "the pain feels dull and tight, and the area where I lie down also hurts" due to localized pain points. This may indicate cervical myofascial pain syndrome. Prolonged periods of looking down can lead to overuse of the trapezius muscle i...[Read More] Understanding Occipital Pain: Headaches and Neck Issues Explained
Understanding Nerve Pain and Weakness in Hands and Feet: A Patient's Journey
Numbness and tingling in both hands, weakness in both legs? Since March of last year, I started feeling a foreign sensation behind my occiput upon waking up one day. I consulted a doctor and took medication, but it did not improve. Later, the foreign sensation suddenly disappeare...
Dr. Jiang Junyi Reply:
Dear Miss Vicky, You mentioned "Multiple sclerosis? Neuritis? Autoimmune diseases? Diabetes? Herniated disc? Amyotrophic lateral sclerosis? CIDP?... Which specialty should I consult to thoroughly identify and resolve the issue?" You also noted that "the discomfort...[Read More] Understanding Nerve Pain and Weakness in Hands and Feet: A Patient's Journey
Understanding Involuntary Muscle Twitches: Causes and Concerns
Involuntary muscle twitching? Hello Doctor, I have recently been experiencing involuntary muscle twitching throughout my body (in my feet, calves, thighs, lower back, buttocks, etc.), with the highest frequency occurring in my right foot. The amplitude of the twitches varies, and...
Dr. Cai Zongzhang Reply:
Hello, Xiao Wu: If the above symptoms persist, it is recommended to visit a neurologist for further examination to determine the cause.[Read More] Understanding Involuntary Muscle Twitches: Causes and Concerns
Understanding Alcohol-Related Neurological Symptoms: Stroke or Intoxication?
Inability to move the limbs and facial twitching after consuming alcohol? After consuming less than a small beer glass of whiskey, the individual experienced inability to move their limbs (hands making an "OK" gesture but unable to move), facial twitching, weakness in t...
Dr. Peng Shiwei Reply:
Hello Mr. Huang, based on your symptoms, both epilepsy and transient ischemic attack are possible. The likelihood of alcohol intoxication is relatively low. If you have any concerns, please come to the hospital for a thorough evaluation by a physician. It is also advisable for yo...[Read More] Understanding Alcohol-Related Neurological Symptoms: Stroke or Intoxication?
Understanding Dizziness and Nausea: Possible Neurological Causes
Dizziness and nausea? Hello Doctor: I have been experiencing dizziness for about a week now, and sometimes I even feel a bit nauseous (though I haven't actually vomited). I also have some diarrhea, but I'm not sure if it's related to the dizziness. The dizziness us...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "you feel dizzy when sitting or lying down, and there seems to be a slight swaying sensation." This symptom may suggest Benign Paroxysmal Positional Vertigo (BPPV), where dizziness occurs when turning the head, tilting the head back, or rising ...[Read More] Understanding Dizziness and Nausea: Possible Neurological Causes
Understanding Persistent Head Sensations: Dizziness, Pressure, and Sleep Issues
Sensation of swaying, feeling of an earthquake, heaviness in the back left side of the head? Hello Doctor, for the past two weeks, I have been experiencing a sensation of my head shaking throughout the day, whether I am sitting or standing. Sometimes, I feel like there is an eart...
Dr. Cai Zongzhang Reply:
Hello, Ruid: The symptoms mentioned above are suggestive of balance dysfunction. If appropriate rest and sleep do not improve the symptoms, it is recommended to visit a neurology outpatient clinic for evaluation.[Read More] Understanding Persistent Head Sensations: Dizziness, Pressure, and Sleep Issues
Could Eye Issues and Muscle Twitches Indicate a Brain Tumor?
Brain issues I often experience twitching in my body or limbs lately. I am a heavy user of computers and smartphones, and sometimes my eyes feel blank while looking at the screen. Recently, I also feel that my vision has slightly declined. Could these two issues be symptoms of a ...
Dr. Jiang Junyi Reply:
Hello Mr. Li: You mentioned that "the body or limbs often twitch," which may initially suggest symptoms of neuroinflammation. Some metabolic disorders, such as hyperthyroidism and electrolyte imbalances, can also present with similar symptoms. As for brain tumors, the s...[Read More] Could Eye Issues and Muscle Twitches Indicate a Brain Tumor?
Understanding Right Arm Pain and Numbness: When to Seek Medical Help
Right arm swelling and pain extending to finger numbness? Hello, I have been working in the food industry for a long time, and recently my right wrist appears more swollen compared to my left wrist and is less flexible. It hurts whenever I exert force, and I even struggle to push...
Dr. Jiang Junyi Reply:
Hello, Ms. Ruby: The symptoms you mentioned seem to indicate two issues combined. You noted that "the palms and fingers also feel numb, and at their worst, even the vibrations while riding a bike can cause the entire palm to go numb and unable to grip." This symptom re...[Read More] Understanding Right Arm Pain and Numbness: When to Seek Medical Help
Neck Issues and Migraines: Understanding the Connection for Relief
It seems that the neck is causing the migraine? My symptoms have persisted for 4-5 years. I experience migraines when I wake up at night, and the frequency has increased in recent years. I don't take medication, and the pain usually subsides after noon. Taking pain relievers...
Dr. Jiang Junyi Reply:
Hello Mr. Bob, It seems you may have misunderstood the diagnosis of "migraine." The symptoms of a migraine typically last from 4 to 72 hours. The characteristics of the headache include unilateral pain, which can be throbbing or pulsating, often accompanied by nausea a...[Read More] Neck Issues and Migraines: Understanding the Connection for Relief
Can Medication Cure Essential Tremor? Understanding Hand Tremors
The issue of hand tremors? It seems that my dad also has tremors. I had hand tremors when I was a child. I would like to know if medication can help treat hand tremors. Can primary hand tremors be treated with medication?
Dr. Jiang Junyi Reply:
Hello, Mr. Ke: You mentioned, "Can medication cure hand tremors?" Primary tremors are those where the exact cause of the tremors cannot be identified; they may be due to a specific constitution or hereditary factors, and they typically become more pronounced when holdi...[Read More] Can Medication Cure Essential Tremor? Understanding Hand Tremors
Can Medication Cure Essential Tremor? Understanding Hand Tremors
The issue of hand tremors? It seems that my dad also has tremors. I had hand tremors when I was a child. I would like to ask if medication can help treat hand tremors. Can primary tremors be treated with medication?
Dr. Jiang Junyi Reply:
Hello, Mr. Ke: You asked, "Can medication cure hand tremors?" Primary tremors are those for which a specific cause cannot be identified; they may be due to a unique constitution or hereditary factors. Typically, tremors are more pronounced when holding objects. Physiol...[Read More] Can Medication Cure Essential Tremor? Understanding Hand Tremors
Concerns About Neurology Medications: Risks, Dependency, and Diagnosis Clarity
Medications..? Due to discomfort in my head and poor sleep quality, my previous doctors prescribed medications such as Lyrica, Mirtazapine, and Zolpidem, claiming they could help with sleep. I have a few questions for the physician: 1. Will these medications alter my brain or p...
Dr. Jiang Junyi Reply:
Hello Mr. Hsiao-Chih, You mentioned, "Do these medications change the brain and personality, causing any irreversible conditions?" The medications you referred to, including Fuquan, Muxing, and Lianduomian, are all classified as benzodiazepines, which are Schedule IV c...[Read More] Concerns About Neurology Medications: Risks, Dependency, and Diagnosis Clarity