Uncontrollable Body Shaking and Sleep Disturbances: A Neurological Concern
Involuntary body shaking and inability to sleep? Hello Doctor, I apologize for the lengthy question. After being diagnosed with chronic gastritis in May, my doctor prescribed me Sucralfate for a month. However, three days after stopping the medication, I began to hear my heartbea...
Dr. Cai Zongzhang Reply:
Hello, Ruo Xue: Based on the above information, the results of the thyroid function and carotid artery examinations are normal. Autonomic nervous system dysfunction is the most likely diagnosis. It is recommended to cooperate with the physician for medication treatment and to avo...[Read More] Uncontrollable Body Shaking and Sleep Disturbances: A Neurological Concern
Understanding Neurological Symptoms: When to Seek Further Medical Help
Numbness in the head, facial numbness, and finger twitching, etc? Hello Dr. Tsai, a year and a half ago I experienced chest numbness, chin pain, pain in my left shoulder and left arm, and soreness in my left fingers and wrist. Subsequently, I developed numbness on the right side ...
Dr. Cai Zongzhang Reply:
Hello: Insufficient sleep can also trigger multiple neuropathic pain, making it harder to fall asleep and creating a vicious cycle. It is recommended to first improve sleep, which may also alleviate pain symptoms. Magnetic resonance imaging (MRI) has ruled out structural diseases...[Read More] Understanding Neurological Symptoms: When to Seek Further Medical Help
Understanding Facial Muscle Twitches: When to See a Neurologist or Ophthalmologist
Facial spasms Hello Doctor, I have been experiencing muscle twitching around the tear trough area on my right face (near the apple cheek) for about a month now, and there has been no improvement. Sometimes it occurs first thing in the morning, even when I am not fatigued. I have ...
Dr. Huang Hongling Reply:
If eyelid twitching persists for more than 2-3 weeks, is severe enough to cause the eyes to close, or if there are other symptoms such as twitching of facial or body muscles, redness of the eyes, discharge, or drooping eyelids, it is advisable to visit a neurology clinic for eval...[Read More] Understanding Facial Muscle Twitches: When to See a Neurologist or Ophthalmologist
Understanding Tinnitus: When to Consult a Neurologist?
Tinnitus for three weeks? Hello Doctor: Three weeks ago, I experienced tinnitus without any apparent reason, which is bilateral. I have undergone tympanometry and hearing tests, both of which were normal. The tinnitus sounds more like a non-directional high-pitched ringing, but i...
Dr. Jiang Junyi Reply:
Hello Mr. QQQ: You mentioned "bilateral tinnitus, with normal tympanometry and hearing tests, and the tinnitus sounds more like a non-directional high-pitched ringing." This is more indicative of common causes of tinnitus such as viral infections, trauma, or injury, whi...[Read More] Understanding Tinnitus: When to Consult a Neurologist?
Understanding Prolonged Dizziness: Causes and Concerns in Neurology
I have been experiencing dizziness for over two weeks, and I have had similar episodes in the past? Hello Doctor: I have been suffering from severe anxiety disorder for nearly four months. I have consulted with a psychiatrist and am taking medications including - Sertraline / Esc...
Dr. Jiang Junyi Reply:
Hello Mr. Zhang, You mentioned wanting to confirm whether your symptoms could clinically indicate lung cancer metastasizing to the brain. Lung cancer with brain metastasis can present with different clinical manifestations depending on the location of the metastasis, and dizzine...[Read More] Understanding Prolonged Dizziness: Causes and Concerns in Neurology
Understanding Left Eye Twitching and Finger Tremors: Causes and Solutions
Twitching of the left fingers and twitching of the left eye? The patient is currently 28 years old and has a chronic condition of allergic rhinitis, with no family history of hereditary diseases and no history of major surgeries. The left eyelid has been twitching, and the left t...
Dr. Jiang Junyi Reply:
Dear Ms. Jan, You mentioned that your husband has recently experienced "his left thumb being completely relaxed, with small involuntary movements." Generally, muscle twitching while awake may warrant consideration of certain metabolic disorders, such as hyperthyroidism...[Read More] Understanding Left Eye Twitching and Finger Tremors: Causes and Solutions
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 and Shoulder Inflammation: Is It Affecting Your Ears and Eyes?
Shoulder and neck inflammation? Recently, I visited an orthopedic doctor due to pain in my left shoulder and neck, and I was diagnosed with muscle inflammation in that area. I took medication, but I still experience sudden pain or a tight sensation in my neck. Occasionally, I als...
Dr. Wu Mukhan Reply:
Hello, neck tightness may be related to inflammation of the shoulder and neck muscles. Symptoms related to the eyes and ears are usually not significantly affected by the shoulder and neck. It is recommended to consult a rehabilitation specialist to address the muscle inflammatio...[Read More] Understanding Neck and Shoulder Inflammation: Is It Affecting Your Ears and Eyes?
Understanding Sleep-Related Muscle Twitches and Anxiety Disorders
Teeth clenching and facial muscle twitching upon falling asleep? Hello Dr. Jiang: I have been experiencing anxiety and autonomic nervous system dysregulation for the past six years. During severe episodes, I take half a Xanax for relief. In recent years, I have noticed that somet...
Dr. Jiang Junyi Reply:
Hello Ms. Cocoa: You mentioned that "the eyelid nerves and even the facial nerves at the corners of the mouth are twitching involuntarily... the teeth are clenching involuntarily, and after clenching, the facial muscles (near the cheekbones) also start to twitch significantl...[Read More] Understanding Sleep-Related Muscle Twitches and Anxiety Disorders
Facial Surgery Complications: Inability to Smile and Eye Closure Issues
After the facelift surgery, the left side of the face is unable to express emotions? I underwent a three-layer facelift surgery on September 19, and now the left side of my face cannot lift the corner of my mouth, causing my smile to be lopsided. The lower eyelid cannot close pro...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned the symptoms of "a crooked smile and the inability to close the lower eyelid," which may indicate inflammation of the facial nerve. During the acute phase, due to nerve damage, improvement of symptoms may take some time. The use of corticoster...[Read More] Facial Surgery Complications: Inability to Smile and Eye Closure Issues
Could Your Symptoms Indicate ALS or Another Neurological Disorder?
Do these symptoms indicate amyotrophic lateral sclerosis (ALS), or could they be related to another neurological disorder? Hello, I started experiencing muscle tightness and soreness in my left forearm since last Saturday (9/23), accompanied by eyelid twitching, which occurred ab...
Dr. Jiang Junyi Reply:
Hello: You mentioned that the issues of muscle soreness and tremors may need to first rule out cervical spinal cord and nerve compression, as these are symptoms of lower motor neuron involvement. Lower motor neuron symptoms include muscle atrophy, weakness, and fasciculations. Th...[Read More] Could Your Symptoms Indicate ALS or Another Neurological Disorder?
Understanding Left Eyebrow Pain: When to See a Neurologist
Left brow bone. Pain and swelling at the eyebrow? Hello Dr. Peng, three days ago I suddenly felt a throbbing pain in my left brow bone, my eyelid is swollen, and I also have a headache. When I press on the left brow bone near the temple, I feel localized pain. Which specialty sho...
Dr. Peng Shiwei Reply:
Hello, it seems you have already come for a consultation. Please take the medication as instructed. Thank you.[Read More] Understanding Left Eyebrow Pain: When to See a Neurologist
Understanding Stroke Risks: Symptoms, Prevention, and When to Seek Help
Difficulties with complex medical conditions and stroke issues? Hello, doctor. I would like to consult you regarding the prediction and prevention of strokes in the elderly. My mother is 75 years old and has been managing diabetes for over 20 years without any other chronic or ma...
Dr. Jiang Junyi Reply:
Hello Ms. Water, You mentioned that "after finishing household chores, she suddenly felt a wave of fatigue." This may indicate a potential sleep disorder. I recommend undergoing multiple sleep physiology tests. Regarding your question about whether a stroke requires wa...[Read More] Understanding Stroke Risks: Symptoms, Prevention, and When to Seek Help
Understanding Head Pain and Tinnitus: A Journey Through Neurology and Dentistry
I have a severe headache that feels like an explosion on both sides, and the ringing in my ears has become louder? I have a terrible headache. I thought taking a nap would help, but the pain woke me up. I first went to a neurologist for an MRI, which showed no issues. I visited a...
Dr. Jiang Junyi Reply:
Dear Ms. Lin, You mentioned issues related to "headaches and cranial noises," which may suggest tension-type headache, a form of myofascial pain. Myofascia refers to the connective tissue that envelops the surface of muscles. Tension-type headaches are caused by tightn...[Read More] Understanding Head Pain and Tinnitus: A Journey Through Neurology and Dentistry
Understanding Lower Eyelid Twitching: Causes and Solutions
Lower eyelid twitching? The left lower eyelid twitches slightly when drinking water, and it stops after finishing. Later, I noticed that when I forcefully flare my left nostril, the twitching of the left lower eyelid becomes more pronounced, but it stops when I relax the nostril....
Dr. Cai Zongzhang Reply:
Hello Hebe: Based on the symptoms mentioned, it may be a left-sided facial nerve lesion. It is recommended to visit a neurology outpatient clinic.[Read More] Understanding Lower Eyelid Twitching: Causes and Solutions
Understanding Unexplained Tremors and Fatigue: When to Seek Help
Feeling extremely fatigued and on the verge of fainting, with involuntary body tremors? I would like to consult a doctor. Recently, I have been experiencing involuntary body tremors at night before sleep. I am unsure if this is due to excessive tension. My eyelids also twitch int...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, there are currently no specific findings and no neurological localization. Additionally, since the symptoms occur at specific times, the likelihood of a stroke is low. Furthermore, smoking is detrimental to your health, so please quit smoking immedi...[Read More] Understanding Unexplained Tremors and Fatigue: When to Seek Help
Understanding Sudden Vision Changes: Possible Causes and Concerns
Vision problems I would like to ask the doctor under what circumstances symptoms of optic nerve compression could cause a sudden increase in my eye prescription. I primarily have issues with my eyes, but the ophthalmologist has not found any abnormalities. Here are my symptoms: ...
Dr. Peng Shiwei Reply:
Hello, regarding your question: 1. Generally, there are two types of brain lesions associated with the optic nerve. The first type involves brain lesions that cause compression of the optic nerve, with symptoms primarily manifesting as visual field defects, such as loss of peri...[Read More] Understanding Sudden Vision Changes: Possible Causes and Concerns
Persistent Eye Blinking and Strain: Understanding Neurological Causes
Incessant blinking and excessive effort in eyelid movement? Hello, doctor. Since the beginning of 2021, I started wearing orthokeratology lenses, but I stopped using them in early 2022 due to an infection and inflammation. After a few days of treatment with steroid eye drops pres...
Dr. Jiang Junyi Reply:
Dear Ms. Liang, You mentioned that "the blinking in Tourette syndrome does not feel as forceful and does not have a foreign body sensation..." Generally speaking, symptoms of Tourette syndrome can be temporarily suppressed by willpower, but this is often followed by a ...[Read More] Persistent Eye Blinking and Strain: Understanding Neurological Causes
Understanding Facial Twitching: Causes and When to See a Neurologist
I've been experiencing twitching in my right cheek before going to bed these past couple of days? As per the title, over the past couple of days, I have been experiencing a tight sensation in my right cheek during the evenings, which may twitch once or twice. When lying down...
Dr. Jiang Junyi Reply:
Hello Ms. Chang, You mentioned that "the right cheek feels a bit tight and may twitch once or twice," which could still be symptoms related to poor sleep. Your symptoms do not seem to resemble facial nerve paralysis, which affects the seventh cranial nerve and is clini...[Read More] Understanding Facial Twitching: Causes and When to See a Neurologist
Understanding Facial Numbness and Tingling: Possible Causes and Concerns
Numbness in the face and hands? Hello, doctor. I have a slight tingling sensation around my right cheek and right ear. Two years ago, it was around my ear, and now it’s on my cheek. I can feel a soft, movable lump about one centimeter on my right cheek. Visually, the nasolabial f...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned several issues. Clinically, we should first address the acute problems. The "slight tingling sensation around the right cheek and right ear... a soft, movable lump" may indicate potential compression of the trigeminal nerve, specifically the ...[Read More] Understanding Facial Numbness and Tingling: Possible Causes and Concerns