Insomnia, Neurology FAQ

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Understanding Persistent Dizziness, Headaches, and Unseen Tremors

Dizziness, headache, and unseen body tremors? I would like to ask the doctor, I have been experiencing a sensation of dizziness for the past three months. It is not a spinning sensation, nor does the visual field appear to be swirling; rather, it feels like being on a boat, with ...


Dr. Jiang Junyi Reply:
Hello Ms. Hong, You mentioned, "Sometimes I wake up in the morning with pain in my hands and sometimes in my feet, and the pain feels like inflammation..." Due to the presence of widespread pain, fibromyalgia should be considered. This is a complex clinical syndrome th...

[Read More] Understanding Persistent Dizziness, Headaches, and Unseen Tremors


Understanding Persistent Dizziness: When to See a Neurologist or Psychologist

1. No anemia, no low blood pressure, yet feeling dizzy all day? I just finished seeing the doctor, who recommended that I undergo a self-paid scan. Without the scan, I won't know anything. So far, I've seen a neurologist twice for issues related to migraines, insomnia, ...


Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned, "No anemia, no low blood pressure, yet feeling dizzy all day?" Given the recent hot weather, it may be important to consider heat-related illnesses. The primary cause is the dilation of skin microvessels in high-temperature outdoor environme...

[Read More] Understanding Persistent Dizziness: When to See a Neurologist or Psychologist


Understanding Persistent Dizziness After Influenza: Causes and Solutions

Consultation for dizziness and lightheadedness issues? Hello Doctor, I was diagnosed with influenza type A two months ago. The flu itself resolved quickly, but I started experiencing dizziness afterward, which has persisted until now. My dizziness is intermittent; it doesn't...


Dr. Jiang Junyi Reply:
Hello Mr. Tim, You mentioned that during episodes, you experience slight dizziness, a feeling of heaviness in your head, increased eye fatigue, a sense of visual distortion, and difficulty focusing. You also find it harder to concentrate when talking to others. Although your con...

[Read More] Understanding Persistent Dizziness After Influenza: Causes and Solutions


Effective Strategies for Tapering Off Sleep Medications Safely

Withdrawal from sleeping pills? Hello Doctor: I have been taking Rifapentine 0.5 mg for a year and a half, and later I reduced the dosage to half a pill, which I have been taking for the past three months. During these three months, I have experienced difficulty sleeping for abou...


Dr. Cai Zongzhang Reply:
Hello, Xiao P: Improving insomnia cannot rely solely on medication. Avoid napping during the day, engage in moderate exercise, and combine these with medication before gradually tapering off.

[Read More] Effective Strategies for Tapering Off Sleep Medications Safely


Understanding Throat Foreign Body Sensation: Causes and Solutions

Foreign body sensation in the throat? Since starting fitness training in September of last year, I have begun experiencing difficulty swallowing. I have visited an otolaryngologist, neurologist, and endocrinologist, and all tests returned normal results. Eventually, a gastroenter...


Dr. Jiang Junyi Reply:
Dear Mr. Tso, You mentioned that "difficulty swallowing and a sensation of a foreign body in the throat have persisted," which could be due to cervical nerve compression, brainstem dysfunction, or sympathetic nervous system abnormalities, among other reasons. It is mor...

[Read More] Understanding Throat Foreign Body Sensation: Causes and Solutions


Understanding Limb Weakness and Insomnia: A Neurological Perspective

Weakness in the limbs accompanied by insomnia? Hello Doctor, I have been experiencing weakness in my limbs since February 28, and now it is April 14. During this time, I have noticed that some sensory symptoms have disappeared, but they have reappeared. Currently, I am experienci...


Dr. Cai Zongzhang Reply:
Hello Mr. Hu: Based on the symptoms mentioned, it is recommended to consult a neurologist to investigate the underlying cause.

[Read More] Understanding Limb Weakness and Insomnia: A Neurological Perspective


Understanding Autonomic Nervous System Disorders: Symptoms and Solutions

Suspected autonomic nervous system dysfunction? Hello Doctor, I have been experiencing episodes of physical agitation about 1 to 2 times a month. Even though I feel like I’m not thinking about anything in particular and don’t feel anxious, my body becomes agitated involuntarily. ...


Dr. Cai Zongzhang Reply:
Hello Mr. Cheng: Based on the symptoms mentioned, it is recommended to visit a neurology clinic for an examination to determine if there is a neurological disorder.

[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Solutions


Can Epilepsy Patients Safely Supplement with 5-HTP for Sleep?

Can patients with epilepsy supplement with 5-HTP? Hello Doctor, my mother has epilepsy and is currently prescribed one "Xanax" at bedtime. Since developing epilepsy, she has been dreaming every night and usually remembers her dreams upon waking. Although her daytime ene...


Dr. Cai Zongzhang Reply:
Hello, Xiao K: Sleep disorders and frequent dreaming are commonly caused by age-related central nervous system degeneration. Symptomatic treatment with medication may be used, but there are other possible underlying causes. It is recommended to visit a neurology outpatient clinic...

[Read More] Can Epilepsy Patients Safely Supplement with 5-HTP for Sleep?


Managing Sleep Issues and Stroke Recovery in Elderly Patients

Elderly stroke, drowsiness, and reversed sleep-wake cycle? Hello Doctor: My grandmother is 84 years old and had a stroke nearly a year ago, resulting in right-sided paralysis and aphasia. She is currently only taking medication prescribed by her cardiologist and resides in a care...


Dr. Jiang Junyi Reply:
Dear Ms. Yun, You mentioned that "the institution informed us that grandma sometimes does not sleep at night and has a reversed day-night cycle." This issue needs to be considered from multiple perspectives. For sleep disturbances and reversed day-night cycles, it is r...

[Read More] Managing Sleep Issues and Stroke Recovery in Elderly Patients


Understanding Partial Epilepsy: Treatment, Triggers, and Lifestyle Tips

Focal epilepsy Hello, Doctor. I was diagnosed with focal epilepsy over a month ago. My first seizure occurred while I was exercising and sweating heavily; I suddenly felt like my right hand was being electrocuted, then I collapsed and experienced generalized convulsions. A week l...


Dr. Cai Zongzhang Reply:
Hello, Yiyi: During the initial treatment of epilepsy, it is essential to have regular outpatient follow-ups to adjust the medication dosage until the condition stabilizes. It may take some time to observe the efficacy of the medication and make adjustments, so please be patient ...

[Read More] Understanding Partial Epilepsy: Treatment, Triggers, and Lifestyle Tips


Can MRI Detect Epilepsy Four Days After Seizure? Insights from Neurology

Can a test detect epilepsy four days after a seizure? I would like to ask you, during my first seizure, it occurred in the morning. The precursor was a feeling of fear, and then I lost consciousness. When I woke up, I was sitting on the sofa with a bump on my head. However, about...


Dr. Cai Zongzhang Reply:
Hello: During the first seizure, the physician will arrange for blood tests and brain imaging studies to diagnose the underlying cause of epilepsy. Typically, blood tests are completed immediately upon presentation, checking for any abnormalities in blood components. The purpose ...

[Read More] Can MRI Detect Epilepsy Four Days After Seizure? Insights from Neurology


Understanding Eyebrow Bone Pain: Causes and When to Seek Help

Frontal bone pain In the past year or two, I have started experiencing pain in my brow bone, which I initially thought might be due to the use of electronic devices. As a result, I significantly reduced my usage of these devices for a while. I also visited the ophthalmology depar...


Dr. Cai Zongzhang Reply:
Hello, Ms. Chang: The pain occurring in the brow area may have other potential causes, including sinusitis or trigeminal neuralgia. If the ophthalmic examination shows no abnormalities, it is recommended to consult an otolaryngologist and a neurologist for further evaluation.

[Read More] Understanding Eyebrow Bone Pain: Causes and When to Seek Help


Overcoming Insomnia: Tips for Managing Sleep Disruptions from Trigeminal Neuralgia

Insomnia and difficulty falling asleep? Doctor, I experienced severe pain from trigeminal neuralgia that kept me awake until around 4 AM one day. Since then, I haven't had a recurrence while awake, but I still suffer from insomnia. When I lie down, my mind races with thought...


Dr. Cai Zongzhang Reply:
Hello Wei-Feng: It is recommended to discuss with a physician who specializes in treating trigeminal neuralgia, as both issues can be addressed simultaneously.

[Read More] Overcoming Insomnia: Tips for Managing Sleep Disruptions from Trigeminal Neuralgia


Understanding Anxiety in Elderly Patients with Constipation: Causes and Solutions

Elderly individuals experience high anxiety regarding "not having a regular daily bowel movement." My father is 82 years old and has been experiencing significant anxiety about bowel movements for the past year. If he does not have a bowel movement early in the morning,...


Dr. Jiang Junyi Reply:
Dear Ms. Zoe, You mentioned, "What could be the possible causes of anxiety related to 'constipation' (pseudoconstipation)? Is it related to dementia? How can family members assist? Which specialty should we consult?" Anxiety can activate the sympathetic nervo...

[Read More] Understanding Anxiety in Elderly Patients with Constipation: Causes and Solutions


Understanding Dizziness After Head Injury: When to Seek Further Evaluation

Slipping in the bathroom, head injury? Hello Doctor, I accidentally slipped and hit my head (upper right side of the occipital region) in the bathroom on November 28, 2023. I went to the emergency room and received six stitches. However, starting on December 6, 2023, I began to...


Dr. Jiang Junyi Reply:
Hello Mr. A-Lung, You mentioned, "On 2023/12/12, I have been feeling slightly dizzy all day. I wonder if it could be a concussion or a brain hemorrhage?" Generally speaking, if there is no loss of consciousness, no anticoagulant use, or significant local hematoma, head...

[Read More] Understanding Dizziness After Head Injury: When to Seek Further Evaluation


Chronic Cough and Chest Discomfort: When to See a Neurologist?

Chronic cough with occasional chest tightness and chest (back) pain? Hello, doctor. I have been experiencing related symptoms for about two years. The frequency of my cough is relatively high but not severe. My main concerns are "chest tightness and chest (back) pain," ...


Dr. Wu Mukhan Reply:
Hello, palpitations may be related to autonomic nervous system dysfunction causing an increased heart rate, or they may be associated with psychological factors such as anxiety and stress. If no cause is found in cardiology, further evaluation can be sought in neurology or psychi...

[Read More] Chronic Cough and Chest Discomfort: When to See a Neurologist?


Understanding the Link Between Sleep Disorders and Stroke Symptoms

Autonomic nervous system dysfunction, insomnia, stroke? Hello, Doctor. I would like to ask some questions. My mother has been suffering from chronic insomnia and has been taking medication prescribed by a doctor, but her insomnia remains severe. Recently, she has experienced dry ...


Dr. Wu Mukhan Reply:
Hello: There are many causes of insomnia, including psychological factors, medications, lifestyle habits, degenerative diseases, sleep apnea, and other sleep disorders. Sudden unilateral body paralysis or weakness may indeed be related to cerebrovascular diseases. It is advisable...

[Read More] Understanding the Link Between Sleep Disorders and Stroke Symptoms


Managing Post-COVID Symptoms: When to Seek Medical Help

Areas for improvement Hello, doctor. I previously asked about experiencing tinnitus and hearing my heartbeat when turning my head after my initial COVID-19 infection. Fortunately, after about two months, the symptoms improved significantly. At that time, you advised me to focus o...


Dr. Peng Shiwei Reply:
Hello, I believe that given your current condition, you have recovered quite well. B vitamins, regular exercise, maintaining a normal routine, and consuming plenty of fruits and vegetables can be beneficial. If you continue to feel depressed, experience insomnia, or have unrelent...

[Read More] Managing Post-COVID Symptoms: When to Seek Medical Help


Understanding Side Effects of Rydan Tablets in Elderly Patients

Medication Issue - Rydapt (Midostaurin) My grandmother originally lived in Changhua, but she temporarily moved to Taoyuan to stay with us in July because she needed to get dentures. Since she has a long-standing issue with hand tremors, we took her to the hospital for an examinat...


Dr. Peng Shiwei Reply:
Hello, there are many medications available for treating tremors and Parkinson's disease. Since there is a possibility of duplicate prescriptions or drug interactions, it is recommended that your grandmother see the same physician for diagnosis and medication management. Tha...

[Read More] Understanding Side Effects of Rydan Tablets in Elderly Patients


Understanding Skin Itching and Back Pain: Neurological Insights

Skin itching and lower back pain? Hello, doctor. A few months ago, I suddenly felt a tingling sensation in my mouth, and then I started experiencing itchy skin all over my body (like a prickling feeling). I visited a dermatologist, but the medication did not improve my condition;...


Dr. Cai Zongzhang Reply:
Hello Joanne: Based on the symptoms described, the tingling sensation in the mouth and the itchy feeling in the skin may be abnormal sensations caused by a neurological disorder. These symptoms are not exclusive to multiple sclerosis; brain tumors could also cause the aforementio...

[Read More] Understanding Skin Itching and Back Pain: Neurological Insights


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