Seeking Further Evaluation for Neurological Symptoms and Sleep Issues
How to seek further medical consultation? Hello, doctor. I'm sorry to bother you again. After my examination, I was diagnosed with mild sleep apnea (partly central). I have started using a ventilator, but I only feel a reduction in dizziness in the mornings upon waking. Abou...
Dr. Gao Chunde Reply:
Since half of the cases are central in nature, and the use of a ventilator only improves some symptoms, it may be time to consider a consultation with a neurologist. As for the examinations, we should not pre-determine what tests to conduct; rather, we should respect the professi...[Read More] Seeking Further Evaluation for Neurological Symptoms and Sleep Issues
Understanding Insomnia After Gastroenteritis: A Neurology Perspective
Insomnia and difficulty falling asleep? After recovering from a gastroenteritis last week, my father has been unable to sleep every night. He later visited a neurologist at the city hospital, who only prescribed him sleeping pills. Do you understand what this situation might be?
Dr. Gao Chunde Reply:
Gastroenteritis may cause some disturbances in sleep, but as the illness resolves, sleep should return to its previous state. The medication prescribed by the physician was likely based on their understanding and analysis of the patient's sleep issues at that time. It is imp...[Read More] Understanding Insomnia After Gastroenteritis: A Neurology Perspective
Understanding Chronic Fatigue and Allergies: A Neurological Perspective
There is a tendency towards anxiety? I have been experiencing long-term issues since high school, which are now significantly affecting my work. 1. I have allergic rhinitis, but I exercise regularly (walking and light jogging, not too intense, as I feel too tired after work). I...
Dr. Lan Shengxing Reply:
Dear Mr. S, From the perspective of sleep medicine, the most likely condition you should address is obstructive sleep apnea (OSA) caused by nasal airway narrowing. This condition often leads to daytime concentration difficulties, which can contribute to feelings of depression. G...[Read More] Understanding Chronic Fatigue and Allergies: A Neurological Perspective
Understanding Unusual Head Sounds After Liver Transplant Surgery
Sounds coming from the head? Hello Doctor, I underwent a liver transplant surgery in February of this year, and it has been over eight months since then. I have been recovering normally, but due to long-term sleep issues, my doctor prescribed sleeping pills. Recently, I have expe...
Dr. Gao Chunde Reply:
Based on the symptoms, it is possible that they are side effects of medications (including sleep aids or other medications) or it may not be the case, but rather that the underlying causes of insomnia have not been diagnosed and treated appropriately. It is recommended to consult...[Read More] Understanding Unusual Head Sounds After Liver Transplant Surgery
Signs You Might Be Suffering from Depression: What to Look For
How to know if you have depression? It has been going on for several months... It's related to emotional issues, and I thought time would gradually heal the wounds in my heart. However, I have been in a very negative state during these months, especially when I'm alone;...
Dr. Gao Chunde Reply:
Everyone experiences feelings of sadness and depression in response to distressing events, which is a normal reaction that typically improves over time. However, if this reaction persists for more than three months and affects daily functioning—such as causing loss of appetite, i...[Read More] Signs You Might Be Suffering from Depression: What to Look For
Understanding Numbness in Limbs: Causes and Concerns
Numbness in the hands and feet? Hello, for the past two days, I've been experiencing numbness in the left side of my body, including my arms and legs, lasting from half an hour to several hours. Sometimes, my left limbs feel cold, while the right side does not. I often have ...
Dr. Gao Chunde Reply:
Please visit the neurology outpatient department of the hospital as soon as possible to determine the cause and receive symptomatic treatment. This symptom raises concern for transient ischemic attack (TIA), which is a warning sign of an ischemic stroke.[Read More] Understanding Numbness in Limbs: Causes and Concerns
Understanding Sleep Issues and Brain Pain: When to Seek Help
Brain and Sleep Issues Hello, Doctor Gao: I have recently been waking up in the middle of the night and unable to fall back asleep (around 3-4 AM, and this has been ongoing for over a month). A few days ago, I had a dispute over a transaction with someone who was quite unreasonab...
Dr. Gao Chunde Reply:
Waking up in the middle of the night and being unable to fall back asleep is increasingly common among middle-aged individuals. This can be partially related to daytime stress and feelings of depression. If this persists for more than three months, it is advisable to seek evaluat...[Read More] Understanding Sleep Issues and Brain Pain: When to Seek Help
Understanding Dizziness: Insights from Traditional and Modern Medicine
Question: Is there really dizziness? (After examinations by Traditional Chinese Medicine, Neurology, and Otolaryngology) After consultations with Traditional Chinese Medicine, Neurology, and Otolaryngology, the findings are as follows: 1. Traditional Chinese Medicine: (1) Exc...
Dr. Gao Chunde Reply:
Dizziness is a subjective sensation, and physicians can determine if there is a vertiginous component by observing eye movements. Other clinical findings, such as blood pressure, hemoglobin levels, electrolytes, and additional tests, can help identify potential causes. After hear...[Read More] Understanding Dizziness: Insights from Traditional and Modern Medicine
Unexplained Body Pain: When to See a Neurologist?
Unexplained body aches? I have been feeling very down for the past few weeks and often experience insomnia. Recently, I have been feeling unexplained body aches, particularly pain near my left armpit close to my chest (not in the armpit itself) and pain in my elbow joint. My left...
Dr. Gao Chunde Reply:
The location of the pain you described closely corresponds to the sensory distribution of the second thoracic nerve on the skin. Please pay attention over the next few days for any rashes or small blisters appearing along this painful area. Feelings of depression combined with in...[Read More] Unexplained Body Pain: When to See a Neurologist?
Understanding Symptoms: When to See a Neurologist for Your Health Issues
Autonomic nervous system dysfunction? Cold? Other brain issues? On the evening of October 22nd, I felt muscle weakness, my whole body was hot, and I sweated excessively while sleeping due to overheating. I woke up after two hours to rehydrate, but by the time I went to work, I ha...
Dr. Gao Chunde Reply:
Based on the symptoms, it appears to be a cold. However, if there is a fever, headache, and neck stiffness, it is advisable to consult a neurologist to rule out the possibility of meningitis. If those symptoms are not present, it is recommended to rest more and drink plenty of fl...[Read More] Understanding Symptoms: When to See a Neurologist for Your Health Issues
Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Severe autonomic nervous system dysfunction? Dear Doctor, I have read a lot of relevant information and would like to focus on my daily routine and dietary intake. I would also like to explain my symptoms. In recent years, I have developed a strong liking for very spicy food, to...
Dr. Gao Chunde Reply:
It seems that there may be symptoms of anxiety and even approaching panic attacks. This can be examined in daily life to identify any specific external causes, such as dietary factors, work, family, or other stressors. If no external causes are found, it may be related to intrins...[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Persistent Headaches: When Pain Medications Fail to Provide Relief
If taking medication for headaches does not improve the symptoms, it is important to consult a healthcare professional for further evaluation and management? Hello Doctor: I have been experiencing persistent headaches lately. The pain subsides when I sleep, but as soon as I wake ...
Dr. Gao Chunde Reply:
In general, if a typical migraine improves after taking the medications you mentioned, it should be nearly resolved. If there is no improvement, one possibility is that it is a status migrainosus, which requires stronger injectable medications for ongoing treatment. Another consi...[Read More] Persistent Headaches: When Pain Medications Fail to Provide Relief
Post-Concussion Symptoms: Headaches, Dizziness, and Insomnia Explained
Symptoms of headache, dizziness, and insomnia following a concussion? Hello Doctor: I had a car accident in March, which resulted in a concussion and a lump on the upper back of my head. Since being discharged from the hospital, I have been experiencing intermittent headaches and...
Dr. Lin Zijing Reply:
Symptoms of a concussion include headache, dizziness, confusion, tinnitus, nausea, blurred vision, poor balance, memory loss, and difficulty concentrating. If the symptoms are mild, normal activities and exercise can typically resume after rest. However, if there has been memory ...[Read More] Post-Concussion Symptoms: Headaches, Dizziness, and Insomnia Explained
Understanding Insomnia After a Fall: Seeking Solutions for Recovery
The issue of insomnia caused by falls? Dear Dr. Lin, My mother recently had a fall while riding her bike, resulting in multiple abrasions and 13 stitches on her right lower leg. She also feels some tightness in her neck and experiences dizziness. Since the fall, she has been exp...
Dr. Lin Zijing Reply:
Sleep medications generally have an effect duration of about 6 hours. Taking them too early may lead to waking up too soon. It is recommended to take the medication 6 to 8 hours before the desired wake-up time. (If you plan to go to bed earlier, it is advisable to refrain from ta...[Read More] Understanding Insomnia After a Fall: Seeking Solutions for Recovery
Understanding Mild Insomnia: When to Consult a Neurologist
Mild insomnia? Hello Doctor, at the beginning of the year, I prepared for the judicial examination for a while and experienced continuous mental stress for six months, staying up late until three or four in the morning every day. After the exam in August, I noticed that I have di...
Dr. Lin Zijing Reply:
It is likely that sleep disturbances are caused by high levels of stress. It is recommended to undergo a sleep study or establish a regular sleep schedule and adhere to it, along with incorporating moderate and regular exercise.[Read More] Understanding Mild Insomnia: When to Consult a Neurologist
Which Specialist to Consult for Severe Palpitations and Anxiety Symptoms?
Which specialty to see? Based on your symptoms of severe palpitations (pain, difficulty breathing), chest tightness, insomnia, and excessive salivation, which seem to resemble autonomic nervous system dysfunction, it would be advisable to consult a specialist in either Cardiology...
Dr. Ye Boshou Reply:
Hello: It appears to be autonomic nervous system dysfunction, which can be alleviated with relaxation.[Read More] Which Specialist to Consult for Severe Palpitations and Anxiety Symptoms?
Understanding Dizziness, Sweating, and Mental Confusion: When to Seek Help
Dizziness and other symptoms? I would like to ask you, doctor, why I often feel dizzy at times, and sometimes I get dizzy from a certain movement. Is dizziness the same as a headache? However, today I not only felt dizzy, but in the afternoon I also broke out in a slight cold swe...
Dr. Jiang Hezhou Reply:
Hello: 1. Dizziness and headaches are not entirely the same, but they can occur together! There are many possible causes! A face-to-face consultation and physical and neurological examinations are necessary to determine the underlying cause and provide targeted treatment! 2. Anxi...[Read More] Understanding Dizziness, Sweating, and Mental Confusion: When to Seek Help
Dizziness and Hoarseness: Understanding Neurological Symptoms in Seniors
Dizziness and hoarseness? Hello Doctor, my father is 70 years old. A couple of days ago, he suddenly experienced severe dizziness and nausea, followed by a hoarse voice. Eventually, he felt some relief after receiving an injection. He usually sleeps well, but the night before the...
Dr. Lin Zijing Reply:
Non-benign dizziness accompanied by hoarseness may be indicative of an upper respiratory infection or diseases affecting the cerebellum or brainstem (such as tumors or strokes), and further examination is recommended. Pain upon pressing the muscles on both sides of the back of th...[Read More] Dizziness and Hoarseness: Understanding Neurological Symptoms in Seniors
Understanding Body Vibrations: Anxiety and Neurological Insights
Feeling vibrations in the body? Hello Doctor: I am a first-year college student. When I was in the second year of junior high, I often experienced dizziness (similar to the sensation of being on a boat) or felt vibrations in my body. At that time, I frequently went to the hospita...
Dr. Lin Zijing Reply:
If tests have been conducted without identifying any issues, and the symptoms are intermittent rather than persistent, along with triggering factors such as stress, insomnia, or racing thoughts, anxiety disorder is a reasonable consideration. It is recommended that you start a re...[Read More] Understanding Body Vibrations: Anxiety and Neurological Insights
Understanding Saliva Production and Swallowing: A Neurological Perspective
Salivary flow issues Hello Doctor: My situation is as follows: I experienced insomnia yesterday and began to notice my swallowing of saliva. My question is whether saliva secretion in the mouth accumulates to a certain volume before being swallowed at once, or if it maintains a c...
Dr. Lin Zijing Reply:
It is advisable to first check for any gastrointestinal issues, as conditions like peptic ulcers or gastroesophageal reflux disease (GERD) can also lead to excessive saliva production. If there are no gastrointestinal problems and the salivary glands are not painful, then there i...[Read More] Understanding Saliva Production and Swallowing: A Neurological Perspective