Managing Dual Antiepileptic Medications: Dosage, Differences, and Side Effects
Simultaneous use of two antiepileptic drugs? Hello Dr. Lin, My brother was originally taking the antiepileptic medication Depakene, three times a day at a total of three pills. However, he still occasionally experiences absence seizures and has episodes of generalized tonic-clon...
Dr. Lin Zijing Reply:
Antiepileptic drugs are intended to prevent the occurrence of seizures, as seizures are caused by abnormal electrical discharges in the brain, which can lead to brain damage, inflammation, atrophy, and even life-threatening situations during severe episodes. Doctors regularly mon...[Read More] Managing Dual Antiepileptic Medications: Dosage, Differences, and Side Effects
Understanding Chronic Dizziness in Seniors: Causes and Treatment Options
Dizziness Hello Dr. Huang: My mother is currently 75 years old and has been experiencing dizziness since she was in her thirties. Her symptoms include a feeling of unsteadiness while walking. She has consulted with an ear specialist and has taken many medications for dizziness, b...
Dr. Huang Yongquan Reply:
Hello: In response to your question. Based on your description, it seems that this condition has been occurring since your youth and continues to present with dizziness. If the dizziness is intermittent and accompanied by nausea and vomiting, the most common issue is related to t...[Read More] Understanding Chronic Dizziness in Seniors: Causes and Treatment Options
Accurate Diagnosis Methods for Parkinson's Disease: Exploring Options
Diagnosis methods for Parkinson's disease? Dear Vice Dean, My mother has been a patient with peptic ulcerative colitis and has been on steroids for 7 years. She has long-term issues with insomnia and dizziness (without hypertension or other diseases). Recently, for over a m...
Dr. Zeng Kongyan Reply:
The diagnosis of Parkinson's disease is based on the presence of bradykinesia along with either tremor, rigidity, or postural instability, with at least one of these symptoms being present. Most diagnoses are clinical. The potential causes of Parkinson's disease are num...[Read More] Accurate Diagnosis Methods for Parkinson's Disease: Exploring Options
Understanding Neurological Symptoms: When to Seek Further Testing for Your Mother
I'm sorry, but I need more information to assist you. Please provide additional details or context? My mother is 47 years old and had facial nerve dysfunction four years ago. Recently, she has started to experience numbness in her hands and feet (a tingling sensation), espec...
Dr. Huang Yingzhe Reply:
Dear Ms. Hsi, Dr. Huang Ying-Che from the Neurology Department of Tainan Hospital, Department of Health, Executive Yuan, responds: The symptoms you described are quite "diverse." Some are commonly associated with issues in the brain, while others are more typical of...[Read More] Understanding Neurological Symptoms: When to Seek Further Testing for Your Mother
Dizziness and Rapid Heartbeat: When to Seek Neurology Help
Dizziness and palpitations? Hello, I have been experiencing frequent dizziness in recent months, with my heart rate reaching up to 100 beats per minute, and my eyes also feel uncomfortable. Could you please advise me on what might be the issue and which specialist I should see? T...
Dr. Ye Boshou Reply:
Hello: Are you experiencing insomnia? Feeling anxious? Is your thyroid functioning normally? It could be a case of autonomic nervous system dysregulation; you may want to consult with an internal medicine or neurology specialist for an evaluation.[Read More] Dizziness and Rapid Heartbeat: When to Seek Neurology Help
Understanding Limb Numbness: Causes and Diagnostic Approaches
Numbness in the limbs? Hello: Two months ago, I experienced numbness and soreness in my neck and back. The discomfort in my neck eventually disappeared, but I then developed prolonged numbness in my limbs. I consulted two doctors; one prescribed pain relievers and muscle relaxant...
Dr. Ye Boshou Reply:
Hello: It doesn't seem like nerve compression; could it be tension or insomnia? Nerve conduction studies can help determine if the nerves are functioning normally.[Read More] Understanding Limb Numbness: Causes and Diagnostic Approaches
Understanding Dizziness and Neck Pain: When to See a Neurologist
I have a question? Hello, doctor. I would like to ask about my recent symptoms. I have been experiencing dizziness and neck and back pain. Sometimes, it feels like I'm being shocked, and each time this sensation occurs, I hear a "pop pop pop" sound, which lasts for...
Dr. Ye Boshou Reply:
Hello: Dizziness, back pain, and insomnia. What is the nature of your work? Start with warm compresses on your neck and back, and begin to engage in physical activity. You may consider consulting a neurologist.[Read More] Understanding Dizziness and Neck Pain: When to See a Neurologist
Understanding Tinnitus, Sleep Issues, and Neck Pain: A Neurology Perspective
Tinnitus ~ insomnia ~ shoulder and neck pain ~ nasal mucosa redness and swelling? Hello Dr. Yeh, I have been increasingly unable to tolerate some physical discomforts. I know I have some unhealthy beliefs; I am aware that my body is unwell, but I really dislike going to the hospi...
Dr. Ye Boshou Reply:
Hello: Based on the above situation, the diagnosis should be autonomic nervous system dysfunction, which can be simply described as poor adjustment in daily activities and sleep. Improvement methods include returning to normal activities, working during the day, exercising, and m...[Read More] Understanding Tinnitus, Sleep Issues, and Neck Pain: A Neurology Perspective
Understanding Severe Headaches: Causes, Treatments, and Concerns
Severe headache Hello Doctor, my boyfriend has been experiencing severe headaches recently. He has had episodes of headaches that made him feel nauseous, and he has been having diarrhea almost every day, which I suspect might be due to stress. A few days ago, his headache became ...
Dr. Ye Boshou Reply:
Hello: 1. Is there a presence of headache, and does it improve after rest? Do you wake up from sleep due to the pain? If the headache is persistent and worsening, it is advisable to consult a neurologist. 2. High stress and low activity levels can lead to autonomic nervous system...[Read More] Understanding Severe Headaches: Causes, Treatments, and Concerns
Can Longing for Someone Cause Chest Tightness or Stroke?
excuse me? Hello doctor, I would like to ask if missing someone very much can cause chest tightness or cerebral embolism. If cerebral embolism occurs, what are the common treatment options? Thank you.
Dr. Ye Boshou Reply:
Hello: 1. Longing can cause emotional changes such as chest tightness and insomnia, but it is not related to cerebral embolism. 2. The treatment for cerebral embolism focuses on prevention, but it is essential to understand the underlying causes of cerebral embolism in order to p...[Read More] Can Longing for Someone Cause Chest Tightness or Stroke?
Understanding Back Pain and Headaches: Neurological Insights
I have issues with lower back pain and headaches? I often experience lower back pain, mostly when I am sitting. Since I frequently work on the computer, I have to sit at my desk, and I feel a sharp pain on the left side of my lower back. Sometimes, standing up and moving around h...
Dr. Ye Boshou Reply:
Hello: 1. The lower back pain seems to be a muscular issue; you should change your posture. 2. Headaches and insomnia are often due to tension-type headaches; it's important to learn how to relax. If the pain persists, you should see a doctor.[Read More] Understanding Back Pain and Headaches: Neurological Insights
Understanding Tinnitus: Causes and Solutions for Persistent Ear Ringing
My mother-in-law has a ringing sound above her left ear in her brain? Hello, my mother-in-law is in her early sixties and is generally in good health. However, she has been troubled by a persistent issue lately: she experiences a ringing sound in her left ear, located above the e...
Dr. Ye Boshou Reply:
Tinnitus is most likely related to issues in the inner ear, often accompanied by dizziness and hearing loss. It is advisable to first consult an otolaryngologist for an examination.[Read More] Understanding Tinnitus: Causes and Solutions for Persistent Ear Ringing
Understanding Electric Shock Sensations in the Right Brain: Causes and Solutions
There is a tingling sensation above the right ear? Hello, my mother-in-law (in her sixties) has been experiencing a sensation similar to electric shocks in the right side of her brain (above the ear) for the past few weeks. This sensation lasts for several seconds and occurs freq...
Dr. Ye Boshou Reply:
If there is only a tingling sensation without headache, dizziness, or weakness or numbness in the limbs, it may indicate a localized sensory abnormality in the skin. Medications for sensory abnormalities can provide some relief. Additionally, an electroencephalogram (EEG) can be ...[Read More] Understanding Electric Shock Sensations in the Right Brain: Causes and Solutions
Understanding Sleep Disorders Caused by Autonomic Nervous System Dysfunction
Sleep disorders related to autonomic nervous system dysfunction? My mother has been experiencing insomnia for six consecutive months (waking up shortly after falling asleep). For the first five months, she consulted doctors who only prescribed sleeping pills. Later, she saw a psy...
Dr. Ye Boshou Reply:
Most sleep disorders stem from psychological stress. Medications can help patients improve their sleep issues, but each individual's situation is different, and treatment plans vary. It is best to identify the underlying causes of insomnia to effectively address the problem....[Read More] Understanding Sleep Disorders Caused by Autonomic Nervous System Dysfunction
Understanding Pain: Is It Caused by Nerve Tension?
Is soreness caused by nerve tension? Dr. Yeh: Hello, I would like to ask you a question. My mother is 42 years old and works in agriculture, which involves a lot of physical labor. Recently, due to overexertion, she has been experiencing pain in various parts of her body, making ...
Dr. Ye Boshou Reply:
Muscle fatigue necessitates rest. Nervous tension, insomnia, and stress are related to personality traits; medication is merely a supportive measure. The root of symptom treatment lies in changing one's mood. Reducing stress and engaging in appropriate exercise are essential...[Read More] Understanding Pain: Is It Caused by Nerve Tension?
Understanding Dizziness, Numbness, and Nausea: A Neurology Perspective
Dizziness, body numbness, nausea? Hello, Doctor. I have been suffering from insomnia for several years, and I often experience headaches, dizziness, nausea, and pain in the left side of my neck and shoulder. Since the beginning of this year, I have been seeing a neurologist and h...
Dr. Huang Yingzhe Reply:
Dear Dr. Huang Ying-Che, Director of the Neurology Department at Tainan Hospital, Ministry of Health and Welfare: The symptoms you described are quite unusual, and it is difficult to determine what might be happening based solely on this information. I recommend that you visit a...[Read More] Understanding Dizziness, Numbness, and Nausea: A Neurology Perspective
Understanding Severe Insomnia: Seeking Help for Sleep Struggles
The first time experiencing such severe insomnia? Hello Doctor: I have been experiencing insomnia for almost two weeks now. Even though I feel very tired and want to sleep, as soon as I close my eyes, my mind starts racing with endless thoughts. I have never experienced anything ...
Dr. Lai Lunxiang Reply:
Hello, Xiaoping. Regarding sleep disorders.[Read More] Understanding Severe Insomnia: Seeking Help for Sleep Struggles
Understanding Sleep Myoclonus: When to Seek Treatment for Your Partner
Sleep-related limb movement disorder Dear Doctor, my husband experiences twitching in his hands or feet while he sleeps, occurring in bursts. Although he is aware of it, it does not disrupt his sleep, and he sleeps well. However, I have read online that some people experience ins...
Dr. Lai Lunxiang Reply:
Hello, I personally believe that your husband should come in for a consultation. The patient should provide a detailed account of their condition, and then treatment can be determined. Thank you![Read More] Understanding Sleep Myoclonus: When to Seek Treatment for Your Partner
Understanding Headaches and Sleep Issues: A Guide for Breakfast Workers
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-consc...
Dr. Lai Lunxiang Reply:
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 ne...[Read More] Understanding Headaches and Sleep Issues: A Guide for Breakfast Workers
Managing Post-Stroke Tremors: Insights and Treatment Options
Tremors in the left hand after a cerebellar stroke? Hello Dr. Tsao: My mother suffered a hemorrhagic stroke in the left cerebellum in May, and her left side has been quite inconvenient since then. She is currently undergoing rehabilitation and receiving medication treatment. On A...
Dr. Cao Wenlong Reply:
Jeanne: You are a caring child. Your mother's illness has made you put in a lot of effort to seek medical help. The best approach is to discuss with the attending physician. When the doctor sees the patient and understands the condition firsthand, they can effectively addres...[Read More] Managing Post-Stroke Tremors: Insights and Treatment Options