Understanding Sleep Disorders: Causes, Symptoms, and Solutions
Sleep disorders Hello Doctor, I usually have a habit of staying up late and drinking red tea and milk tea from aluminum foil packages. Recently, I have experienced insomnia for three consecutive days, poor appetite, constipation, occasional heart pain, and shortness of breath. I ...
Dr. Cai Zongzhang Reply:
Hello: Adequate sleep is related to health, and tea and coffee beverages can worsen insomnia. It is recommended to reduce tea consumption and avoid drinking tea in the evening to improve sleep duration. If symptoms do not improve, please visit a neurology clinic.[Read More] Understanding Sleep Disorders: Causes, Symptoms, and Solutions
Understanding Head Injuries: Symptoms, Risks, and Necessary Evaluations
Head injury Hello, Doctor. About four years ago, I was physically abused by a family member who struck me on the head and forcefully pulled my hair. At that time, the injured area swelled, and I experienced headaches and dizziness. However, due to threats from other family member...
Dr. Cai Zongzhang Reply:
Hello: A scalp swelling caused by a head impact does not necessarily indicate intracranial brain injury. If headaches occur more than 10 days a month, it is advisable to visit a neurology clinic.[Read More] Understanding Head Injuries: Symptoms, Risks, and Necessary Evaluations
Can Head Injuries Lead to Mental Illness? Understanding the Risks
Can a head injury lead to mental illness? When my brother was in the second year of junior high school, we were playing basketball, and in a moment of anger, I pushed him while he was in the air. This caused him to fall face-first onto the ground. At that moment, he had facial br...
Dr. Jiang Junyi Reply:
Hello Mr. Stephen: Generally speaking, if there is no loss of consciousness, no anticoagulant use, or obvious local hematomas, head trauma is mostly mild. You mentioned that "a few months later, your brother developed a high fever and experienced symptoms of epilepsy," ...[Read More] Can Head Injuries Lead to Mental Illness? Understanding the Risks
Understanding Persistent Insomnia: When to See a Neurologist
Insomnia has persisted since June 5th? Hello Doctor: I am an office worker who usually engages in weight training. Last month, on June 5th, I suddenly developed insomnia that has persisted until now. I am unable to sleep at night, and I also cannot take a nap during the day. Init...
Dr. Cai Zongzhang Reply:
Hello Tina: Based on the symptoms mentioned, it is recommended to visit a neurology outpatient clinic for an examination.[Read More] Understanding Persistent Insomnia: When to See a Neurologist
Understanding Sleep Breathing Issues: Causes and Solutions
Sleep breathing disorders Hello Doctor, yesterday while I was sleeping, I woke up gasping for air due to a lack of oxygen. This situation occurs about once every six months; although the frequency is low, it is always very uncomfortable, and I worry about the possibility of suffo...
Dr. Jiang Junyi Reply:
Hello Mr. Hsu: You mentioned that "the sleep study showed an RDI of 1.9 and a minimum blood oxygen level of 84." These values do not meet the criteria for obstructive sleep apnea (OSA), which is greater than 5. Symptoms of sleep apnea include insomnia, nightmares, irrit...[Read More] Understanding Sleep Breathing Issues: Causes and Solutions
Understanding Dizziness, Rapid Heartbeat, and Weight Loss Symptoms
Dizziness, increased heart rate, and a sensation of weightlessness? Hello doctor, for the past six months, I have often felt inexplicably anxious over minor issues, with an increased heart rate, sometimes accompanied by cold sweats and nausea. Recently, I have also experienced di...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, it appears that you may have Generalized Anxiety Disorder. You can refer to this article: https://wwwv.tsgh.ndmctsgh.edu.tw/unit/10058/17028. If you have any questions, you may also consult the psychiatry outpatient clinic. Thank you for your inquir...[Read More] Understanding Dizziness, Rapid Heartbeat, and Weight Loss Symptoms
Understanding Head Pressure: When to Seek Neurological Help
Inquiry about Head Pressure Until yesterday, I had been staying up late for a week to complete assignments, with a sleep schedule of going to bed at 8 AM and waking up at 3 PM. For the past two nights, I experienced significant swelling in my head (above the temples on both sides...
Dr. Jiang Junyi Reply:
Dear Mr. Wood, You mentioned that "after a week of continuous late nights... my head is very swollen (above the temples on both sides)," and we should first consider tension-type headache. The symptoms of this type of headache are as follows: 1. It is often bilateral...[Read More] Understanding Head Pressure: When to Seek Neurological Help
How to Differentiate Between Headaches and Neurological Issues
How to differentiate between various types of headaches that last for several months? I have been experiencing pain for six months in the area between my temple and ear, sometimes accompanied by a feeling of pressure or a sensation of a foreign body, as if something is pressing i...
Dr. Jiang Junyi Reply:
Hello Mr. Hong: You mentioned distinguishing between headaches and neurological or dermatological conditions. The pain you described, "often occurring between the temple and the ear, sometimes with a throbbing sensation," may suggest tension-type headache. The symptoms ...[Read More] How to Differentiate Between Headaches and Neurological Issues
Understanding Sleep Paralysis and Severe Shaking Sensations
Feeling severe shaking while sleeping and experiencing tinnitus? This issue has persisted for over 10 years, with the first episode occurring during middle school. I have documented common symptoms. 1. On the night of an episode, I initially experience insomnia, tossing and turni...
Dr. Peng Shiwei Reply:
Hello, based on your description, it seems that the symptoms occur during sleep. I recommend that you visit a hospital with a "sleep center" for consultation and examination. Before your appointment, you can keep a sleep diary. During the sleep study, you will be asked ...[Read More] Understanding Sleep Paralysis and Severe Shaking Sensations
Understanding Syncope: Causes and Concerns in Elderly Patients
Conscious syncope Hello doctor, my mother is 65 years old and has a history of low blood pressure, chronic moderate insomnia, autonomic nervous system dysfunction, and headaches. She often relies on sleeping pills to fall asleep and takes acetaminophen to alleviate her headaches....
Dr. Wu Mukhan Reply:
Hello, your mother's symptoms may possibly be caused by seizures or syncope related to cardiac issues. It is advisable to arrange for further examinations at a hospital's neurology department.[Read More] Understanding Syncope: Causes and Concerns in Elderly Patients
Neurological Issues in Left Body After Right Brain Surgery: Seeking Solutions
Abnormal nerve sensations on the left side of the body? Hello, doctor. A year ago, I underwent a craniotomy for a right brain surgery, which resulted in numbness on the left side of my body. I have diminished sensitivity to temperature and pain, and at times, I experience a burni...
Dr. Jiang Junyi Reply:
Hello Mr. Hu: You mentioned that "the left side of your body has a numb sensation, with unclear perception of hot and cold as well as pain. Sometimes there is a burning sensation from the calf to the sole of the foot. You have undergone acupuncture rehabilitation this year b...[Read More] Neurological Issues in Left Body After Right Brain Surgery: Seeking Solutions
Understanding Autonomic Nervous System Disorders: Dizziness and Anxiety
Autonomic nervous system dysfunction causing dizziness and lightheadedness? Hello, Dr. Jiang. I apologize for bothering you, but I would like to ask for your advice. Three years ago, I suddenly experienced autonomic nervous system dysfunction. Initially, I had occasional prematur...
Dr. Jiang Junyi Reply:
Dear Mr. Hsieh, You mentioned that "sleeping for 9 hours... Yongkangxu said it would help." Yongkangxu contains two active ingredients: Flupentixol, which is an antipsychotic that has antidepressant and anxiolytic effects at low doses, and Meltracen, which is a mood st...[Read More] Understanding Autonomic Nervous System Disorders: Dizziness and Anxiety
Understanding Abnormal Brain Waves: Causes and Concerns
Abnormal brain waves Hello Doctor: For the past six months, I have been experiencing a feeling of pressure in my head, and occasionally when I look down, my vision becomes blurry on both sides. Yesterday, the EEG report showed abnormalities with localized slow waves. I was diagno...
Dr. Jiang Junyi Reply:
Hello Ms. G: You mentioned that "the EEG report shows abnormalities with localized slow waves... I would like to ask if hormone therapy or sleeping pills could cause slow waves in the EEG?" Sleeping pills typically increase beta waves. Insufficient sleep may lead to the...[Read More] Understanding Abnormal Brain Waves: Causes and Concerns
Understanding Dizziness and Autonomic Nervous System Disorders
Dizziness, autonomic nervous system issues? Hello Doctor, Subject: 1. I experienced several episodes of fainting in early December 2022 after performing 100 sit-ups in a short period as part of my exercise routine. A few days later, while walking on the street, I suddenly lost...
Dr. Jiang Junyi Reply:
Hello Mr. Li: You mentioned experiencing several episodes of syncope while walking, feeling as if you suddenly lost consciousness... Your symptoms are more likely caused by syncope. When cerebral blood flow drops below 30 ml per minute, it can lead to loss of consciousness, usu...[Read More] Understanding Dizziness and Autonomic Nervous System Disorders
Understanding Pulsatile Tinnitus: Causes and Concerns for Patients
Tinnitus issues? Hello Doctor: I have been experiencing pulsatile high-frequency tinnitus in my left ear for the past three months. The tinnitus is persistent throughout the day, but it usually diminishes briefly after taking a hot shower, only to return shortly afterward. A mont...
Dr. Jiang Junyi Reply:
Hello Mr. Wen: You asked, "Does an acoustic neuroma always result in hearing loss?" The hearing loss associated with acoustic neuroma typically progresses gradually. Subsequently, as the tumor compresses the brainstem, other cranial nerve symptoms and cerebellar signs m...[Read More] Understanding Pulsatile Tinnitus: Causes and Concerns for Patients
Understanding Pulsatile Tinnitus: When Your Eyes Beat with Your Heart
The eye perceives pulsations that are in sync with the heartbeat? Hello doctor, I have been experiencing a pulsating sensation in my eyes that seems to coincide with my heartbeat since high school. It becomes more pronounced when I lie down or close my eyes. Sometimes my heartbea...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, it is advisable to consult a neurologist. There is a possibility that you may have a carotid-cavernous fistula, so please ask your doctor to conduct an examination.[Read More] Understanding Pulsatile Tinnitus: When Your Eyes Beat with Your Heart
Managing Parkinson's Disease: Addressing Anxiety and Daily Challenges
Parkinson's disease Dear Dr. Jiang, My mother was diagnosed with Parkinson's disease last August at the age of 66. She has had long-standing insomnia issues and has a naturally introverted and anxious personality. It wasn't until last year that she experienced wea...
Dr. Jiang Junyi Reply:
Hello Ms. Chen, You mentioned, "Heavy metal testing, due to living in the countryside and working in hotel housekeeping for 25 years. If there has indeed been excessive exposure and treatment, would it improve symptoms, and would her mood improve?" For atypical Parkins...[Read More] Managing Parkinson's Disease: Addressing Anxiety and Daily Challenges
Managing Nerve Pain and Discomfort in Hands and Feet
Numbness and pain in the hands and feet? Hello Dr. Jiang, I previously underwent rehabilitation treatment for my cervical spine issues, during which the numbness and tingling in my fingers were not as severe. However, after moving, I have had less opportunity to continue rehabil...
Dr. Jiang Junyi Reply:
Dear Ms. Peng, You mentioned that "I must lie down to feel better, and lifting heavy objects or walking exacerbates the numbness and pain in my fingers, which has recently become unbearable." Your symptoms may suggest peripheral nerve compression, and there could also ...[Read More] Managing Nerve Pain and Discomfort in Hands and Feet
Understanding Hand Numbness and Memory Lapses in Seniors
Numbness in the hands and brief episodes of mental blankness? Hello, my father is 68 years old and has been experiencing insomnia and numbness in his hands for about six months. Recently, while playing Mahjong with friends at night, he found it difficult to arrange the tiles. He ...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "you found it difficult to arrange the Mahjong tiles... and your father is concerned whether it is dementia." This symptom is indeed indicative of cognitive dysfunction. Clinically, we would inquire about the patient's medical history and ...[Read More] Understanding Hand Numbness and Memory Lapses in Seniors
Understanding Sleep Disturbances: Hallucinations and Breathing Issues
Hallucinations upon falling asleep, difficulty breathing, and a feeling of pressure? Hello Doctor: I am currently a senior high school student preparing for the university entrance exam, and I often feel a lot of pressure from studying, which leads to feelings of inexplicable sad...
Dr. Hong Weibin Reply:
Hello: Based on your description, it is recommended that you seek assistance from a sleep specialist at a hospital (such as a pediatric psychiatry or neurology department). It is important to consider whether there may be narcolepsy or depression involved. Additionally, your slee...[Read More] Understanding Sleep Disturbances: Hallucinations and Breathing Issues