Should You Wake Someone Who Talks in Their Sleep? Expert Insights
Is it necessary to wake someone who is talking in their sleep? My brother (40 years old) talks in his sleep (very excitedly); should I wake him up? Is it correct that I shouldn't disturb his brain activity, as I've read online? Sometimes he also screams in his sleep (no...
Dr. Hong Weibin Reply:
Talking in one's sleep or exhibiting bodily movements during sleep does not require waking the individual if there is no risk to their own safety or that of their bed partner. Consultation with a sleep medicine specialist is recommended for further discussion. Generally, mel...[Read More] Should You Wake Someone Who Talks in Their Sleep? Expert Insights
Understanding Persistent Head Sensations: Dizziness, Pressure, and Sleep Issues
Sensation of swaying, feeling of an earthquake, heaviness in the back left side of the head? Hello Doctor, for the past two weeks, I have been experiencing a sensation of my head shaking throughout the day, whether I am sitting or standing. Sometimes, I feel like there is an eart...
Dr. Cai Zongzhang Reply:
Hello, Ruid: The symptoms mentioned above are suggestive of balance dysfunction. If appropriate rest and sleep do not improve the symptoms, it is recommended to visit a neurology outpatient clinic for evaluation.[Read More] Understanding Persistent Head Sensations: Dizziness, Pressure, and Sleep Issues
Understanding Sleep Disturbances: Nightmares and Electric Shock Sensations
Suddenly having a nightmare while falling asleep and feeling as if being electrocuted? I often feel a sensation like an electric current passing through my body just as I'm about to fall asleep, and at the same time, I hear a loud buzzing sound that gets increasingly louder,...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "often when I'm about to fall asleep, I feel like there's an electric current passing through my body, and at the same time, I hear a buzzing sound that gets louder and then I wake up in a sweat." Your symptoms may suggest "sleep...[Read More] Understanding Sleep Disturbances: Nightmares and Electric Shock Sensations
Understanding Scalp and Facial Numbness: Possible Neurological Concerns
Tingling sensations in the scalp and face? Hello, doctor. This year I have experienced tingling in my scalp and face, mostly in the upper right side of my scalp and right cheek, with occasional sensations on the left side. I also have experienced tingling and pain in my chest, wh...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned whether there is a greater possibility of stroke or brain tumor issues. I wonder if you have any problems related to hypertension, diabetes, or hyperlipidemia? Generally, the risk factors for cerebral artery embolism include older age, diabetes, hyperte...[Read More] Understanding Scalp and Facial Numbness: Possible Neurological Concerns
Understanding Headaches: Pain from Temples to Neck in Older Adults
Dull pain in the temples radiating to both sides of the neck? Hello Doctor: My mother is 59 years old and has recently been experiencing headaches in the afternoon to evening. The pain is felt from the temples to both sides of the neck, occasionally with a throbbing sensation. Th...
Dr. Jiang Junyi Reply:
Dear Ms. Yu, You mentioned your mother's symptoms of "experiencing a dull headache from the afternoon to evening, with pain extending from the temples to both sides of the neck, occasionally accompanied by throbbing pain, and the headache sometimes being unilateral and...[Read More] Understanding Headaches: Pain from Temples to Neck in Older Adults
Understanding Symptoms: Sweating, Numbness, and Neck Stiffness Explained
Numbness in the hands, dizziness (or headache), stiffness in the cervical spine, sweating on the head, and headaches? Hello Doctor, about a few months ago, I started experiencing excessive cold sweats on my head, even more than after exercising. Following that, I have had numbnes...
Dr. Cai Zongzhang Reply:
Hello Ms. Huang: The symptoms mentioned above are suspected to be autonomic nervous system symptoms. It is recommended to visit a neurology outpatient clinic for examination.[Read More] Understanding Symptoms: Sweating, Numbness, and Neck Stiffness Explained
Understanding Right Chest Numbness and Anxiety Symptoms
Numbness in the right chest and a feeling of tightness in the chest? Last month, I experienced insomnia and poor sleep quality, along with noticeable anxiety and palpitations (I have mitral valve prolapse, which usually causes mild palpitations). About two weeks ago, I also start...
Dr. Cai Zongzhang Reply:
Hello CC: The symptoms mentioned above are suspected to be caused by cervical nerve root compression. It is recommended to visit a neurology outpatient clinic for examination.[Read More] Understanding Right Chest Numbness and Anxiety Symptoms
Post-Concussion Symptoms: Seeking Help for Persistent Neurological Issues
Post-concussion syndrome A 68-year-old elderly individual fell on the street a few months ago for unknown reasons, resulting in a head injury with a laceration on the left forehead that required 5-6 stitches. After the laceration healed, the individual developed insomnia and a pe...
Dr. Jiang Junyi Reply:
Dear Ms. Yeh, You mentioned that "after the head laceration healed, it caused insomnia and a tingling sensation in the head." This may be attributed to two possible reasons: localized nerve damage due to the injury or compression of the cervical nerve roots caused by e...[Read More] Post-Concussion Symptoms: Seeking Help for Persistent Neurological Issues
Understanding Unilateral Tremors: Causes and Solutions for Neurological Issues
Unilateral tremor Hello, I recently experienced insomnia and hand tremors due to exam stress. I thought it was just because I was too anxious, but now that the exams are over, I find myself excessively sleepy, sleeping more than 12 hours a day. When I write, I have difficulty hol...
Dr. Cai Zongzhang Reply:
Hello Ms. Hsiao: Anxiety and lack of sleep can both trigger hand tremors. If there is no improvement after adequate rest, it is recommended to visit a neurology outpatient clinic.[Read More] Understanding Unilateral Tremors: Causes and Solutions for Neurological Issues
Can You Get the COVID Vaccine with Dizziness and Ear Issues?
Can individuals experiencing dizziness or vertigo receive the COVID-19 vaccine? Hello, doctor. I am scheduled to receive the second dose of the AZ vaccine soon, but I have some health concerns that make me hesitant. I would like to ask for your opinion: I have been experiencing i...
Dr. Hong Weibin Reply:
Hello: Although dizziness and body swaying are not contraindications for receiving the COVID-19 vaccine, if you have not been feeling well recently, it is advisable to prioritize your health and recover before getting vaccinated. Hong Wei-bin[Read More] Can You Get the COVID Vaccine with Dizziness and Ear Issues?
Understanding Unexplained Abdominal Pulsations: Causes and Concerns
Intermittent pulsations in the lower abdomen? Hello doctor, I have recently been experiencing intermittent pulsations in my lower abdomen, similar to muscle twitches. They usually last for 1-2 seconds, but sometimes there are no twitches for an entire morning, and other times the...
Dr. Jiang Junyi Reply:
Hello: You mentioned experiencing "intermittent pulsations in the lower abdomen, similar to muscle twitches." These muscle twitches are primarily related to several factors: exercise, acute viral infections, anxiety, and medication use. Prolonged exercise is one of the ...[Read More] Understanding Unexplained Abdominal Pulsations: Causes and Concerns
Understanding Persistent Hand Numbness: Causes and Treatment Options
The issue of hand numbness has persisted for nearly a year without improvement? Hello, doctor. I work in the food service industry and frequently use my hands. I often experience numbness in my hands when lifting heavy objects. My dominant left hand often wakes me up at night due...
Dr. Jiang Junyi Reply:
Dear Ms. Chien, You mentioned, "What other methods can be used to determine the underlying cause of my hand numbness? Could it be related to my neck?" Common symptoms of peripheral nerve compression include pain, numbness, and weakness. Peripheral nerve examinations ca...[Read More] Understanding Persistent Hand Numbness: Causes and Treatment Options
Persistent Heartbeat Sensation While Lying Down: Seeking Solutions
Palpitations are more pronounced when lying down or at rest? Six months ago, I suddenly became very aware of my heartbeat while sleeping (60-70 beats per minute, regular and stable, with normal blood pressure). It felt like my whole body was shaking. It was not like typical palpi...
Dr. Hong Weibin Reply:
Hello: If you have already undergone cardiac-related examinations and confirmed that there are no abnormalities, it is recommended to continue monitoring and follow-up.[Read More] Persistent Heartbeat Sensation While Lying Down: Seeking Solutions
Understanding Sleep Issues in Fathers: The Impact of Alcohol and Smoking
Father's sleep issues? Hello doctor, my dad usually goes to bed around 7 or 8 PM, but according to him, he only sleeps for about 4.5 hours (sometimes even less). He has mentioned that he has had trouble sleeping since he was a child (he also can't nap during the day). A...
Dr. Jiang Junyi Reply:
Dear Mr. Zhu, You mentioned that your father usually goes to bed around 7 or 8 PM, but according to him, he only sleeps for about 4.5 hours (sometimes even less). He has said that he has had trouble sleeping since childhood (he also struggles to nap during the day). I wonder if ...[Read More] Understanding Sleep Issues in Fathers: The Impact of Alcohol and Smoking
Understanding Neurological Symptoms: Chest Tightness, Numbness, and More
Chest tightness, numbness in hands and feet, mouth sores, palpitations, insomnia? Hello, doctor. I have the following questions regarding possible causes and which specialty I should consult. Thank you. 1. I experience numbness, tingling, and a burning sensation in the joints of...
Dr. Jiang Junyi Reply:
Dear Ms. Vivian, You mentioned experiencing symptoms such as numbness, tingling, and a burning sensation around the finger joints, the back and palm of the hands up to the elbows, as well as around the knees, the tops of the feet, the ankles, and the toes. These symptoms do not ...[Read More] Understanding Neurological Symptoms: Chest Tightness, Numbness, and More
Understanding the Impact of Gastritis on Sleep and Insomnia Management
Gastritis can affect sleep and lead to insomnia? Hello Doctor, I have been experiencing discomfort all day due to gastric antritis, which has made it difficult for me to sleep at night. I have been unable to sleep for 2-3 weeks and feel very tired throughout the day. I then visit...
Dr. Cai Zongzhang Reply:
Hello: Medications for sleep should not be used long-term. It is recommended to visit an outpatient clinic to check for any health issues that may be affecting sleep.[Read More] Understanding the Impact of Gastritis on Sleep and Insomnia Management
Managing Insomnia Due to Gastritis: Safe Use of Stilnox and Imovane
Gastritis, insomnia at night? Hello Doctor, I have been experiencing discomfort throughout the day due to gastric antritis, which has made it difficult for me to sleep at night. I have been unable to sleep for the past 2-3 weeks and feel very tired all day. I then consulted a doc...
Dr. Cai Zongzhang Reply:
Hello: Sleep medications should not be used long-term. It is recommended to visit an outpatient clinic to check for any health issues that may be affecting sleep.[Read More] Managing Insomnia Due to Gastritis: Safe Use of Stilnox and Imovane
Understanding Sleep Disturbances: When to Consult a Neurologist
Sleep-related issues Hello doctor, I recently noticed a problem when I sleep at night. Just as I fall asleep, I experience a sensation of "not being able to breathe," which causes me to wake up abruptly. I'm wondering if this condition requires a visit to a neurolo...
Dr. Jiang Junyi Reply:
Dear Ms. Jan, You mentioned experiencing a moment of "feeling unable to breathe" just as you fall asleep, which may indicate sleep paralysis. This condition typically occurs when a person is transitioning into sleep or waking up. Patients often feel as though they have...[Read More] Understanding Sleep Disturbances: When to Consult a Neurologist
Understanding Involuntary Muscle Twitches: Causes and Treatment Options
Involuntary muscle twitching? My muscles randomly twitch, including my eyelids, abdomen, arms, and legs. Sometimes the twitching frequency is very high and can last for more than a day. This started in March 2021, and since then, I have undergone numerous tests at various medical...
Dr. Jiang Junyi Reply:
Hello Mr. Chris: You mentioned that you have a regular routine, do not smoke or drink alcohol, exercise regularly each week, take vitamin B complex and fish oil supplements, control your diet, and mostly drink plain water without coffee or tea. If your muscle twitching persists, ...[Read More] Understanding Involuntary Muscle Twitches: Causes and Treatment Options
Misdiagnosed: When Neurological Issues Mimic Mental Health Disorders
Could it be a misdiagnosis by a psychiatrist? I have been suffering from severe insomnia since I was around 16 years old, accompanied by cognitive dysfunction. At that time, I suddenly found it difficult to understand what I was reading in vocational school and could not comprehe...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned, "I would like to ask if the lack of effectiveness of medication for seemingly psychiatric symptoms could be a neurological issue, and whether I need to undergo a CT scan or MRI..." When diagnosing neuropsychiatric disorders, it is common to ar...[Read More] Misdiagnosed: When Neurological Issues Mimic Mental Health Disorders