Can Autonomic Nervous System Disorders Be Diagnosed with Tests?
Can the autonomic nervous system be tested? Hello Doctor, I have been suffering from various ailments recently and have seen multiple doctors without finding a clear cause, which has left me questioning everything. I noticed your patience in responding to some neurology patients,...
Dr. Jiang Junyi Reply:
Hello Mr. Ben, You asked, "Can autonomic nervous system disorders be detected through instruments, or can they only be assessed through clinical experience? If it can be detected, is it similar to an electrocardiogram that measures the current state?" The most common m...[Read More] Can Autonomic Nervous System Disorders Be Diagnosed with Tests?
Feeling Exhausted and Anxious: Understanding Autonomic Nervous System Disorders
I feel exhausted every day and I feel like I'm about to die! Last night, I suddenly felt unwell in the latter half of my sleep. I got up to check my blood pressure, which was 91/56. I felt like crying; I wanted to sleep but couldn't. At first, I experienced hand tremors...
Dr. Jiang Junyi Reply:
Hello: You mentioned symptoms such as "feeling sleepy but unable to sleep well, initially experiencing hand tremors and numbness in the legs... switching positions while sleeping, rapid internal shaking, left-sided numbness, and a fast heartbeat." These symptoms may sug...[Read More] Feeling Exhausted and Anxious: Understanding Autonomic Nervous System Disorders
Understanding Early Symptoms of Amyotrophic Lateral Sclerosis (ALS)
Symptoms of amyotrophic lateral sclerosis (ALS) Hello, doctor. Recently, I have been experiencing some involuntary muscle twitching in my legs, and I also feel a lack of strength. However, I don't have much trouble when lifting things normally. About two months ago, I visite...
Dr. Hong Weibin Reply:
Hello: Regarding the symptoms of amyotrophic lateral sclerosis (ALS), you can refer to the CommonHealth Knowledge Base at https://kb.commonhealth.com.tw/library/417.html#data-3-collapse. However, if your symptoms are not progressively worsening, you can be reassured that it is us...[Read More] Understanding Early Symptoms of Amyotrophic Lateral Sclerosis (ALS)
Managing Insomnia After Discontinuing Lorazepam: What to Expect
I was prescribed Lexotan for my gastrointestinal pain caused by autonomic nervous system dysfunction. However, after stopping the medication, I still have insomnia and haven't improved. What should I do? I previously took Lorazepam for over three months at a dosage of 0.5 mg...
Dr. Hong Weibin Reply:
Hello: If you have been taking "Lunesta" for a period of time and experience rebound insomnia after discontinuation, it is recommended to try a gradual tapering method. For example: take one pill today, half a pill tomorrow, one pill the day after, and half a pill the d...[Read More] Managing Insomnia After Discontinuing Lorazepam: What to Expect
Managing Insomnia After Discontinuing Lorazepam: Seeking Solutions
I have been prescribed Lexotan for gastrointestinal pain caused by autonomic nervous system dysfunction. However, after stopping the medication, I still have insomnia and haven't improved. What should I do? I previously took Lorazepam for over three months, and stopping the ...
Dr. Jiang Junyi Reply:
Dear Mr. Hao, You mentioned the issue of dependence after taking "Lorazepam." Generally, Lorazepam is easily absorbed when taken orally, reaching peak plasma concentration approximately 2 hours after administration. The half-life in human plasma is about 12 to 18 hours...[Read More] Managing Insomnia After Discontinuing Lorazepam: Seeking Solutions
Managing Insomnia After Discontinuing Lorazepam: Seeking Solutions
I was prescribed Lexotan for gastrointestinal pain caused by autonomic nervous system disorder. However, after stopping the medication, my insomnia hasn't improved. What should I do? I have been experiencing insomnia for three months after discontinuing Lorazepam, which I ha...
Dr. Cai Zongzhang Reply:
Hello, Xiao Hao: It is recommended to visit a neurologist to check for any abnormalities in neurological function.[Read More] Managing Insomnia After Discontinuing Lorazepam: Seeking Solutions
Is Nortriptyline HCL Recommended for Tension Headache Prevention in Taiwan?
Is Nortriptyline HCL one of the options for the standard treatment regimen for the prevention of tension-type headaches in Taiwan? Hello, I have been experiencing tension-type headaches for many years. Currently, I reside abroad and have found that Nortriptyline HCL has the best ...
Dr. Jiang Junyi Reply:
Dear Mr. Bob, You mentioned that "the tension headache issue has been a problem, and after trying several medications while living abroad, I found that Nortriptyline HCL has the best preventive effect." Nortriptyline HCL is classified as a tricyclic antidepressant (TCA...[Read More] Is Nortriptyline HCL Recommended for Tension Headache Prevention in Taiwan?
Understanding Withdrawal Symptoms from Medication: A Patient's Journey
Yongkang Syndrome Withdrawal Symptoms Hello Doctor, I have been experiencing insomnia and anxiety since March 2021 and have been seeking treatment. The doctor prescribed me one tablet of Yongkangxu in the morning and one tablet of Anxin before bed. Now, in October 2021, the docto...
Dr. Cai Zongzhang Reply:
Hello Ms. Ki: It is recommended that you visit the outpatient clinic of the Department of Mental Development at our hospital.[Read More] Understanding Withdrawal Symptoms from Medication: A Patient's Journey
Understanding Symptoms: Dizziness, Headaches, and Optic Nerve Swelling
Dizziness, headache, and optic nerve edema? Hello Doctor, since May 20th of this year, I have experienced symptoms such as blurred vision, dizziness, headaches, a sensation of something stuck in my throat, and difficulty breathing. After visiting an ENT clinic, the doctor suggest...
Dr. Jiang Junyi Reply:
Dear Ms. Wu, There are many causes of headaches. If your headaches are related to your menstrual cycle, the likelihood of migraines is higher. However, conditions such as anemia, autonomic dysfunction, and inner ear imbalance may also contribute to your symptoms. First, it is im...[Read More] Understanding Symptoms: Dizziness, Headaches, and Optic Nerve Swelling
Understanding the Link Between Sleep Disorders and Dementia Risks
I would like to ask about the relationship between sleep disorders and dementia? Hello Doctor, I have read on Google that dementia is often accompanied by sleep disorders. Could you please clarify which is the cause and which is the effect? I have been suffering from insomnia for...
Dr. Cai Zongzhang Reply:
Hello! It is recommended to visit the neurology outpatient clinic.[Read More] Understanding the Link Between Sleep Disorders and Dementia Risks
Understanding Recent Headaches and Dizziness: Possible Causes and Concerns
Recently, I've been experiencing sudden dizziness, and I woke up this morning with a headache and a fever? Recently, I have been experiencing sudden dizziness. This morning, I woke up with a headache and a fever. I have a history of headaches since childhood, which are a pec...
Dr. Jiang Junyi Reply:
Hello, Miss: In addition to considering common migraines, your symptoms may also suggest tension-type headaches. The characteristics of tension-type headaches include: (1) Typically bilateral, located in the occipital and parietal regions, sometimes with widespread pain. The natu...[Read More] Understanding Recent Headaches and Dizziness: Possible Causes and Concerns
Persistent Symptoms After Concussion: Seeking Answers for Ongoing Brain Disturbances
Symptoms such as brain movement and discomfort after a concussion lasting more than two months? Dear Dr. Jiang, In June, I was rear-ended by a large truck while driving, and I hit the back of my head inside the car. I did not lose consciousness or experience any bleeding at the ...
Dr. Jiang Junyi Reply:
Dear Miss Jia-Jia, Your symptoms are likely indicative of post-concussion syndrome. The symptoms following a concussion can be categorized into three main types: 1. Physical symptoms: headache, fatigue, photophobia, neck pain, nausea, decreased balance, dizziness, etc. 2. Emoti...[Read More] Persistent Symptoms After Concussion: Seeking Answers for Ongoing Brain Disturbances
Understanding Involuntary Muscle Twitches: Causes and Concerns
Involuntary movements? In the past two weeks, I have been experiencing muscle twitching in various parts of my body, which sometimes affects my work. Is this a symptom of calcium deficiency? However, I do not have insomnia; instead, I often feel sleepy in the mornings. I haven&#x...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: If your symptoms involve muscle twitching while awake, it may be necessary to consider some metabolic disorders, such as hyperthyroidism or electrolyte imbalances. Certain stimulants, such as caffeine, may also exacerbate muscle twitching during wakefulness. I rec...[Read More] Understanding Involuntary Muscle Twitches: Causes and Concerns
Understanding Sleep Paralysis: Causes, Symptoms, and Solutions
Sleep paralysis in the morning? Hello, doctor. First, I want to thank you for taking the time to answer my questions despite your busy schedule! As mentioned, I usually go to bed between 11:30 PM and 12:30 AM, but it takes me until almost 1 or 2 AM to fall asleep. Occasionally, I...
Dr. Jiang Junyi Reply:
Dear Ms. Jennifer, Your symptoms may suggest sleep paralysis, as they occur during awakenings in the rapid eye movement (REM) stage of sleep. Sleep paralysis is more common among adolescents and young adults. Individuals in this demographic often experience high levels of stress...[Read More] Understanding Sleep Paralysis: Causes, Symptoms, and Solutions
Understanding Hand Tremors: Causes, Symptoms, and Management Strategies
Tremor issues? Hello Doctor: This is Mr. Chen, who asked a question a few days ago. This week, I have been trying to massage and improve my sleep quality (going to bed around 10:00 PM and waking up at 5:30 AM, waking up once or twice during the night). The muscle twitching in my ...
Dr. Jiang Junyi Reply:
Dear Mr. Chen, In the previous two responses, I believe I have addressed some of your concerns. Nerves require adequate sleep and nutritional support for repair. Fortunately, there are two experts in peripheral nerves at National Taiwan University Hospital—Professors Chih-Chao Y...[Read More] Understanding Hand Tremors: Causes, Symptoms, and Management Strategies
Understanding Muscle Twitches: Causes and When to Seek Help
Muscle twitching Hello Doctor: I have noticed that since last week, the muscles below my right thumb have been intermittently twitching (similar to a calf cramp but without pain). The intervals between these twitches vary from a few minutes to a few hours, and the frequency of th...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: Your symptoms may suggest benign muscle twitching. Certain situations in daily life can contribute to this issue, such as exercise, acute viral infections, anxiety, and medication use. Prolonged exercise is one of the primary causes of muscle twitching. Additional...[Read More] Understanding Muscle Twitches: Causes and When to Seek Help
Understanding Muscle Twitches: Causes and Concerns in Neurology
Muscle twitching Hello Doctor: I have noticed that since last week, the muscle below my right thumb has been twitching intermittently (visible to the naked eye). Sometimes it occurs every few minutes, and other times it can be hours apart. The twitching frequency varies, with lon...
Dr. Jiang Junyi Reply:
Hello Mr. Chen, Your symptoms may suggest benign muscle twitching. Certain situations in daily life could contribute to this issue, such as exercise, acute viral infections, anxiety, and medication use. Prolonged exercise is one of the primary causes of muscle twitching. Additio...[Read More] Understanding Muscle Twitches: Causes and Concerns in Neurology
Persistent Headache with Nausea and Fever: When to Seek Further Medical Help
Headache, nausea, and fever? I have been experiencing headaches for over a week. Initially, the pain was not severe, but it has recently intensified. The main location of the pain is at the right back of my head, and I feel a sensation similar to having a fever throughout my body...
Dr. Jiang Junyi Reply:
Hello: Generally speaking, headaches associated with a cold are classified as tension-type headaches. The symptoms of tension-type headaches include: (1) Typically bilateral, located in the occipital and parietal regions, sometimes with widespread pain. The nature of the pain is ...[Read More] Persistent Headache with Nausea and Fever: When to Seek Further Medical Help
Improving Sleep Quality: Tips for Managing Anxiety-Related Sleep Issues
Sleep issues Hello, doctor. I visited the psychiatric department yesterday and received medication for my anxiety symptoms. My sleep issues have improved significantly, but I still wake up multiple times due to unusual actions, such as suddenly swallowing or taking deep breaths, ...
Dr. Jiang Junyi Reply:
Dear Ms. Nana, It seems that you may have a sleep disorder. Besides taking sleep aids, there are many lifestyle adjustments that can improve sleep quality. 1. Avoid spicy foods before bedtime: Consuming spicy foods may increase metabolism and raise body temperature, leading to...[Read More] Improving Sleep Quality: Tips for Managing Anxiety-Related Sleep Issues
Understanding the Effects of Sirdalud on Weight and Heart Rate
Shenda Heart Rhythm Tablets Hello Doctor: I have migraines, and the frequency of my attacks has increased recently, so I visited a neurologist. The doctor prescribed me Sotalol, two tablets a day, to be taken continuously for one month. I have been taking it for two weeks now, an...
Dr. Jiang Junyi Reply:
Hello, Miss: I would like to know if the neurologist has prescribed any other medications for migraine prevention for you. Propranolol works by reducing sympathetic nervous system activity. Side effects include dizziness, lightheadedness, dry cough, bradycardia, hypotension, and ...[Read More] Understanding the Effects of Sirdalud on Weight and Heart Rate