Insomnia, Neurology FAQ - Page 6

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Understanding Cervical Spine Vascular Issues: Symptoms and Solutions

Cervical vascular issues Hello, doctor. A year ago, I underwent cervical traction therapy due to cervical degeneration. However, after just one session of traction, my body began to undergo significant changes. Initially, I experienced dizziness, headaches, rapid heartbeat, insom...


Dr. Jiang Junyi Reply:
Hello, based on your description, if rehabilitation does not yield satisfactory results, an MRI of the cervical spine may be considered. The symptoms you mentioned may be related to cervical disc herniation, which often exacerbates nerve root pain during coughing or sneezing. A d...

[Read More] Understanding Cervical Spine Vascular Issues: Symptoms and Solutions


Understanding Cervical Spine Vascular Issues: Symptoms and Solutions

Cervical vascular issues Hello, doctor. A year ago, I underwent cervical traction therapy due to cervical degeneration. However, after just one session of traction, my body began to undergo significant changes. Initially, I experienced dizziness, headaches, rapid heartbeat, insom...


Dr. Jiang Junyi Reply:
Hello: It is recommended that you choose a medical center near your home for relevant examinations. This will make it easier to compare changes over time. Additionally, the information will be more comprehensive, and it will be easier for physicians from different specialties to ...

[Read More] Understanding Cervical Spine Vascular Issues: Symptoms and Solutions


Unexplained Height Increase in Adults: Causes and Concerns

Questions about unexplained height increase in adults? Hello, Dr. Jiang. I am 27 years old this year. I started my menstrual period in the sixth grade of elementary school, and at that time, my height was 163 cm. After graduating from high school until I was 25, my height remaine...


Dr. Jiang Junyi Reply:
Hello: (1) Today, when reviewing the report, it was mentioned that if the size is less than one centimeter, there is no need for concern, surgery, or medication. However, I still have doubts about whether the pituitary gland could enlarge in this condition, or if regular follow-u...

[Read More] Unexplained Height Increase in Adults: Causes and Concerns


Managing Long-Term Dizziness: Can Anxiety Medications Be Combined Safely?

Chronic dizziness, currently experiencing slight improvement with anxiety medication? Hello Doctor, I have undergone a brain MRI which confirmed that there are no abnormalities. However, the ENT specialist mentioned that my dizziness is due to inner ear imbalance, and my left ear...


Dr. Jiang Junyi Reply:
Hello: The medication that is more likely to cause side effects is Venlafaxine: dry mouth, nausea, insomnia, sedation, agitation, and decreased appetite. The following two medications have fewer side effects. Clonazepam has side effects of sedation and drowsiness. Nilasen's ...

[Read More] Managing Long-Term Dizziness: Can Anxiety Medications Be Combined Safely?


Could Your Ongoing Symptoms Indicate Autonomic Nervous System Disorder?

Is it autonomic nervous system dysfunction? I started experiencing a cold in February of this year, with symptoms such as nasal congestion and a sensation of something stuck in my throat. I have been seeing an otolaryngologist and taking medication, but I have developed additiona...


Dr. Jiang Junyi Reply:
Hello, based on your description, the autonomic nervous system can be affected by life stress or irregular lifestyle patterns. Generally, the autonomic nervous system is regulated by the sympathetic and parasympathetic nervous systems, one acts as the accelerator and the other as...

[Read More] Could Your Ongoing Symptoms Indicate Autonomic Nervous System Disorder?


Managing Neck Pain: Sleep Aids vs. Muscle Relaxants for Better Rest

Cervical spine issues I have tightness and soreness in my neck and shoulders. Recently, I had an X-ray that confirmed a displacement of the fifth and sixth cervical vertebrae. I am currently undergoing rehabilitation and neck stretching treatments. I often have trouble falling as...


Dr. Jiang Junyi Reply:
Hello, based on your description, the treatment for cervical myofascial pain primarily focuses on maintenance. Prolonged periods of looking down can lead to overuse of the trapezius muscle in the back of the neck, resulting in neck and shoulder discomfort. Initially, resting may ...

[Read More] Managing Neck Pain: Sleep Aids vs. Muscle Relaxants for Better Rest


Understanding Memory Lapses: Could They Indicate Early Dementia?

Forgot what I did about eight hours ago? 1. About six days ago, I seemed to have taken my daily medication (finasteride, quartered) at 8 PM, and then at 3 AM, I suddenly remembered this, but I had no clear memory of taking the medication and was uncertain if I had taken it or not...


Dr. Hong Weibin Reply:
Hello: It is not uncommon for individuals to suddenly forget things they have just done, but later recall them at some point, albeit without a complete memory of the event (for example, remembering that they took a shower but being unsure if they washed their hair; recalling that...

[Read More] Understanding Memory Lapses: Could They Indicate Early Dementia?


Understanding Abdominal Strain-Induced Headaches: Causes and Insights

Abdominal straining causing headaches? I have stiffness in my neck and shoulders, so I notice that when I exert myself (like during bowel movements, pushing for about 5 seconds), I sometimes experience pain in the back of my head, but occasionally I also feel pain in the front of...


Dr. Jiang Junyi Reply:
Hello: Based on your description, the most common cause is tension-type headache, rather than an issue related to intracranial pressure. The symptoms of tension-type headache include: (1) Typically bilateral, located in the occipital and parietal regions, sometimes with a wide ra...

[Read More] Understanding Abdominal Strain-Induced Headaches: Causes and Insights


Understanding Your Headache: Is It Migraine or Sinus Pain?

Is it a migraine? Hello, doctor. I would like to ask you about the types of headaches. Throughout my life, my headache experiences mostly start with a dull pain in the forehead, just above the eyebrows. This pain then shifts to either side of my head or the top of my head, accomp...


Dr. Jiang Junyi Reply:
Hello: Migraines are more common in women. Sinus headaches typically present with localized percussion pain. Your symptoms should first consider the more common tension-type headache. The characteristics of tension-type headache include: (1) It is often bilateral, located in the ...

[Read More] Understanding Your Headache: Is It Migraine or Sinus Pain?


Which Specialist to Consult for Persistent Tinnitus and Insomnia?

Which specialty should I see? My brother is 39 years old and has been experiencing poor health for the past month, including tinnitus, night sweats, insomnia, and difficulty staying asleep, waking up frequently. These symptoms have persisted for a month and have pushed him to the...


Dr. Jiang Junyi Reply:
Hello: Regarding your brother's condition, if thyroid dysfunction and structural abnormalities in the brain have been ruled out, it is recommended to consult a psychiatrist for diagnosis and medication treatment. Additionally, seeking counseling from a psychologist can help ...

[Read More] Which Specialist to Consult for Persistent Tinnitus and Insomnia?


Understanding Increased Headache Frequency: When to Seek Medical Advice

Increased frequency of headaches? Hello Doctor: I have experienced headaches since childhood, especially during stressful times. In the fourth grade, I underwent an EEG due to frequent headaches, which showed no abnormalities. Recently, the frequency of my headaches has increased...


Dr. Jiang Junyi Reply:
Based on your description, the most common cause is tension-type headache. The symptoms of tension-type headache include: (1) Typically bilateral, located in the occipital and parietal regions, sometimes with a widespread area of pain. The nature of the pain is dull, aching, with...

[Read More] Understanding Increased Headache Frequency: When to Seek Medical Advice


Chronic Headaches: Understanding Causes and Seeking Relief

Chronic headache Hello Dr. Jiang: I have been experiencing long-term headaches (entire head) along with severe pain in my shoulders and neck. The pain is continuous and does not stop; it lasts all day, every day. The worst pain occurs in the afternoon after my lunch break. I have...


Dr. Jiang Junyi Reply:
Based on your description, the most common causes are tension-type headaches or migraines. If the symptoms or intensity of the headache change, intracranial tumors should be considered. However, focusing on tension-type headaches: (1) They are often bilateral, located in the occi...

[Read More] Chronic Headaches: Understanding Causes and Seeking Relief


Does Parkinson's Disease Cause Weight Loss? Understanding Symptoms and Solutions

Can Parkinson's disease cause weight loss? Hello, may I ask if Parkinson's disease causes continuous weight loss? A woman in her 60s is eating normally but is still losing weight, often experiences hiccups (gastroscopy showed no findings), has severe memory decline, her...


Dr. Hong Weibin Reply:
Hello: If there is unintentional weight loss, such as losing more than 5% of body weight in one month or 10% within six months, it may be necessary to investigate other causes of weight loss. The most concerning possibility is malignant tumors, such as lung cancer or colorectal c...

[Read More] Does Parkinson's Disease Cause Weight Loss? Understanding Symptoms and Solutions


Post-Surgery Anxiety and Restlessness from New Antiepileptic Medication

Post-operative agitation and anxiety as side effects of using the medication Uriel after a subdural hematoma surgery? Hello Doctor, my father is 66 years old and has a history of epilepsy, Parkinson's disease, and head trauma. He used to take two tablets of Depakene 500mg an...


Dr. Jiang Junyi Reply:
Hello: You can first discuss your concerns with the primary care physician. If the primary care physician is unfamiliar with the medications, they typically consult with a specialist at the hospital via phone, which is the practice at our institution. Regarding the medications De...

[Read More] Post-Surgery Anxiety and Restlessness from New Antiepileptic Medication


Understanding Insomnia and Headaches: A Neurological Perspective

Insomnia and headache? I often wake up in the middle of the night, or it takes me a long time to fall asleep, or once I do fall asleep, I sleep for a long time. This has been happening gradually since high school, and I am currently a freshman in college. Whenever I am under a lo...


Dr. Jiang Junyi Reply:
Hello, based on your description, there are many potential causes for 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...

[Read More] Understanding Insomnia and Headaches: A Neurological Perspective


Severe Head Pain During Orgasm: Causes and Concerns Explained

Severe headache during orgasm or ejaculation? Hello, doctor. I am a 30-year-old male currently weighing 107 kg. I do not smoke or drink alcohol, and I have no history of hypertension or diabetes, although there are related patients in my family. On the evening of August 18th, whi...


Dr. Jiang Junyi Reply:
Based on your description, the most common cause is tension-type headache. The symptoms of tension-type headache include: (1) Typically bilateral, located in the occipital and parietal regions, with pain sometimes being widespread. The nature of the pain is dull, aching, with a s...

[Read More] Severe Head Pain During Orgasm: Causes and Concerns Explained


Understanding Right-Sided Top Head Pain: Is It Migraines?

Pain on the right side of the scalp? Hello, doctor. I have been unable to find much information online about pain at the top of my head, so I am reaching out to inquire. Recently, I have noticed that whenever I experience a headache, it is always on the right side of the top of m...


Dr. Jiang Junyi Reply:
Based on your description, the most common cause is tension-type headache. The symptoms of tension-type headache include: (1) It is often bilateral, located in the occipital and parietal regions, and sometimes the pain can be widespread. The nature of the pain is dull, aching, wi...

[Read More] Understanding Right-Sided Top Head Pain: Is It Migraines?


Insomnia and Weight Training: Understanding the Connection and Solutions

The relationship between insomnia and weight training, as well as management strategies? Hello Dr. Jiang, I usually sleep from 2:00 AM to 10:00 AM. Recently, I've been experiencing occasional difficulties falling asleep, taking about 1 to 2 hours to do so after lying in bed...


Dr. Jiang Junyi Reply:
1. I have been weight training regularly for two years. Although I occasionally experienced insomnia in the past, I am unsure why there seems to be a particularly noticeable causal link between the two recently. Could it be due to overtraining or muscle soreness (delayed onset mu...

[Read More] Insomnia and Weight Training: Understanding the Connection and Solutions


Neck Tension and Headaches: Seeking Relief from Chronic Pain

Neck tightness and pain, headache? Hello Doctor: My neck started feeling tight and stiff, which then led to severe headaches. It has been a week, and the pain is so intense that I can't sleep or work. The clinic prescribed anti-inflammatory and pain relief medication, which ...


Dr. Jiang Junyi Reply:
Based on your description, it may be necessary to consider tension-type headache or cervicogenic headache caused by cervical myofascial inflammation. The more common cause is tension-type headache, which has the following symptoms: (1) It is usually bilateral, located in the occi...

[Read More] Neck Tension and Headaches: Seeking Relief from Chronic Pain


Understanding Occasional Brain Twitches: Causes and Concerns for Teens

Seizures in the brain Hello Dr. Jiang: I am sixteen years old and male. Since I was around eleven or twelve, I have experienced a sensation of twitching or sharp pain in the back left or right side of my head, as if my brain is being tightly squeezed. The frequency is variable; s...


Dr. Jiang Junyi Reply:
Based on your description, the most common cause is tension-type headache. The symptoms of tension-type headache include: (1) Typically bilateral, located in the occipital and parietal regions, sometimes with widespread pain. The nature of the pain is dull, aching, with a sensati...

[Read More] Understanding Occasional Brain Twitches: Causes and Concerns for Teens


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