Understanding Dopamine Deficiency and Its Impact on Anxiety Medications
Dopamine deficiency and medications such as Levodopa and Clonazepam? In mid-August last year, I started experiencing noticeable symptoms where sometimes while walking, my left foot would suddenly start to twitch involuntarily (possibly due to anxiety or other reasons), or my left...
Dr. Hong Weibin Reply:
You are very diligent! You've done a lot of homework. Occasionally, you experience muscle twitching in your left leg, sometimes accompanied by a tingling sensation, followed by pain in your left thigh. My thought is that it may be due to lumbosacral radiculopathy. Lumbosacra...[Read More] Understanding Dopamine Deficiency and Its Impact on Anxiety Medications
Understanding Migraine Triggers: Posture, Medication, and Symptoms
Migraine specific postures Hello Doctor, around January 5th, I took Ritalin for the first time because I had an exam. I had previously taken Adderall but hadn't taken it for over a year. Shortly after taking Ritalin, I experienced palpitations for about 10 minutes, and then ...
Dr. Jiang Junyi Reply:
Hello, Ritalin is a mild to moderate central nervous system stimulant. Its mechanism of action in the human body is not fully understood, but the stimulating effect is believed to occur through the inhibition of dopamine reuptake in the striatum without inducing dopamine release,...[Read More] Understanding Migraine Triggers: Posture, Medication, and Symptoms
Overcoming Insomnia: Tips for Breaking Bad Sleep Habits
Insomnia issues (1) Hello, doctor. I've been trying to quit my bad habit of staying up late. I used to sleep at around 3 AM and wake up around noon. Last night and today, I went to bed at 10 PM, but I couldn't fall asleep at all. I feel like punching myself in the face ...
Dr. Jiang Junyi Reply:
Hello, based on your description, you may want to consider Delayed Sleep Phase Disorder. The main characteristics are: - Sleep onset and wake times are uncontrollably later than ideal. - Sleep onset time is generally consistent each day. - Once asleep, individuals do not easily ...[Read More] Overcoming Insomnia: Tips for Breaking Bad Sleep Habits
Understanding Propranolol Side Effects: Tremors and Limb Weakness
Tremors and intermittent weakness in the limbs? A few days ago, I went for an examination due to mild hand tremors and was prescribed 309 Propranolol (Inderal) to take twice daily. I have been taking it for over three weeks now, but I am experiencing hand tremors, weakness in my ...
Dr. Jiang Junyi Reply:
Hello: Based on your description, propranolol is primarily a sympatholytic agent. It has shown good therapeutic effects for essential tremors or tremors caused by emotional stress. However, due to potential side effects from decreased heart rate and blood pressure, such as fatigu...[Read More] Understanding Propranolol Side Effects: Tremors and Limb Weakness
Understanding Post-Menopausal Migraines: Symptoms, Causes, and Treatment Options
Chronic headaches Hello, I have just gone through menopause for two years and am experiencing some mild symptoms. Before menopause, I occasionally had migraines (often on the right side, sometimes severe enough to cause vomiting, with overall weakness and loss of appetite, requir...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are likely indicative of a mixed headache. Given the presence of localized tender points, tension-type headache should be considered first. The symptoms of tension-type headache include: (1) Typically bilateral, located in the occipital and parietal regions, ...[Read More] Understanding Post-Menopausal Migraines: Symptoms, Causes, and Treatment Options
Is It Autonomic Nervous System Dysfunction? Understanding Your Symptoms
Is this autonomic nervous system dysfunction? Hello, I have been experiencing severe dizziness for over a month now, which occurs constantly every minute of the day. Additionally, I have a sensation of ear fullness on one side, drooping eyelids, and dryness (though there is no vi...
Dr. Cai Zongzhang Reply:
Hello, based on the symptoms you described, it is difficult to determine whether there is a direct relationship with the nervous system. Stress may be a contributing factor, and physical fatigue could also play a role. I recommend maintaining a regular daily routine and consideri...[Read More] Is It Autonomic Nervous System Dysfunction? Understanding Your Symptoms
Struggling with Frequent Dreams and Shallow Sleep: Seeking Solutions
I have been experiencing continuous light sleep and vivid dreaming for almost three weeks? Hello, doctor. For the past two weeks, I have been dreaming every night and experiencing shallow sleep. The longest continuous sleep I get is about four hours, and in the worst cases, I wak...
Dr. Jiang Junyi Reply:
Hello: There are many potential causes for your insomnia, such as watching television before bed, consuming spicy foods at dinner that elevate metabolism, or experiencing sleep apnea. I recommend improving your sleep hygiene: try to avoid napping during the day. Avoid drinking co...[Read More] Struggling with Frequent Dreams and Shallow Sleep: Seeking Solutions
Understanding Persistent Mild Headaches: When to Seek Further Evaluation
Mild headache persisting for 4 days? Hello, Doctor. I have rarely experienced headaches throughout my life, only occasionally having them for half a day to a day when I haven't slept well. About five days ago, I had a headache for a day, with a pain level of about four, and ...
Dr. Jiang Junyi Reply:
Hello: Based on your description, we should first consider tension-type headache or myofascial inflammatory headache. The symptoms of tension-type headache include: (1) Typically bilateral, located in the occipital and parietal regions, sometimes with widespread pain. The nature ...[Read More] Understanding Persistent Mild Headaches: When to Seek Further Evaluation
Understanding Persistent Muscle Twitches: Causes and Concerns
Muscle twitching for several consecutive days, lasting for a few hours each day? Dear Doctor, My wife suddenly informed me last Saturday night that she was experiencing muscle twitching in her upper arm. After observing the condition for several hours without any relief, we wen...
Dr. Hong Weibin Reply:
There are many causes for muscle twitching, among which electrolyte imbalances, anemia, dehydration, and radiculopathy are common. The diagnosis of benign fasciculation syndrome is typically made after excluding electrolyte imbalances, anemia, and neuromuscular issues. As for amy...[Read More] Understanding Persistent Muscle Twitches: Causes and Concerns
Understanding Sleep Paralysis: Causes and Solutions for Your Nighttime Struggles
Sleep issues Hello Doctor: Recently, almost every week, I experience a strange sensation while sleeping, where I feel completely awake but my body cannot move, and I am unable to speak. Then, I hear a low-frequency buzzing sound in my ears. After a while, I can slowly move again....
Dr. Jiang Junyi Reply:
Hello: Your symptoms may indicate sleep paralysis, which is a type of sleep disorder. It typically occurs when a person is transitioning into sleep or waking up. Patients often feel as if they have just awakened; they can open their eyes and see their surroundings as well as hear...[Read More] Understanding Sleep Paralysis: Causes and Solutions for Your Nighttime Struggles
Understanding Headaches: Risks and When to Seek Medical Attention
I would like to inquire about issues related to headaches? Hello Doctor, my wife often experiences headaches when she is overly fatigued or sleep-deprived, and she frequently needs to take pain relievers to fall asleep. I would like to ask: 1. Are there any potential risks associ...
Dr. Jiang Junyi Reply:
Hello: Regarding the symptoms of headaches, if there are neurological abnormalities such as unilateral limb numbness or weakness, or if there is a thunderclap headache, it is essential to visit a neurology clinic for examination. The more common causes of headaches in women are t...[Read More] Understanding Headaches: Risks and When to Seek Medical Attention
Discomfort from Wearing a Hat Too Long: Neurological Insights
Wearing a hat for too long can cause discomfort in the head? Hello doctor, I have been wearing a hat for the past couple of days, and now I have a persistent sensation of wearing a hat on my head. Since last night, I have been feeling discomfort and numbness in the area between m...
Dr. Jiang Junyi Reply:
Hello: Based on your description, it may be necessary to consider 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, ...[Read More] Discomfort from Wearing a Hat Too Long: Neurological Insights
Understanding Persistent Head Pressure and Mild Pain: Causes and Prevention
Dull headache with a feeling of heaviness? I have occasionally experienced a sensation of heaviness in my head and tension-type headaches for about ten years, occurring roughly every one to two months. Last Thursday, I had a headache, which usually improves after a night's s...
Dr. Jiang Junyi Reply:
Hello: Common symptoms of tension-type headaches are usually bilateral, located in the occipital and parietal regions, and sometimes the pain can be widespread. The nature of the pain is dull, aching, with a sensation of pressure or tightness, and it is non-pulsating and stiff. T...[Read More] Understanding Persistent Head Pressure and Mild Pain: Causes and Prevention
Understanding Nighttime Anxiety: Headaches, Dizziness, and Sleep Issues
I'm really scared of dying... Please help me? I often have trouble sleeping at night, which has caused my sleep schedule to become reversed. One day, I felt dizzy and experienced tight, painful sensations around my forehead, with my blood pressure reaching as high as 135! I ...
Dr. Jiang Junyi Reply:
Hello, based on your description, you have a history of hypertension, overweight, and other cardiovascular diseases. If you experience sudden neurological deficits such as limb weakness or slurred speech, the first consideration should be cerebrovascular disease. However, the sym...[Read More] Understanding Nighttime Anxiety: Headaches, Dizziness, and Sleep Issues
Understanding Dizziness and Leg Discomfort: A Neurological Perspective
Increased dizziness, swelling in the left leg, and occasional numbness in both hands, with the left hand being more affected? Hello, doctor. Basically, I'm experiencing dizziness and issues with my left leg (the hot weather affects me significantly; my dizziness worsens and ...
Dr. Jiang Junyi Reply:
Hello: The vascular stenosis you mentioned, if identified through a neck ultrasound, refers to the extracranial vessels, with the vertebral artery typically being more associated with dizziness. Controllable risk factors for stroke include metabolic syndrome, and your overweight ...[Read More] Understanding Dizziness and Leg Discomfort: A Neurological Perspective
Is Waking Up at Night with Head Pain a Sign of Brain Tumor?
Waking up in the middle of the night due to pain is not necessarily indicative of a brain tumor? Last night, I experienced a dull headache before going to bed, and I was awakened by the pain around 5 AM. I took some pain relievers, and after one or two hours, the pain subsided. I...
Dr. Jiang Junyi Reply:
According to your description, the likelihood of a brain tumor causing headaches is relatively low, and the pain tends to worsen over time. Given your age, the more common causes are tension-type headaches or migraines. The symptoms of tension-type headaches are typically bilater...[Read More] Is Waking Up at Night with Head Pain a Sign of Brain Tumor?
Chronic Headache for Over a Month: Possible Causes and Solutions
Headache lasting more than one month? Hello doctor, on August 14, I had sashimi and other raw foods. On the morning of August 16, I started experiencing sharp pain in the left back of my head, which came in waves. A couple of days later, I developed cold symptoms, including a sor...
Dr. Jiang Junyi Reply:
Based on your description, the most common cause is tension-type headache. The recurrent pain may be due to significant temperature fluctuations recently, which have led to many individuals experiencing repeated viral infections. The symptoms of tension-type headache include: (1)...[Read More] Chronic Headache for Over a Month: Possible Causes and Solutions
Understanding Foot Muscle Twitches: Causes and Solutions for Sleep Disruption
Muscle twitching in the soles of the feet? Recently, I've been going to bed around 3 AM, and I've noticed that when I'm trying to fall asleep, my feet involuntarily twitch, which leads to insomnia. This has been very distressing.
Dr. Jiang Junyi Reply:
Hello, there are many causes for leg twitching or a prickling sensation. It may be necessary to consider conditions such as muscle diseases or lumbar nerve compression. Additionally, it could be related to restless legs syndrome (RLS), especially if there is a higher likelihood o...[Read More] Understanding Foot Muscle Twitches: Causes and Solutions for Sleep Disruption
Understanding Dizziness and Disorientation: When to Seek Medical Help
Dizziness and disorientation? Hello Doctor: About two weeks ago, I had inflammation of the right tonsil, which also caused pain in my right ear. I visited an ENT specialist, and the doctor prescribed medication for three days. After completing the medication, the pain in my tonsi...
Dr. Jiang Junyi Reply:
Hello, I hope you are doing well. I'm not sure about your sleep situation, but insomnia can lead to autonomic nervous system dysfunction, which may present similar symptoms. I recommend consulting with a neurologist or a sleep medicine specialist for evaluation and treatment...[Read More] Understanding Dizziness and Disorientation: When to Seek Medical Help
Managing Insomnia and Headaches: Insights on Antiepileptic Medications
Insomnia, headache, antiepileptic medication? Hello, Dr. Jiang. I have sleep issues, and because my relative referred me to a clinic that specializes in insomnia, they prescribed me anticonvulsant medication to help with my sleep. Over a year ago, I was in a car accident and lost...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are very similar to cervicogenic headache, which clinically presents as pain at the site of onset, discomfort and soreness, muscle stiffness, or a feeling of heaviness. Sometimes, subcutaneous myofascial trigger points can be palpated, and there may be referr...[Read More] Managing Insomnia and Headaches: Insights on Antiepileptic Medications