Understanding Chronic Headaches and Insomnia: A Neurology Perspective
Headache and insomnia? Hello Doctor: I have been experiencing chronic headaches that often last all day. Sometimes the pain is so intense that when I walk, it feels like my legs aren't my own. At times, the pain is severe enough that I feel like I'm about to faint, and ...
Dr. Gao Chunde Reply:
Although the symptoms resemble tension-type headaches, the pain worsens during sleep and affects both work and daily life. It is advisable to consult a neurologist for further evaluation and management to control the frequency and intensity of the headaches.[Read More] Understanding Chronic Headaches and Insomnia: A Neurology Perspective
Managing Medication: Addressing Neurology Concerns and Side Effects
Medication issues? Hello, Dr. Gao. I recently changed my medication and would like to ask you about the medications I received at the clinic. In the morning, I take my blood pressure medication along with Nabota 0.5 mg (Mecobalamin), "Shenda" Yulishupan 0.25 mg (taken b...
Dr. Gao Chunde Reply:
If the symptoms started after changing medications, you should inform the original physician to clarify the relationship between the previous medication and the current one that may have caused these symptoms. If the symptoms were present before the medication change, it may not ...[Read More] Managing Medication: Addressing Neurology Concerns and Side Effects
Chronic Insomnia and Headaches: Seeking Neurology Insights
Hello, Doctor. I have been experiencing chronic insomnia and migraines? Hello doctor, I have been experiencing chronic insomnia and migraines. I work in a labor-intensive job, and during my teenage years to early twenties, I was addicted to online gaming for a period of time afte...
Dr. Gao Chunde Reply:
Regarding the issue of migraines and the right eye, you can consult a neurologist. I find it difficult to understand the trigeminal nerve, but the physician will be able to assess it during the consultation and provide you with recommendations and treatment. If necessary, relevan...[Read More] Chronic Insomnia and Headaches: Seeking Neurology Insights
Understanding Severe One-Sided Headaches: Causes and Treatments
Unilateral severe headache Hello Doctor, two weeks ago I suddenly had a severe headache, and since then I've experienced pain almost every day. The pain is localized in the area of the right occipital region (I can feel tenderness when I press on it), and it radiates into my...
Dr. Jiang Junyi Reply:
Based on your description, the most common causes are tension-type headache or cervicogenic 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 d...[Read More] Understanding Severe One-Sided Headaches: Causes and Treatments
Understanding Side Effects of Nicametate Citrate 50mg: A Patient's Experience
The side effects of Nicametate Citrate 50 mg may include gastrointestinal disturbances such as nausea, vomiting, diarrhea, and abdominal pain. Other potential side effects Since October 2015, I have experienced involuntary body jerks that wake me up during sleep, leading to insom...
Dr. Gao Chunde Reply:
Based on the process you described, it seems to be a side effect of the medication. Generally, when we prescribe this medication to patients, the experience is relatively straightforward, and only a few have reported side effects similar to yours. Typically, these side effects re...[Read More] Understanding Side Effects of Nicametate Citrate 50mg: A Patient's Experience
Understanding Headaches and Dizziness: Key Neurological Insights
Headache and dizziness? For the past two weeks, I have experienced occasional sharp pain in my head. Starting yesterday, I feel very dizzy whenever I apply pressure to the left side of my head. What should I be concerned about?
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 sensatio...[Read More] Understanding Headaches and Dizziness: Key Neurological Insights
Understanding Headaches and Dizziness: Neurology Insights
Headache and dizziness? For the past two weeks, I've experienced occasional sharp pain in my head, and since the day before yesterday, I've been feeling very dizzy whenever pressure is applied to the left side of my head.
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 sensatio...[Read More] Understanding Headaches and Dizziness: Neurology Insights
Why Are Antiepileptic Drugs Prescribed for Insomnia?
Why is it necessary to take anticonvulsants for insomnia? Hello, Dr. Lan. I have insomnia and visited a neurologist who prescribed me 0.5 mg of Clonazepam and 500 mg of Calcium Carbonate. I found out that Clonazepam is an anticonvulsant medication. I had a car accident last Decem...
Dr. Lan Shengxing Reply:
Dear Mr. Tsai, the symptoms you described may be indicative of a parasomnia, specifically a type of sleep disorder known as sleep movement disorder. Mild forms of sleep movement disorder are not epilepsy, but to determine whether your symptoms are related to epilepsy, an EEG (ele...[Read More] Why Are Antiepileptic Drugs Prescribed for Insomnia?
Why Am I Prescribed Antiepileptic Drugs Without Having Epilepsy?
Why take epilepsy medication if there is no epilepsy? Hello Dr. Huang, I recently discovered that the medication I have been taking is for epilepsy. I initially visited a clinic due to dizziness, vomiting, and insomnia. Despite visiting other clinics, I continued to experience di...
Dr. Huang Yingzhe Reply:
Dizziness may be treated with anticonvulsants in certain specific situations. Some older medications for insomnia can also be used for epilepsy, but the two medications you mentioned are not among them! It is advisable to discuss with the prescribing physician to determine whethe...[Read More] Why Am I Prescribed Antiepileptic Drugs Without Having Epilepsy?
Understanding Sleep Medications: Concerns About Seizures and Side Effects
I often have racing thoughts before bed, making it difficult for me to fall asleep? Doctor, I often find myself thinking about various things at night when I try to sleep. I visited a clinic, and the doctor prescribed medication for me, which I've been taking for about three...
Dr. Gao Chunde Reply:
Antiepileptic drugs can be used to treat various non-epileptic conditions, such as involuntary movements, neuropathic pain, migraines, and certain types of anxiety or panic disorders. As for Sinopril, I personally do not have knowledge in that area, and I couldn't find any i...[Read More] Understanding Sleep Medications: Concerns About Seizures and Side Effects
Understanding Back Pain, Chest Discomfort, and Possible Depression Symptoms
Back pain, back discomfort, chest pain, chest tightness? 1. Recently, I have been experiencing back pain, chest pain, and a feeling of tightness. Sometimes I feel dizzy, and I have difficulty breathing, as if I can't get enough air. I can also feel my heart racing at times, ...
Dr. Jiang Junyi Reply:
Based on your description, the diagnosis for depressive mood is as follows: 1. The melancholic emotional response persists for more than two years. In children or adolescents, it manifests as irritability or agitation for at least one year. 2. At least two of the following sympto...[Read More] Understanding Back Pain, Chest Discomfort, and Possible Depression Symptoms
Understanding Sleep Disorders: Insights from Neurology After Surgery
Sleep issues Hello Doctor, I apologize for bothering you again. Last week, I had a sleep study three months after undergoing a sleep apnea surgery. The results showed that my Apnea-Hypopnea Index (AHI) decreased from nearly 30 to almost normal at 5 events per hour, with most even...
Dr. Gao Chunde Reply:
Pure sleep disorders with abnormal sleep architecture and no accompanying neurological deficits have a low likelihood of revealing brainstem or other cerebral lesions, though it is not impossible. The most common causes of sleep architecture abnormalities due to other neurologica...[Read More] Understanding Sleep Disorders: Insights from Neurology After Surgery
Why Melatonin Isn't Working for Your Sleep Issues?
Ineffective Melatonin Supplementation? Hello, Doctor Gao: I have struggled with unstable sleep since childhood, and I wonder if it is related to my severe ADHD. As an adult, the problem has only worsened. I often cannot fall asleep at the designated time, regardless of whether I ...
Dr. Gao Chunde Reply:
Insomnia can have many different causes. If you have taken the maximum dosage without any response, it is still advisable to consult a psychiatrist to evaluate whether there are other secondary factors interfering with your sleep.[Read More] Why Melatonin Isn't Working for Your Sleep Issues?
Understanding Chronic Fatigue: When to Seek Neurological Evaluation
How to check..? Hello doctor, I would like to ask about my symptoms. Despite getting 6-7 hours of sleep each night without insomnia, I still feel extremely fatigued, drowsy, and have a foggy mind throughout the day. Recently, a traditional Chinese medicine practitioner diagnosed ...
Dr. Gao Chunde Reply:
Cerebrovascular ultrasound will be performed under the National Health Insurance regulations, and physicians will use insurance coverage if there are indications such as stroke, transient ischemic attack symptoms, or suspected cerebrovascular abnormalities. If the criteria are no...[Read More] Understanding Chronic Fatigue: When to Seek Neurological Evaluation
Choosing the Right Hospital for Neurology: A Guide to MRI and Pituitary Tumors
Choosing a hospital Hello, doctor. I'm here again to seek your advice. After some time of consultation and reviewing information, I strongly feel that your suggestion to undergo further neurological examination is warranted to check for a non-functional pituitary tumor. Here...
Dr. Gao Chunde Reply:
MRI can only be requested through health insurance or paid out-of-pocket; it cannot be done out-of-pocket and then later submitted to health insurance for reimbursement (if it meets the criteria, it will be approved; if not, even if abnormalities are found, it cannot be submitted...[Read More] Choosing the Right Hospital for Neurology: A Guide to MRI and Pituitary Tumors
Managing Medication Side Effects in Elderly Stroke Patients
Medication consultation Hello, my father is 75 years old. In April 2013, he underwent surgery for cancer, during which he experienced thrombosis and a stroke, resulting in weakness on the right side. After more than two years of rehabilitation, he can walk slowly. He did not see ...
Dr. Jiang Junyi Reply:
Hello, based on your description, Piracetam has a mild pharmacological profile. Syntam (Piracetam) 1200mg: The drug's prescribing information states that Piracetam acts on the central nervous system by regulating neurotransmission, promoting neuroplasticity, and protecting n...[Read More] Managing Medication Side Effects in Elderly Stroke Patients
Understanding the Use of Adan Tablets for Neurological Concerns
Taking Adan tablets? Sitting in a chair, I often shake my legs or tense my body, crossing my toes and applying pressure while touching my hair. I consulted a psychiatrist who prescribed Adderall and I want to ask the doctor if these behaviors are related to neurology. What is you...
Dr. Jiang Junyi Reply:
Hello, based on your description, Artane (Trihexyphenidyl) is a medication used to treat Parkinsonism. Parkinson's disease is primarily caused by an imbalance between two neurotransmitters in the brain: acetylcholine and dopamine. This medication can reduce the levels of ace...[Read More] Understanding the Use of Adan Tablets for Neurological Concerns
Understanding Morning Hand Numbness and Involuntary Twitches
Numbness and twitching in the hands after waking up? Hello, Doctor: I would like to ask about something. Yesterday morning, after I woke up, I noticed that my left hand was numb, and my little finger was twitching involuntarily. I also felt soreness in my lower back and neck. The...
Dr. Gao Chunde Reply:
There is a high likelihood of cervical nerve compression; however, the presence of bruising is somewhat unusual. It is difficult to determine if there is internal bleeding. It is recommended to seek further evaluation at a neurology or neurosurgery outpatient clinic as soon as po...[Read More] Understanding Morning Hand Numbness and Involuntary Twitches
Understanding Pressure Headaches: Treatment Options and Complications
The head feels dizzy and heavy? Hello Dr. Lan: If it is indeed tension-type headache, is there a way to cure it? Besides self-management, is it necessary to use medication to help relax the nerves? If it persists for a long time without improvement, could it lead to other complic...
Dr. Lan Shengxing Reply:
Dear Mr. Chuang, regardless of the type of illness, the current mainstream medical approach emphasizes the importance of patients and physicians collaboratively reviewing lifestyle habits and making improvements, followed by a discussion on the necessity of long-term medication. ...[Read More] Understanding Pressure Headaches: Treatment Options and Complications
Understanding Atypical Symptoms: Chronic Fatigue and Neurological Concerns
Atypical symptoms Hello, Doctor. I have been experiencing persistent fatigue and excessive sleepiness, both during workdays and weekends. Even after getting enough sleep, I start feeling this way shortly after waking up. Initially, I was diagnosed with Obstructive Sleep Apnea (OS...
Dr. Gao Chunde Reply:
When considering symptoms, it is essential to evaluate for depressive disorders. However, before addressing this issue, other potential non-emotional causes must be ruled out, such as chronic inflammation, fluid accumulation, or other conditions leading to increased intracranial ...[Read More] Understanding Atypical Symptoms: Chronic Fatigue and Neurological Concerns