Understanding Head Tremors: Causes and Treatment Options for Women in Menopause
Head tremors My mother is 49 years old and started experiencing head tremors accompanied by emotional agitation and shortness of breath three months ago. She has been receiving treatment from both a neurologist and a psychiatrist for two months. During this time, she also visited...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "the position of the chin resembles the location of the hyoid muscle, with a shaking frequency and head tremors." There are many reasons that can cause such symptoms, which are referred to as tremors. 1. Physiological tremors: These do not oc...[Read More] Understanding Head Tremors: Causes and Treatment Options for Women in Menopause
Evening Dizziness: Causes and Solutions for Nighttime Symptoms
Experiencing dizziness in the evening? Hello: I often feel dizzy in the evening, especially around 6 or 7 PM when I start to feel lightheaded. When I lie down to sleep (without changing my position), I experience a sensation of impending dizziness, and I can easily be awakened by...
Dr. Hong Weibin Reply:
Hello: It is suggested that if it only occurs in the evening and not at other times, it may be a sign of excessive fatigue. Your body might be signaling the need for adequate rest. Additionally, it could be a case of vestibular migraine, and you may want to seek assistance from a...[Read More] Evening Dizziness: Causes and Solutions for Nighttime Symptoms
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
Understanding Eyelid Twitching: Causes, Remedies, and When to Worry
Eyelid twitching issue? Hello Doctor, my left upper eyelid has been twitching intermittently for over a month. Sometimes it stops when I get enough sleep, but it twitches when I am sleep-deprived. Recently, I have been under significant stress due to a bereavement in the family, ...
Dr. Jiang Junyi Reply:
Dear Ms. Ayou, You mentioned that "the upper left eyelid has been twitching intermittently for over a month; sometimes it doesn't twitch when I have enough sleep, but it does when I'm sleep-deprived." Your symptoms are more indicative of benign eyelid twitchi...[Read More] Understanding Eyelid Twitching: Causes, Remedies, and When to Worry
Understanding Eyelid Twitching: Causes, Management, and Recovery Tips
Eyelid twitching? Hello, my eyelid has been twitching for nearly two months, with fluctuations in severity. Recently, I started getting enough sleep and taking calcium and magnesium supplements, and for several consecutive days, it didn't twitch at all. However, after gettin...
Dr. Hong Weibin Reply:
Hello: There are many potential causes for eyelid muscle twitching, with the most common being stress, electrolyte imbalances, insufficient sleep, dehydration, excessive intake of caffeine or stimulants, certain medications, fatigue, kidney disease, and diabetic neuropathy, among...[Read More] Understanding Eyelid Twitching: Causes, Management, and Recovery Tips
Is Pituitary Tumor Considered a Cerebrovascular Disease?
Pituitary adenomas are not classified as cerebrovascular diseases? Is a pituitary adenoma considered a type of cerebrovascular disease? For individuals who have had this condition and are required to take central nervous system medications, will there be any effects? Thank you!
Dr. Jiang Junyi Reply:
Dear Ms. Tsai, You mentioned whether "pituitary tumors fall under cerebrovascular diseases..." Pituitary tumors are most commonly benign adenomas and are not classified as vascular diseases. They account for approximately 5-10% of all symptomatic intracranial tumors. L...[Read More] Is Pituitary Tumor Considered a Cerebrovascular Disease?
Understanding Hand Tremors: Could It Be Cerebellar Atrophy?
Tremors in the hands can be treated with muscle relaxants? Hello doctor, I recently noticed that my fingers seem to tremble when I try to touch things, and the shaking appears to worsen the farther I extend my hand. I visited a hospital a while ago, and the doctor prescribed Chlo...
Dr. Jiang Junyi Reply:
Hello Mr. Huang: You mentioned that "my fingers seem to tremble when touching things... usually the further I stretch my hand, the more it shakes." This symptom resembles physiological tremors, which typically do not occur under normal circumstances but may arise in spe...[Read More] Understanding Hand Tremors: Could It Be Cerebellar Atrophy?
Essential Tests and Specialist Consultations for Epilepsy Management
In addition to your current evaluation for epilepsy, what other tests or specialist consultations would be beneficial for me? Frequent occurrences of symptoms: dizziness, headaches, chest tightness, unsteady gait, headaches, muscle cramps, fainting, hand tremors, cold extremities...
Dr. Jiang Junyi Reply:
Dear Mr. Q, You mentioned that you are taking a variety of medications: Diphenhydramine, Amantadine, Clonazepam, Fentanyl, H2 antagonists, Colchicine, Depakote, Topiramate, Venlafaxine, Aripiprazole, thyroid preparations, Aniracetam, and Ritalin. You also reported experiencing s...[Read More] Essential Tests and Specialist Consultations for Epilepsy Management
Understanding Neurological Symptoms: Dysautonomia vs. Multiple Sclerosis
Autonomic Nervous System Dysfunction or Multiple Sclerosis? Hello Dr. Jiang, In early September, I experienced brief episodes of numbness and tingling in my limbs, lasting only a few seconds but occurring quite frequently. I consulted a clinic, and they suggested it might be a c...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned experiencing "temporary numbness and tingling in your limbs, which lasts for a few seconds but occurs quite frequently." These symptoms are more indicative of hyperventilation. Hyperventilation can lead to a decrease in carbon dioxide levels ...[Read More] Understanding Neurological Symptoms: Dysautonomia vs. Multiple Sclerosis
Understanding Numbness in the Thumb and Back: Causes and Concerns
Mild numbness in the right thumb and slight numbness in the back? Doctor, I started experiencing a slight tingling sensation around my right thumb yesterday (similar to the feeling of a foot falling asleep but not going away, though it's mild and only noticeable when touched...
Dr. Jiang Junyi Reply:
Dear Mr. Fook Chi, You mentioned that "there is a slight tingling sensation around the right thumb... and that you have seen a doctor for shoulder and neck pain, which was diagnosed as a herniated disc at the C6 level." It is important to consider that the C6 nerve roo...[Read More] Understanding Numbness in the Thumb and Back: Causes and Concerns
Understanding Persistent Throat Pain: Is It a Neurological Issue?
Is there a problem with the nervous system? Hello Doctor, I have been experiencing a sensation of a foreign body and sharp pain in my oral and pharyngeal walls, which becomes particularly pronounced when swallowing saliva. There is also sharp pain and a foreign body sensation nea...
Dr. Jiang Junyi Reply:
Dear Miss Lin, Regarding the "medication for post-nasal drip" you mentioned, it may cause discomfort such as dry mouth. Additionally, it is important to consider female hormones and autoimmune issues. Since your symptoms are atypical and you have sought multiple medica...[Read More] Understanding Persistent Throat Pain: Is It a Neurological Issue?
Understanding Long-Term Effects of Childhood Head Injuries on Adult Health
My brother had a backward fall and hit his head when he was one year old, and he is currently 40 years old? Hello, Doctor Jiang. I would like to ask you about my brother. He had a head injury at the age of one when he fell backward, which resulted in immediate loss of consciousne...
Dr. Jiang Junyi Reply:
Dear Ms. Tsai, You mentioned that your brother exhibits "slow learning, delayed responses, insufficient memory, noticeable social difficulties, repetitive confirmation actions, easy nervousness, repetitive speech, and an inability to listen to others. He sometimes becomes e...[Read More] Understanding Long-Term Effects of Childhood Head Injuries on Adult Health
Managing Autonomic Nervous System Disorders: Medication and Anxiety Solutions
Autonomic nervous system dysfunction Hello, I have been suffering from autonomic nervous system dysregulation for many years. I have been taking 3 mg of Lishuding, increasing from half a pill to one pill every night before bed (I have been taking it for about three years). Howeve...
Dr. Hong Weibin Reply:
Hello: If you have been taking this medication for a long time and it improves your symptoms during the day without causing drowsiness, then it is acceptable to take it in the morning and at noon. When discontinuing this medication after long-term use, it is usually recommended t...[Read More] Managing Autonomic Nervous System Disorders: Medication and Anxiety Solutions
Understanding Autonomic Nervous System Dysregulation Symptoms
Suspected autonomic nervous system dysfunction but uncertain? Hello, Doctor. I apologize for the interruption during your busy schedule. I am at the age of menopause and unable to supplement hormones due to breast-related issues. Recently, I experienced heightened emotions, durin...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to consult a neurologist for an examination to confirm the cause.[Read More] Understanding Autonomic Nervous System Dysregulation Symptoms
Understanding Thigh and Buttock Discomfort: Possible Nerve Issues
The fascia in the thigh and buttocks feels painful? Do you feel immediate pressure when sitting down? It's not too painful, but there is a sensation of compression and pulling?
Dr. Jiang Junyi Reply:
Hello, Mr. Bread: You mentioned that you feel pain in the fascia around your thigh and buttocks. Based on the distribution of nerves, it may be necessary to consider issues related to the sciatic nerve. When external forces cause inflammation, such as from a herniated disc, it ca...[Read More] Understanding Thigh and Buttock Discomfort: Possible Nerve Issues
Understanding Ankle Pain: Causes and Solutions for Flat Feet
Pain above the ankle? There is a slight pain above the inner side of the left ankle when walking, and pressing on the area causes discomfort, although the range is not extensive. I have flat feet and have been hiking frequently lately.
Dr. Jiang Junyi Reply:
Dear Mr. A-Kuo, You mentioned that there is a slight pain above the inner side of your left ankle when walking, which may indicate localized tendonitis. It is important to promote recovery from the inflammation of the injured tendon and to prevent adhesions of the tendon sheath....[Read More] Understanding Ankle Pain: Causes and Solutions for Flat Feet
Understanding Intermittent Headaches and Dizziness: When to Seek Help
Intermittent headaches and dizziness? Hello Dr. Jiang, In the past week, I have been experiencing recurrent headaches that are different from my usual migraines caused by staying up late until 2 or 3 AM. Sometimes the pain is unilateral, while other times it affects my entire h...
Dr. Jiang Junyi Reply:
Dear Mr. You, You mentioned that "the night before last, I suddenly experienced blurred vision, dizziness, and a feeling of impending fainting, with my vision becoming increasingly dark. This lasted for about 5 minutes before gradually returning to normal, primarily occurri...[Read More] Understanding Intermittent Headaches and Dizziness: When to Seek Help
Understanding Muscle Twitching: Causes and Concerns in Neurology
Muscle tremors Hello Doctor, I would like to ask you some questions. In September, I experienced some health issues that led to anxiety. After seeing the appropriate doctors, they assured me that everything was fine and my symptoms gradually improved. However, recently, I have be...
Dr. Hong Weibin Reply:
Hello: The body's muscles are controlled by nerves, which function like electrical wires, transmitting signals to control muscle movements. However, just like wires can become faulty over time and can be affected by external factors such as temperature and humidity, leading ...[Read More] Understanding Muscle Twitching: Causes and Concerns in Neurology
Understanding Involuntary Muscle Twitches: Causes and Management Tips
Involuntary muscle twitching? Hello Doctor, I would like to ask a question. Since around October 10th, I have been experiencing some involuntary muscle twitching, starting with my left eyelid, then my right elbow joint, and my thighs and calves, which twitch intermittently for ab...
Dr. Jiang Junyi Reply:
Hello, sir: Your symptoms may suggest "benign fasciculation syndrome," which can be triggered by acute viral infections, anxiety, and medication use. Prolonged exercise is one of the main causes of muscle twitching. Common medications that can cause muscle twitching inc...[Read More] Understanding Involuntary Muscle Twitches: Causes and Management Tips
Understanding Brain Atrophy: Do You Need Treatment Without Symptoms?
Symptoms of brain atrophy? Hello Dr. Jiang: I underwent an MRI scan of my head, and the report indicated "Diffuse widening of sulci and cisterns suggesting brain atrophy." However, I currently do not have any cognitive issues, and my memory is normal. Do I need treatmen...
Dr. Jiang Junyi Reply:
Dear Mr. Jiang, You mentioned "Diffuse widening of sulci and cisterns suggesting brain atrophy," which refers to brain atrophy. If there are no signs of functional decline in daily living, there is no need to worry too much. In diagnosing cognitive impairment, in addit...[Read More] Understanding Brain Atrophy: Do You Need Treatment Without Symptoms?