Understanding Sleep-Related Muscle Twitches and Anxiety Disorders
Teeth clenching and facial muscle twitching upon falling asleep? Hello Dr. Jiang: I have been experiencing anxiety and autonomic nervous system dysregulation for the past six years. During severe episodes, I take half a Xanax for relief. In recent years, I have noticed that somet...
Dr. Jiang Junyi Reply:
Hello Ms. Cocoa: You mentioned that "the eyelid nerves and even the facial nerves at the corners of the mouth are twitching involuntarily... the teeth are clenching involuntarily, and after clenching, the facial muscles (near the cheekbones) also start to twitch significantl...[Read More] Understanding Sleep-Related Muscle Twitches and Anxiety Disorders
Understanding Involuntary Muscle Twitches in the Hand: Causes and Solutions
Involuntary muscle twitching in the palm? Hello Doctor, I have been experiencing intermittent rapid muscle twitching in my palms (both inside and outside). During these episodes, my palms and fingers tend to curl up as if I were trying to make a fist (similar to a chicken claw), ...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "your fingers seem to be in a fist-like position (like a chicken claw) and cannot be extended." This may indicate a consideration of abnormal muscle tone, characterized by persistent muscle contractions that can sometimes lead to limb twi...[Read More] Understanding Involuntary Muscle Twitches in the Hand: Causes and Solutions
Understanding Autonomic Nervous System Disorders and Their Symptoms
Autonomic nervous system dysfunction? Hello, last week I visited a clinic due to a cold and was prescribed medication. After taking the medication, I started experiencing thirst and dry lips, and no matter how much water I drank, I couldn't quench my thirst; in fact, it seem...
Dr. Jiang Junyi Reply:
Hello Mr. Xiao Ming, You mentioned that "you have stopped taking medication for about a week... and the thirst is not as severe the next day." Since the duration of the drug's action has exceeded five half-lives, the effects of these two medications should be rule...[Read More] Understanding Autonomic Nervous System Disorders and Their Symptoms
Neck Injury After Basketball: When to See a Doctor?
Neck issues A few days ago, while playing basketball, I jumped and got hit by someone, causing my head to tilt backward in the air. I heard a cracking sound from my neck, and afterward, I felt some stiffness in my neck. By the evening, I started experiencing dizziness, and it has...
Dr. Jiang Junyi Reply:
Dear Mr. Huang, You mentioned that "I started feeling dizzy in the evening, and it has persisted for several days." I apologize for the delay in my response. Your symptoms may suggest a possible muscle injury in the cervical spine. If you experience any ischemic neurol...[Read More] Neck Injury After Basketball: When to See a Doctor?
Understanding Facial Numbness: Insights for Ankylosing Spondylitis Patients
Frequent facial numbness? I was diagnosed with ankylosing spondylitis (AS) this May. In addition to the pain associated with AS, I have been experiencing persistent numbness on the right side of my face and right lip, along with occasional numbness in my right ear. This numbness ...
Dr. Jiang Junyi Reply:
Dear Ms. Lee, You mentioned that "cervical disc herniation can affect facial numbness," specifically regarding high cervical nerve root compression at the levels of C1 to C3. Since the nerves pass through the trigeminal nerve nucleus, this may be related to the persist...[Read More] Understanding Facial Numbness: Insights for Ankylosing Spondylitis Patients
Could Your Evening Diarrhea Be Linked to Autonomic Nervous System Dysfunction?
Could diarrhea be caused by autonomic nervous system dysfunction? Hello, Dr. Jiang. I am a patient with diarrhea-predominant irritable bowel syndrome (IBS-D). I have undergone numerous gastrointestinal examinations, including a colonoscopy, and my body has shown no issues. I have...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned that "you often experience diarrhea after dinner... but there are no issues with lunch or late-night snacks... and you suspect autonomic nervous system dysfunction." First, it's important to clarify that if diarrhea is caused by dietary fa...[Read More] Could Your Evening Diarrhea Be Linked to Autonomic Nervous System Dysfunction?
Understanding Numbness: Causes and When to Seek Medical Help
Numbness in the hands and face? I'm not quite sure if it's due to my recent menstrual period combined with prolonged standing and walking, or if my hand came into contact with an electrical device while it was charging. Initially, I felt a tingling sensation in the palm...
Dr. Wu Mukhan Reply:
Your symptoms may be caused by hyperventilation or peripheral nerve issues. If there is no improvement, it is recommended to consult a neurologist for further evaluation.[Read More] Understanding Numbness: Causes and When to Seek Medical Help
Understanding Numbness in Both Feet: Causes and Solutions
Numbness in both feet? Hello Doctor: Over the past year, I have had issues with prolonged sitting, and I have a habit of crossing my left leg while sitting, which causes my left leg to become numb after sitting for a long time. However, it usually improves after I lower my leg fo...
Dr. Wu Mukhan Reply:
Your symptoms may be caused by nerve compression. Prolonged sitting can lead to muscle tightness or spinal degeneration, both of which can contribute to such symptoms. It is recommended to have support for your lower back and spine while sitting, and to get up and walk around at ...[Read More] Understanding Numbness in Both Feet: Causes and Solutions
Understanding Right-Sided Head Pain: Possible Causes and Solutions
Only the right side of my head feels uncomfortable? Hello, doctor. For the past three days, I've been experiencing pain on the right side of my temple, teeth, ear, and back of my neck. The pain is intermittent and persistent. I have seen a dentist, but they said there is no ...
Dr. Jiang Junyi Reply:
Hello Mr. Lu: You mentioned that you are experiencing pain in your teeth, ears, and the back of your neck, which may suggest considering cervical myofascial pain. The myofascia around the cervical spine has small muscles that connect to the head, while the larger superficial musc...[Read More] Understanding Right-Sided Head Pain: Possible Causes and Solutions
Facial Surgery Complications: Inability to Smile and Eye Closure Issues
After the facelift surgery, the left side of the face is unable to express emotions? I underwent a three-layer facelift surgery on September 19, and now the left side of my face cannot lift the corner of my mouth, causing my smile to be lopsided. The lower eyelid cannot close pro...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned the symptoms of "a crooked smile and the inability to close the lower eyelid," which may indicate inflammation of the facial nerve. During the acute phase, due to nerve damage, improvement of symptoms may take some time. The use of corticoster...[Read More] Facial Surgery Complications: Inability to Smile and Eye Closure Issues
Understanding Groin Pain and Iron Deficiency: Insights on Restless Legs
Groin discomfort, iron deficiency, restless legs syndrome, and tightness of the cremaster muscle? Hello, doctor. About 4-5 years ago, I underwent laparoscopic surgery for bilateral varicocele. Approximately 1-2 years post-surgery, I started experiencing a dull pain in the right g...
Dr. Jiang Junyi Reply:
Hello Mr. Chen, You mentioned that "the pain has spread to the inner side of the right thigh, the outer side of the right calf, and the right testicle experiences spasms and sometimes involuntary twitching." These symptoms may suggest a neuropathy related to the sacral...[Read More] Understanding Groin Pain and Iron Deficiency: Insights on Restless Legs
Understanding Groin Pain and Iron Deficiency: Insights on Restless Legs
Groin discomfort, iron deficiency, restless legs syndrome, and tightness of the cremaster muscle? Hello, doctor. About 4-5 years ago, I underwent laparoscopic surgery for bilateral varicocele. Approximately 1-2 years post-surgery, I began experiencing a vague, dull pain in the ri...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: You mentioned that "the pain has spread to the inner thigh, posterior lateral side of the right calf, and the right testicle experiences spasms and sometimes involuntary twitching." These symptoms may suggest a neuropathy of the sacral plexus. Symptoms o...[Read More] Understanding Groin Pain and Iron Deficiency: Insights on Restless Legs
Understanding Neck Pain and Dizziness: Is It Related to Disc Issues?
Dizziness or occasional pain in the limbs? Hello, doctor. I have ulcerative colitis (diagnosed last May) which is currently well-controlled, and my mucosa has healed. Additionally, I have a cervical disc herniation at C3-C4-C5-C6 (as shown in an MRI). Occasionally, I experience p...
Dr. Cai Zongzhang Reply:
Hello: The symptoms mentioned can have multiple possible causes. It is recommended to visit a neurologist for an examination to determine the underlying cause, which will help establish a clear treatment direction.[Read More] Understanding Neck Pain and Dizziness: Is It Related to Disc Issues?
Understanding Dizziness and Neck Tension: Possible Causes and Concerns
Dizziness and a feeling of heaviness in the head? In the past week or two, I've been experiencing occasional dizziness and a feeling of pressure in my head, along with tightness in my shoulders, neck, and back of my head. There have been a few instances where I felt unsteady...
Dr. Peng Shiwei Reply:
Hello, your symptoms are not closely related to multiple sclerosis; however, there are many causes of dizziness. If there is no improvement in the near future, it is recommended that you consult a neurologist. Thank you for your inquiry.[Read More] Understanding Dizziness and Neck Tension: Possible Causes and Concerns
Managing Post-COVID Symptoms: When to Seek Medical Help
Areas for improvement Hello, doctor. I previously asked about experiencing tinnitus and hearing my heartbeat when turning my head after my initial COVID-19 infection. Fortunately, after about two months, the symptoms improved significantly. At that time, you advised me to focus o...
Dr. Peng Shiwei Reply:
Hello, I believe that given your current condition, you have recovered quite well. B vitamins, regular exercise, maintaining a normal routine, and consuming plenty of fruits and vegetables can be beneficial. If you continue to feel depressed, experience insomnia, or have unrelent...[Read More] Managing Post-COVID Symptoms: When to Seek Medical Help
Understanding Scalp Tingling: When to See a Neurologist
Scalp tingling? In the past couple of days, I've been experiencing sudden tingling sensations on my scalp, starting from the back of my head, moving to the top, and then to my forehead. The tingling comes in waves and is not constant, and I don't have any headaches or o...
Dr. Wu Mukhan Reply:
Hello, scalp tingling may be related to peripheral nerve disorders in the head and face, or it could be caused by issues with the cervical spine. It is recommended that you consult a neurologist for further evaluation or to arrange relevant tests.[Read More] Understanding Scalp Tingling: When to See a Neurologist
Could Your Symptoms Indicate ALS or Another Neurological Disorder?
Do these symptoms indicate amyotrophic lateral sclerosis (ALS), or could they be related to another neurological disorder? Hello, I started experiencing muscle tightness and soreness in my left forearm since last Saturday (9/23), accompanied by eyelid twitching, which occurred ab...
Dr. Jiang Junyi Reply:
Hello: You mentioned that the issues of muscle soreness and tremors may need to first rule out cervical spinal cord and nerve compression, as these are symptoms of lower motor neuron involvement. Lower motor neuron symptoms include muscle atrophy, weakness, and fasciculations. Th...[Read More] Could Your Symptoms Indicate ALS or Another Neurological Disorder?
Understanding Myofascial Pain Syndrome: Symptoms and Treatment Options
Suspected myofascial pain syndrome Hello, doctor. My husband was fine when he rode me out on his motorcycle yesterday, but suddenly he experienced chest pain upon returning. Since my late father-in-law had a history of myocardial infarction, my husband thought he might be having ...
Dr. Cai Zongzhang Reply:
Hello, based on the symptoms mentioned, it is suspected to be either cranial fasciitis or cranial nerve root compression. If the symptoms do not improve with adequate rest, it is recommended to visit a neurology clinic for examination to determine the underlying cause and treatme...[Read More] Understanding Myofascial Pain Syndrome: Symptoms and Treatment Options
Understanding Pulsatile Tinnitus: Causes, Concerns, and Care
Heartbeat sound in the ear? Hello, Doctor. A few months ago, when I was diagnosed, I experienced a loud ringing in my left ear that made it almost impossible to hear. At the same time, when I sat cross-legged or on the toilet, I could hear a pounding heartbeat sound whenever I sl...
Dr. Cai Zongzhang Reply:
Hello Wendy: There are various causes of pulsatile tinnitus, and the treatment methods differ accordingly. Among them, tinnitus caused by cerebrovascular diseases poses the greatest potential risk. If the symptoms persist, it is advisable to visit a neurology clinic for a detaile...[Read More] Understanding Pulsatile Tinnitus: Causes, Concerns, and Care
Persistent Dizziness: Understanding Neurological Causes and Next Steps
Feeling dizzy all day long? Hello doctor, I have been experiencing dizziness since early May (it's not a spinning sensation, but I feel lightheaded all day). Initially, I thought it was heat exhaustion due to the combination of feeling hot and dizzy, but now I only have dizz...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "the ENT examination includes hearing tests, balance assessments, inner ear temperature differentials, eye movement tests, and brainstem response, while the neurology examination includes awake EEG, brainstem auditory evoked potentials, and carotid ...[Read More] Persistent Dizziness: Understanding Neurological Causes and Next Steps