Understanding Fasciculations: Causes and When to Seek Help
Widespread muscle twitching? Hello Doctor, I have been experiencing persistent muscle twitching all over my body for the past two months, with the location varying. Additionally, I sometimes have mild headaches, feel fatigued throughout the day, and occasionally experience tingli...
Dr. Jiang Junyi Reply:
Hello Mr. Shi: You mentioned that "all the muscles in my body are twitching continuously... I also have a bit of a headache... there are no electrolyte abnormalities or muscle atrophy." Prolonged exercise is one of the main causes of muscle twitching. In addition to mus...[Read More] Understanding Fasciculations: Causes and When to Seek Help
Understanding Benign Muscle Twitches: When to Worry and When to Relax
Nervous tics Hello, Doctor! I would like to inquire about my muscles twitching or spasming almost every day. However, there is no pain; the twitching stops after a moment and then resumes later, which is noticeable. I have also been to the hospital for tests like electromyography...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "the hospital conducted tests such as electromyography, and the doctor said everything is normal with no concerning abnormalities, indicating that this is benign muscle twitching..." The causes of muscle twitching can include not only mus...[Read More] Understanding Benign Muscle Twitches: When to Worry and When to Relax
Muscle Twitches and Weakness: Understanding Neurological Symptoms
Muscle twitching Hello, doctor. I am the patient who consulted you last time after hitting my head. I have been really busy at work and unable to visit the hospital for a check-up, so I have been observing my condition. I have noticed that from February 28 to now, March 14, I hav...
Dr. Jiang Junyi Reply:
Hello Mr. Pan: You mentioned "weakness in the limbs accompanied by muscle twitching and spasms." Generally speaking, the causes of limb weakness and muscle twitching can involve not only the muscles and nerves but also some metabolic disorders such as thyroid dysfunctio...[Read More] Muscle Twitches and Weakness: Understanding Neurological Symptoms
Can Epilepsy Patients Safely Supplement with 5-HTP for Sleep?
Can patients with epilepsy supplement with 5-HTP? Hello Doctor, my mother has epilepsy and is currently prescribed one "Xanax" at bedtime. Since developing epilepsy, she has been dreaming every night and usually remembers her dreams upon waking. Although her daytime ene...
Dr. Cai Zongzhang Reply:
Hello, Xiao K: Sleep disorders and frequent dreaming are commonly caused by age-related central nervous system degeneration. Symptomatic treatment with medication may be used, but there are other possible underlying causes. It is recommended to visit a neurology outpatient clinic...[Read More] Can Epilepsy Patients Safely Supplement with 5-HTP for Sleep?
Understanding the Link Between Sleep Disorders and Stroke Symptoms
Autonomic nervous system dysfunction, insomnia, stroke? Hello, Doctor. I would like to ask some questions. My mother has been suffering from chronic insomnia and has been taking medication prescribed by a doctor, but her insomnia remains severe. Recently, she has experienced dry ...
Dr. Wu Mukhan Reply:
Hello: There are many causes of insomnia, including psychological factors, medications, lifestyle habits, degenerative diseases, sleep apnea, and other sleep disorders. Sudden unilateral body paralysis or weakness may indeed be related to cerebrovascular diseases. It is advisable...[Read More] Understanding the Link Between Sleep Disorders and Stroke Symptoms
Understanding Unintentional Speech Errors in Older Adults: A Neurological Perspective
Mom often makes unintentional verbal slips? Hello Doctor: My mother is 60 years old and has been receiving treatment from a psychiatrist for some time. I am not entirely clear on her exact diagnosis, but I know she has sleep disorders. Living with her, I notice that she has a ver...
Dr. Cai Zongzhang Reply:
Hello: Based on the symptoms mentioned, there is a suspicion of cognitive decline. Both depression and dementia may present with the aforementioned symptoms. A differential diagnosis is necessary for treatment, and it is recommended to visit a neurology outpatient clinic.[Read More] Understanding Unintentional Speech Errors in Older Adults: A Neurological Perspective
Understanding Sleep Disorders: Causes, Symptoms, and Solutions
Sleep disorders Hello Doctor, I usually have a habit of staying up late and drinking red tea and milk tea from aluminum foil packages. Recently, I have experienced insomnia for three consecutive days, poor appetite, constipation, occasional heart pain, and shortness of breath. I ...
Dr. Cai Zongzhang Reply:
Hello: Adequate sleep is related to health, and tea and coffee beverages can worsen insomnia. It is recommended to reduce tea consumption and avoid drinking tea in the evening to improve sleep duration. If symptoms do not improve, please visit a neurology clinic.[Read More] Understanding Sleep Disorders: Causes, Symptoms, and Solutions
Understanding Stroke Risks: Symptoms, Prevention, and When to Seek Help
Difficulties with complex medical conditions and stroke issues? Hello, doctor. I would like to consult you regarding the prediction and prevention of strokes in the elderly. My mother is 75 years old and has been managing diabetes for over 20 years without any other chronic or ma...
Dr. Jiang Junyi Reply:
Hello Ms. Water, You mentioned that "after finishing household chores, she suddenly felt a wave of fatigue." This may indicate a potential sleep disorder. I recommend undergoing multiple sleep physiology tests. Regarding your question about whether a stroke requires wa...[Read More] Understanding Stroke Risks: Symptoms, Prevention, and When to Seek Help
Understanding Involuntary Muscle Twitches: Causes and Concerns
Involuntary muscle twitching? I am a 35-year-old male, non-smoker, non-drinker, and I do not consume betel nut or coffee. I am 180 cm tall and weigh 55 kg. I have a regular exercise routine that includes both strength training and aerobic exercises. Over two years ago, I suddenly...
Dr. Jiang Junyi Reply:
Hello Mr. Hsuan, You mentioned experiencing "twitching in your toes, similar to after finishing a hike, a jog, walking a long distance, or sitting on a specific sofa..." The muscle twitching you are experiencing may be related to several factors: exercise, acute viral ...[Read More] Understanding Involuntary Muscle Twitches: Causes and Concerns
Understanding Sleep Disorders: When Stress Affects Your Rest
Sleep issues Hello, doctor. Last night, I felt very hot in the middle of my sleep, so I instinctively reacted by trying to get up to find the remote control for the fan. However, I actually don't have a fan or a remote control for one at home, and I didn't dream about a...
Dr. Cai Zongzhang Reply:
Hello YY: The above symptoms are suspected to be caused by insufficient sleep. If there is no improvement after rest, it is recommended to visit a neurology outpatient clinic.[Read More] Understanding Sleep Disorders: When Stress Affects Your Rest
Understanding Sleep Kicking: Is It a Sleep Disorder?
Kicking during sleep? Hello doctor, I am currently in the second year of high school. Since elementary school, I have been kicking my legs randomly whenever I fall asleep. My family and friends who have slept over have mentioned that I kick them awake. I read online that this mig...
Dr. Wu Mukhan Reply:
Hello, your symptoms may indicate Periodic Limb Movement Disorder (PLMD), which is a sleep disorder characterized by involuntary, repetitive movements of the limbs during sleep. This condition can affect the quality of sleep for both you and those around you. If you find that it ...[Read More] Understanding Sleep Kicking: Is It a Sleep Disorder?
Understanding Photosensitive Epilepsy and Its Impact on Neurotic Patients
Photosensitive epilepsy and individuals with neurosis? I have read many educational articles about photosensitive epilepsy, but I still have some confusion. Specifically, I would like to know if individuals with neurosis may also experience discomfort, such as neck twitching and ...
Dr. Jiang Junyi Reply:
Hello: Photosensitive epilepsy typically occurs during childhood and is rare in adults. Your symptoms may warrant consideration of cervical myofascial issues or sleep disorders. It is recommended that you visit a neurology outpatient clinic for further evaluation and follow-up. T...[Read More] Understanding Photosensitive Epilepsy and Its Impact on Neurotic Patients
Understanding Muscle Twitches: Causes and When to Seek Help
Muscle twitching is common? For the past ten years, I have experienced frequent muscle twitching throughout my body. However, since each episode lasted only a short time, I did not pay much attention to it. Now, this twitching has not ceased over time, and I find it quite distres...
Dr. Jiang Junyi Reply:
Dear Mr. Peter Zhan, You mentioned that "the muscles throughout my body often twitch, but since each twitch does not last long, I haven't paid much attention to it. However, this twitching has not stopped over time." Muscle twitching is primarily related to severa...[Read More] Understanding Muscle Twitches: Causes and When to Seek Help
Am I Experiencing Epilepsy or a Brain Tumor? Understanding My Symptoms
Do I have epilepsy? Could I possibly have a brain tumor? Hello Doctor, I have two questions to ask you, regarding headaches and epilepsy. Most importantly, I am very worried that I might have a brain tumor or something similar, and I hope to receive some advice. Regarding epile...
Dr. Cai Zongzhang Reply:
Hello, Student C: The symptoms mentioned may be related to sleep apnea. It is recommended to visit a neurologist for a detailed examination to determine the underlying cause.[Read More] Am I Experiencing Epilepsy or a Brain Tumor? Understanding My Symptoms
Understanding Sleep Disorders: Involuntary Movements During Sleep
Sleep issues Hello, doctor. I would like to ask about a recent experience during sleep where I feel like my hands are moving on their own in a half-awake, half-asleep state. I am unable to control these movements, and sometimes when there are objects nearby, I feel as if I am pic...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to visit a neurologist to investigate the possible causes of the symptoms mentioned above.[Read More] Understanding Sleep Disorders: Involuntary Movements During Sleep
Neck Issues and Migraines: Understanding the Connection for Relief
It seems that the neck is causing the migraine? My symptoms have persisted for 4-5 years. I experience migraines when I wake up at night, and the frequency has increased in recent years. I don't take medication, and the pain usually subsides after noon. Taking pain relievers...
Dr. Jiang Junyi Reply:
Hello Mr. Bob, It seems you may have misunderstood the diagnosis of "migraine." The symptoms of a migraine typically last from 4 to 72 hours. The characteristics of the headache include unilateral pain, which can be throbbing or pulsating, often accompanied by nausea a...[Read More] Neck Issues and Migraines: Understanding the Connection for Relief
Concerns About Neurology Medications: Risks, Dependency, and Diagnosis Clarity
Medications..? Due to discomfort in my head and poor sleep quality, my previous doctors prescribed medications such as Lyrica, Mirtazapine, and Zolpidem, claiming they could help with sleep. I have a few questions for the physician: 1. Will these medications alter my brain or p...
Dr. Jiang Junyi Reply:
Hello Mr. Hsiao-Chih, You mentioned, "Do these medications change the brain and personality, causing any irreversible conditions?" The medications you referred to, including Fuquan, Muxing, and Lianduomian, are all classified as benzodiazepines, which are Schedule IV c...[Read More] Concerns About Neurology Medications: Risks, Dependency, and Diagnosis Clarity
Understanding Sleep Jerks: Causes of Involuntary Body Movements
Involuntary muscle contractions? Experiencing twitching or jerking movements just before falling asleep, accompanied by nasal sounds similar to sneezing, may be indicative of a phenomenon known as hypnic jerks or sleep starts. These involuntary muscle contractions can occur as on...
Dr. Jiang Junyi Reply:
Hello Mr. Shui Wun Ping, You mentioned that "every time you are about to fall asleep, you start to make nasal sounds and have twitching." Your symptoms may suggest the possibility of obstructive sleep apnea (OSA). OSA is the most common type, accounting for about 90% o...[Read More] Understanding Sleep Jerks: Causes of Involuntary Body Movements
Breathing and Thinking: Understanding Cognitive Disruption in Neurology
Breathing and thinking cannot occur simultaneously? I have recently been experiencing issues where I often forget to breathe while thinking or talking to others. Sometimes I realize I need to breathe halfway through my thoughts, which interrupts my thinking process. To ensure I b...
Dr. Jiang Junyi Reply:
Hello Mr. MJ: You mentioned, "When I woke up that morning, my mind was blank, and I felt a dullness in my head, almost like a sensation of hypoxia?" Your symptoms may warrant consideration of certain medications that can cause memory difficulties, such as antihistamines...[Read More] Breathing and Thinking: Understanding Cognitive Disruption in Neurology
Understanding Prominent Dorsalis Pedis Pulse: When to Seek Medical Attention
Dorsalis pedis artery pulse is prominent? In the past two weeks, I have noticed a significant pulsation in the arteries on the dorsum of my right foot. There is no numbness in my foot, and I haven't been standing or walking for long periods. Most of the time, I can feel the ...
Dr. Jiang Junyi Reply:
Dear Miss BB, You mentioned that "the artery on the dorsum of your right foot is noticeably pulsating." Have you compared the pulsations of the dorsalis pedis arteries on both sides? Generally, we should not be able to feel the pulsation of blood vessels; however, if t...[Read More] Understanding Prominent Dorsalis Pedis Pulse: When to Seek Medical Attention