Understanding Sleep Paralysis and Severe Shaking Sensations
Feeling severe shaking while sleeping and experiencing tinnitus? This issue has persisted for over 10 years, with the first episode occurring during middle school. I have documented common symptoms. 1. On the night of an episode, I initially experience insomnia, tossing and turni...
Dr. Peng Shiwei Reply:
Hello, based on your description, it seems that the symptoms occur during sleep. I recommend that you visit a hospital with a "sleep center" for consultation and examination. Before your appointment, you can keep a sleep diary. During the sleep study, you will be asked ...[Read More] Understanding Sleep Paralysis and Severe Shaking Sensations
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 Syncope: Causes and Concerns in Elderly Patients
Conscious syncope Hello doctor, my mother is 65 years old and has a history of low blood pressure, chronic moderate insomnia, autonomic nervous system dysfunction, and headaches. She often relies on sleeping pills to fall asleep and takes acetaminophen to alleviate her headaches....
Dr. Wu Mukhan Reply:
Hello, your mother's symptoms may possibly be caused by seizures or syncope related to cardiac issues. It is advisable to arrange for further examinations at a hospital's neurology department.[Read More] Understanding Syncope: Causes and Concerns in Elderly Patients
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?
Cold Neck and Sweating: Understanding Possible Nerve Issues
Cold neck and sweating? Recently, after receiving a massage for back pain, I have been experiencing an inexplicable cold sensation in my neck during sleep or daily activities. I also feel pain in the 8th, 9th, 10th, 11th, and 12th vertebrae, and at times, I experience dizziness, ...
Dr. Jiang Junyi Reply:
Hello Mr. Hsu: You mentioned that the "cold sensation in the neck" may be related to nerve root compression at cervical levels 4-6? You also mentioned experiencing pain at thoracic vertebrae levels 8, 9, 10, 11, and 12. Are you referring to muscle pain adjacent to the t...[Read More] Cold Neck and Sweating: Understanding Possible Nerve Issues
Struggling with Sleep: Breathing Issues and Unexplained Pain
Difficulty breathing during sleep? I have trouble falling asleep and when I do, it feels like I can't breathe, which wakes me up. I have a slight pain on the left side of my head, not very severe. I also experience chest tightness, lower back pain, and a dull ache in my back...
Dr. Cai Zongzhang Reply:
Hello, Xuan: Based on the symptoms mentioned above, it is recommended to visit the neurology and pulmonology outpatient clinics.[Read More] Struggling with Sleep: Breathing Issues and Unexplained Pain
Understanding Pulsating Temples: Causes and Concerns After Head Injury
The temple is pulsating continuously? Hello, I am consulting on behalf of my mother. A few years ago, she was in a car accident where she hit the left side of her head, but there were no external injuries. Over the years, she has occasionally experienced headaches, but since the ...
Dr. Jiang Junyi Reply:
Dear Ms. Chen, You mentioned that your mother "often presses on the left temple..." which may indicate tension-type headache, caused by muscle tightness in the head. Common manifestations include tight, constricting pain in the forehead and temples, resembling the sens...[Read More] Understanding Pulsating Temples: Causes and Concerns After Head Injury
Post-Cold Dizziness: Understanding Symptoms and When to Seek Help
After catching a cold, I occasionally feel dizzy when lying down, experiencing sudden bouts of vertigo? Hello, doctor. I apologize for bothering you! About a week ago, I started experiencing a cold, and I have just recovered from it. While lying down, I occasionally feel a "...
Dr. Jiang Junyi Reply:
Hello Ms. L: You mentioned, "I gradually experience a type of headache similar to what occurs after taking a nap... it's quite bothersome. Should I see a doctor? If so, which specialty?" The headache you described may need to be considered as tension-type headache....[Read More] Post-Cold Dizziness: Understanding Symptoms and When to Seek Help
Understanding Seizures: Is My 16-Year-Old Experiencing Epilepsy?
Epilepsy Concerns Hello doctor, my son, who is 16 years old, suddenly experienced upper body tremors last week. He can have over 60 episodes in a day, and during severe instances, he is unable to hold onto objects, leading to drops and even a fall once. However, each episode last...
Dr. Jiang Junyi Reply:
Dear Mr. Max, Regarding your son, it may be advisable to consider juvenile myoclonic epilepsy. This condition manifests with myoclonic jerks and generalized tonic-clonic seizures in otherwise normally developing adolescents or adults. Myoclonic jerks often occur in the hands, sh...[Read More] Understanding Seizures: Is My 16-Year-Old Experiencing Epilepsy?
Medication Consultation for Autonomic Nervous System Disorders
Medication Consultation Hello, Doctor: I would like to inquire about the use of medications for autonomic nervous system disorders. I have been taking Xanax and Mirtazapine for about a month. I take Xanax at least 1 to 3 times a day during panic attacks, and I take half a tablet ...
Dr. Cai Zongzhang Reply:
Hello: The side effects of Clomipramine may not occur in every patient taking the medication, so it is advisable to discuss this further with your physician.[Read More] Medication Consultation for Autonomic Nervous System Disorders
Understanding Muscle Tone Disorders After Cervical Spine Surgery
Dystonia Hello Doctor, I underwent a C4 to C7 discectomy and implantation of three artificial discs one and a half years ago. Three months post-surgery, I began experiencing stiffness on one side of my sternocleidomastoid muscle and stiffness in my shoulder and neck. I feel as th...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, I believe it is important to rule out any cervical spine issues. You may want to consult a neurologist. Thank you for your inquiry.[Read More] Understanding Muscle Tone Disorders After Cervical Spine Surgery
Managing Dizziness from Vestibular Neuritis: Tips for Recovery
Dizziness for three months? Hello Doctor, I have been experiencing dizziness for three months. After ruling out cervical spine and brain issues, I was diagnosed with "vestibular neuritis." I would like to ask if I should avoid positions or movements that still cause diz...
Dr. Peng Shiwei Reply:
Hello, if you have already passed the acute phase, you can gradually train yourself to adapt to various positions. You may refer to this article: https://tcmc.tzuchi.com.tw/images/pdf/62/68-70.pdf Thank you for your question.[Read More] Managing Dizziness from Vestibular Neuritis: Tips for Recovery
Understanding Pulsating Headaches: Causes and When to Seek Help
Head pressure and tightness pain? Hello, doctor. I have been experiencing occasional headaches over the past two weeks. During these episodes, the upper half of my head feels tight and somewhat swollen, but the pain is mild and does not last long, nor does it significantly affect...
Dr. Jiang Junyi Reply:
Dear Miss Yang, You mentioned that "the upper half of my head feels like it's tightening and has a bit of a throbbing pain, the symptoms are mild... and they don't last very long." Your symptoms may suggest tension-type headache, which is caused by muscle tig...[Read More] Understanding Pulsating Headaches: Causes and When to Seek Help
Persistent Dizziness: When to See a Neurologist and What to Consider
Dizziness persisting for a period of time? Hello, Dr. Jiang. I have been experiencing dizziness for about a month now. The dizziness is quite mild, but I feel it for most of the day. Recently, it has improved a bit compared to before; I don't feel dizzy all day, but I still ...
Dr. Jiang Junyi Reply:
Hello Mr. H: You mentioned, "My father previously had a brain tumor; is there a genetic link to brain tumors?" I would like to know what type of brain tumor your father was diagnosed with. Currently, only a small percentage of brain tumors, about 5%, are associated with...[Read More] Persistent Dizziness: When to See a Neurologist and What to Consider
Understanding Jaw Pain: Is It TMJ Disorder or Trigeminal Neuralgia?
Temporomandibular joint disorder (TMJ disorder)? Trigeminal neuralgia? Hello Doctor, recently I have been experiencing pain when biting down on the right side of my teeth, with a sensation of soreness and weakness. When the pain and tingling become severe, it radiates to the area...
Dr. Cai Zongzhang Reply:
Hello: Trigeminal neuralgia can vary in severity. The symptoms mentioned may still indicate trigeminal neuralgia. It is recommended to visit a neurology clinic for examination and treatment.[Read More] Understanding Jaw Pain: Is It TMJ Disorder or Trigeminal Neuralgia?
Persistent Dizziness: When to Seek Neurology Consultation?
Dizziness persisting for a period of time? Hello, Dr. Jiang. I have been experiencing dizziness for about a month now. The dizziness is quite mild, but I feel it for most of the day. Recently, it has improved a bit compared to before; I don't feel dizzy all day, but I still ...
Dr. Jiang Junyi Reply:
Hello Mr. H: You mentioned, "My father previously had a brain tumor; is there a genetic link to brain tumors?" I would like to know what type of brain tumor your father was diagnosed with. Currently, only a small percentage, about 5%, of brain tumors are associated with...[Read More] Persistent Dizziness: When to Seek Neurology Consultation?
Understanding Autonomic Nervous System Disorders: Dizziness and Anxiety
Autonomic nervous system dysfunction causing dizziness and lightheadedness? Hello, Dr. Jiang. I apologize for bothering you, but I would like to ask for your advice. Three years ago, I suddenly experienced autonomic nervous system dysfunction. Initially, I had occasional prematur...
Dr. Jiang Junyi Reply:
Dear Mr. Hsieh, You mentioned that "sleeping for 9 hours... Yongkangxu said it would help." Yongkangxu contains two active ingredients: Flupentixol, which is an antipsychotic that has antidepressant and anxiolytic effects at low doses, and Meltracen, which is a mood st...[Read More] Understanding Autonomic Nervous System Disorders: Dizziness and Anxiety
Understanding Sleep Issues in Children: Causes and Solutions
Sleep problems in children? Hello, I would like to ask about an 8-year-old child who starts twitching their hands and feet every night as soon as they fall asleep. Initially, there were no twitches before falling asleep, but once they are held, the twitching indicates they have f...
Dr. Jiang Junyi Reply:
Dear Ms. Nana, You mentioned that "you have been tossing and turning all night, experiencing repetitive movements, and not sleeping well, resulting in dark circles under your eyes." If this is affecting your sleep quality, it is advisable to seek medical treatment. Fir...[Read More] Understanding Sleep Issues in Children: Causes and Solutions
Understanding Post-Concussion Symptoms: Tremors, Dizziness, and Pain
Post-concussion syndrome includes symptoms such as sleep disturbances, limb tremors, and dizziness? Hello Doctor: Since the night of the car accident on January 6th, I have experienced sudden jerking movements in my left hand and foot shortly after falling asleep. I wake up and c...
Dr. Jiang Junyi Reply:
Dear Miss Rabbit, You mentioned that "since the night of the car accident on January 6th, my right eye has been blurry, and my left hand and foot have been experiencing spasms... I have never had these symptoms before." Your symptoms may warrant consideration of lesion...[Read More] Understanding Post-Concussion Symptoms: Tremors, Dizziness, and Pain
Understanding One-Sided Pupil Dilation and Its Neurological Implications
Headache and dizziness with unilateral pupil exhibiting mydriasis and loss of light reflex? Hello Doctor, I started experiencing some brain fog about a week ago, along with mild dizziness and a tight sensation in my head, though it’s not very painful. It feels like my head is bei...
Dr. Jiang Junyi Reply:
Hello Student H: You mentioned that "my right eye has symptoms of mydriasis, meaning it does not respond to light at all without the use of dilating drops, while the left eye is normal. This is because I had a viral infection in my right eye and underwent surgery when I was ...[Read More] Understanding One-Sided Pupil Dilation and Its Neurological Implications