Understanding Neck Pain: Causes, Symptoms, and Relief Strategies
Neck pain Hello Doctor, for the past month, I have been experiencing soreness when tilting my neck backward and downward to the left. When I touch the painful area, it is located on the left side of my neck, and while I can't pinpoint a specific spot on the back, there is a ...
Dr. Cai Zongzhang Reply:
Hello: The symptoms mentioned are related to prolonged poor posture of the neck and upper arms during work. It is recommended to visit a neurology clinic for examination and further treatment recommendations.[Read More] Understanding Neck Pain: Causes, Symptoms, and Relief Strategies
Understanding Involuntary Muscle Twitches: Causes and Solutions
Involuntary muscle twitching? Hello, doctor! Recently, I have been experiencing occasional muscle twitching and facial spasms. It feels like my face is on the verge of twitching, causing discomfort, particularly around the area near my eye socket close to my nose and the masseter...
Dr. Cai Zongzhang Reply:
Hello, if the above symptoms persist despite adequate rest and sleep, it is recommended to visit a neurology outpatient clinic for evaluation.[Read More] Understanding Involuntary Muscle Twitches: Causes and Solutions
Understanding Pulsatile Tinnitus: When Your Eyes Beat with Your Heart
The eye perceives pulsations that are in sync with the heartbeat? Hello doctor, I have been experiencing a pulsating sensation in my eyes that seems to coincide with my heartbeat since high school. It becomes more pronounced when I lie down or close my eyes. Sometimes my heartbea...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, it is advisable to consult a neurologist. There is a possibility that you may have a carotid-cavernous fistula, so please ask your doctor to conduct an examination.[Read More] Understanding Pulsatile Tinnitus: When Your Eyes Beat with Your Heart
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
Understanding Heart Palpitations and Chest Pain After Vaccination
Chest pain and palpitations? In the past, I had a habit of exercising. After receiving my second dose of the Moderna vaccine in May of this year, I experienced palpitations (heart rate of 130-140) and had to visit the emergency room several times. However, all cardiac tests came ...
Dr. Peng Shiwei Reply:
Hello, it is indeed possible to experience palpitations after receiving the Moderna vaccine, but they typically do not last for an extended period. If your symptoms persist and other symptoms begin to appear, it is advisable to consult a cardiologist to rule out any heart-related...[Read More] Understanding Heart Palpitations and Chest Pain After Vaccination
Understanding Evening Headaches: Causes and When to Seek Help
Normal during the day, headache at night? Hello Doctor, I apologize for bothering you. Currently, I work in the morning and attend classes in the evening, with my sleep schedule being approximately from 12:00 AM to 6:50 AM. I have experienced similar situations before, but they d...
Dr. Peng Shiwei Reply:
Based on your condition, it is recommended that you visit a neurology outpatient clinic for further evaluation, as additional tests may be necessary.[Read More] Understanding Evening Headaches: Causes and When to Seek Help
Persistent Numbness in Foot and Leg: Seeking Medical Guidance
Numbness in the dorsum of the foot for over four months, and now there is also some numbness in the calf? Hello Doctor, I really don't know what to do now and would like to ask for your opinion. I am currently a senior in college and have recently been exercising, walking br...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, if they are gradually worsening, I recommend visiting a neurology outpatient clinic at a major hospital. To rule out nerve compression, more advanced imaging studies are necessary, so I suggest you start with regular follow-up for a while.[Read More] Persistent Numbness in Foot and Leg: Seeking Medical Guidance
Understanding Complex Head and Neck Pain: Possible Causes and Solutions
Pain in the neck, occipital region, temples, eyebrows, and cheekbones? Hello doctor, last Wednesday I carried two bottles of formula, each weighing 1.6 kg, home by bike. It was noon and the sun was very strong and glaring. After getting home, I started to have a headache. I initi...
Dr. Jiang Junyi Reply:
Hello Ms. A: You mentioned that "when lying down, I feel very uncomfortable from the back of my head to my shoulders, and my head hurts when I lie down. Additionally, my gums around the upper left wisdom tooth have been inflamed recently, and I experience throbbing pain in t...[Read More] Understanding Complex Head and Neck Pain: Possible Causes and Solutions
Understanding the Differences Between Sleep Aids, Sedatives, and Sleeping Pills
What is the difference between sleep aids, sedatives, and hypnotics? Are the above three medications classified as prescription drugs that can only be prescribed by a physician? What are the differences in their ingredients? Do over-the-counter sleep aid supplements qualify as sl...
Dr. Cai Zongzhang Reply:
Sedatives and hypnotics have similar pharmacological effects, but they differ in dosage and potency. These types of medications are classified as controlled substances and can only be prescribed by a physician. Over-the-counter sleep aids are not classified as medications, and th...[Read More] Understanding the Differences Between Sleep Aids, Sedatives, and Sleeping Pills
Understanding Autonomic Nervous System Disorders and Trigeminal Neuralgia
Autonomic nervous system dysfunction, trigeminal neuralgia? Hello Doctor, my recent condition is as follows: On the night of November 2, I experienced tinnitus and dizziness. On the morning of November 3, I woke up with muscle cramps and palpitations, and I began to feel numbness...
Dr. Cai Zongzhang Reply:
The above symptoms are related to the function of the right facial nerve, and it is recommended to visit a neurology outpatient clinic for treatment.[Read More] Understanding Autonomic Nervous System Disorders and Trigeminal Neuralgia
Understanding Sleep Disturbances: Hallucinations and Breathing Issues
Hallucinations upon falling asleep, difficulty breathing, and a feeling of pressure? Hello Doctor: I am currently a senior high school student preparing for the university entrance exam, and I often feel a lot of pressure from studying, which leads to feelings of inexplicable sad...
Dr. Hong Weibin Reply:
Hello: Based on your description, it is recommended that you seek assistance from a sleep specialist at a hospital (such as a pediatric psychiatry or neurology department). It is important to consider whether there may be narcolepsy or depression involved. Additionally, your slee...[Read More] Understanding Sleep Disturbances: Hallucinations and Breathing Issues
Understanding Tremors: Head and Body Shaking Symptoms Explained
Tremors in the head and torso? I have had a problem with hand tremors in the past, occurring both at rest and during movement. However, in the past few months, I have noticed that my head and torso tremble before sleep, and sometimes this occurs right after waking up (I do not ha...
Dr. Peng Shiwei Reply:
Hello, based on your symptoms, it is recommended to seek consultation with a neurologist specializing in movement disorders as soon as possible.[Read More] Understanding Tremors: Head and Body Shaking Symptoms Explained
Understanding Persistent Headaches: Symptoms and Possible Causes
About headaches? Hello Doctor: Ten days ago, at around 8 PM, I suddenly felt a strange sensation in my head, possibly similar to increased intracranial pressure, followed by a brief tingling sensation and then a persistent, severe throbbing headache. After taking pain medication ...
Dr. Jiang Junyi Reply:
Hello Mr. Zhang, You mentioned that at 8 o'clock, you suddenly felt something unusual in your head, possibly similar to increased intracranial pressure, followed by a brief tingling sensation and then a persistent, severe throbbing headache. You also noted that you experien...[Read More] Understanding Persistent Headaches: Symptoms and Possible Causes
Understanding Head Trauma: Long-Term Effects and Concerns
Head trauma Hello, doctor. Two years ago, I was struck on the head by a metal pipe while at work. At the time, I was unsure if there was any issue, so I went to an orthopedic doctor for an X-ray. The doctor said there was no fracture in the skull. After two months, I saw a neurol...
Dr. Jiang Junyi Reply:
Dear Mr. Xiao: You mentioned: 1. I have always had concerns about whether a person can still function normally if there is a fracture or a slight crack in the skull. It has been two years since then; if there was a fracture at that time, could the person still be conscious? A...[Read More] Understanding Head Trauma: Long-Term Effects and Concerns
Understanding Muscle Fasciculations: Causes, Concerns, and When to Seek Help
Fasciculation Hello Doctor, since my diagnosis over a week ago, I have been experiencing visible muscle twitching throughout my body. I consulted a neurologist and underwent an electromyography (EMG), and the doctor informed me that everything was normal and no fasciculations wer...
Dr. Jiang Junyi Reply:
Hello Mr. Hong, You mentioned that "for two consecutive days, I experienced jumping in the back of my thighs for two hours before sleep, and after getting up, it continued for a while until noon. I also feel a bit of tightness in my arches, and my arms occasionally feel sor...[Read More] Understanding Muscle Fasciculations: Causes, Concerns, and When to Seek Help
Understanding Brain Vibrations and Sensations of Electric Currents
Vibrations in the brain, feeling like microcurrents? Hello, doctor. I am 20 years old and, unfortunately, due to a history of consuming a lot of rich foods, I have developed hereditary hypertension. My blood pressure at home is around 130/75, but it surprisingly rises to 150/90 a...
Dr. Hong Weibin Reply:
Hello: It is recommended that you regularly measure your blood pressure, twice a day. Does this sensation of "blood rushing to your head, creating a feeling of pressure as if something is pressing down on your head" only occur when you are using your phone? Does it happ...[Read More] Understanding Brain Vibrations and Sensations of Electric Currents
Managing Medication for Diabetic Neuropathy: Key Considerations
Regarding the issue of discontinuing medication for neuropathy? Hello Dr. Tsai, I would like to ask about my father who has diabetes. About a month ago, he experienced discomfort with symptoms such as pain and cramps in his limbs, as well as headaches, and he visited a neurologis...
Dr. Cai Zongzhang Reply:
Hello Ms. Lin: If there is no pain, the anticonvulsant medication can be discontinued, and Methycobal, which is a high-dose vitamin B12, can be continued.[Read More] Managing Medication for Diabetic Neuropathy: Key Considerations
Understanding Persistent Dizziness: Causes, Treatments, and Next Steps
Dizziness for two months, with fluctuations in severity? Hello Doctor: My condition began when I developed a stiff neck (twisted to the right) from sleeping while sitting, which caused dizziness with a spinning sensation and eye twitching when I moved. I could only lie flat in be...
Dr. Cai Zongzhang Reply:
Hello: Dizziness has not improved for two months; it is recommended to see a neurologist for a detailed examination.[Read More] Understanding Persistent Dizziness: Causes, Treatments, and Next Steps
Understanding Balance Issues: The Impact of Stress on Neurological Health
Body swaying, unstable center of gravity? Hello, doctor. Two months ago, I was under a lot of stress and only sleeping six hours a day. I often experienced nasal congestion, had canker sores on my tongue, and noticed white spots on almost every fingernail (which I hadn't exp...
Dr. Cai Zongzhang Reply:
Hello: I have been experiencing dizziness for over a month. Ear examinations showed no abnormalities, and I was advised to see a neurologist for further evaluation.[Read More] Understanding Balance Issues: The Impact of Stress on Neurological Health
Understanding Neck and Back Pain: When to Worry About Serious Conditions
Pain in the occipital region of the neck? Hello Doctor: I have been experiencing symptoms such as neck pain and upper back pain since early last year. I have consulted with rehabilitation and neurology specialists, and underwent several neurological and X-ray examinations, which ...
Dr. Hong Weibin Reply:
Hello: Based on your description, it may be related to neck muscle stiffness. It is recommended to relax the muscles.[Read More] Understanding Neck and Back Pain: When to Worry About Serious Conditions