Understanding Nighttime Headaches: When to Seek Medical Attention
Nighttime headaches Hello, I have been experiencing headaches and dizziness around 11 PM recently, but it does not affect my sleep and I have no other symptoms. Should I specifically seek medical attention? Thank you.
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that you start experiencing headaches and dizziness around 11 PM. There are many causes of headaches, and if your headaches are related to your menstrual cycle, the likelihood of migraines is higher. However, conditions such as anemia, autonomic nervous...[Read More] Understanding Nighttime Headaches: When to Seek Medical Attention
Should You Wake Someone Who Talks in Their Sleep? Expert Insights
Is it necessary to wake someone who is talking in their sleep? My brother (40 years old) talks in his sleep (very excitedly); should I wake him up? Is it correct that I shouldn't disturb his brain activity, as I've read online? Sometimes he also screams in his sleep (no...
Dr. Hong Weibin Reply:
Talking in one's sleep or exhibiting bodily movements during sleep does not require waking the individual if there is no risk to their own safety or that of their bed partner. Consultation with a sleep medicine specialist is recommended for further discussion. Generally, mel...[Read More] Should You Wake Someone Who Talks in Their Sleep? Expert Insights
Understanding Neck Pain: Seeking Effective Treatment for Neurological Issues
Neck pain Hello, doctor! A year ago, I have been experiencing a heavy sensation in the back of my neck and occiput, along with fatigue. Sometimes, I also feel pain and swelling in my jaw, as well as partial numbness in my face. My left ear feels stuffy, and I have tinnitus, which...
Dr. Jiang Junyi Reply:
Hello Mr. Kuan, You mentioned that your left hand experiences numbness, tingling, soreness, and weakness, and that the rehabilitation clinic indicated it might be due to nerve compression. I'm curious about the specific area where you feel the numbness and tingling. Based o...[Read More] Understanding Neck Pain: Seeking Effective Treatment for Neurological Issues
Understanding Lower Leg Pain: When to See a Neurologist
Painful tingling below the calf? Today, the temperature is 20 degrees Celsius, and the tingling sensation is mild, only slightly felt on the dorsum of my feet. A few days ago, when the weather was hot and the air conditioning was set to 27 degrees, the tingling became severe and ...
Dr. Jiang Junyi Reply:
Hello, sir: You mentioned that "the tingling has severely spread to the calves, and it also occurs while sleeping." This symptom may indicate that the lumbar nerve roots are being compressed. Typical discomfort associated with lumbar nerve root pathology includes pain r...[Read More] Understanding Lower Leg Pain: When to See a Neurologist
Understanding Occipital Pain: Headaches and Neck Issues Explained
Occipital pain, headache, cervical spine issues? Hello Doctor: I would like to ask about my condition. I have been experiencing headaches for over four days (I usually do not have headaches). I have taken pain relievers, but the pain persists. The pain is mostly located at the ba...
Dr. Jiang Junyi Reply:
Dear Ms. Jun, You mentioned that "the pain feels dull and tight, and the area where I lie down also hurts" due to localized pain points. This may indicate cervical myofascial pain syndrome. Prolonged periods of looking down can lead to overuse of the trapezius muscle i...[Read More] Understanding Occipital Pain: Headaches and Neck Issues Explained
Understanding Nerve Pain and Weakness in Hands and Feet: A Patient's Journey
Numbness and tingling in both hands, weakness in both legs? Since March of last year, I started feeling a foreign sensation behind my occiput upon waking up one day. I consulted a doctor and took medication, but it did not improve. Later, the foreign sensation suddenly disappeare...
Dr. Jiang Junyi Reply:
Dear Miss Vicky, You mentioned "Multiple sclerosis? Neuritis? Autoimmune diseases? Diabetes? Herniated disc? Amyotrophic lateral sclerosis? CIDP?... Which specialty should I consult to thoroughly identify and resolve the issue?" You also noted that "the discomfort...[Read More] Understanding Nerve Pain and Weakness in Hands and Feet: A Patient's Journey
Understanding Persistent Head Sensations: Dizziness, Pressure, and Sleep Issues
Sensation of swaying, feeling of an earthquake, heaviness in the back left side of the head? Hello Doctor, for the past two weeks, I have been experiencing a sensation of my head shaking throughout the day, whether I am sitting or standing. Sometimes, I feel like there is an eart...
Dr. Cai Zongzhang Reply:
Hello, Ruid: The symptoms mentioned above are suggestive of balance dysfunction. If appropriate rest and sleep do not improve the symptoms, it is recommended to visit a neurology outpatient clinic for evaluation.[Read More] Understanding Persistent Head Sensations: Dizziness, Pressure, and Sleep Issues
Managing Leg Jerks Before Sleep During Pregnancy: Tips and Solutions
Legs twitching before falling asleep? Hello Doctor, I am currently four months pregnant. Recently (over the past month), I have been experiencing involuntary leg movements just before falling asleep at night, which wakes me up and makes it difficult to fall back asleep. I am genu...
Dr. Cai Zongzhang Reply:
Hello Wendy: The symptoms mentioned above are suspected to be related to Restless Legs Syndrome. The underlying cause needs to be confirmed through examination, but it is not advisable to conduct tests during pregnancy. It is recommended to initially alleviate the symptoms throug...[Read More] Managing Leg Jerks Before Sleep During Pregnancy: Tips and Solutions
Understanding Stroke Symptoms: When to Seek Emergency Care for Your Loved One
Dizziness, inability to measure blood pressure in the right arm, cold fingers, and numbness and soreness in the hand? The mother, aged 83, suffered a stroke while sleeping before the Mid-Autumn Festival. The doctor determined that it was beyond the 3-hour window for administering...
Dr. Hong Weibin Reply:
Hello: Please go to the emergency department as soon as possible, as there may be a peripheral artery occlusion.[Read More] Understanding Stroke Symptoms: When to Seek Emergency Care for Your Loved One
Understanding Right Arm Pain and Numbness: When to Seek Medical Help
Right arm swelling and pain extending to finger numbness? Hello, I have been working in the food industry for a long time, and recently my right wrist appears more swollen compared to my left wrist and is less flexible. It hurts whenever I exert force, and I even struggle to push...
Dr. Jiang Junyi Reply:
Hello, Ms. Ruby: The symptoms you mentioned seem to indicate two issues combined. You noted that "the palms and fingers also feel numb, and at their worst, even the vibrations while riding a bike can cause the entire palm to go numb and unable to grip." This symptom re...[Read More] Understanding Right Arm Pain and Numbness: When to Seek Medical Help
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
Could Tinnitus Be Caused by a Tumor? Understanding Your Symptoms
Can tinnitus be caused by a tumor? Hello doctor, I have been experiencing tinnitus for some time. Initially, I thought it was due to anemia, but I have since treated my anemia, and the tinnitus persists. It usually occurs after maintaining a fixed posture for a while (for example...
Dr. Cai Zongzhang Reply:
Hello, Ms. Tsai: There are various causes of tinnitus, and most patients experience improvement after rest. If the symptoms persist, it is recommended to consult a neurologist for further evaluation.[Read More] Could Tinnitus Be Caused by a Tumor? Understanding Your Symptoms
Understanding Sleep Myoclonus: Causes and Treatment Options
Involuntary movements during sleep Hello, doctor! I experience sudden muscle jerks that wake me up just as I'm about to fall asleep. This has been happening for three consecutive days. No matter when it is during the day, I keep waking up with these jerks whenever I'm c...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "your body suddenly jerks awake just as you're about to fall asleep," which may be related to a phenomenon known as hypnic jerks or sleep starts. When the breathing rate decreases significantly during sleep, or when dreaming of falling, th...[Read More] Understanding Sleep Myoclonus: Causes and Treatment Options
Understanding Restless Legs Syndrome: Symptoms and Causes Explained
Restless Legs Syndrome (RLS) The doctor would like to ask: I have been experiencing a cold for the past two days and visited a doctor who diagnosed it as a bacterial infection. My throat is very red, and I was prescribed antibiotics along with some other medications. However, I h...
Dr. Jiang Junyi Reply:
Hello: You mentioned that you have a severe sore throat due to a bacterial infection, and you were prescribed antibiotics along with some other medications. You also mentioned experiencing generalized itching, difficulty finding a comfortable sleeping position, and sensations of ...[Read More] Understanding Restless Legs Syndrome: Symptoms and Causes Explained
Understanding Sleep Disturbances: Nightmares and Electric Shock Sensations
Suddenly having a nightmare while falling asleep and feeling as if being electrocuted? I often feel a sensation like an electric current passing through my body just as I'm about to fall asleep, and at the same time, I hear a loud buzzing sound that gets increasingly louder,...
Dr. Jiang Junyi Reply:
Hello: You mentioned that "often when I'm about to fall asleep, I feel like there's an electric current passing through my body, and at the same time, I hear a buzzing sound that gets louder and then I wake up in a sweat." Your symptoms may suggest "sleep...[Read More] Understanding Sleep Disturbances: Nightmares and Electric Shock Sensations
Understanding Scalp and Facial Numbness: Possible Neurological Concerns
Tingling sensations in the scalp and face? Hello, doctor. This year I have experienced tingling in my scalp and face, mostly in the upper right side of my scalp and right cheek, with occasional sensations on the left side. I also have experienced tingling and pain in my chest, wh...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned whether there is a greater possibility of stroke or brain tumor issues. I wonder if you have any problems related to hypertension, diabetes, or hyperlipidemia? Generally, the risk factors for cerebral artery embolism include older age, diabetes, hyperte...[Read More] Understanding Scalp and Facial Numbness: Possible Neurological Concerns
Understanding Dementia: Discrepancies in PET and SPECT Imaging Results
Is it dementia? Hello Doctor: I have been experiencing sleep disturbances since November of last year, along with afternoon dizziness and brain fog. Despite consulting various doctors, no cause has been identified. In January of this year, I started taking psychiatric medication,...
Dr. Hong Weibin Reply:
Hello: FDG-PET and ECD-SPECT are both functional imaging tests that provide information about the current metabolic state of the brain. The image quality can vary significantly between different machines, and there may also be differences in interpretation among various physician...[Read More] Understanding Dementia: Discrepancies in PET and SPECT Imaging Results
Understanding and Managing Occipital and Temporal Headaches: Tips for Relief
Occipital and temporal headache? Hello Doctor, I have been experiencing chronic and intermittent migraines, mostly occurring around 4 PM. Usually, taking Panadol or other pain relievers provides relief. However, the day before yesterday, upon waking, I felt a throbbing pain regar...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "the pain usually occurs around 4 PM, but it typically alleviates after taking Panadol or other pain relievers... The pain is located around the back of the head and the temples, and I would like to know how to relieve it." Your symptoms ...[Read More] Understanding and Managing Occipital and Temporal Headaches: Tips for Relief
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