Sleep, Neurology FAQ - Page 21

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Morning Numbness and Cramps in Fingers: Possible Causes and Solutions

Numbness and cramping in the middle and ring fingers upon waking up? Hello, doctor. About three months ago, I started experiencing numbness in my right middle and ring fingers every morning after waking up. After moving my neck a bit, it would feel better. I initially thought it ...


Dr. Hong Weibin Reply:
Hello: It is possible that the nerves are being compressed, such as in cases of cervical radiculopathy or carpal tunnel syndrome. You may seek assistance from a neurologist and arrange for an examination.

[Read More] Morning Numbness and Cramps in Fingers: Possible Causes and Solutions


Morning Numbness and Cramps in Fingers: Possible Causes and Solutions

Numbness and even cramping in the middle and ring fingers upon waking up? Hello, doctor. About three months ago, I started experiencing numbness in my right middle and ring fingers every morning after waking up. After moving my neck a bit, the sensation would improve. I initially...


Dr. Hong Weibin Reply:
Hello: It is possible that there is nerve compression, such as cervical radiculopathy or carpal tunnel syndrome. You may seek assistance from a neurologist and arrange for an examination.

[Read More] Morning Numbness and Cramps in Fingers: Possible Causes and Solutions


Left Upper Abdominal Pain: Is It Autonomic Nervous System Disorder?

Left upper abdominal pain? Autonomic nervous system dysfunction? Hello Doctor: I started experiencing occasional mild pain in the upper left abdomen near the rib cage around the end of July. The pain lasts about one second and occurs about 2 to 3 times a day, with no other sympto...


Dr. Cai Zongzhang Reply:
Hello: There are many causes of autonomic nervous system dysfunction. If there is no improvement after rest and medication, it is recommended to visit a neurology clinic for evaluation.

[Read More] Left Upper Abdominal Pain: Is It Autonomic Nervous System Disorder?


Understanding Left Shoulder Pain: When to See a Neurologist

Sharp pain in the back of the left shoulder? Hello Doctor, yesterday before finishing work, I suddenly experienced a sharp pain under the edge of my left scapula, around the middle area. I initially thought it was due to prolonged computer work and poor posture, which led to musc...


Dr. Jiang Junyi Reply:
Hello Ms. JHL: You mentioned that "after taking a muscle relaxant purchased from the pharmacy, I slept and the pain decreased by at least half compared to last night." It may be necessary to consider thoracic myofascial inflammation or nerve root compression. A minority...

[Read More] Understanding Left Shoulder Pain: When to See a Neurologist


Understanding Lip Twitching: Possible Causes and Neurological Insights

Lip twitching? On December 24th, I noticed twitching in my upper right lip while sleeping. During the day, my upper right lip twitches intermittently, stopping for a few moments before starting again. When I look in the mirror, I don't see any visible movement, but it feels ...


Dr. Cai Zongzhang Reply:
Hello, Su Wen: The above symptoms respond well to medication treatment, indicating that these symptoms may be caused by anxiety. If the symptoms persist, it is recommended to visit a neurology clinic for further evaluation.

[Read More] Understanding Lip Twitching: Possible Causes and Neurological Insights


Understanding Eyelid Twitching: Causes and Concerns for Neurological Health

Eyelid twitching for three to four days, with the eyelid appearing double-layered; the left eye feels different from the right eye? In the past few days, I have experienced an unexplained twitching in my left upper eyelid, which occurs even when I close my eyes before sleeping or...


Dr. Hong Weibin Reply:
Hello: There are many potential causes for eyelid muscle twitching. The most common causes include stress, electrolyte imbalances, lack of sleep, dehydration, excessive caffeine or stimulant intake, certain medications, fatigue, kidney disease, and diabetic neuropathy, among othe...

[Read More] Understanding Eyelid Twitching: Causes and Concerns for Neurological Health


Managing Insomnia After Discontinuing Lorazepam: What to Expect

I was prescribed Lexotan for my gastrointestinal pain caused by autonomic nervous system dysfunction. However, after stopping the medication, I still have insomnia and haven't improved. What should I do? I previously took Lorazepam for over three months at a dosage of 0.5 mg...


Dr. Hong Weibin Reply:
Hello: If you have been taking "Lunesta" for a period of time and experience rebound insomnia after discontinuation, it is recommended to try a gradual tapering method. For example: take one pill today, half a pill tomorrow, one pill the day after, and half a pill the d...

[Read More] Managing Insomnia After Discontinuing Lorazepam: What to Expect


Involuntary Foot Muscle Twitches: Causes and Treatment Options

There is involuntary twitching between the arch of the right foot and the big toe? Last night, before going to bed, I started experiencing involuntary twitching in the arch of my right foot, extending to the area between my big toe and the arch. The twitching occurs approximately...


Dr. Jiang Junyi Reply:
Dear Mr. A-Yan, You mentioned that "there is involuntary twitching between the arch of the right foot and the big toe, occurring approximately every ten seconds, and it has been ongoing. The sensation is more pronounced when sitting or lying down, making it difficult to sle...

[Read More] Involuntary Foot Muscle Twitches: Causes and Treatment Options


Understanding Nerve Damage and Recovery After Rhabdomyolysis

Numbness and weakness in the legs? Hello, doctor. On October 8th of this year, I drank too much at a social gathering and fell asleep on the floor. I woke up the next afternoon with my entire right leg feeling numb. I initially thought it would get better quickly, but I went to t...


Dr. Jiang Junyi Reply:
Hello Mr. Chang: You mentioned that "the doctor said it takes time to repair the nerves, and currently, I am undergoing rehabilitation and taking B12, but it has been two months since the incident... will treatment help me recover faster?" The symptoms seem more like ne...

[Read More] Understanding Nerve Damage and Recovery After Rhabdomyolysis


Managing Insomnia After Discontinuing Lorazepam: Seeking Solutions

I have been prescribed Lexotan for gastrointestinal pain caused by autonomic nervous system dysfunction. However, after stopping the medication, I still have insomnia and haven't improved. What should I do? I previously took Lorazepam for over three months, and stopping the ...


Dr. Jiang Junyi Reply:
Dear Mr. Hao, You mentioned the issue of dependence after taking "Lorazepam." Generally, Lorazepam is easily absorbed when taken orally, reaching peak plasma concentration approximately 2 hours after administration. The half-life in human plasma is about 12 to 18 hours...

[Read More] Managing Insomnia After Discontinuing Lorazepam: Seeking Solutions


Understanding Dizziness: When to Seek Neurological Evaluation

I feel a bit dizzy? About a month ago, I visited a neurologist because I was experiencing slight numbness in my hand. At that time, they said there was no issue and recommended managing stress, supplementing with B vitamins, and getting more rest. The numbness in my hand has impr...


Dr. Cai Zongzhang Reply:
Hello Mr. Guo: It is recommended to visit the neurology outpatient clinic to check for any neurological function abnormalities.

[Read More] Understanding Dizziness: When to Seek Neurological Evaluation


Can Sleep Issues Be Treated? Understanding Neurological Sleep Disorders

Sleep issues I usually go to bed around eleven or twelve o'clock, but no matter how loud the alarm is or if someone calls me, I can't hear it. I need to take public transportation to school and have to wake up around six o'clock. This issue has been bothering me fo...


Dr. Jiang Junyi Reply:
Hello, Huang: You mentioned that "no matter how loud the alarm clock is or if someone calls, I can't hear it." I suggest you consider wearing a smart wristband to monitor the depth and variations of your sleep. During light sleep stages, it is easier to wake up. If...

[Read More] Can Sleep Issues Be Treated? Understanding Neurological Sleep Disorders


Evening Dizziness: Causes and Solutions for Nighttime Symptoms

Experiencing dizziness in the evening? Hello: I often feel dizzy in the evening, especially around 6 or 7 PM when I start to feel lightheaded. When I lie down to sleep (without changing my position), I experience a sensation of impending dizziness, and I can easily be awakened by...


Dr. Hong Weibin Reply:
Hello: It is suggested that if it only occurs in the evening and not at other times, it may be a sign of excessive fatigue. Your body might be signaling the need for adequate rest. Additionally, it could be a case of vestibular migraine, and you may want to seek assistance from a...

[Read More] Evening Dizziness: Causes and Solutions for Nighttime Symptoms


Managing Insomnia After Discontinuing Lorazepam: Seeking Solutions

I was prescribed Lexotan for gastrointestinal pain caused by autonomic nervous system disorder. However, after stopping the medication, my insomnia hasn't improved. What should I do? I have been experiencing insomnia for three months after discontinuing Lorazepam, which I ha...


Dr. Cai Zongzhang Reply:
Hello, Xiao Hao: It is recommended to visit a neurologist to check for any abnormalities in neurological function.

[Read More] Managing Insomnia After Discontinuing Lorazepam: Seeking Solutions


Understanding Dizziness After Jarring Movements: Possible Causes

Experiencing dizziness after a head injury? Hello doctor, recently whenever I ride a bike or take a vehicle over bumps that cause vibrations, I feel dizzy for about a second. Sometimes I also experience this dizziness when walking if I encounter vibrations. What could be the issu...


Dr. Hong Weibin Reply:
Hello: The balance system in humans is primarily managed by the vestibular system and semicircular canals located in both inner ears. Dizziness during vibrations often originates from the vestibular system. Generally speaking, staying well-hydrated and getting a good night's...

[Read More] Understanding Dizziness After Jarring Movements: Possible Causes


Understanding ALS Symptoms: Fatigue and One-Sided Weakness Explained

Symptoms of Amyotrophic Lateral Sclerosis (ALS) Hello, doctor. Recently, I've been experiencing some symptoms that are concerning me. I've been feeling frequently fatigued, just wanting to sleep, and having difficulty concentrating. Additionally, I have less control ove...


Dr. Jiang Junyi Reply:
Hello Mr. Ju: You mentioned that you have been feeling fatigued lately, often wanting to sleep, unable to concentrate, and having difficulty controlling your left little finger. These symptoms do not resemble those of motor neuron disease. The term "amyotrophic lateral scler...

[Read More] Understanding ALS Symptoms: Fatigue and One-Sided Weakness Explained


Understanding Eyelid Twitching: Causes, Remedies, and When to Worry

Eyelid twitching issue? Hello Doctor, my left upper eyelid has been twitching intermittently for over a month. Sometimes it stops when I get enough sleep, but it twitches when I am sleep-deprived. Recently, I have been under significant stress due to a bereavement in the family, ...


Dr. Jiang Junyi Reply:
Dear Ms. Ayou, You mentioned that "the upper left eyelid has been twitching intermittently for over a month; sometimes it doesn't twitch when I have enough sleep, but it does when I'm sleep-deprived." Your symptoms are more indicative of benign eyelid twitchi...

[Read More] Understanding Eyelid Twitching: Causes, Remedies, and When to Worry


Understanding Eyelid Twitching: Causes, Management, and Recovery Tips

Eyelid twitching? Hello, my eyelid has been twitching for nearly two months, with fluctuations in severity. Recently, I started getting enough sleep and taking calcium and magnesium supplements, and for several consecutive days, it didn't twitch at all. However, after gettin...


Dr. Hong Weibin Reply:
Hello: There are many potential causes for eyelid muscle twitching, with the most common being stress, electrolyte imbalances, insufficient sleep, dehydration, excessive intake of caffeine or stimulants, certain medications, fatigue, kidney disease, and diabetic neuropathy, among...

[Read More] Understanding Eyelid Twitching: Causes, Management, and Recovery Tips


Understanding Exploding Head Syndrome: Symptoms and When to Seek Help

Sleep issues In the past week, when lying down to sleep, I have experienced a sensation in my brain that feels like a mild electric shock. After this sensation, I can change positions or fall asleep normally. However, this has occurred about 2-3 times over the week. Yesterday, I ...


Dr. Jiang Junyi Reply:
Dear Mr. Shen, You mentioned that "when lying down to sleep, it feels like my brain has been lightly shocked by an electric current..." This may indicate a sleep disorder. Exploding Head Syndrome has two main causes: one is unstable brain waves or transitions in brain ...

[Read More] Understanding Exploding Head Syndrome: Symptoms and When to Seek Help


Understanding Head and Neck Discomfort: Possible Neurological Causes

Feeling unwell? Hello, doctor. For the past couple of days, I've been feeling tightness and heaviness on both sides of my head (near the temples), and sometimes it even hurts. I also feel this sensation above my neck, including when I'm sleeping or walking, and I occasi...


Dr. Jiang Junyi Reply:
Dear Ms. Chiu, You mentioned that the "tightness and heaviness on both sides of your head (near the temples)" may suggest tension-type headache, which is caused by muscle tightness in the head. Common symptoms include a squeezing pain in the forehead and temples, resem...

[Read More] Understanding Head and Neck Discomfort: Possible Neurological Causes


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