Understanding Uncontrollable Leg Stretching During Sleep
The foot unconsciously wants to stretch forward? Hello, doctor! My right foot experiences difficulty sleeping due to an urge to stretch it forward, and even after stretching, there is no improvement. Could you please tell me what kind of symptoms this might be?
Dr. Cai Zongzhang Reply:
Hello, Ms. Tsai! It is recommended that you visit the neurology outpatient clinic for an examination.[Read More] Understanding Uncontrollable Leg Stretching During Sleep
Understanding Facial Numbness: When to Seek Medical Attention
Numbness in the face? I appreciate Dr. Jiang's response, which alleviated my concerns. However, I have the following questions regarding the symptoms of cervical radiculopathy mentioned by Dr. Jiang: 1. During the episodes of facial numbness, I did not experience any typic...
Dr. Jiang Junyi Reply:
Hello Ms. Cherry: If the frequency of occurrences has not significantly increased and the symptoms have not worsened, you can document the events leading up to the next episode and seek medical attention, which will assist the physician in making a diagnosis. It is advisable to a...[Read More] Understanding Facial Numbness: When to Seek Medical Attention
Persistent Symptoms After Concussion: Seeking Answers for Ongoing Brain Disturbances
Symptoms such as brain movement and discomfort after a concussion lasting more than two months? Dear Dr. Jiang, In June, I was rear-ended by a large truck while driving, and I hit the back of my head inside the car. I did not lose consciousness or experience any bleeding at the ...
Dr. Jiang Junyi Reply:
Dear Miss Jia-Jia, Your symptoms are likely indicative of post-concussion syndrome. The symptoms following a concussion can be categorized into three main types: 1. Physical symptoms: headache, fatigue, photophobia, neck pain, nausea, decreased balance, dizziness, etc. 2. Emoti...[Read More] Persistent Symptoms After Concussion: Seeking Answers for Ongoing Brain Disturbances
Understanding Symptoms: Could Your Headaches Indicate a Brain Tumor?
Brain tumor Hello, doctor! I have been experiencing symptoms of migraine, trigeminal neuralgia, pulsating sensations in the back of my head, tightness in my right shoulder and neck, and stiffness in the back of my neck for many years, with daily occurrences. If I sleep too little...
Dr. Jiang Junyi Reply:
Dear Ms. Amy, I would like to inquire if you experience snoring, as waking up suddenly at night may indicate the possibility of sleep apnea. Additionally, if you are experiencing vascular headaches, it might be beneficial to seek assistance from a neurologist. You may need to co...[Read More] Understanding Symptoms: Could Your Headaches Indicate a Brain Tumor?
Managing Toe Cramps for Better Sleep in ALS Patients
Toe neuropathy causing twitching makes it hard to sleep! Doctor, I am inquiring on behalf of my mother! This year, she was diagnosed with ALS (Amyotrophic Lateral Sclerosis). At night, she experiences symptoms as mentioned in the title. How can we alleviate this? She reports that...
Dr. Cai Zongzhang Reply:
Hello Mr. Wu! It is recommended that you visit the neurology outpatient clinic for examination and treatment.[Read More] Managing Toe Cramps for Better Sleep in ALS Patients
Understanding Throat and Oral Symptoms: A Guide to Neurological Concerns
Oral and throat issues? Hello Doctor, I would like to consult you. I have difficulty describing the exact location of my symptoms, but I will try to explain. For the past few months, the area around my uvula and the posterior pharyngeal wall (below the nasopharynx) has been in a ...
Dr. Jiang Junyi Reply:
Dear Ms. Lin, You have many symptoms that seem to be related to gastroesophageal reflux disease (GERD) or sleep apnea. I wonder if you have any issues with metabolic syndrome? From a neurological perspective, I recommend improving autonomic nervous system function to regulate ga...[Read More] Understanding Throat and Oral Symptoms: A Guide to Neurological Concerns
Understanding Eye Twitching: Causes and When to Seek Help
Left eyelid twitching or spasms? Hello Dr. Jiang, Since July of last year, I have been experiencing twitching in my left lower eyelid. Initially, it was just the eyelid twitching, but it later developed into a pulling sensation in the skin around my left eye. I have consulted th...
Dr. Jiang Junyi Reply:
Hello Mr. Chang: Your symptoms may suggest blepharospasm. The majority of cases have unknown causes, and it is more common in females, approximately three times more than in males. Common causes include dry eye syndrome, high levels of stress, eye inflammation, light sensitivity,...[Read More] Understanding Eye Twitching: Causes and When to Seek Help
Understanding Nerve Issues: Neck Pain, Sleep Position, or Vascular Concerns?
Is it related to sleeping posture, cervical spine issues, or vascular problems? Hello, Dr. Jiang. 1. The first issue is a problem that has existed for many years. I often experience numbness in the fingers of both hands while riding a motorcycle. It doesn't always happen i...
Dr. Jiang Junyi Reply:
Hello Mr. Chang, It seems that there are four issues based on your description: 1. Carpal tunnel syndrome may need to be considered. 2. Cubital tunnel syndrome may also need to be considered. 3. Cervical spine degeneration causing nerve root compression may be a possibility. 4...[Read More] Understanding Nerve Issues: Neck Pain, Sleep Position, or Vascular Concerns?
Understanding Occipital Pressure and Numbness: Causes and Concerns
Numbness in the back of the head? Hello Doctor: Recently, for the past two to three days, I have been experiencing a sensation of pressure and numbness in the back of my head. During these episodes, my blood pressure readings have been around 115-130/80-100 (my diastolic pressure...
Dr. Jiang Junyi Reply:
Hello, Sir: Your head injury occurred more than six months ago, and its relevance is relatively low. Your symptoms may suggest cervical myofascial pain syndrome, which can present with pain, discomfort, muscle stiffness, or a heavy sensation. Symptoms may worsen with changes in w...[Read More] Understanding Occipital Pressure and Numbness: Causes and Concerns
Understanding Neuropathic Pain Treatment: Comparing Medications and Risks
Treatment of neuropathic pain Hello Doctor: I recently visited a urologist due to penile pain, but after taking multiple antibiotics without improvement and experiencing severe pain, the urologist believes I may have neuropathic pain. A neurologist also mentioned that this condit...
Dr. Jiang Junyi Reply:
Hello Peter, Rivotril, Neurontin, and Lyrica have different mechanisms of action and different criteria for insurance coverage. Rivotril does not have a significant analgesic effect but can reduce muscle tension and alleviate emotional distress; it is commonly used for restless ...[Read More] Understanding Neuropathic Pain Treatment: Comparing Medications and Risks
Chronic Pain in Left Second Toe: Seeking Answers and Solutions
Pain in the second toe of the left foot? Hello Dr. Jiang, I have been experiencing pain in my toe for nearly ten years (the exact duration is hard to remember). I have been seeing a neurologist at the hospital and have been taking medication intermittently for four years (the pai...
Dr. Jiang Junyi Reply:
Dear Ms. Chang, In your description, you mentioned, "The pain starts again once the medication is stopped, and it varies in intensity, coming and going, which affects my sleep and makes it difficult to fall asleep." This provides clues to potential underlying causes, w...[Read More] Chronic Pain in Left Second Toe: Seeking Answers and Solutions
Understanding Sleep-Related Limb Pain: Causes and Solutions
Nerve pain during sleep? Hello doctor, I have noticed that my limbs experience cramping pain when trying to fall asleep over the past two days. The day before yesterday, it was my right calf, and last night it was my left thigh. I would like to inquire about what this condition m...
Dr. Jiang Junyi Reply:
Hello, Miss: Your symptoms may suggest "hypnic jerks." 1. Due to insufficient sleep, your body may enter the REM phase prematurely: This can occur when you are overly fatigued or have irregular sleep patterns, as your brain has entered the sleep cycle but your body has ...[Read More] Understanding Sleep-Related Limb Pain: Causes and Solutions
Understanding Chronic Neck Pain and Dizziness: A Neurology Perspective
I'm not sure where the problem lies? Hello, doctor! For the past 6-7 years, I have been experiencing 1. persistent stiffness in my neck and shoulders. Whenever this stiffness occurs, I feel a pressure in my temples and forehead, as if a rope is tied around or gripping me, fo...
Dr. Jiang Junyi Reply:
Dear Mr. QQ, I am unsure if you have metabolic syndrome (characterized by abdominal obesity, hypertension, elevated fasting blood glucose, and high lipid levels). If you do, you may be at high risk for cardiovascular diseases. You mentioned several issues that seem related to me...[Read More] Understanding Chronic Neck Pain and Dizziness: A Neurology Perspective
Understanding Dizziness and Headaches: Insights into Neurological Disorders
Headache and dizziness? About a year ago, I started experiencing dizziness, but a few months ago, the dizziness began to be accompanied by severe shaking in my arms. However, the shaking stops as soon as the dizziness subsides. Sometimes, when I feel dizzy, my vision suddenly goe...
Dr. Jiang Junyi Reply:
Dear Ms. Hsu, Your symptoms may suggest a consideration of syncope. The most common causes include reflex syncope, which can occur due to excessive stimulation of the vagus nerve, leading to bradycardia and decreased cardiac output. This can also happen when transitioning from a...[Read More] Understanding Dizziness and Headaches: Insights into Neurological Disorders
Understanding Involuntary Muscle Twitches: Causes and Concerns
Involuntary movements? In the past two weeks, I have been experiencing muscle twitching in various parts of my body, which sometimes affects my work. Is this a symptom of calcium deficiency? However, I do not have insomnia; instead, I often feel sleepy in the mornings. I haven&#x...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: If your symptoms involve muscle twitching while awake, it may be necessary to consider some metabolic disorders, such as hyperthyroidism or electrolyte imbalances. Certain stimulants, such as caffeine, may also exacerbate muscle twitching during wakefulness. I rec...[Read More] Understanding Involuntary Muscle Twitches: Causes and Concerns
Managing Dizziness While Sitting or Lying Down: Tips and Insights
Feeling dizzy when sitting or lying down? Hello Doctor: I experience dizziness when sitting or lying down (feeling like I'm swaying but without nausea), while standing feels more comfortable. I went to a clinic and took medication (Diphenidol, Cinnazine, Valium) but it didn&...
Dr. Jiang Junyi Reply:
Dear Ms. Rita, Your symptoms may warrant consideration of vestibular disorders and hypnic jerks. Benign paroxysmal positional vertigo (BPPV) should be prioritized, characterized by episodes of dizziness lasting a few seconds, related to changes in head position, such as bending ...[Read More] Managing Dizziness While Sitting or Lying Down: Tips and Insights
Understanding ICH: Recovery Insights for a 65-Year-Old with High Blood Pressure
Intracerebral hemorrhage (ICH) with bleeding on the left side? Hello, my mother is 65 years old and has a history of hypertension. She secretly stopped taking her medication. One night, she reported numbness in her hand, and on the evening of July 30, she was urgently taken to th...
Dr. Jiang Junyi Reply:
Dear Ms. Hanna, 1. I would like to ask, given my mother's condition, is a blood clot larger than 30mm in the left basal ganglia considered severe in the context of cerebral hemorrhage? A: The severity depends not only on the size of the clot but also on its location. If the...[Read More] Understanding ICH: Recovery Insights for a 65-Year-Old with High Blood Pressure
Understanding Nighttime Headaches: Causes and Concerns After Vaccination
The headache has persisted for several days and is causing nighttime awakenings? I received the vaccine on July 23, 2021, and started experiencing side effects the next day, including headaches and muscle and joint pain. However, aside from headaches and dizziness, I returned to ...
Dr. Jiang Junyi Reply:
Hello, sir: May I ask if you received the AZ vaccine? The adverse reaction of thrombosis associated with the AZ vaccine is currently referred to as VITT (Vaccine-induced immune thrombotic thrombocytopenia). The incidence rate is approximately 1 in 10,000 in Europe. It typically o...[Read More] Understanding Nighttime Headaches: Causes and Concerns After Vaccination
Understanding Muscle Twitches: Causes and Concerns Beyond Parkinson's
Muscle twitching Hello Doctor, I asked about muscle twitching last week, and you mentioned it is not Parkinson's disease. After the holiday break, the intensity of the muscle twitching has decreased a bit, but it still occurs. Additionally, when I click the mouse, I sometime...
Dr. Hong Weibin Reply:
Hello: The body's muscles are controlled by nerves, which act like electrical wires, transmitting signals to control muscle movements. However, just like wires can deteriorate over time and be affected by external factors such as temperature and humidity, leading to electric...[Read More] Understanding Muscle Twitches: Causes and Concerns Beyond Parkinson's
Understanding Left Chest Pain: Causes and When to Seek Medical Help
Left chest pain? Hello Doctor, last night while I was sleeping, I experienced a slight stabbing pain in the upper left side of my chest (closer to the center). The duration felt quite long, and it also felt somewhat like a mild cramp. I'm unsure if this is related to nerve p...
Dr. Cai Zongzhang Reply:
Hello, Li! It is recommended to visit the neurology outpatient clinic for an examination.[Read More] Understanding Left Chest Pain: Causes and When to Seek Medical Help