Understanding Involuntary Muscle Twitches: Causes and Concerns
Involuntary muscle twitching? Hello Doctor, recently I have been experiencing a pulsating sensation in the sole of my right foot, which has become more noticeable in the past week or two, especially when lying down, and I can also feel it while sitting. I've been having trou...
Dr. Jiang Junyi Reply:
Hello, Miss: Your symptoms may suggest benign muscle twitching. Certain situations in daily life could trigger this issue, such as exercise, acute viral infections, anxiety, and medication use. Prolonged exercise is one of the primary causes of muscle twitching. Additionally, som...[Read More] Understanding Involuntary Muscle Twitches: Causes and Concerns
Understanding Pulsating Sensation in the Left Occipital Region
Twitching of the muscles near the left ear and occipital region? Hello Doctor, since last Friday night, I have been experiencing a pulsating sensation in the left side of my occiput (just above the left side). It feels similar to an eyelid twitch, but now it is in the back of my ...
Dr. Jiang Junyi Reply:
Hello Ms. Hsiao-Chieh, In this era where everyone uses electronic devices, such issues are relatively common. The most common cause of muscle spasms in the left cervical region is nerve root compression in the cervical spine, leading to muscle tension. Prolonged periods of looki...[Read More] Understanding Pulsating Sensation in the Left Occipital Region
Understanding Persistent Body Rocking: When to Seek Medical Attention
The body is shaking uncontrollably? Hello! I have been experiencing this condition for about a month now, occurring almost daily (over 95% of the time). The duration varies, but the frequency has increased in the past week, with episodes lasting longer, especially noticeable at n...
Dr. Jiang Junyi Reply:
Hello, The symptoms you mentioned may suggest tension-type headache. Tension-type headache is caused by muscle tightness in the head. Common manifestations include tight, constricting pain in the forehead and temples, similar to wearing a tight headband. Since it is caused by m...[Read More] Understanding Persistent Body Rocking: When to Seek Medical Attention
Understanding Possible Drug Allergies: Neurological Symptoms and Treatment Options
Suspected drug allergy Dear Dr. Jiang, I have a few questions regarding my condition. About a month and a half ago, I had a small foreign object penetrate my left foot's fourth toe. During a skin biopsy at the hospital, I was prescribed a topical ointment called "Shipe...
Dr. Jiang Junyi Reply:
Hello David, Regarding the medication allergy you mentioned, particularly with ointments, it is rarely expressed in a neurological manner. Your symptoms may suggest lumbar nerve root compression. A common cause is inflammation resulting from a herniated disc, which can lead to l...[Read More] Understanding Possible Drug Allergies: Neurological Symptoms and Treatment Options
Understanding Left-Sided Occipital Headaches: Causes and Remedies
Left-sided occipital headache? Hello, Doctor. I often experience pain in the left side of my occipital region, with a distinct sensation concentrated at a specific point. Sometimes, I even feel pain in my left eyebrow. The pain can persist even after a night's sleep, and the...
Dr. Cai Zongzhang Reply:
Hello, Xiaomi! The symptoms mentioned are suggestive of neuropathic pain. It is recommended to visit a neurology outpatient clinic for treatment.[Read More] Understanding Left-Sided Occipital Headaches: Causes and Remedies
Understanding Chronic Headaches: Causes and Solutions for Long-Term Pain
Chronic headache I would like to ask the doctor, my boyfriend has been experiencing headaches for five years. Initially, he had headaches 2 to 3 times a week, lasting 3 to 5 hours each time. Now, he has headaches 4 days a week, and they only improve after sleeping for more than 1...
Dr. Hong Weibin Reply:
Hello: If you have long-term headaches but notice a change in the pattern of your headaches, it is advisable to seek assistance from a neurologist at a medical facility for further evaluation and testing.[Read More] Understanding Chronic Headaches: Causes and Solutions for Long-Term Pain
Addressing Breathing Difficulties: When to Seek Medical Help
Issues related to sleep apnea? Hello, doctor! I would like to ask you three questions: 1. I have recently noticed that I sometimes forget to breathe during the day and at night, and I have to force myself to take deep breaths. Which specialty should I consult for treatment? Neu...
Dr. Jiang Junyi Reply:
Hello Mr. A-Shun, 1. I have recently noticed that I experience episodes of forgetting to breathe both during the day and at night, and I need to force myself to take deep breaths. Which specialty should I consult for treatment? Neurology? Family Medicine? Psychiatry? A: The ac...[Read More] Addressing Breathing Difficulties: When to Seek Medical Help
Improving Sleep Quality: Tips for Managing Anxiety-Related Sleep Issues
Sleep issues Hello, doctor. I visited the psychiatric department yesterday and received medication for my anxiety symptoms. My sleep issues have improved significantly, but I still wake up multiple times due to unusual actions, such as suddenly swallowing or taking deep breaths, ...
Dr. Jiang Junyi Reply:
Dear Ms. Nana, It seems that you may have a sleep disorder. Besides taking sleep aids, there are many lifestyle adjustments that can improve sleep quality. 1. Avoid spicy foods before bedtime: Consuming spicy foods may increase metabolism and raise body temperature, leading to...[Read More] Improving Sleep Quality: Tips for Managing Anxiety-Related Sleep Issues
Understanding Hypnic Jerks: Why Your Body Twitches Before Sleep
When you are about to fall asleep, your body may experience a sudden jerk? This situation has been occurring for a while, where my body occasionally jerks as I'm about to fall asleep. It doesn't significantly affect my sleep quality, but I still feel a bit concerned.
Dr. Jiang Junyi Reply:
Hello Mr. Ke, You mentioned experiencing symptoms of "body jerking intermittently just before falling asleep," which may be related to a phenomenon known as hypnic jerks or sleep starts. When the respiratory rate decreases significantly during sleep, or when dreaming o...[Read More] Understanding Hypnic Jerks: Why Your Body Twitches Before Sleep
Understanding Sudden Numbness and Pain: Is It a Stroke Warning?
Experiencing numbness in the left side of the body, including the arms and legs, while sleeping? I am a person who often stays up late. Last night at 2 AM, I suddenly experienced swelling and pain on the right side of my face, near the cheek close to the ear. Before going to bed,...
Dr. Jiang Junyi Reply:
Hello, ma'am: Have you measured your blood pressure? "Stroke warning signs?" These are usually accompanied by elevated blood pressure. "Facial dysfunction?" Facial nerve paralysis only affects the area of the facial nerve and does not cause symptoms in th...[Read More] Understanding Sudden Numbness and Pain: Is It a Stroke Warning?
Managing Dry Mouth Symptoms While Taking Tofisopam: What to Do?
Experiencing severe dry mouth while taking Tofacitinib (20mg)? Hello Doctor: I have been taking Tofacitinib for almost three months and was supposed to return for a follow-up appointment! However, due to the outbreak of the pandemic, I am hesitant to go to the hospital! Recently,...
Dr. Jiang Junyi Reply:
Dear Ms. Gao, Atorvastatin is indicated for: reducing the risk of myocardial infarction, lowering the risk of stroke, and decreasing the incidence of cardiovascular events in high-risk groups for coronary heart disease. Since you are 50 years old, I would like to know which risk...[Read More] Managing Dry Mouth Symptoms While Taking Tofisopam: What to Do?
Head Pain When Lying Down: Understanding Neurological Symptoms
Experiencing a headache when lying down? Since the day before yesterday, I've had a slight headache, but last night it suddenly became an explosive pain, the kind that makes my whole head hurt and prevents me from sleeping well. However, sitting up provides some relief. Afte...
Dr. Jiang Junyi Reply:
Dear Ms. Hsiao, The common cause of the neck compression and pain you are experiencing is likely cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscle in the back of the neck, resulting in neck and shoulder discomfort. Initially,...[Read More] Head Pain When Lying Down: Understanding Neurological Symptoms
Understanding Numbness in the Left Hand and Occipital Region
Numbness in the back of the head and tingling in the left hand? The left hand has been feeling numb for several days, and tonight there is suddenly a tingling sensation in the back of the head. I would like to know what could be causing this.
Dr. Jiang Junyi Reply:
Dear Ms. Ke, You may need to consider cervical nerve root compression, which is often related to tightness in the cervical muscles and degeneration of the cervical spine. Symptoms typically include pain at the affected site, discomfort, muscle stiffness, or neurological sensatio...[Read More] Understanding Numbness in the Left Hand and Occipital Region
Understanding Numbness in Left Hand and Occipital Area: Causes and Insights
Numbness in the back of the head and tingling in the left hand? The left hand has been feeling numb for several days, and tonight the back of the head suddenly feels numb as well. I would like to know what could be causing this.
Dr. Jiang Junyi Reply:
Dear Ms. Ke, You may need to consider cervical nerve root compression, which is often related to tightness in the cervical muscles and fascia, as well as cervical degeneration. Symptoms typically include pain at the affected site, discomfort, muscle stiffness, and possibly neuro...[Read More] Understanding Numbness in Left Hand and Occipital Area: Causes and Insights
Understanding Right Hand Issues: Symptoms and Concerns in Neurology
My right hand feels strange? Hello, doctor. I'm sorry to bother you again. Since I had the electromyography (EMG) test on my right hand, it felt strange for a while, and recently I've noticed it feels a bit off again, like it’s not functioning properly when I try to gra...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may be related to poor posture. It is recommended to: 1. Change your position: Change your posture every 15 minutes to allow the neck tissues to rest. Maintaining any posture (including a normal one) for an extended period can lead to tissue fatigue and infla...[Read More] Understanding Right Hand Issues: Symptoms and Concerns in Neurology
Evening Discomfort: Understanding Symptoms and Seeking Help
I start to feel unwell every evening? Hello Doctor: When I was 19 years old, I underwent a unilateral thyroidectomy due to a thyroid nodule. Around the same time, I developed depression (which was later diagnosed as bipolar disorder) and was subsequently diagnosed with psoriasis ...
Dr. Cai Zongzhang Reply:
Hello Phoebe! Psoriasis is an autoimmune disease, which shares common characteristics with all autoimmune disorders. If you start experiencing discomfort in the evening, it is advisable to monitor your temperature in the morning and evening, engage in regular exercise, as this ca...[Read More] Evening Discomfort: Understanding Symptoms and Seeking Help
Unexplained Body Tremors: Understanding Neurological Symptoms
The body trembles as if being electrocuted? Doctor, every night when I lie down to sleep, my body feels like it's trembling as if being electrocuted, which wakes me up. During the day, I also feel very uncomfortable, as if I'm about to die, and I can't rest or slee...
Dr. Cai Zongzhang Reply:
Hello, Liu Chen! It is recommended to visit the neurology outpatient clinic for an examination.[Read More] Unexplained Body Tremors: Understanding Neurological Symptoms
Understanding Brain Buzzing: Is It Tinnitus or Something Else?
Cerebral sound? Tinnitus? Hello doctor, I previously experienced tinnitus and a feeling of ear fullness in February. After undergoing examinations, everything was normal. After two months of distress, the ear fullness and tinnitus resolved. However, now I notice a buzzing sound i...
Dr. Hong Weibin Reply:
Hello: Based on your condition, you may seek assistance from a neurologist and an otolaryngologist. It is possible that hearing deterioration is the cause, and examinations can be conducted to confirm this.[Read More] Understanding Brain Buzzing: Is It Tinnitus or Something Else?
Understanding Occipital Pain and Neck Stiffness After Ureteroscopy
Pain in the back of the head and neck stiffness? Hello doctor, I recently underwent a "flexible ureteroscopic lithotripsy" for kidney stones. Two days later, I experienced pure headaches and fever, which later turned into pain at the back of my head. I had a fever on th...
Dr. Cai Zongzhang Reply:
Hello, Ms. Huang! Based on the symptoms mentioned, it is recommended that you visit a neurology clinic as soon as possible.[Read More] Understanding Occipital Pain and Neck Stiffness After Ureteroscopy
Understanding Leg Cramps and Twitches: Causes and Solutions
Sharp pain in the foot followed by twitching? Sometimes, when I'm about to fall asleep but still conscious (whether at night or during a nap), I experience an uncomfortable sensation in my legs (mainly in the calves), followed by involuntary jerking movements (usually in one...
Dr. Jiang Junyi Reply:
Hello: You mentioned muscle twitches before falling asleep, known as hypnic jerks. When the breathing rate decreases significantly during sleep or when dreaming of falling, the brain's nervous system perceives the body as being in danger and responds by quickly tensing the m...[Read More] Understanding Leg Cramps and Twitches: Causes and Solutions