Persistent Eye Twitching: Causes and Solutions for Lasting Discomfort
Eyelid issue: Right lower eyelid twitching for two and a half months? Doctor: My right lower eyelid has been twitching for two and a half months. I visited the ophthalmology department at Taipei Medical University Hospital, and they said everything is normal. The doctor mentioned...
Dr. Jiang Junyi Reply:
According to your description, eyelid movements are controlled by the facial nerve. If the eyelid is twitching continuously, the physician will first carefully observe the patient's facial muscles. If only the eyelid is affected and there are no involuntary movements in othe...[Read More] Persistent Eye Twitching: Causes and Solutions for Lasting Discomfort
Understanding and Managing Sudden Rib Pain: Causes and Solutions
Neuropathic pain Hello! This issue has been troubling me for many years, starting around middle school. I experience sudden, severe pain on both sides of my ribcage, which worsens with breathing, talking, or laughing. However, the pain usually lasts only one to two hours; sometim...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are more indicative of intercostal muscle cramps. The possible causes may include insufficient ventilation of the diaphragm and intercostal muscles, leading to spasms due to uncoordinated contractions, or slower blood circulation. During an episode, stretchin...[Read More] Understanding and Managing Sudden Rib Pain: Causes and Solutions
Understanding Involuntary Hand and Neck Movements in Teens
Involuntary twitching of the hands and neck? My 16-year-old son has been experiencing involuntary twitching in his neck and hands recently. He has noticed that the frequency of these episodes increases significantly when he has poor sleep the night before. Should he undergo any r...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to visit the neurology outpatient clinic for an examination.[Read More] Understanding Involuntary Hand and Neck Movements in Teens
Understanding Imbalance: Head Heaviness and Lightness After Late Nights
Head heaviness and lightness in the feet, resulting in imbalance? Hello Doctor: Two nights ago, I stayed up late on Saturday night. I felt fine during the day on Sunday, but on Sunday night, before going to bed (after another late night), I experienced a sensation of heaviness in...
Dr. Jiang Junyi Reply:
Hello, based on your description, there are many potential causes for the imbalance you are experiencing. First, it is important to consider the possibility of insufficient sleep. If the timing of your symptoms correlates with your menstrual cycle, the likelihood of vascular dizz...[Read More] Understanding Imbalance: Head Heaviness and Lightness After Late Nights
Tinnitus and Sleep Disruptions: Understanding Neurological Impacts
Tinnitus, along with intermittent wakefulness? Two years ago, I noticed that my right ear hears high-frequency sounds (like a ringing sound, but not very loud). I went to the hospital for an ear examination, and they suggested that it might be due to a thin eardrum. However, the ...
Dr. Jiang Junyi Reply:
Hello: If there are issues with sleep, it is important to observe whether there is a tendency to feel sleepy during the day due to insufficient sleep. Generally speaking, the autonomic nervous system is regulated by the sympathetic and parasympathetic nervous systems; one acts as...[Read More] Tinnitus and Sleep Disruptions: Understanding Neurological Impacts
Understanding Neurological Symptoms: Brain Tingling and Knee Muscle Control
Muscles at the upper edge of the knee and the brain? Hello Doctor: Recently (for about two weeks), I have been experiencing a sensation of numbness in my brain for approximately one-third of the day. I also feel unable to control the muscles at the upper edge of my knee. However,...
Dr. Jiang Junyi Reply:
Hello, based on your description, there are many reasons for the inability to control the leg muscles, such as lumbar nerve compression, which requires examination. As for the tingling sensation in the legs, it may be worth considering the possibility of restless legs syndrome. T...[Read More] Understanding Neurological Symptoms: Brain Tingling and Knee Muscle Control
Understanding Pulsatile Tinnitus: Causes and Management Strategies
Regarding pulsatile tinnitus, also known as vascular tinnitus? Hello, Dr. Jiang. 1. I have been experiencing tinnitus (various sounds, primarily a distant roaring noise, usually in the left ear, with a very rare occurrence of a sudden long beep in the right ear that gradually d...
Dr. Jiang Junyi Reply:
Hello, based on your description, it seems to be a vascular-related issue, but the instruments can only detect large blood vessels. You have a history of myocardial infarction and some neurological symptoms. It may be necessary to consider obstructive sleep apnea: if you have thi...[Read More] Understanding Pulsatile Tinnitus: Causes and Management Strategies
Understanding Ear Pulsations: When to Seek Neurological Help
Ear problems Hearing a pulsing sound similar to a bell while sleeping can sometimes be normal, but if you've recently started hearing a thumping sound in your left ear while walking, it may indicate a neurological issue. I recommend consulting a healthcare professional to ev...
Dr. Jiang Junyi Reply:
Hello: The tinnitus you mentioned may be a symptom of unstable eardrum. If it is pulsatile tinnitus synchronized with your heartbeat, the concerning conditions could be vascular abnormalities, such as arteriovenous malformations or severe vascular stenosis. In such cases, the fre...[Read More] Understanding Ear Pulsations: When to Seek Neurological Help
Understanding Pulsatile Tinnitus: When to Seek Medical Attention
Ear problems Hearing a pulsing sound similar to a bell while sleeping can sometimes be considered normal. However, if you are experiencing a "thumping" sound in your left ear while walking, it may indicate a potential issue related to the auditory or neurological system...
Dr. Jiang Junyi Reply:
Hello: The tinnitus you mentioned may be a symptom of unstable eardrum. If it is pulsatile tinnitus synchronized with your heartbeat, the concerning conditions could be vascular abnormalities such as arteriovenous malformations or severe vascular stenosis. In such cases, the freq...[Read More] Understanding Pulsatile Tinnitus: When to Seek Medical Attention
Understanding Ear Pulsations: When to Seek Neurological Help
Ear problems Hearing a pulsing sound similar to a clock while sleeping can sometimes be normal, but if you are experiencing a "thumping" sound in your left ear while walking, it may indicate a potential issue related to the auditory or neurological systems. This could b...
Dr. Jiang Junyi Reply:
Hello: The tinnitus you mentioned may be a symptom of unstable eardrum. If it is pulsatile tinnitus synchronized with your heartbeat, the more concerning conditions could be vascular abnormalities such as arteriovenous malformations or severe vascular stenosis. In such cases, the...[Read More] Understanding Ear Pulsations: When to Seek Neurological Help
Understanding Ear Pulsations: When to Seek Neurological Help
Ear problems Hearing a pulsing sound similar to a bell while sleeping can sometimes be normal, but recently experiencing a "thumping" sound in your left ear while walking may indicate a potential issue related to the auditory or neurological systems. This could be a sym...
Dr. Jiang Junyi Reply:
Hello: The tinnitus you mentioned may be a symptom of unstable eardrum. It is recommended to record the time of tinnitus occurrence and the factors that influence it. If it is pulsatile tinnitus synchronized with your heartbeat, the more concerning conditions could be vascular ab...[Read More] Understanding Ear Pulsations: When to Seek Neurological Help
Understanding Pulsatile Tinnitus: When to Seek Medical Attention
Ear problems Hearing a pulsing sound similar to a bell while sleeping can sometimes be considered normal. However, if you are experiencing a "thumping" sound in your left ear while walking, it may indicate a potential issue related to the auditory or neurological system...
Dr. Jiang Junyi Reply:
Hello: The tinnitus you mentioned may be a symptom of unstable eardrum. It is recommended to record the time of tinnitus occurrence and the factors that influence it. If it is pulsatile tinnitus synchronized with your heartbeat, the concerning conditions could be vascular abnorma...[Read More] Understanding Pulsatile Tinnitus: When to Seek Medical Attention
Persistent Twitching Above Left Lip: Causes and Concerns Explained
Persistent twitching in the upper left area of the lip? I have been experiencing twitching in my upper left lip and the area above it for the past week. This twitching occurs in the same spot almost all day, every day, and is visibly noticeable. It even happens at night while I a...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest benign muscle twitching, which can be triggered by various factors in daily life, such as exercise, acute viral infections, anxiety, and medication use. Prolonged exercise is one of the primary causes of muscle twitching. Additionally, certain med...[Read More] Persistent Twitching Above Left Lip: Causes and Concerns Explained
Understanding Numbness and Pain in Limbs: A Neurological Perspective
Numbness in the limbs? Since I woke up last Friday morning (I usually sleep on my left side and mostly sit during work hours), it has been four days. When I walk, I feel pain in my legs, particularly behind my knees, which worsens with bending my legs. The pain is more pronounced...
Dr. Jiang Junyi Reply:
Hello: Based on your description, it may be necessary to consider spinal-related diseases. Excessive force during neck rotation and other external factors may lead to cervical instability, dislocation, and cervical disc herniation. Typical symptoms of lumbar nerve root pathology ...[Read More] Understanding Numbness and Pain in Limbs: A Neurological Perspective
Could My Symptoms Indicate Autonomic Nervous System Dysfunction?
Doctor, could I possibly have autonomic nervous system dysfunction? Hello Dr. Tsai: I have been experiencing sleep disorders and emotional issues for many years, but I have not addressed them until now. Last September, I began to experience symptoms such as bloating, belching, an...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to visit the neurology outpatient clinic for an examination.[Read More] Could My Symptoms Indicate Autonomic Nervous System Dysfunction?
Why Does My Right Leg Numb When Sleeping on My Side?
When sleeping on the right side, the legs are prone to numbness? Hello, doctor. Recently, when I sleep on my side at night, my right thigh to calf tends to feel numb, while the left side does not. Even when I lie flat on my back, I still feel discomfort on the right side. Could t...
Dr. Jiang Junyi Reply:
Hello: You mentioned that the numbness from your right thigh to your calf may be due to nerve compression, and it is also important to consider lumbar disc herniation compressing the nerves. Disc herniation can occur due to sudden injuries, such as twisting the waist suddenly, be...[Read More] Why Does My Right Leg Numb When Sleeping on My Side?
Managing Headaches and Dizziness: Insights from Neurology
Headache + Dizziness Hello Doctor: I have been experiencing headaches for a long time, but about a month ago, the frequency increased. I consulted a neurologist who diagnosed me with simple migraines and prescribed pain relief and preventive medication. Two weeks later, I noticed...
Dr. Jiang Junyi Reply:
Based on your description, in addition to migraines, tension-type headaches should also be considered. The symptoms of tension-type headaches include: (1) Typically bilateral, located in the occipital and parietal regions, sometimes with widespread pain. The nature of the pain is...[Read More] Managing Headaches and Dizziness: Insights from Neurology
Understanding Headaches and Dizziness: When to Seek Further Evaluation
Headache + Dizziness Hello Doctor: I have been experiencing headaches for a long time, but about a month ago, the frequency increased. I consulted a neurologist who diagnosed me with simple migraines and prescribed pain relief and preventive medications. Two weeks later, I notice...
Dr. Jiang Junyi Reply:
Based on your description, in addition to migraines, tension-type headaches should also be considered. The symptoms of tension-type headaches include: (1) Typically bilateral, located in the occipital and parietal regions, sometimes with widespread pain. The nature of the pain is...[Read More] Understanding Headaches and Dizziness: When to Seek Further Evaluation
Understanding Sleep Disturbances: Causes of Uncomfortable Brain Sensations
Sleep issues Hello, Doctor: I would like to inquire about a sleep issue. When I sleep, I suddenly experience a ringing in my head, which makes me feel very uncomfortable and wakes me up. However, I usually hesitate to change my position. It feels like my head is overly full, and ...
Dr. Cai Zongzhang Reply:
Hello: It is recommended to consult a neurologist and an otolaryngologist for examination and treatment.[Read More] Understanding Sleep Disturbances: Causes of Uncomfortable Brain Sensations
Understanding Facial Numbness: Causes and When to Seek Help
Numbness on one side of the face? About a month ago, one night while lying in bed trying to sleep, I noticed a tingling sensation on my right cheek. It wasn't complete numbness, but rather a sensation similar to when your legs fall asleep from sitting cross-legged. The next ...
Dr. Cai Zongzhang Reply:
Based on the described symptoms, trigeminal nerve disorder is suspected. It is recommended to visit a neurology outpatient clinic.[Read More] Understanding Facial Numbness: Causes and When to Seek Help