Sleep, Neurology FAQ - Page 3

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Loss of Sensation in Fingers: Causes and Solutions for Nerve Issues

There is no sensation in the area of the back of the hand from the index finger to the middle finger? Hello Doctor, due to poor sleeping posture and a habit of sleeping on my stomach, I often experience numbness in my hands. On the morning of April 8th, I noticed that the area on...


Dr. Jiang Junyi Reply:
Dear Ms. Chen, You mentioned that there is a lack of sensation in the area from the index finger to the middle finger on the back of your right hand, which may be due to compression of the radial nerve while sleeping on your stomach. The diagnostic tool for radial nerve injury i...

[Read More] Loss of Sensation in Fingers: Causes and Solutions for Nerve Issues


Understanding Brain Fog: Symptoms, Causes, and Treatment Options

I have been feeling dizzy and forgetful for the past one to two months? Hello Doctor, I have been experiencing symptoms similar to brain fog for the past month or two, but I have not been diagnosed with COVID-19. My symptoms include dizziness, lack of energy, forgetfulness affect...


Dr. Jiang Junyi Reply:
Dear Mr. Ding, You mentioned that you have been experiencing symptoms similar to brain fog for the past month or two, along with difficulty sleeping and autonomic nervous system dysregulation (with a significant shift from the parasympathetic to the sympathetic nervous system). ...

[Read More] Understanding Brain Fog: Symptoms, Causes, and Treatment Options


Understanding Nerve Pain: When to Seek Medical Attention for Numbness

Numbness and tingling extending to the back, face, and tongue? Hello, doctor. I have been experiencing numbness in my limbs and neck pain. Initially, I thought it was due to excessive computer use over several days, and I believed that rest and exercise would help. After a day, I...


Dr. Huang Hongling Reply:
Hello, it is important to observe what conditions are more likely to cause numbness, as well as the duration of the numbness. It is recommended to visit a neurology clinic for further clarification of symptoms or to assess whether any tests are necessary.

[Read More] Understanding Nerve Pain: When to Seek Medical Attention for Numbness


Understanding Left-Sided Headaches and Pulsatile Tinnitus: Causes and Concerns

Left-sided headache, numbness, and pulsatile tinnitus in the left ear? Hello, doctor. I previously asked this question, and it seems to have worsened. Could it be related to psychological factors? I have seen an ENT specialist, and there were no issues. I have had depression for ...


Dr. Jiang Junyi Reply:
Hello Mr. Hong: You mentioned experiencing a sensation of hearing blood flow or heartbeat, which feels pulsating. It seems to be pulsatile tinnitus, which can also be associated with vascular issues. Your symptoms: one of the most common causes of pulsatile tinnitus is dysfunctio...

[Read More] Understanding Left-Sided Headaches and Pulsatile Tinnitus: Causes and Concerns


Understanding Cervical Spine Disorders: Neck Pain and Swallowing Difficulties

Cervical spine dysfunction I have been experiencing shoulder and neck pain for a long time. Since the end of September last year, I started having some difficulty swallowing. I went to an otolaryngologist who confirmed that there were no growths in my throat. I was then referred ...


Dr. Jiang Junyi Reply:
Dear Mr. Tso, You mentioned that "swallowing is still difficult, and I have recently noticed that the pain in my shoulders, neck, and back has become more severe... Could this be related to my cervical spine?" I suggest considering the symptoms related to the cervical ...

[Read More] Understanding Cervical Spine Disorders: Neck Pain and Swallowing Difficulties


Understanding Dizziness and Dry Mouth: Possible Causes and Solutions

Dizziness and dry mouth? Recently, I visited a clinic due to symptoms such as loss of appetite, bloating, and nausea, and was diagnosed with gastritis. I also mentioned to the physician that I have been experiencing dizziness, which the doctor believes may be caused by allergic r...


Dr. Jiang Junyi Reply:
Dear Ms. Liang, You mentioned experiencing dizziness along with symptoms such as a cold, dermatitis, urethritis, gastritis, and menstrual irregularities, which may indicate a deficiency in qi and blood. You asked whether this could be related to anemia or if a neurology consulta...

[Read More] Understanding Dizziness and Dry Mouth: Possible Causes and Solutions


Understanding Muscle Twitches: Causes, Concerns, and When to Seek Help

Muscle twitching Hello Doctor, I asked you the same question about three years ago. I am very concerned about frequent muscle twitching, and I fear a serious illness may be affecting me. The situation is as follows: my muscles occasionally twitch (some areas are particularly freq...


Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned "frequent muscle twitching... electromyography... frequent twitching in the left hand's thenar eminence." If you are concerned about a muscle disease, it typically presents with significant atrophy, and the electromyography would show abno...

[Read More] Understanding Muscle Twitches: Causes, Concerns, and When to Seek Help


Understanding Autonomic Nervous System Disorders: Symptoms and Solutions

Suspected autonomic nervous system dysfunction? Hello Doctor, I have been experiencing episodes of physical agitation about 1 to 2 times a month. Even though I feel like I’m not thinking about anything in particular and don’t feel anxious, my body becomes agitated involuntarily. ...


Dr. Cai Zongzhang Reply:
Hello Mr. Cheng: Based on the symptoms mentioned, it is recommended to visit a neurology clinic for an examination to determine if there is a neurological disorder.

[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Solutions


Persistent Pain and Numbness in the Outer Calf: A Neurological Concern

Tingling and prickling sensation on the outer side of the calf? Hello Doctor, my father is 75 years old and has been experiencing numbness and tingling on the outer side of his calf for the past five days. Pain relievers and injections have not alleviated the pain, which has prev...


Dr. Jiang Junyi Reply:
Dear Mr. Jiang, You mentioned that your father is experiencing "numbness and tingling on the outer side of the calf... and the orthopedic images show no abnormalities..." It may be necessary to consider peripheral nerve compression. Symptoms of peripheral nerve compres...

[Read More] Persistent Pain and Numbness in the Outer Calf: A Neurological Concern


Understanding Dizziness and Disorientation in High School Students

Frequent episodes of distraction and dizziness? I am a high school sophomore, and recently I have been experiencing frequent dizziness. It's not the kind that makes me unsteady on my feet, but rather I often find myself zoning out in the middle of tasks, feeling as if everyt...


Dr. Jiang Junyi Reply:
Dear Miss Jing, You mentioned that you often experience dizziness, but it's not the kind that makes you unsteady on your feet. You sometimes find yourself zoning out while doing tasks, feeling as if everything is not quite real. Today, you maintained a normal routine, going...

[Read More] Understanding Dizziness and Disorientation in High School Students


Understanding Persistent Head Discomfort: Tinnitus and Sleep Issues

I've been feeling discomfort in my head for a long time? More than three years ago, I started experiencing tinnitus, and about two years ago, I also began to feel a pulling sensation in my head before falling asleep. When I touch my forehead, I can feel a heartbeat that alig...


Dr. Jiang Junyi Reply:
Hello Mr. Chen: You mentioned feeling a "pulling sensation in your head... is this feeling before falling asleep related to possible vascular blockage? I also have mild carotid artery stenosis..." Your symptoms are less likely to be caused by vascular narrowing, as vasc...

[Read More] Understanding Persistent Head Discomfort: Tinnitus and Sleep Issues


Muscle Twitches and Weakness: Understanding Neurological Symptoms

Muscle twitching Hello, doctor. I am the patient who consulted you last time after hitting my head. I have been really busy at work and unable to visit the hospital for a check-up, so I have been observing my condition. I have noticed that from February 28 to now, March 14, I hav...


Dr. Jiang Junyi Reply:
Hello Mr. Pan: You mentioned "weakness in the limbs accompanied by muscle twitching and spasms." Generally speaking, the causes of limb weakness and muscle twitching can involve not only the muscles and nerves but also some metabolic disorders such as thyroid dysfunctio...

[Read More] Muscle Twitches and Weakness: Understanding Neurological Symptoms


Understanding Migraines: From Headaches to Dizziness and Beyond

Headache that leads to dizziness? Hello, doctor. I would like to ask about my condition. I have been experiencing headaches since I was young, although I don't remember exactly when; I believe it started around the second or third grade in elementary school. In the past, whe...


Dr. Huang Hongling Reply:
Hello, there are many related symptoms to inquire about regarding your headache, including the nature of the pain (such as throbbing, pressure, stabbing, or dull pain), the location of the pain, the duration of the headache, accompanying symptoms (such as nausea, vomiting, photop...

[Read More] Understanding Migraines: From Headaches to Dizziness and Beyond


Fainting and Head Injury: Understanding Risks and Recovery Steps

Fainting and hitting the head? Hello, Doctor Jiang. My girlfriend fainted on March 4th while going to the bathroom due to stomach pain and hit her head. She was unconscious for a while (not sure how long, as there was no one around) and then woke up on her own. There were no exte...


Dr. Jiang Junyi Reply:
Hello Mr. Ksyii, You mentioned, "I fainted on my way to the bathroom due to stomach pain and hit my head, and was unconscious for a while... 1. I would like to ask the doctor if there is a possibility of intracranial bleeding? What should I pay attention to? 2. Should I con...

[Read More] Fainting and Head Injury: Understanding Risks and Recovery Steps


Understanding Mild Brain Atrophy: Should You Be Concerned?

Mild cerebral atrophy Hello, doctor. I have anxiety disorder and experience significant stress every day, which affects my sleep. Recently, I underwent a CT scan of my brain, and the doctor mentioned there is mild atrophy in the parietal lobe. Do I need treatment? I am very anxio...


Dr. Jiang Junyi Reply:
Dear Mr. Hsuan, You mentioned that "there is mild atrophy in the parietal lobe. Do I need treatment? I am very anxious." If you are not experiencing any difficulties in daily functioning, it is advisable to monitor the situation. Generally, after six months, it is reco...

[Read More] Understanding Mild Brain Atrophy: Should You Be Concerned?


Which Specialist to See for Dizziness and Neck Tension?

Which department should I see? Hello doctor, I occasionally feel dizzy and can sense my pulse and heartbeat. I previously consulted an otolaryngologist regarding my dizziness, and the doctor mentioned it was due to vestibular dysfunction and prescribed medication for a while. I h...


Dr. Peng Shiwei Reply:
For the dizziness, it is recommended to follow up with an otolaryngologist to assess whether the condition has improved or if further treatment is needed. For other concerns, it is advisable to seek evaluation from a psychiatrist. Thank you.

[Read More] Which Specialist to See for Dizziness and Neck Tension?


Frequent Limb Jerks in 5-Year-Old Before Sleep: When to Seek Help?

A 5-year-old boy experiences twitching of the hands and feet before falling asleep? Doctor, my 5-year-old son often experiences twitching of his limbs before falling asleep, but recently the frequency has increased and the intensity of the twitching has also grown. Previously, he...


Dr. Jiang Junyi Reply:
Dear Ms. Yuhan, You mentioned that "the 5-year-old boy often experiences twitching of the limbs before falling asleep." If this does not affect his cognitive function, such twitching is usually a benign response. It may occur due to excessive tension, where the body is...

[Read More] Frequent Limb Jerks in 5-Year-Old Before Sleep: When to Seek Help?


Understanding Multiple Body Issues: Neck Pain, Fatigue, and Neurological Concerns

Multifaceted health conditions? Dear Doctor: I have some health concerns that I would like to ask you about. I previously had dry eye syndrome, and now I have noticed multiple issues with my body. Firstly, I often wake up feeling tired despite getting enough sleep. I experience s...


Dr. Jiang Junyi Reply:
Hello Mr. Andy, You mentioned: 1. If the neck makes a cracking sound during movement, could it harm the skull or cranial nerves? Is there a possibility of a stroke as a result? This sound is likely produced by the pulling of the intervertebral disc cartilage in the cervical spin...

[Read More] Understanding Multiple Body Issues: Neck Pain, Fatigue, and Neurological Concerns


Understanding Possible Multiple Sclerosis Symptoms and Next Steps

Suspected multiple sclerosis? Hello Doctor, I have previously asked a question here, numbered <a href="https://adoctor.tw/article/206161">#206161</a>. To briefly summarize my condition: since mid-February, I have experienced numbness in the right side of my ...


Dr. Jiang Junyi Reply:
Dear Ms. Lily, You mentioned that "even going to the emergency room cannot expedite an MRI" due to the different scheduling between outpatient and emergency services. However, if your symptoms are progressing and worsening, you can return to the neurology outpatient cl...

[Read More] Understanding Possible Multiple Sclerosis Symptoms and Next Steps


Why Lying Down Can Trigger Nausea and Dizziness: When to Seek Help

Sleeping while lying down can cause nausea? Hello doctor, recently when I lie flat to sleep, I feel a sensation similar to motion sickness, experiencing dizziness and nausea, which is very uncomfortable. At the same time, I also feel a tightness in my neck, as if it is being pres...


Dr. Jiang Junyi Reply:
Dear Miss Hsiao-Ya, You mentioned that "when lying flat, I feel a sensation similar to motion sickness." It is important to consider benign paroxysmal positional vertigo (BPPV) as a potential cause. The characteristic symptoms include brief episodes of dizziness relate...

[Read More] Why Lying Down Can Trigger Nausea and Dizziness: When to Seek Help


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