Understanding Sleep Paralysis and Dizziness: Symptoms and Solutions
Sleep paralysis and vertigo? Hello Doctor, sometimes when I wake up in the middle of the night, I find myself unable to move or even breathe. When I finally manage to get up, I experience intense dizziness and tinnitus. Recently, during my afternoon naps, I've started to fee...
Dr. Hong Weibin Reply:
Hello: If you are unable to move while sleeping at night, it may be a condition known as sleep paralysis. If you experience excessive daytime sleepiness, be cautious as it could be narcolepsy. It is advisable to seek assistance from a neurologist or a sleep specialist.[Read More] Understanding Sleep Paralysis and Dizziness: Symptoms and Solutions
Understanding Body Tingling: Causes and When to See a Neurologist
Tingling sensation in the body (more pronounced in the fingers)? Hello Doctor, a few nights ago I experienced a tingling sensation in my fingers while I was asleep, without any pressure or injury. When I woke up, the tingling sensation in my fingers persisted, although it had les...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are more commonly the result of hyperventilation syndrome, which leads to a decrease in carbon dioxide levels in the blood, causing an increase in pH and resulting in systemic reactions and symptoms. Common manifestations include vasoconstriction and hypocalc...[Read More] Understanding Body Tingling: Causes and When to See a Neurologist
Understanding Muscle Twitching: Causes and Concerns in Young Adults
Involuntary muscle twitching at irregular locations? Hello Doctor, about a month ago, I started experiencing twitching in my right eye bag and my left calf. After an EEG, the doctor said it was normal, so my family suggested I get blood tests for thyroid function. I might be over...
Dr. Hong Weibin Reply:
Hello: If you experience visible persistent muscle twitching and pain, you can seek assistance from a neurologist to determine if an electromyography (EMG) is necessary. Muscle twitching can have many causes that require differential diagnosis, and not all causes are as alarming ...[Read More] Understanding Muscle Twitching: Causes and Concerns in Young Adults
Understanding Internal Tremors: When to Seek Neurological Help
Internal tremors Hello, doctor. I have a question. When I wake up from sleep and lie flat, I feel a tremor in my body, although there is no visible shaking. It feels as if there are two hearts beating inside me, accompanied by numbness in my palms upon waking. Occasionally, I als...
Dr. Jiang Junyi Reply:
Hello: Your first question concerns body tremors. It may be necessary to consider that muscle tension is excessively high due to an inability to relax. Clinically, symptoms are often improved through relaxation training or the use of sedative medications. It is recommended that y...[Read More] Understanding Internal Tremors: When to Seek Neurological Help
Understanding Muscle Twitches and Weakness: A Neurology Perspective
Weakness in the legs and muscle tremors? Doctor, last week I experienced muscle twitching in multiple areas of my body, so I went to a neurologist for an electroencephalogram, which came back normal. Although the twitching is not very frequent, I sometimes notice significant musc...
Dr. Jiang Junyi Reply:
Hello: The ALS you are concerned about primarily refers to issues with motor neurons. Motor neurons control muscle movement; generally, the motor neurons in the brain are referred to as upper motor neurons, while those in the brainstem and spinal cord are called lower motor neuro...[Read More] Understanding Muscle Twitches and Weakness: A Neurology Perspective
Chronic Neck Stiffness and Swelling: Seeking Solutions for Persistent Pain
Unilateral neck swelling and tightness, with stiffness in the shoulders and upper back for many years? Hello, doctor. I have been experiencing stiffness and swelling in my right neck for many years. When I turn my head to the right, I feel tightness, and my right eyelid and eyebr...
Dr. Jiang Junyi Reply:
Hello, based on your description, I believe it is essential to first clarify whether there is cervical nerve root compression or cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscle in the neck, resulting in neck and shoulder dis...[Read More] Chronic Neck Stiffness and Swelling: Seeking Solutions for Persistent Pain
Understanding Muscle Twitches and Nerve Sensitivity in the Arm
Tremor issues? Hello Doctor: I am currently in the United States, and accessing healthcare is not very convenient. I would like to request your assistance, thank you. For the past five days, I have been experiencing involuntary twitching in the upper left arm, specifically in the...
Dr. Jiang Junyi Reply:
Hello, based on your described symptoms, they are very similar to cervical myofascial pain syndrome. Clinically, it often presents as pain in the affected area, discomfort, muscle stiffness, or a heavy sensation, and sometimes palpable myofascial trigger points can be felt under ...[Read More] Understanding Muscle Twitches and Nerve Sensitivity in the Arm
Understanding Sleep Movements in Children: Is It Epilepsy?
Children may experience eyelid twitching, chewing, and swallowing during sleep? Hello Doctor: My son is currently 3 and a half years old. Recently, I have noticed that he often exhibits chewing and swallowing movements while sleeping, along with eyelid twitching and exertion of o...
Dr. Cai Zongzhang Reply:
Hello, the symptoms you mentioned cannot be directly attributed to neurological responses; they may be reactions related to the sleep process. It is advisable to seek further evaluation and treatment from a pediatrician.[Read More] Understanding Sleep Movements in Children: Is It Epilepsy?
Understanding Involuntary Eye and Limb Movements: A Neurology Perspective
Involuntary twitching of the eyes and a feeling of weakness in the limbs? Hello Doctor, Two weeks ago, I started experiencing twitching in the area under my right eye, which has continued until now. A few days later, I noticed frequent twitching in the back of my left foot and ...
Dr. Cai Zongzhang Reply:
Hello, you have many concerns about your symptoms. You have undergone relevant examinations, and it is recommended that you follow up with your physician based on the test results. Until a diagnosis is confirmed, try to relax and not let worry affect your mood.[Read More] Understanding Involuntary Eye and Limb Movements: A Neurology Perspective
Visual Disturbances While Lying Down: A Neurological Concern?
Visual perception while lying down? Hello Doctor: Recently, whenever I lie down to sleep, after closing my eyes for a few minutes, I experience flickering and a sensation of visual noise. When I wake up in the middle of the night and open my eyes, the flickering becomes very pron...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest the possibility of migraine with visual symptoms or abnormal electrical discharges in the brain. It is recommended that you consult a neurologist to discuss examinations (such as EEG or other tests) and treatment. Wishing you good health and peace...[Read More] Visual Disturbances While Lying Down: A Neurological Concern?
Understanding Head, Eye, and Tooth Pain: Neurological Insights
Pain in the back of the head, pain around the eyes, and toothache? Hello Dr. Jiang: I am 25 years old and have recently experienced intermittent tooth pain, discomfort around my eye socket, and pain in the back of my head. I visited the dentist just two weeks ago, so I don't...
Dr. Jiang Junyi Reply:
Hello, based on your description: your symptoms may suggest trigeminal neuralgia. As for the brain injury from four years ago, it is unlikely to be the cause of the symptoms you mentioned. Generally, if there is no loss of consciousness, no anticoagulant use, or obvious local hem...[Read More] Understanding Head, Eye, and Tooth Pain: Neurological Insights
Understanding Dizziness, Headaches, and Nausea: Possible Causes and Solutions
Dizziness, headache, nausea, and eye discomfort? Recently, I've been experiencing pain around my eye sockets, dizziness, nausea after eating, and occasional headaches. I researched online and found that it might be acute glaucoma, so I visited an ophthalmologist. However, th...
Dr. Jiang Junyi Reply:
Hello, based on your description, in addition to the eye issues, it may be necessary to consider factors such as migraines. Common symptoms of migraine with aura include visual disturbances. These may manifest as bright lights resembling stars or lightning, as well as blurred or ...[Read More] Understanding Dizziness, Headaches, and Nausea: Possible Causes and Solutions
Managing Neck Pain: Sleep Aids vs. Muscle Relaxants for Better Rest
Cervical spine issues I have tightness and soreness in my neck and shoulders. Recently, I had an X-ray that confirmed a displacement of the fifth and sixth cervical vertebrae. I am currently undergoing rehabilitation and neck stretching treatments. I often have trouble falling as...
Dr. Jiang Junyi Reply:
Hello, based on your description, the treatment for cervical myofascial pain primarily focuses on maintenance. 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, resting may ...[Read More] Managing Neck Pain: Sleep Aids vs. Muscle Relaxants for Better Rest
Understanding Breathing Issues: Sleep Apnea and Its Impact on Your Health
Respiratory issues Hello doctor, I have been experiencing chest tightness, chest pain, and difficulty breathing for the past few years, and it has recently worsened to the point where I have trouble sleeping at night due to breathing difficulties. Additionally, I was diagnosed wi...
Dr. Jiang Junyi Reply:
Hello, based on your description, sleep apnea may lead to daytime lack of concentration and frequent drowsiness. However, sleep apnea can be classified into two types: 1. Obstructive Sleep Apnea (OSA): This is the most common type, accounting for about 90% of cases. Soft tissue...[Read More] Understanding Breathing Issues: Sleep Apnea and Its Impact on Your Health
Understanding Breathing Issues: Is Sleep Apnea the Cause of Your Chest Pain?
Respiratory issues Hello doctor, I have been experiencing chest tightness, chest pain, and difficulty breathing for the past few years, and it has recently worsened to the point where I have trouble sleeping at night due to breathing difficulties. Additionally, I was diagnosed wi...
Dr. Jiang Junyi Reply:
Hello, based on your description, sleep apnea may cause daytime concentration issues and frequent drowsiness. However, sleep apnea can be categorized into two types: 1. Obstructive Sleep Apnea (OSA): This is the most common type, accounting for about 90% of cases. Soft tissue n...[Read More] Understanding Breathing Issues: Is Sleep Apnea the Cause of Your Chest Pain?
Understanding Dizziness and Floating Sensations: Possible Causes and Solutions
Dizziness and a floating sensation? Hello, doctor. I have been keeping track of the days. About six months ago, while I was squatting at work, I suddenly felt dizzy and had to lean against the wall for about a minute until it stopped. However, since then, whenever I squat, I feel...
Dr. Hong Weibin Reply:
Hello: Young people are often busy with their careers, which can lead to irregular sleep patterns. Based on your description, it seems to be peripheral vertigo, which has various causes generally attributed to inner ear imbalance. I recommend that you see an otolaryngologist or a...[Read More] Understanding Dizziness and Floating Sensations: Possible Causes and Solutions
Understanding Dizziness and Mental Fog: Neurological Insights
Dizziness and a feeling of heaviness in the head? Doctor, I'm sorry, but I've been feeling dizzy without the sensation of spinning. It's more like a state of confusion where I'm not quite aware of what I'm doing. The dizziness seems to worsen with fatigue...
Dr. Jiang Junyi Reply:
Hello: I would like to know if you have any issues with sleep disorders? Are you experiencing high blood pressure? Generally, individuals with high blood pressure have a higher risk of stroke. I would also like to inquire if you have metabolic syndrome (such as increased waist ci...[Read More] Understanding Dizziness and Mental Fog: Neurological Insights
Understanding Dizziness and Back Pain: A Guide to Autonomic Nervous System Disorders
Dizziness, back pain, and sweating of the hands? Hello Doctor, I have been experiencing dizziness frequently in the mornings, around 8 to 10 AM, which makes it difficult for me to concentrate at work. Before the dizziness occurs, I often feel a soreness in my back or a sensation ...
Dr. Jiang Junyi Reply:
Hello, based on your description: in addition to autonomic nervous system issues, it may be necessary to consider the possibility of arrhythmias. Furthermore, sleep apnea could also exacerbate the symptoms. Our autonomic nervous system is regulated by the sympathetic and parasymp...[Read More] Understanding Dizziness and Back Pain: A Guide to Autonomic Nervous System Disorders
Understanding Abdominal Strain-Induced Headaches: Causes and Insights
Abdominal straining causing headaches? I have stiffness in my neck and shoulders, so I notice that when I exert myself (like during bowel movements, pushing for about 5 seconds), I sometimes experience pain in the back of my head, but occasionally I also feel pain in the front of...
Dr. Jiang Junyi Reply:
Hello: Based on your description, the most common cause is tension-type headache, rather than an issue related to intracranial pressure. The symptoms of tension-type headache include: (1) Typically bilateral, located in the occipital and parietal regions, sometimes with a wide ra...[Read More] Understanding Abdominal Strain-Induced Headaches: Causes and Insights
Which Specialist to Consult for Persistent Tinnitus and Insomnia?
Which specialty should I see? My brother is 39 years old and has been experiencing poor health for the past month, including tinnitus, night sweats, insomnia, and difficulty staying asleep, waking up frequently. These symptoms have persisted for a month and have pushed him to the...
Dr. Jiang Junyi Reply:
Hello: Regarding your brother's condition, if thyroid dysfunction and structural abnormalities in the brain have been ruled out, it is recommended to consult a psychiatrist for diagnosis and medication treatment. Additionally, seeking counseling from a psychologist can help ...[Read More] Which Specialist to Consult for Persistent Tinnitus and Insomnia?