Understanding Internal Tremors: Possible Causes and Insights
Feeling internal tremors in the body? Hello, Dr. Jiang. I have been experiencing intermittent muscle twitching in my limbs (arms, legs, chest, back, etc.), so I went to the hospital for a consultation. The doctor arranged a complete blood test (Hb, Hct, MCH, MCHC, MCV, MPV, Plt, ...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest an issue with proprioception, which can sometimes be related to neurological instability that initially does not affect motor nerves. It is usually important to consider whether there is a problem with the conduction of signals in the spinal nerve...[Read More] Understanding Internal Tremors: Possible Causes and Insights
Assessing Fatigue and Balance Issues in an 85-Year-Old: Possible Neurological Concerns
An 85-year-old father experiences easy fatigue, unsteady gait with shuffling steps, and nighttime finger numbness. His physical strength has declined significantly over the past six months. What kind of examinations should be conducted? An 85-year-old father has experienced a sta...
Dr. Jiang Junyi Reply:
Hello, Your father, due to his advanced age, is experiencing several degenerative diseases. First, I would like to correct the medications you mentioned. They should be GENIQUIN for dry syndrome and NOOTROPIL for cerebral white matter issues. You noted that over the past six mo...[Read More] Assessing Fatigue and Balance Issues in an 85-Year-Old: Possible Neurological Concerns
Understanding Your Symptoms: Neurological Issues or Autonomic Dysfunction?
Is it a brain issue or autonomic nervous system dysfunction? Hello, Dr. Jiang: Recently, I have been feeling unwell, and the following symptoms have been occurring frequently: 1. Sometimes under bright lights, I perceive a flicker (as if the light is malfunctioning). I have a h...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest "migraine with aura." This type of headache lasts from 4 to 72 hours. The characteristics of the headache include unilateral pain, which may feel throbbing or pulsating, often accompanied by nausea and vomiting, as well as sensitivity to...[Read More] Understanding Your Symptoms: Neurological Issues or Autonomic Dysfunction?
Understanding Dizziness and Neck Pain: When to Seek Further Evaluation
Dizziness and cervical spine pain? Hello, doctor. I would like to ask you a few questions. Since mid-August, I have been experiencing dizziness that has not improved. I always yawn continuously after getting out of bed and also before going to sleep. My head feels constantly dizz...
Dr. Jiang Junyi Reply:
Hello: If you are still concerned about issues related to the brain or spine, major hospitals' health check centers offer self-paid MRI scans of the brain or spine. These scans are more sensitive for imaging the nervous system. However, if there is no structural problem, a p...[Read More] Understanding Dizziness and Neck Pain: When to Seek Further Evaluation
Understanding Involuntary Movements: Causes and Concerns
Involuntary movements? Hello, Dr. Jiang. About a week ago (on October 9), I suddenly noticed that before closing my eyes to sleep, I experience involuntary movements in my limbs or twitching in my head and neck (it feels like a muscle is moving), but the location is not fixed. In...
Dr. Jiang Junyi Reply:
Hello: The muscle twitching you mentioned is often associated with exercise, acute viral infections, anxiety, and medication use. Prolonged exercise is one of the main causes of muscle twitching. In clinical practice, we frequently observe many patients caught in a vicious cycle ...[Read More] Understanding Involuntary Movements: Causes and Concerns
Understanding Dizziness and Sleepiness: Possible Causes and Concerns
Dizziness for one and a half months? Hello, Dr. Jiang... I have been experiencing dizziness and excessive yawning, feeling sleepy for about a month and a half. Previously, I consulted you and you mentioned it could be sleep apnea. I asked my wife if I snore while sleeping, and sh...
Dr. Jiang Junyi Reply:
Hello: It is recommended to visit a sleep center for evaluation to understand the issues related to sleep disorders. Additionally, regarding the symptoms of cervical pain you mentioned, you may also want to have an assessment by a neurologist. Wishing you good health and peace. D...[Read More] Understanding Dizziness and Sleepiness: Possible Causes and Concerns
Understanding Muscle Twitches: Anxiety and Neurological Insights
Muscle spasm Hello doctor, I have anxiety disorder and sometimes when I feel particularly tense, I experience muscle twitching in my thighs (it's not a cramp, but a contraction and relaxation sensation that isn't painful). At that moment, I also feel quite cold. This si...
Dr. Hong Weibin Reply:
Hello: There are many causes of muscle cramps, including nerve root disorders, electrolyte imbalances, medications, and stress. You may first try to rest well and relax. If there is no improvement, please seek assistance from a physician. Wishing you a speedy recovery.[Read More] Understanding Muscle Twitches: Anxiety and Neurological Insights
Persistent Dizziness for Over a Month: Understanding Vestibular Neuritis
Dizziness for over a month? On the evening of August 25th, I experienced a bout of dizziness that nearly caused me to faint. I went to the emergency room for a blood test, which showed no significant issues. It might have been due to lack of sleep. A few days later, I visited a c...
Dr. Jiang Junyi Reply:
Based on your description: Hello, you mentioned experiencing near-fainting episodes. In addition to dizziness, it may be necessary to consider syncope. First, we should evaluate the symptoms of syncope, with the most common causes being reflex syncope: excessive stimulation of th...[Read More] Persistent Dizziness for Over a Month: Understanding Vestibular Neuritis
Understanding Sleep Disturbances: Involuntary Body Jerks Before Sleep
Body twitching before sleep? Hello Doctor: Recently, I've been experiencing hand numbness that has led to sleep issues. While the numbness has improved significantly, I have started to experience involuntary body movements before falling asleep. Sometimes my back muscles twi...
Dr. Cai Zongzhang Reply:
Hello, it sounds like the numbness in your hands is affecting your sleep and causing you distress. I recommend that you consult with a psychiatrist or a specialist in sleep disorders, as it may be helpful for you.[Read More] Understanding Sleep Disturbances: Involuntary Body Jerks Before Sleep
Understanding Insomnia and Headaches: A Neurological Perspective
Insomnia and headache? I often wake up in the middle of the night, or it takes me a long time to fall asleep, or once I do fall asleep, I sleep for a long time. This has been happening gradually since high school, and I am currently a freshman in college. Whenever I am under a lo...
Dr. Jiang Junyi Reply:
Hello, based on your description, there are many potential causes for headaches. If your headaches are related to your menstrual cycle, the likelihood of migraines is higher. However, conditions such as anemia, autonomic dysfunction, and inner ear imbalance may also contribute to...[Read More] Understanding Insomnia and Headaches: A Neurological Perspective
Understanding Dizziness and Neck Pain: Causes and Solutions
Dizziness and neck and shoulder pain? Hello, doctor... I would like to ask a few questions. I have been experiencing dizziness for nearly three weeks. I feel dizzy all day, have low energy, and sometimes find myself yawning frequently and wanting to sleep. While walking, I don&#x...
Dr. Jiang Junyi Reply:
Hello: I apologize for the late response to your question. The symptoms of dizziness have persisted for nearly three weeks, with a constant feeling of dizziness throughout the day, low energy, frequent yawning, and a strong desire to sleep. While walking, I don't feel unstab...[Read More] Understanding Dizziness and Neck Pain: Causes and Solutions
Understanding Neck Pain and Dizziness: Possible Causes and Solutions
Cervical spine pain and dizziness? Hello, doctor... I have been experiencing dizziness for almost a month. The dizziness is constant throughout the day, and it's an indescribable feeling of lightheadedness and fatigue. I feel like I want to sleep all the time. My neck and sh...
Dr. Jiang Junyi Reply:
Hello: I apologize for the late response to your question. The symptoms of dizziness have persisted for nearly three weeks, with a constant feeling of dizziness throughout the day, poor energy levels, and frequent yawning, leading to a desire to sleep. While walking, I do not fee...[Read More] Understanding Neck Pain and Dizziness: Possible Causes and Solutions
Understanding Severe Headaches and Fainting: Possible Neurological Issues
Severe headache followed by fainting? Hello doctor, my husband is 30 years old. He fainted in front of me yesterday; this is the second time in the past six months. Before fainting, he was conscious and mentioned that he experienced a headache that started as a mild pain in his f...
Dr. Jiang Junyi Reply:
Hello, based on your description, it is advisable for your husband to seek medical attention promptly after experiencing headaches followed by fainting. This situation resembles thunderclap headache, particularly with the possibility of an aneurysm requiring intervention. Common ...[Read More] Understanding Severe Headaches and Fainting: Possible Neurological Issues
Why Does My Hand Suddenly Retract While Side Sleeping?
When sleeping on the side, the hand may suddenly retract? I have a habit of sleeping on my side. When I sleep on my side, if the hand that is underneath my body is extended straight and perpendicular to my body, it suddenly bends and retracts as I am about to fall asleep, causing...
Dr. Cai Zongzhang Reply:
Hello, I am trying to understand your condition based on your description. I recommend that you visit a neurologist for further examinations, or you may consider undergoing a sleep study for a more detailed diagnosis.[Read More] Why Does My Hand Suddenly Retract While Side Sleeping?
Understanding Palpitations: The Role of Autonomic Nervous System Dysfunction
Palpitations caused by autonomic nervous system dysfunction? Hello Doctor, I hope you are well. I remember that at the end of last year, my sleep schedule was irregular due to alcohol consumption. One night, I woke up in a panic with palpitations, feeling anxious and fearful, my ...
Dr. Jiang Junyi Reply:
Hello: Generally speaking, the autonomic nervous system is regulated by the sympathetic and parasympathetic nervous systems, where one acts as the accelerator and the other as the brake. The sympathetic nervous system is responsible for accelerating the body, driving it into acti...[Read More] Understanding Palpitations: The Role of Autonomic Nervous System Dysfunction
Understanding Neurological Symptoms: Numbness, Pulsations, and Dizziness
I'm sorry, but I cannot assist with that? In addition to the symptoms mentioned last time (the sensation on the thigh feels as if there is a layer of something on the skin, with no feeling upon touch), there are other issues: 1. I feel pulsations in the back of my head and n...
Dr. Jiang Junyi Reply:
Hello: The pulsation in the back of your neck may be related to cervical nerve root compression or inflammation of the cervical musculofascial structures. This issue seems similar to your previous lumbar symptoms. As for the dizziness, it may be worth considering a vestibular pro...[Read More] Understanding Neurological Symptoms: Numbness, Pulsations, and Dizziness
Understanding Central Respiratory Arrest Due to Medullary Stroke
Central apnea caused by medullary stroke? Dear Doctor, My father was hospitalized earlier this year due to respiratory failure (elevated carbon dioxide levels in the blood) and was advised by the physician to use a ventilator. In August of this year, he was again admitted for th...
Dr. Hong Weibin Reply:
Hello: Medullary strokes can indeed affect the respiratory centers in the body, leading to respiratory suppression during sleep. During sleep, the control of respiratory muscles diminishes, resulting in carbon dioxide accumulation, a condition known as Ondine's curse. It is ...[Read More] Understanding Central Respiratory Arrest Due to Medullary Stroke
Understanding Foreign Sensation and Headaches: When to Seek Neurology Help
Foreign body sensation in the head and headache? I have had a foreign body sensation in the left front of my head since childhood, but since it wasn't bothersome and I didn't experience pain, I didn't pay much attention to it. However, recently I've been exper...
Dr. Cai Zongzhang Reply:
Hello, can you clearly identify the area where you feel the foreign body sensation or contraction? If so, it is recommended that you visit a neurosurgery department at a hospital for a precise diagnosis and examination by a physician based on the area you indicate. In the meantim...[Read More] Understanding Foreign Sensation and Headaches: When to Seek Neurology Help
Understanding Body Twitches and Sleep Issues: A Neurology Perspective
Body twitching and inability to sleep? Hello, doctor. I apologize for bothering you with a question. My mother (48 years old) has been experiencing some health issues. About a week ago, she started feeling her body twitching while she was conscious before falling asleep. Initiall...
Dr. Cai Zongzhang Reply:
Hello, the twitching you are referring to likely involves involuntary and rhythmic movements of a certain part of our body, most commonly seen as shaking of the hands or limbs. However, it can also occur in other areas such as the head, neck, and extremities. There are many cause...[Read More] Understanding Body Twitches and Sleep Issues: A Neurology Perspective
Understanding Involuntary Eye Blinking: Causes and Solutions
Involuntary twitching Hello, Doctor. Yesterday, while I was using my phone, my aunt noticed that my left eye was blinking involuntarily. She mentioned that this could lead to some health issues if it continues. I would like to ask the doctor why this is happening and how I can im...
Dr. Hong Weibin Reply:
Hello: The most common causes of uncontrollable eyelid twitching may include irritation from foreign objects, fatigue, lack of sleep, side effects of medications, smoking, alcohol, caffeine, and stress, among other factors. It is recommended to get plenty of rest and maintain ade...[Read More] Understanding Involuntary Eye Blinking: Causes and Solutions