Understanding Post-Menopausal Migraines: Symptoms, Causes, and Treatment Options
Chronic headaches Hello, I have just gone through menopause for two years and am experiencing some mild symptoms. Before menopause, I occasionally had migraines (often on the right side, sometimes severe enough to cause vomiting, with overall weakness and loss of appetite, requir...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are likely indicative of a mixed headache. Given the presence of localized tender points, tension-type headache should be considered first. The symptoms of tension-type headache include: (1) Typically bilateral, located in the occipital and parietal regions, ...[Read More] Understanding Post-Menopausal Migraines: Symptoms, Causes, and Treatment Options
Understanding Persistent Head Pressure: Could It Be Anxiety?
Could you please clarify what you mean by "head heaviness"? After experiencing a sudden episode of dizziness (the spinning type), I have frequently felt heavy-headed (almost every time I wake up) and have a sensation of pressure in my head (almost every time I wake up) ...
Dr. Jiang Junyi Reply:
Hello: I am not sure if you are taking any anti-anxiety medications. Your symptoms may need to consider the side effects of the medication. If you experience daytime inattention and frequent drowsiness, it may be worth considering a sleep disorder, with obstructive sleep apnea be...[Read More] Understanding Persistent Head Pressure: Could It Be Anxiety?
Understanding Muscle Twitches: Could It Be ALS or Just Anxiety?
Fasciculation in amyotrophic lateral sclerosis (ALS)? I have been experiencing continuous muscle twitching all over my body for a month (in the soles and tops of my feet, backs of my hands, arms, elbows, shoulders, back, and face). A few days ago, my left calf twitched continuous...
Dr. Jiang Junyi Reply:
Hello: The condition you are concerned about, commonly known as amyotrophic lateral sclerosis (ALS), primarily involves issues with motor neurons, and most patients do not have a family history. Motor neurons control muscle movement; those in the brain are referred to as upper mo...[Read More] Understanding Muscle Twitches: Could It Be ALS or Just Anxiety?
Is It Autonomic Nervous System Dysfunction? Understanding Your Symptoms
Is this autonomic nervous system dysfunction? Hello, I have been experiencing severe dizziness for over a month now, which occurs constantly every minute of the day. Additionally, I have a sensation of ear fullness on one side, drooping eyelids, and dryness (though there is no vi...
Dr. Cai Zongzhang Reply:
Hello, based on the symptoms you described, it is difficult to determine whether there is a direct relationship with the nervous system. Stress may be a contributing factor, and physical fatigue could also play a role. I recommend maintaining a regular daily routine and consideri...[Read More] Is It Autonomic Nervous System Dysfunction? Understanding Your Symptoms
Unexplained Body Aches: Could Sleep Issues Be the Cause?
Unexplained body aches and pain? Hello Doctor, I would like to ask about something. Yesterday, I wore my sports bra all day due to exercising (I usually exercise every two days, and this has been a long-standing habit). After returning home and taking it off, I felt soreness all ...
Dr. Jiang Junyi Reply:
Hello: The symptoms you mentioned are medically referred to as hypersensitivity, which is usually associated with peripheral nerve pathology. However, in women, if such occurrences are frequent, fibromyalgia should be considered. The pathophysiology of fibromyalgia is generally b...[Read More] Unexplained Body Aches: Could Sleep Issues Be the Cause?
Struggling with Frequent Dreams and Shallow Sleep: Seeking Solutions
I have been experiencing continuous light sleep and vivid dreaming for almost three weeks? Hello, doctor. For the past two weeks, I have been dreaming every night and experiencing shallow sleep. The longest continuous sleep I get is about four hours, and in the worst cases, I wak...
Dr. Jiang Junyi Reply:
Hello: There are many potential causes for your insomnia, such as watching television before bed, consuming spicy foods at dinner that elevate metabolism, or experiencing sleep apnea. I recommend improving your sleep hygiene: try to avoid napping during the day. Avoid drinking co...[Read More] Struggling with Frequent Dreams and Shallow Sleep: Seeking Solutions
Managing Seizures Triggered by Antidepressants: A Patient's Journey
Post-drug-induced epilepsy Hello Doctor, about 14 years ago, I experienced a head injury. I have a history of depression and sleep disorders, and my depression improved over time. However, approximately 12 years ago, I fainted in the bathroom after taking antidepressant medicatio...
Dr. Cai Zongzhang Reply:
Hello, epilepsy requires regular medication adherence and treatment according to the physician's instructions. Additionally, maintaining a stable daily routine can help stabilize the condition.[Read More] Managing Seizures Triggered by Antidepressants: A Patient's Journey
Understanding Body Tingling: Possible Causes and Recommendations
Tingling sensation in the body? Hello Doctor, about a month ago I suddenly felt a tingling sensation all over my body, without a specific area, almost like it was moving around. I even experienced tingling in my face and head. For a period of time, I often had palpitations and ch...
Dr. Jiang Junyi Reply:
Hello: Your symptoms appear at the extremities, which may suggest a deficiency in B vitamins or abnormal electrolyte levels causing peripheral neuropathy. Clinically, many conditions can lead to hyperventilation, including sepsis, significant blood loss, hypoxia, and acute myocar...[Read More] Understanding Body Tingling: Possible Causes and Recommendations
Understanding Right Hand Pain and Left Hand Numbness: Causes and Treatments
Pain in the right hand and numbness in the left hand? Hello, I would like to ask about my right hand. Initially, I experienced pain in my wrist (extending from my thumb to my wrist), which later spread to my forearm and then to my right shoulder. The pain started about a year ago...
Dr. Jiang Junyi Reply:
Hello: Your symptoms in the right hand resemble those of nerve root compression in the cervical spine. Preventive measures include: 1. Change positions: Change your posture every 15 minutes to allow the neck tissues to rest. Any posture (including normal ones) maintained for a pe...[Read More] Understanding Right Hand Pain and Left Hand Numbness: Causes and Treatments
Understanding Facial Nerve Issues: Symptoms and When to Seek Help
Left labial commissure twitching, facial nerve? The patient experienced twitching in the left lower jaw about a month ago, which resolved, but recently has started to have intermittent twitching in the left upper lip with frequent occurrences throughout the day. Occasionally, the...
Dr. Jiang Junyi Reply:
Hello: You mentioned the issue of facial twitching. Generally, this may be caused by instability of the facial nerve that innervates that area, which is commonly seen in conditions such as poor sleep, electrolyte imbalance, or local nerve inflammation. If you supplement with B vi...[Read More] Understanding Facial Nerve Issues: Symptoms and When to Seek Help
Understanding Involuntary Body Jerks: Causes and Solutions
Involuntary movements Hello Dr. C: I am currently troubled by involuntary body jerks while falling asleep and am unsure if there are ways to improve this or if it is a manifestation of another condition. I am currently taking medication for generalized anxiety disorder, including...
Dr. Cai Zongzhang Reply:
Based on your description, if drug use is excluded, it is difficult to assess the severity and frequency of the pain from the literal interpretation. I recommend that you visit an outpatient clinic for further examination and treatment, which will surely provide you with a satisf...[Read More] Understanding Involuntary Body Jerks: Causes and Solutions
Understanding Essential Tremor: Symptoms, Causes, and Concerns
Tremors and muscle twitching? Hello Doctor: Recently, I have noticed that my hands are trembling. After an examination at a large hospital, the doctor told me it is essential tremor. However, I learned that essential tremor is often hereditary, but my parents don't seem to h...
Dr. Jiang Junyi Reply:
Hello: Based on your description, primary tremor is primarily a symptom caused by instability in muscle coordination. Generally, physicians may prescribe Propranolol to stabilize the symptoms. This medication works by reducing sympathetic nervous system activity. Our autonomic ne...[Read More] Understanding Essential Tremor: Symptoms, Causes, and Concerns
Understanding Heavy Head Sensation: Neurological Insights and Causes
My head feels very heavy? About a month ago, I suddenly experienced a bout of dizziness (the spinning kind), but fortunately, I managed to hold on. Following that, I felt lightheaded, with a heavy head and light legs. It felt like my head was so heavy that I could faint if I beca...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are not very typical, but common causes for such symptoms may include issues related to cervical myofascial pain or sleep disorders. I wonder if you have a problem with being overweight, as men are more prone to obstructive sleep apnea. Obstructive sleep ap...[Read More] Understanding Heavy Head Sensation: Neurological Insights and Causes
Chronic Fatigue: Should You Suspect Myasthenia Gravis?
If you are experiencing persistent and intermittent fatigue, should you highly suspect myasthenia gravis? Hello, Doctor: I am a shift worker who primarily does office work. I spend most of my day in front of a computer and do not exercise much, which has led me to develop some li...
Dr. Jiang Junyi Reply:
Hello: Myasthenia gravis is considered a rare disease, with a prevalence of approximately 100-200 per million people in Taiwan, totaling around 2,000-4,000 individuals nationwide. Your symptoms may need to first consider sleep issues, especially since you have metabolic syndrome....[Read More] Chronic Fatigue: Should You Suspect Myasthenia Gravis?
Understanding Eyelid Droop and Facial Tightness: Possible Neurological Issues
Right eyelid ptosis and tightness on the right side of the face? Hello, I noticed that my eyes are uneven about a month ago. The right side of my face droops, causing the asymmetry. I thought it was due to fatigue, but even after getting enough sleep, I woke up the next day with ...
Dr. Hong Weibin Reply:
Hello: Based on your description, I suspect the cause may be right-sided facial nerve paralysis. Additionally, it is important to be cautious about the possibility of myasthenia gravis. I recommend that you seek assistance from a neurologist directly.[Read More] Understanding Eyelid Droop and Facial Tightness: Possible Neurological Issues
Understanding the Use of Shunao for Headache Management: Is It Right for You?
Regarding the medication "Shu Nao." Hello doctor, I have been experiencing unexplained headaches for the past two months, which have persisted daily until now. Today, I visited a large hospital and the doctor prescribed me "Shunao," instructing me to take one ...
Dr. Jiang Junyi Reply:
Hello: Shunao is a selective calcium channel blocker, which acts as a cerebral vasodilator and has shown good efficacy in preventing migraines. It can also be used to treat peripheral vascular diseases, particularly obstructive peripheral vascular disease. Additionally, it may pr...[Read More] Understanding the Use of Shunao for Headache Management: Is It Right for You?
Understanding Sleep Disorders: When Sleepwalking Turns Violent
Sleepwalking and hitting? Hello Doctor: I am inquiring on behalf of my family. My father hears sounds at night that resemble something being swiped by a hand while he is sleeping. A few days later, I heard my mother say that he has been hitting people in his sleep. Could you plea...
Dr. Hong Weibin Reply:
Based on your description, it is highly likely that you are experiencing "REM Sleep Behavior Disorder." Sleep can be divided into light sleep, deep sleep, and rapid eye movement (REM) sleep. During REM sleep, dreaming occurs, and under normal circumstances, the brain in...[Read More] Understanding Sleep Disorders: When Sleepwalking Turns Violent
Understanding Numbness in Hands and Feet: Causes and Solutions
Numbness in hands and feet? Hello Dr. Jiang: I apologize for the interruption. I have a medical concern that I would like to consult with you. For the past three months, every time I take a nap during my lunch break (lying face down for about 10 to 20 minutes), I wake up with num...
Dr. Jiang Junyi Reply:
Hello: If you do not experience numbness while lying down, your symptoms may suggest localized nerve compression. This can occur when sleeping on your stomach, which may compress the radial nerve in both arms, or when sitting, which may compress the sciatic nerve and the posterio...[Read More] Understanding Numbness in Hands and Feet: Causes and Solutions
Understanding Persistent Mild Headaches: Causes and Next Steps
Mild headache for 50 consecutive days? Hello Doctor, I have been experiencing mild headaches for the past 50 days. The pain occurs approximately every 5 minutes, lasting for about 1 second each time, and it is almost continuous throughout the day. However, I sleep well at night. ...
Dr. Jiang Junyi Reply:
Hello: 1. The symptoms you described are likely due to muscle-related pain, and you may need to consider myofascial issues. 2. Is it possible to have slight discomfort in the neck and shoulders while experiencing continuous head pain? My understanding is that for head pain to ...[Read More] Understanding Persistent Mild Headaches: Causes and Next Steps
Can Loud Headphone Sounds Cause Permanent Brain Damage?
Headache Head-related issues Hello, Doctor Jiang. I would like to ask a question. Yesterday, when I plugged my full-cover headphones into the computer, there was a sudden loud noise in the headphones. This has happened before, but this time it was particularly loud and caused sig...
Dr. Jiang Junyi Reply:
Hello, based on your description, if there is a sudden exposure to loud sounds, the eardrum has a protective mechanism. The muscles connecting the ossicles and the middle ear will reflexively reduce the transmission of sound to protect the inner ear. However, prolonged exposure t...[Read More] Can Loud Headphone Sounds Cause Permanent Brain Damage?