Why Lying Down Can Trigger Nausea and Dizziness: When to See a Doctor
Sleeping while lying down can cause nausea? Hello, doctor. Recently, when I lie flat to sleep, I experience a sensation similar to motion sickness, feeling dizzy and nauseous, which is quite uncomfortable. At the same time, I also feel a tightness in my neck, as if it is being co...
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 See a Doctor
Understanding Neck and Jaw Pain: Causes and When to Seek Help
Head and neck issues? Hello Doctor, I am the one who recently strained my neck and temporomandibular joint. I would like to ask what could be the cause of the tingling sensation after the neck strain. Recently, when I move my mouth (talking) or eat, I feel a tingling sensation in...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that there is a tingling sensation in the area just below the back of your head and above your throat... and that you also feel something in the lower back of your head. This may indicate that the nerves in the upper cervical spine are being compressed....[Read More] Understanding Neck and Jaw Pain: Causes and When to Seek Help
Understanding Neck Pain: Causes, Symptoms, and Treatment Options
Head and neck pain Recently, I bumped into a rolling iron door and went to the hospital for an examination, which revealed a mild compression of the cervical intervertebral discs at C3, C4, and C5. I underwent cervical traction, and although it relaxed the muscles, I noticed a sl...
Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "the pain is worst when lying down, and after two weeks, the pain extends to the back of the head." This may indicate compression of the cervical nerves and the occipital nerve. High cervical nerve root compression occurs at the first to ...[Read More] Understanding Neck Pain: Causes, Symptoms, and Treatment Options
Head Injury from Stair Climbing: Understanding Neurological Symptoms
While working, I bumped my head while climbing stairs? I bumped my head while climbing stairs at work on February 27. At the time, I didn't feel much, but starting the next day, February 28, I began to experience weakness in my limbs and a sense of imbalance. However, I have...
Dr. Jiang Junyi Reply:
Dear Mr. Pan, You mentioned that "you hit your head while climbing stairs and didn't feel much at the time, but starting from the next day, February 28, you began to experience weakness in your limbs and a sense of imbalance." Based on your description, the likeli...[Read More] Head Injury from Stair Climbing: Understanding Neurological Symptoms
Understanding Muscle Pain: Exploring Neurological and Cardiac Symptoms
Muscle pain There are several main issues: 1. Palpitations, occasionally feeling a strong heartbeat; 2. A sensation of electric shock throughout the body when startled; 3. Intermittent sharp pain and soreness in the left upper body; 4. Pain in the left upper body when exerting, w...
Dr. Jiang Junyi Reply:
Hello Mr. Lucas: You mentioned that "the pain is noticeably felt during pressure," which may indicate a muscular issue. It is advisable to consult a rehabilitation physician to discuss your daily posture. Pain specialists typically provide nerve block treatments after r...[Read More] Understanding Muscle Pain: Exploring Neurological and Cardiac Symptoms
Understanding MRI Findings and Tinnitus: What You Need to Know
MRI Report Issues & Tinnitus Hello, I have been experiencing tinnitus for the past few years (I hear a motor sound similar to a heartbeat frequency before falling asleep at night). When the sound is loud, people nearby can also hear it if they are close to my head. Recently, ...
Dr. Jiang Junyi Reply:
Dear Miss Xiao Tao, You mentioned that "the MRI images show some white spots, indicating arteriosclerosis, and you should pay attention to the issues related to the three highs (hypertension, hyperlipidemia, and hyperglycemia)." It is recommended that you undergo a sec...[Read More] Understanding MRI Findings and Tinnitus: What You Need to Know
Managing Ear Pain and Sensitivity: Understanding Neurological Triggers
Sharp pain in the inner ear, with surrounding muscle tension, and a desire to dig in? Whenever I feel anxious or hear loud noises, I experience a sharp, stabbing pain in my ears, along with a sensation of foreign objects. I have an urge to dig in my ears, but I can't find an...
Dr. Jiang Junyi Reply:
Dear Mr. Hong, You mentioned that the symptoms of "foreign body sensation in the ear" may need to consider neurogenic pruritus. This primarily involves the nerves of the ear, specifically the vagus nerve and the trigeminal nerve, both of which are closely related to th...[Read More] Managing Ear Pain and Sensitivity: Understanding Neurological Triggers
Understanding the Mental Health of a 94-Year-Old: Self-Talk and Sleep Aids
A 94-year-old elderly person is talking to themselves with their eyes closed? The elderly person at home takes sleep aids like Eszopiclone and medication for prostate issues. He experiences hearing loss and during the day, he sits on the sofa with his eyes closed, talking to hims...
Dr. Peng Shiwei Reply:
It is recommended to take the elderly to a neurology outpatient clinic for evaluation by a physician. Thank you.[Read More] Understanding the Mental Health of a 94-Year-Old: Self-Talk and Sleep Aids
Understanding Hydrocephalus in the Elderly: Symptoms and Treatment Options
Hydrocephalus (in the elderly) Hello, Doctor. My father (83 years old) was diagnosed with hydrocephalus last year, but during the New Year period, he exhibited symptoms such as reversed sleep-wake cycles, irritability, and delusions. Could you please tell me if hydrocephalus can ...
Dr. Peng Shiwei Reply:
The clinical manifestations of normal pressure hydrocephalus, in addition to gait instability, often include mild dementia and urinary incontinence. Early diagnosis of normal pressure hydrocephalus and prompt drainage of cerebrospinal fluid can significantly improve the patient&#...[Read More] Understanding Hydrocephalus in the Elderly: Symptoms and Treatment Options
Can Epilepsy Patients Safely Supplement with 5-HTP for Sleep?
Can patients with epilepsy supplement with 5-HTP? Hello Doctor, my mother has epilepsy and is currently prescribed one "Xanax" at bedtime. Since developing epilepsy, she has been dreaming every night and usually remembers her dreams upon waking. Although her daytime ene...
Dr. Cai Zongzhang Reply:
Hello, Xiao K: Sleep disorders and frequent dreaming are commonly caused by age-related central nervous system degeneration. Symptomatic treatment with medication may be used, but there are other possible underlying causes. It is recommended to visit a neurology outpatient clinic...[Read More] Can Epilepsy Patients Safely Supplement with 5-HTP for Sleep?
Do Mild Concussions Require MRI Scans? Expert Advice for Parents
Is an MRI necessary for a mild concussion? Hello Doctor, my son had an accident while skiing in Japan before the Lunar New Year. He did not collide with any hard objects, but he experienced a mild concussion. At the time of the incident (around 10:00 PM, as it was night skiing), ...
Dr. Jiang Junyi Reply:
Dear Miss Hsiao-Lin, You mentioned that your child needs an MRI, which is not inexpensive, and you would like to ask the doctor whether, given your child's current condition, an MRI is necessary for further examination. Currently, the out-of-pocket cost for MRI in Taiwan is...[Read More] Do Mild Concussions Require MRI Scans? Expert Advice for Parents
Understanding Sleep Talking: Causes and Solutions for Nighttime Speech
Sleep talking? Hello, doctor: My family member talks in their sleep continuously, sometimes almost all night long. It's not just quiet mumbling; they recite long strings of words quite loudly and have no recollection of it upon waking, only feeling very thirsty. This has bee...
Dr. Peng Shiwei Reply:
It is recommended that family members first adjust their daily routines, diet, and stress relief methods. If there is no improvement, they should consider seeking evaluation from an endocrinologist or psychiatrist.[Read More] Understanding Sleep Talking: Causes and Solutions for Nighttime Speech
Numbness and Weakness in Left Hand: When to See a Neurologist?
Numbness in the left ring and little fingers, along with weakness in the left hand? I have been sleeping on my left side and then switching to my right side. Recently, I have been experiencing numbness in my left ring and little fingers, weakness in my left hand (for example, I c...
Dr. Wu Mukhan Reply:
Hello, the symptoms you described may be related to an issue with the left ulnar nerve. If there is no improvement, it is advisable to consult a neurologist for nerve conduction studies or electromyography to confirm the diagnosis.[Read More] Numbness and Weakness in Left Hand: When to See a Neurologist?
Managing Sleep Issues and Stroke Recovery in Elderly Patients
Elderly stroke, drowsiness, and reversed sleep-wake cycle? Hello Doctor: My grandmother is 84 years old and had a stroke nearly a year ago, resulting in right-sided paralysis and aphasia. She is currently only taking medication prescribed by her cardiologist and resides in a care...
Dr. Jiang Junyi Reply:
Dear Ms. Yun, You mentioned that "the institution informed us that grandma sometimes does not sleep at night and has a reversed day-night cycle." This issue needs to be considered from multiple perspectives. For sleep disturbances and reversed day-night cycles, it is r...[Read More] Managing Sleep Issues and Stroke Recovery in Elderly Patients
Understanding EPS Symptoms After Gastroenteritis Treatment: A Neurology Perspective
Symptom Analysis Last week, after taking antiemetics for gastroenteritis, I experienced extrapyramidal symptoms (EPS). It started with my teeth chattering, followed by sudden jaw deviation. I immediately went to the emergency room for an injection, which corrected the jaw misalig...
Dr. Jiang Junyi Reply:
Hello Mr. Chen: You mentioned, "Last night before bed, I took a muscle relaxant and my muscles started twitching involuntarily." Generally speaking, symptoms of extrapyramidal syndrome (EPS) caused by medication typically improve within three days after discontinuation....[Read More] Understanding EPS Symptoms After Gastroenteritis Treatment: A Neurology Perspective
Understanding Eye Pressure, Brain Pressure, and Vision Loss: A Patient's Journey
Intraocular pressure, intracranial pressure, and visual field loss? Hello, doctor. Since 2021, I have been regularly monitored at a hospital in central Taiwan due to elevated intraocular pressure. During this period, my eye pressure was normal for a while. After returning to Taip...
Dr. Jiang Junyi Reply:
Dear Mr. Huang, You mentioned that "high intracranial pressure" is often associated with significant and dangerous conditions. It is important to distinguish between acute and chronic increases in intracranial pressure. In cases of acute intracranial hypertension, pati...[Read More] Understanding Eye Pressure, Brain Pressure, and Vision Loss: A Patient's Journey
Understanding Tinnitus and Chronic Fatigue: Insights from Neurology
Tinnitus and fatigue issues? Hello Dr. Tsai, I am not only troubled by tinnitus, but I also experience fatigue and overall exhaustion. No matter what I do, I just can't seem to muster any energy; I feel very tired. I am not working and have no stress. My tinnitus was checked...
Dr. Cai Zongzhang Reply:
Hello Ms. Chen: There are many causes of tinnitus. If there are no abnormalities found during the examination by an otolaryngologist, you may consider seeing a neurologist for further evaluation.[Read More] Understanding Tinnitus and Chronic Fatigue: Insights from Neurology
Understanding Pulsating Pain in the Back of the Head After Bathroom Visits
Sometimes after using the restroom, I experience a noticeable pulsating pain in the left back of my head for a few seconds? Hello, Doctor. About 4-5 years ago, I started experiencing a pulsating pain in the left posterior part of my head for a few seconds after using the restroom...
Dr. Jiang Junyi Reply:
Hello Mr. Tsai: "Regarding your question about headaches, which specialty should I consult to find out the cause... I have pulsating pain in the left posterior part of my head for a few seconds." Pulsatile headaches may initially suggest a vascular headache, particularl...[Read More] Understanding Pulsating Pain in the Back of the Head After Bathroom Visits
Understanding Eyebrow Bone Pain: Causes and When to Seek Help
Frontal bone pain In the past year or two, I have started experiencing pain in my brow bone, which I initially thought might be due to the use of electronic devices. As a result, I significantly reduced my usage of these devices for a while. I also visited the ophthalmology depar...
Dr. Cai Zongzhang Reply:
Hello, Ms. Chang: The pain occurring in the brow area may have other potential causes, including sinusitis or trigeminal neuralgia. If the ophthalmic examination shows no abnormalities, it is recommended to consult an otolaryngologist and a neurologist for further evaluation.[Read More] Understanding Eyebrow Bone Pain: Causes and When to Seek Help
Understanding Dizziness: Causes and Solutions for Neurological Issues
Recently, I have been frequently experiencing dizziness and lightheadedness? Hello Doctor, I have been experiencing frequent dizziness during the day, usually lasting one to two seconds. The situation worsens at night, where I feel increasingly dizzy, culminating in a sensation o...
Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned that you often feel dizzy during the day, usually lasting one to two seconds. Your irregular lifestyle, with reversed day and night cycles, along with significant tobacco and alcohol use, is concerning. If the symptoms continue to progress, you may need ...[Read More] Understanding Dizziness: Causes and Solutions for Neurological Issues