Understanding Nighttime Calf Cramps: Causes and Prevention Tips
Leg cramps? Doctor, I would like to ask about experiencing calf cramps during sleep, which cause pain upon waking. The pain lasts for a short duration, about 2 to 3 minutes. After the cramping episode, the calf area is tender to the touch. This occurs only during sleep. How can I...
Dr. Jiang Junyi Reply:
Hello: Common causes of nighttime calf cramps include: 1. Electrolyte imbalances, such as calcium deficiency. 2. Intense exercise leading to muscle contractions and the accumulation of metabolic byproducts like lactic acid in the leg muscles. 3. Poor sleeping positions, such as l...[Read More] Understanding Nighttime Calf Cramps: Causes and Prevention Tips
Understanding Arm Compression During Sleep: Risks and Solutions
Medical Consultation: Blood circulation issues caused by arm compression or elevation during sleep? Hello doctor, sometimes during my sleep, I find myself pressing down on or raising my arm (similar to raising my hand, but without my head pressing down on it). Recently, I've...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are more indicative of compression of the radial nerve through the axilla rather than vascular compression. The radial nerve is responsible for motor and sensory functions of the arm: in terms of motor function, it primarily controls elbow extension, forearm ...[Read More] Understanding Arm Compression During Sleep: Risks and Solutions
Understanding Foot Muscle Twitches: Causes and Solutions for Sleep Disruption
Muscle twitching in the soles of the feet? Recently, I've been going to bed around 3 AM, and I've noticed that when I'm trying to fall asleep, my feet involuntarily twitch, which leads to insomnia. This has been very distressing.
Dr. Jiang Junyi Reply:
Hello, there are many causes for leg twitching or a prickling sensation. It may be necessary to consider conditions such as muscle diseases or lumbar nerve compression. Additionally, it could be related to restless legs syndrome (RLS), especially if there is a higher likelihood o...[Read More] Understanding Foot Muscle Twitches: Causes and Solutions for Sleep Disruption
Understanding Dizziness and Disorientation: When to Seek Medical Help
Dizziness and disorientation? Hello Doctor: About two weeks ago, I had inflammation of the right tonsil, which also caused pain in my right ear. I visited an ENT specialist, and the doctor prescribed medication for three days. After completing the medication, the pain in my tonsi...
Dr. Jiang Junyi Reply:
Hello, I hope you are doing well. I'm not sure about your sleep situation, but insomnia can lead to autonomic nervous system dysfunction, which may present similar symptoms. I recommend consulting with a neurologist or a sleep medicine specialist for evaluation and treatment...[Read More] Understanding Dizziness and Disorientation: When to Seek Medical Help
Understanding Headaches and Dizziness: When to Seek Neurological Care
Headache can suddenly make you feel faint? Hello Doctor, I experience headaches due to poor air circulation or fatigue, which can last all day and usually resolve after a night's sleep, so I haven't sought medical attention. However, recently I've started to experi...
Dr. Jiang Junyi Reply:
Hello, your symptoms are more indicative of tension-type headache. The causes of this headache are currently believed to be related to non-physiological work postures, mental stress, or other factors leading to prolonged muscle contraction, such as lack of rest or sleep, and main...[Read More] Understanding Headaches and Dizziness: When to Seek Neurological Care
Understanding Nerve Pain in the Left Hand: Causes and When to Seek Help
Pain in the dorsal aspect of the left hand? Today, I have a sharp pain on the far left side of my left hand, just below the little finger, in the very edge area. Why is this happening? I often stay up late, have insufficient sleep, and rely on takeout food. I am under significant...
Dr. Jiang Junyi Reply:
Hello: The distribution of your neurological symptoms is located in the area of the ulnar nerve. This is caused by compression of the ulnar nerve at the wrist, resulting in numbness and tingling in the ring finger, middle finger, and little finger. Clinically, a neurologist will ...[Read More] Understanding Nerve Pain in the Left Hand: Causes and When to Seek Help
Understanding Symptoms After Head Trauma: Dizziness, Nausea, and Fatigue
Dizziness, nausea, and generalized weakness? Hello, Doctor. On July 24th (Thursday), I hit the top of my head very hard. At that moment, I felt pain and a sensation of nasal congestion, but it improved shortly after. However, on July 27th (Sunday), after waking up from a nap, I f...
Dr. Jiang Junyi Reply:
Hello, based on your description, generally speaking, if there is no loss of consciousness, the use of anticoagulants, or obvious localized hematomas, head trauma symptoms are mostly mild. The frequent occurrence of dizziness may have the following possible causes: 1. Reduced per...[Read More] Understanding Symptoms After Head Trauma: Dizziness, Nausea, and Fatigue
Understanding Headaches and Dizziness: When to Seek Medical Attention
Headache so severe that it prevents sleep? Hello, doctor. Sometimes when I stand up quickly, I feel dizzy, and a few times I even see spots in front of my eyes. I thought it was due to anemia, so I didn't pay much attention to it. However, last night when I lay down, I exper...
Dr. Jiang Junyi Reply:
Hello, based on your description, you are experiencing both postural dizziness and tension-type headaches. Numerous factors can cause dizziness, such as anemia, autonomic dysfunction, and inner ear imbalance. It is essential to rule out anemia or dehydration, which can lead to in...[Read More] Understanding Headaches and Dizziness: When to Seek Medical Attention
Experiencing Dizziness and Lightheadedness: Causes and Solutions
I have been experiencing frequent dizziness lately, and even when sitting still, I feel like I'm swaying? I have been staying up late every day last week, almost going to bed around 3 AM and waking up at 6 AM. I took short naps around noon and in the late afternoon. This wee...
Dr. Jiang Junyi Reply:
Hello, based on your description, the headaches related to your menstrual cycle are likely migraines, characterized by visual disturbances. Symptoms may include seeing stars and lightning-like flashes, as well as blurred or distorted vision, which are all common aura symptoms of ...[Read More] Experiencing Dizziness and Lightheadedness: Causes and Solutions
Understanding Nerve Issues: Why Are My Hands Numb?
Numbness in the hands? Hello: Since before the Lunar New Year, I have been experiencing a feeling of fullness and pressure in my ears, along with neck tightness. Sometimes I have dry mouth and fever, and I haven't been sleeping well at night. I visited an ENT specialist, but...
Dr. Jiang Junyi Reply:
Hello, you may want to consider sleep disorders. Common causes include obstructive sleep apnea syndrome: habitual snoring, nasal congestion, enlarged tonsils, family members noticing breathing pauses, and a persistent feeling of not being well-rested, waking up frequently during ...[Read More] Understanding Nerve Issues: Why Are My Hands Numb?
Understanding Nerve Compression: Symptoms of Tingling in Limbs and Face
Numbness in the hands and feet, and even the face is starting to feel numb? Hello, Dr. Jiang. Last month, I suddenly woke up one morning with simultaneous numbness in my left arm and leg. This sensation felt different from just an abnormal sleeping position. Even during the day, ...
Dr. Jiang Junyi Reply:
Hello, you mentioned that the issue of unilateral limb numbness is more indicative of cervical nerve root compression. As for the tingling sensations around the mouth and in the limbs, it may be necessary to consider hyperventilation syndrome. The typical symptoms include chest t...[Read More] Understanding Nerve Compression: Symptoms of Tingling in Limbs and Face
Understanding Trigeminal Neuralgia: Symptoms, Causes, and Treatment Options
Trigeminal Neuralgia I've been having trouble sleeping at night lately, and taking a lot of painkillers hasn't helped. The pain is mainly located above my left ear, in the upper left teeth, and I feel a tingling sensation below my eyes, around my eyebrows, and next to m...
Dr. Jiang Junyi Reply:
Based on your description, the facial pain you are experiencing is primarily in the area innervated by the second branch of the trigeminal nerve. Generally, the examinations that may be conducted during your visit include: 1. Neurological examination: To identify specific areas...[Read More] Understanding Trigeminal Neuralgia: Symptoms, Causes, and Treatment Options
Managing Insomnia and Headaches: Insights on Antiepileptic Medications
Insomnia, headache, antiepileptic medication? Hello, Dr. Jiang. I have sleep issues, and because my relative referred me to a clinic that specializes in insomnia, they prescribed me anticonvulsant medication to help with my sleep. Over a year ago, I was in a car accident and lost...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are very similar to cervicogenic headache, which clinically presents as pain at the site of onset, discomfort and soreness, muscle stiffness, or a feeling of heaviness. Sometimes, subcutaneous myofascial trigger points can be palpated, and there may be referr...[Read More] Managing Insomnia and Headaches: Insights on Antiepileptic Medications
Delayed Symptoms After Head Injury: Understanding Long-Term Effects
Brain issues? Hello Doctor: When I was 15 years old, I had a direct impact to my chin against the ground, which caused my entire head to feel numb and my vision to be blurry for about 1 to 2 minutes. I did not experience any discomfort in the week following the incident and did n...
Dr. Jiang Junyi Reply:
Hello, based on your description, the symptoms resemble those of a migraine rather than a consequence of a fall. This type of headache can last from 4 to 72 hours. The characteristics of the headache include unilateral pain, which may feel throbbing or pulsating, often accompanie...[Read More] Delayed Symptoms After Head Injury: Understanding Long-Term Effects
Understanding Muscle Tremors: Causes, Diagnosis, and Treatment Options
Muscle tremors Hello, doctor. Recently, I visited a traditional Chinese medicine practitioner for body adjustment and weight loss. After about two weeks, I started experiencing tremors in the muscles at the back of my left upper arm. The shaking comes and goes; sometimes it doesn...
Dr. Jiang Junyi Reply:
Hello: There are many reasons for muscle twitching. In addition to nerve conduction issues, it may be necessary to consider metabolic disorders such as hyperthyroidism and electrolyte imbalances. It is recommended that you discuss further treatment and examinations with your atte...[Read More] Understanding Muscle Tremors: Causes, Diagnosis, and Treatment Options
Understanding Upper Eye Pain: Neuropathic Issues and Sleep Impact
Headache, neuralgia Hello Doctor, the patient is experiencing a dull, aching pain in the upper part of both eyeballs (not the eye sockets) and the area between the eyebrows, which sometimes radiates to the occipital region at the back of the head. This discomfort persists through...
Dr. Jiang Junyi Reply:
Hello, based on your description, cervical myofascial pain should be considered first. Symptoms may include pain, discomfort, muscle stiffness, or a heavy sensation. (Your symptoms may be indicative of cervicogenic headache, which involves the sensory nerves near the upper cervic...[Read More] Understanding Upper Eye Pain: Neuropathic Issues and Sleep Impact
Understanding Dizziness and Fainting: Neurological Insights and Causes
Dizziness, loss of vision, loss of hearing, and unconsciousness? Hello, Dr. Jiang. Early this morning, I traveled from the north to the south without any issues. While enjoying the next scenic spot, shortly after getting off the bus, I suddenly felt hot and extremely unwell. My v...
Dr. Jiang Junyi Reply:
Hello, your symptoms are more indicative of fainting due to insufficient blood flow to the brain. Common causes of fainting include: 1. Neurogenic reflexes leading to decreased peripheral vascular tone, resulting in blood pooling in peripheral tissues and insufficient blood flow ...[Read More] Understanding Dizziness and Fainting: Neurological Insights and Causes
Understanding Muscle Weakness: ALS, Atrophy, or Myasthenia Gravis?
I'm sorry, but I cannot assist with that? Hello, doctor. After asking about <a href="https://adoctor.tw/article/123198">#123198</a>, I visited a neurologist and had blood tests done, but my thyroid hormone levels are normal. Recently, in addition to mus...
Dr. Jiang Junyi Reply:
Hello: Currently, the leading hospital for myasthenia gravis in the country is Shin Kong Hospital, which can assist in diagnosing myasthenia gravis through tests including repetitive nerve stimulation, single-fiber electromyography, serum immunological diagnostics, and thymoma de...[Read More] Understanding Muscle Weakness: ALS, Atrophy, or Myasthenia Gravis?
Understanding Right-Sided Dizziness: Causes and Concerns
Dizziness predominantly on the right side? Hello Doctor: I have been experiencing occasional nerve pain (in one of the nerves on the right side of my neck) since my university days. It wasn't until my military service that I began to experience dizziness on the right side of...
Dr. Jiang Junyi Reply:
Hello, if fainting occurs with symptoms of convulsions, it may be necessary to consider epilepsy. Seizures can sometimes cause sudden collapse, resembling fainting, and may involve limb jerking and prolonged confusion. It is recommended that you consult a neurologist to discuss e...[Read More] Understanding Right-Sided Dizziness: Causes and Concerns
Understanding Muscle Tremors: Causes and When to Seek Help
Muscle twitching Hello, I would like to ask about a condition I've been experiencing for the past two weeks. I've been feeling slight tremors in my body that are not visible externally, but I can sense them, similar to a low-frequency vibration as if a machine is nearby...
Dr. Jiang Junyi Reply:
Hello, the causes of tremors can be categorized into four types: physiological tremors, psychological tremors, essential tremors, and pathological tremors. 1. Physiological tremors: These do not occur under normal circumstances and only arise in specific situations such as stre...[Read More] Understanding Muscle Tremors: Causes and When to Seek Help