Understanding Left Thumb Twitching and Muscle Weakness: A Neurology Perspective
Twitching of the left thumb with muscle spasms and a feeling of weakness? For the past couple of days, my left thumb has been twitching frequently (as if it were being shocked), and sometimes my hand experiences slight tremors. Additionally, for the past six months, my entire bod...
Dr. Jiang Junyi Reply:
Hello, you may want to first rule out physiological tremors, which can occur in certain situations such as stress, anxiety, or anger. Other factors, such as side effects from certain medications or the consumption of beverages like coffee, tea, or cola, may also trigger this. If ...[Read More] Understanding Left Thumb Twitching and Muscle Weakness: A Neurology Perspective
Understanding Nerve Sensations: Tightness and Numbness While Sleeping
When lying down to sleep, my hand feels tight, swollen, and as if it is bound by a rubber band? Hello, Doctor. Recently, when I sit down or lie down, I feel a tingling sensation extending from my left buttock to my left thigh. Additionally, at night while sleeping, I notice that ...
Dr. Jiang Junyi Reply:
Hello: Your lower limb symptoms resemble sciatic nerve compression, while the symptoms in your right hand appear to be consistent with carpal tunnel syndrome. Clinically, a neurologist will arrange for nerve conduction studies to assess the extent of nerve compression. As for the...[Read More] Understanding Nerve Sensations: Tightness and Numbness While Sleeping
Understanding Nerve Issues: Why Are My Limbs Numb and Twitching?
Multiple areas of numbness throughout the body - Poor blood circulation? Hello, Doctor. Recently, I've noticed that when I sleep with my arms bent over my chest, my hands become numb. In the past, certain positions didn't cause this numbness, but it has changed in the l...
Dr. Jiang Junyi Reply:
Hello, your symptoms may be related to hyperventilation syndrome. Rapid or deep breathing can lead to excessive carbon dioxide elimination from the body, resulting in respiratory alkalosis, which is characterized by an elevated blood pH. This condition can disrupt the normal elec...[Read More] Understanding Nerve Issues: Why Are My Limbs Numb and Twitching?
Understanding Eye Twitching: Causes, Caffeine, and Stress Management
Facial nerve - Irregular twitching of the right eyelid for over a month? Hello Doctor: For the past month, my right eyelid has been twitching irregularly, with each episode lasting about five to ten seconds. The next twitch may occur half an hour to an hour later. Some days, it t...
Dr. Jiang Junyi Reply:
Hello: Eyelid movements are controlled by the facial nerve. If the eyelid is twitching continuously, the physician will first carefully observe the patient's facial muscles. If only the eyelid is affected and other facial muscles are not twitching, it is classified as simple...[Read More] Understanding Eye Twitching: Causes, Caffeine, and Stress Management
Understanding Autonomic Nervous System Disorders: When to Seek Brain Imaging?
Autonomic nervous system dysfunction? Or is it a brain issue? Warning signs to watch for? Hello, doctor. I have been experiencing many symptoms since the beginning of January. At the onset, I suddenly felt a sharp pain in my heart, followed by numbness in my limbs. For the next f...
Dr. Hong Weibin Reply:
Hello: Based on your symptoms, there are multiple issues that may complicate the identification of a brain-related problem. Many factors need to be considered, including endocrine disorders, psychosomatic disorders, autoimmune diseases, and more. It is recommended that you first ...[Read More] Understanding Autonomic Nervous System Disorders: When to Seek Brain Imaging?
Understanding Dizziness, Abdominal Pain, and Weakness After Sleep
Dizziness, abdominal pain, numbness and weakness in the limbs, vomiting? If you wake up feeling dizzy, have abdominal pain, experience numbness and weakness in your limbs, and are vomiting, it could be indicative of several potential issues. These symptoms may be related to sleep...
Dr. Jiang Junyi Reply:
Hello, your symptoms are quite atypical and can have many causes. Lack of sleep may lead to headaches, nausea, and vomiting. Additionally, abnormal electrolyte levels can cause limb numbness and weakness. It would be advisable to undergo blood tests to rule out some acute conditi...[Read More] Understanding Dizziness, Abdominal Pain, and Weakness After Sleep
Persistent Fatigue and Visual Disturbances: When to See a Neurologist?
Abnormal mental state, slight dizziness, and a strong desire to sleep? Recently, I have been under a lot of stress and have had little sleep due to standardized testing. However, after completing the exam, I have been able to sleep for over 8 hours. Despite this, I have felt unus...
Dr. Jiang Junyi Reply:
Hello, there are many reasons for feeling unwell, such as sudden cessation of caffeine leading to withdrawal symptoms, nutritional deficiencies (such as B vitamins), and poor sleep quality (such as sleep apnea). The treatment for these conditions primarily involves identifying th...[Read More] Persistent Fatigue and Visual Disturbances: When to See a Neurologist?
Scalp Tingling and Nausea: Understanding Neurological Symptoms in Tech Workers
Numbness in the scalp at the back of the head accompanied by nausea and a desire to vomit? Hello Doctor: I am a software engineer, so I spend most of my time sitting in front of a computer at the office. Recently, I have been experiencing a tingling sensation on my scalp accompan...
Dr. Jiang Junyi Reply:
Hello, sublingual nitroglycerin can rapidly dilate the heart's blood vessels, but it may also cause vascular headaches, which can be accompanied by symptoms such as nausea, vomiting, photophobia, phonophobia, and pallor. Typically, these symptoms will resolve after the medic...[Read More] Scalp Tingling and Nausea: Understanding Neurological Symptoms in Tech Workers
Understanding Left Occipital Pain: Causes and When to Seek Help
Pain in the left occipital region? Hello Doctor: About two weeks ago, I experienced sudden pain in the back of my head at night for no apparent reason. I went to sleep right after, and it felt better the next day. However, I later noticed that every couple of days, I would have i...
Dr. Jiang Junyi Reply:
Hello, the most common cause of pain in the left posterior part of the head is cervical myofascial pain. Long-term forward head posture can lead to overuse of the trapezius muscle in the neck, resulting in neck and shoulder discomfort. Initially, resting may alleviate the pain, b...[Read More] Understanding Left Occipital Pain: Causes and When to Seek Help
Head Injury from Volleyball: Understanding Symptoms and Recovery
I got hit on the head by a volleyball during gym class? On May 2nd, during physical education class while practicing volleyball at around 1 or 2 PM, I was hit on the right side of my head by someone else's spike. I took a nap in the classroom around 3 PM and woke up at 5 PM ...
Dr. Jiang Junyi Reply:
Hello: For head trauma, if the following conditions or medical history are present, more serious injuries should be considered, such as: – Vomiting two or more times – Drug or alcohol overdose – Persistent severe diffuse headache – Loss of consciousness for more than 30 minutes –...[Read More] Head Injury from Volleyball: Understanding Symptoms and Recovery
Understanding Transient Limb Weakness: Possible Causes and Next Steps
Recently, I have experienced occasional and noticeable weakness in my limbs over the past month? Hello Doctor: For the past month, I have been experiencing intermittent episodes of transient weakness in my limbs. During these episodes, my hands and feet feel light, and I occasion...
Dr. Jiang Junyi Reply:
Hello, your symptoms may suggest hyperventilation. Rapid or deep breathing can lead to excessive expulsion of carbon dioxide, resulting in respiratory alkalosis, which raises blood pH levels and affects the normal electrophysiological processes of the nervous system. Some patient...[Read More] Understanding Transient Limb Weakness: Possible Causes and Next Steps
Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Autonomic nervous system dysfunction Recently, I have been experiencing frequent bloating and a lack of appetite. I have visited the gastroenterologist multiple times, but my condition has not fully improved, and I still feel unwell. My heart rate is somewhat elevated, ranging be...
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 stimulating the body, leading to increased ...[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Solutions
Understanding Autonomic Nervous System Disorders and Their Impact on Health
Autonomic nervous system dysfunction Hello, Doctor! I have been experiencing discomfort in my anus for over six months, with persistent mild pain, itching, and a sensation of something being there. I feel these symptoms constantly, except when I am asleep. I have consulted many p...
Dr. Jiang Junyi Reply:
Hello, the autonomic nervous system is regulated by the sympathetic and parasympathetic nervous systems, one acts as the accelerator and the other as the brake. The sympathetic nervous system is responsible for revving up the body, pushing it into action. In contrast, the parasym...[Read More] Understanding Autonomic Nervous System Disorders and Their Impact on Health
Understanding Recurring Symptoms: Fatigue, Nausea, and Breathing Difficulties
Generalized weakness > Nausea > Dizziness > Difficulty breathing > Rest > Recovery to normal? Hello doctor, yesterday morning when I woke up to go to work, I felt very tired the moment I opened my eyes. I slowly got up and walked to the bathroom, still feeling very...
Dr. Hong Weibin Reply:
Thank you for your inquiry. I recommend that you first seek assistance from a neurologist to check for any organic lesions or autonomic nervous system disorders. If those are ruled out, then consider consulting a psychiatrist to evaluate for possible panic disorder. Wishing you a...[Read More] Understanding Recurring Symptoms: Fatigue, Nausea, and Breathing Difficulties
Unexplained Hand or Foot Tremors: When to Seek Medical Advice
Uncontrollable trembling of the hands or feet? My boyfriend first noticed it when he felt a slight twitch in my hand while I was sitting relaxed on the back of his motorcycle. He asked if I was cold, wondering why I twitched. I said no and didn't realize I was twitching. Rec...
Dr. Jiang Junyi Reply:
Hello: You mentioned that muscle spasms are rapid involuntary muscle contractions, resembling a jolt. While in more severe cases, myoclonus can be a physical condition that affects a person's normal life, physiological myoclonus (such as hiccups, sleep myoclonus, and muscle ...[Read More] Unexplained Hand or Foot Tremors: When to Seek Medical Advice
Understanding Neck and Shoulder Pain: Is It Nerve or Muscle Issues?
Stiffness in the shoulders and neck, numbness in the hands? I often feel tightness and soreness in my shoulders, neck, and upper back. The sides of my head, particularly around the temples, feel tense and swollen. My neck feels stiff, especially in the morning when I wake up and ...
Dr. Jiang Junyi Reply:
Hello, the most common cause of neck pain is cervical myofascial pain. 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 alleviate the pain, but over time it can...[Read More] Understanding Neck and Shoulder Pain: Is It Nerve or Muscle Issues?
Understanding Thumb Tremors: Causes and Concerns for Young Adults
The thumb is experiencing persistent twitching? Hello, I am a 27-year-old female. My right thumb has been twitching for about a month. Initially, the twitching lasted only a few seconds at a time, but now it can continue for three to four hours. Recently, I have also felt the twi...
Dr. Hong Weibin Reply:
Hello: Muscle twitching is often associated with lesions of the lower motor neurons; however, there are many diseases affecting the lower motor neurons, and they are not necessarily related to amyotrophic lateral sclerosis (ALS) or Parkinson's disease. Conditions such as ele...[Read More] Understanding Thumb Tremors: Causes and Concerns for Young Adults
Chronic Leg Pain: Seeking Solutions for Persistent Muscle Tension
Leg problems Hello Doctor, I have been experiencing chronic tightness and pain in the anterior tibialis muscle of my left leg since childhood, particularly around the area of the upper tibia, which prevents me from sleeping. I can only relax enough to sleep after receiving a mass...
Dr. Jiang Junyi Reply:
Hello, based on your description, there are many potential causes for leg tightness, such as muscle inflammation and lumbar nerve compression, which need to be evaluated. It is also important to consider the possibility of restless legs syndrome (RLS), a condition characterized b...[Read More] Chronic Leg Pain: Seeking Solutions for Persistent Muscle Tension
Understanding Dizziness, Palpitations, and Headaches: A Neurological Perspective
Headache, dizziness, and increased heart rate? Hello Doctor, about a year and a half ago, I had a severe cold, after which I began experiencing symptoms of premature ventricular contractions. I underwent an echocardiogram, which showed normal results, but the arrhythmia has persi...
Dr. Jiang Junyi Reply:
Based on your description: You mentioned symptoms of dizziness, which may need to consider a drop in blood pressure or cerebral vasoconstriction leading to reduced cerebral blood flow, resulting in cerebral hypoxia. Syncope is more likely to occur when a person is standing. Many ...[Read More] Understanding Dizziness, Palpitations, and Headaches: A Neurological Perspective
Understanding Sleep Issues: Head Pulsations and Pain While Side Sleeping
excuse me? Doctor, I sleep on my side and often feel my head and heartbeat pulsing, and sometimes I experience sharp pain on the side. What could this situation be? I also sometimes feel a pressure in my head, and I frequently feel sleepy after eating or when I have nothing to do...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider cervical myofascial inflammation. Clinically, it often presents as pain at the affected site, discomfort, muscle stiffness, or a heavy sensation. Symptoms may worsen in the morning upon waking or with changes in we...[Read More] Understanding Sleep Issues: Head Pulsations and Pain While Side Sleeping