Understanding Inner Ear Issues: Dizziness, Imbalance, and Tinnitus Explained
Inner ear issues One night, I woke up suddenly in the middle of my sleep and opened my eyes to a spinning sensation that lasted for a few minutes. Since that incident, I have felt different throughout the day, experiencing a constant sense of floating, regardless of whether I am ...
Dr. Hong Weibin Reply:
Hello, thank you for your inquiry. Your description of symptoms is very detailed. Dizziness can generally be classified into peripheral dizziness (caused by issues in the inner ear or the eighth cranial nerve) and central dizziness (caused by problems in the brainstem or cerebell...[Read More] Understanding Inner Ear Issues: Dizziness, Imbalance, and Tinnitus Explained
Understanding Excessive Daytime Sleepiness: Is It Narcolepsy?
The trouble of frequently dozing off? Since elementary school, I have often dozed off during classes. This symptom was noticed by my aunt when I was in the ninth grade, and I underwent a medical examination, but no specific cause was found. However, even in college, I continued t...
Dr. Gao Chunde Reply:
The symptoms are quite consistent with narcolepsy. You can visit a large hospital's sleep medicine department or a neurology department that specializes in sleep disorders for evaluation and to arrange further sleep studies for confirmation.[Read More] Understanding Excessive Daytime Sleepiness: Is It Narcolepsy?
Understanding Subtle Dizziness: Neurological Insights and Symptoms
To feel faint or not to feel faint? This condition has persisted for a week. There's no significant dizziness, but it feels somewhat like heat exhaustion. However, I am still able to move around, just not as energetically as usual. If I don't mention it, others wouldn&#...
Dr. Gao Chunde Reply:
It could be due to fatigue or lack of sleep, or it might be a mild cold. Generally, these conditions will gradually improve with rest. If the symptoms persist or worsen, it is advisable to visit a family medicine or general internal medicine clinic for further evaluation, particu...[Read More] Understanding Subtle Dizziness: Neurological Insights and Symptoms
Should You Worry About Mild Hand Tremors? When to Seek Medical Advice
Mild tremors; I'm unsure whether I should seek medical evaluation? Hello, Dr. Gao. I have noticed that I have a tremor in my hands since my junior year in college, but it hasn't been severe. I can still perform some fine dissection experiments as long as I rest my wrist...
Dr. Gao Chunde Reply:
If the symptoms have not progressively worsened over the years or been accompanied by new neurological symptoms, many people with primary tremors can live peacefully with it for a lifetime without needing examinations or medication. However, if there are changes as I described ea...[Read More] Should You Worry About Mild Hand Tremors? When to Seek Medical Advice
Understanding Sensory Disorders: Causes, Symptoms, and When to Seek Help
Sensory processing disorder? Hello, Doctor: I am experiencing sensory disturbances, primarily affecting pain perception, touch, and internal bodily sensations (which are somewhat difficult to describe, such as the feeling in my abdomen during constipation, eye strain from prolong...
Dr. Lan Shengxing Reply:
Hello, the neurology and psychosomatic medicine clinics should be able to address these types of issues.[Read More] Understanding Sensory Disorders: Causes, Symptoms, and When to Seek Help
Understanding Numbness and Weakness in the Left Calf: Causes and Solutions
I've been feeling something unusual in the front of my lower leg for a while now? 1. The symptoms are located in the left calf. When applying the same pressure to other areas of the skin compared to the affected area, the affected area feels significantly more numb. The sens...
Dr. Lan Shengxing Reply:
Hello, it is difficult to diagnose sensory nerve issues online. Please visit a neurology clinic for an in-person evaluation.[Read More] Understanding Numbness and Weakness in the Left Calf: Causes and Solutions
Understanding Lower Back Discomfort During Sleep: When to Seek Help
Experiencing a tingling or aching sensation in the lower back while sleeping? Hello Doctor: I used to have a habit of weight training, but I don't recall any injuries. About three months ago, I started waking up with lower back discomfort every night while sleeping, and I ha...
Dr. Lan Shengxing Reply:
Hello, this symptom can be addressed by either neurology or surgery, and you may also consult the rheumatology and immunology department.[Read More] Understanding Lower Back Discomfort During Sleep: When to Seek Help
Morning Hand Stiffness: When to See a Neurologist?
Stiffness in the right hand after waking up? Hello Dr. Lan, I am currently working as a bakery apprentice, and I have been on the job for a month and a half. Recently, for about the past week, I have been experiencing stiffness and numbness in my right palm upon waking up. If I m...
Dr. Lan Shengxing Reply:
Hello, if you frequently need to knead dough, you should consider whether you have carpal tunnel syndrome. Please consult a neurologist.[Read More] Morning Hand Stiffness: When to See a Neurologist?
Understanding Benign Fasciculation Syndrome: Causes and Treatment Options
Benign fasciculation syndrome (BFS) is a neurological condition characterized by the presence of involuntary muscle twitches, known as fasciculations, without any associated muscle weakness or atrophy. These twitches can occur in various muscle groups and are often benign, meanin...
Dr. Lan Shengxing Reply:
The term "benign" indicates that the condition is unlikely to involve any serious or difficult-to-treat diseases, and there is no need for excessive worry. Clonazepam has few side effects, with daytime drowsiness being the most commonly reported complaint.[Read More] Understanding Benign Fasciculation Syndrome: Causes and Treatment Options
Head Injury, Insomnia, and Numbness: Understanding Neurological Symptoms
Head trauma + insomnia + numbness? Hello Doctor, last Thursday, September 1st, I accidentally bumped into a wooden cabinet at home (the cabinet is 137 cm tall and I am 177 cm tall). At the moment, I felt a little pain, but I was fully conscious. There was some redness and mild sw...
Dr. Hong Weibin Reply:
Hello: Based on your symptom description, it can be classified as post-concussive syndrome. Symptoms may persist for several weeks and will eventually resolve on their own. If you are still very concerned, you can visit a neurologist for an evaluation. The neurologist will likely...[Read More] Head Injury, Insomnia, and Numbness: Understanding Neurological Symptoms
Understanding Headaches, Dizziness, and Vision Issues: When to Seek Help
Headache accompanied by dizziness and difficulty focusing vision? Doctor, I would like to ask about my condition. A few months ago, I experienced severe headaches for the first time, and I had difficulty focusing my vision while using the computer screen. After taking painkillers...
Dr. Gao Chunde Reply:
The symptoms resemble those of a visual aura migraine. The subsequent symptoms are less specific and may not necessarily indicate a problem. For the headache component, it would be advisable to consult a neurologist.[Read More] Understanding Headaches, Dizziness, and Vision Issues: When to Seek Help
Understanding Benign Fasciculation Syndrome: Causes and Treatment Options
Involuntary twitching of the eyelids and body muscles? In early July, my left upper eyelid suddenly started to twitch involuntarily. At first, I thought it was due to eye fatigue and didn't pay much attention to it. However, the frequency of the twitches increased, and I beg...
Dr. Gao Chunde Reply:
The reasons are as you described: tension and stress, sometimes due to lack of sleep. The examination will not show any abnormalities; it is the nerves that are more excitable due to the aforementioned conditions. Your medication can help improve this. Additionally, maintaining a...[Read More] Understanding Benign Fasciculation Syndrome: Causes and Treatment Options
Managing Neck and Throat Discomfort: Tips for Relief and Exercises
Including above the throat and neck? In the past, while sleeping, I unknowingly ended up lying on my back, and when I woke up in the morning, my jaw was misaligned, causing one side to protrude. When I pressed on it and swallowed repeatedly, it went back into place, but I felt ti...
Dr. Gao Chunde Reply:
Symptoms are more related to nervous tension and tightness in the shoulder and neck muscles. It is advisable to spend more time outdoors and avoid prolonged staring at computers or electronic devices. Taking a break every half hour to move your eyes, neck, and stretch is recommen...[Read More] Managing Neck and Throat Discomfort: Tips for Relief and Exercises
Understanding Chronic Headaches: Causes, Treatments, and Nerve Compression
Acute chronic headache I have had issues with headaches and dizziness since childhood, starting from the back of my neck and skull. When the pain intensifies, I am unable to do anything. However, after undergoing spinal manipulation at a chiropractic clinic, the headaches and diz...
Dr. Gao Chunde Reply:
Your symptoms are indicative of neuropathic pain, but it is necessary for a neurologist to determine which specific nerve is involved. It could be the lesser occipital nerve emerging from the cervical spine or the trigeminal nerve originating from the brainstem. Additionally, neu...[Read More] Understanding Chronic Headaches: Causes, Treatments, and Nerve Compression
Chronic Fatigue and Brain Fog: Seeking Answers for Persistent Symptoms
Excessive sleepiness and mental fatigue? Hello Doctor... The patient's condition is as follows: They do not experience insomnia at night, fall asleep normally, sleep for 8 hours, but still wake up feeling very fatigued, with slight headaches and persistent brain fog througho...
Dr. Gao Chunde Reply:
It would be advisable to have a neurologist reassess whether the issue is related to intracranial pressure. If none of the neurologists can provide a reasonable explanation, chronic fatigue syndrome could be considered, which seems to be an area of expertise for family medicine p...[Read More] Chronic Fatigue and Brain Fog: Seeking Answers for Persistent Symptoms
Loss of Sensation in Skin: Possible Causes and Solutions
The surface of the skin seems to have lost its tactile sensation? Hello Doctor, I was hospitalized for a week due to gastrointestinal issues and received intravenous fluids and antibiotics. It has been two weeks since my discharge. However, since then, I have noticed that the ski...
Dr. Gao Chunde Reply:
It is likely a case of nerve compression; however, since there is no muscle weakness, it may be caused by a sensory branch of the axillary nerve. Avoiding further compression should lead to gradual recovery. Of course, it could also be a case of mononeuritis. If symptoms occur wi...[Read More] Loss of Sensation in Skin: Possible Causes and Solutions
Understanding Neurological Issues: Sleep Disorders and Medication Concerns
Brain issues Dear Doctor Gao, I have been taking the following medications for about four years due to insomnia, as recommended by a friend who suggested I see a neurologist at a clinic: 1. B-complex capsules (Mecobalamin) 0.5 mg 2. "Yuli Shupan" tablets 0.25 mg afte...
Dr. Gao Chunde Reply:
If you experience symptoms such as insomnia or feelings of tension and pressure after discontinuing medication, you should have a reassessment with your physician. Medications that are necessary should be continued, while those that are not needed may be considered for discontinu...[Read More] Understanding Neurological Issues: Sleep Disorders and Medication Concerns
Understanding Chronic Neck Pain: Seeking Solutions for Persistent Discomfort
This issue is really troubling me? I would like to ask the doctor for some guidance. For the past year or two, I have been experiencing a sensation of heaviness and dizziness in the back of my head and neck. I used to spend a lot of time on the computer, and I wondered if I had a...
Dr. Gao Chunde Reply:
If the neurological examination shows no significant issues, you may consider a rehabilitation assessment to evaluate your shoulder and neck muscle condition and receive recommendations for some lifestyle maintenance strategies. Additionally, it is important to consider stress ma...[Read More] Understanding Chronic Neck Pain: Seeking Solutions for Persistent Discomfort
Could Muscle Pain and Weakness Indicate Parkinson's Disease?
Prolonged muscle soreness and weakness in the limbs could be symptoms of Parkinson's disease? Hello, Doctor Gao! I am 40 years old. Three months ago, after going out, I returned home feeling extremely fatigued. Since then, my condition has fluctuated, with a decline in physi...
Dr. Gao Chunde Reply:
It is recommended to visit a neurology clinic for further evaluation to determine if there is a motor neuron disease or other movement disorder issues. Parkinson's disease is also a possible cause, but a face-to-face neurological examination by a physician is necessary to id...[Read More] Could Muscle Pain and Weakness Indicate Parkinson's Disease?
Understanding Numbness and Breathing Difficulties: When to Seek Help
Numbness in the limbs and difficulty breathing? I often experience shortness of breath whenever I sit for long periods. Occasionally, I have episodes of shortness of breath accompanied by numbness in my limbs, which makes it difficult for me to sleep at night. Recently, I have al...
Dr. Lan Shengxing Reply:
Hello, you can first visit the neurology or psychosomatic medicine outpatient clinic for an examination to determine whether the issue is related to physical or psychological factors.[Read More] Understanding Numbness and Breathing Difficulties: When to Seek Help