Sleep, Neurology FAQ - Page 5

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Understanding Dizziness and Concentration Issues: Possible Causes and Treatments

Dizziness / tightness in the back of the head / difficulty concentrating? Hello Doctor, since mid-2021, I have been experiencing intermittent tightness and numbness in the back of my head, along with dizziness (similar to motion sickness), accompanied by difficulty concentrating ...


Dr. Cai Zongzhang Reply:
Hello Ms. Chen: Based on the above, after a thorough examination, including an MRI, it has been confirmed that there are no organ abnormalities. It is recommended to improve sleep quality and engage in moderate exercise, in conjunction with medication treatment.

[Read More] Understanding Dizziness and Concentration Issues: Possible Causes and Treatments


Understanding Your Carotid Ultrasound and MRI Results: A Guide for Patients

CT Report Hello Doctor, I have diabetes and have been experiencing frequent headaches lately, which makes me worry about a stroke. I had a neck ultrasound and a brain MRI done in June, and I would like your assistance in understanding any important points to note. Thank you. Car...


Dr. Cai Zongzhang Reply:
Hello, Xiaoping: Both the carotid ultrasound and MRI show no abnormalities, indicating that there are no serious pains in the organs. It is recommended to improve sleep, increase physical activity, and enhance the control of blood sugar and lipids to alleviate symptoms.

[Read More] Understanding Your Carotid Ultrasound and MRI Results: A Guide for Patients


Understanding Persistent Head Pain: Causes and Treatment Options

I've been experiencing a persistent feeling of pressure and dull pain in my head lately? Hello Doctor, my situation is as follows: Recently, I have been experiencing pain on the left side of my head, specifically the top and the back left side, which started in early Decembe...


Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned "gastroesophageal reflux... I almost always sleep with my head elevated on my side (using a pillow and a body pillow to alleviate discomfort), and I wonder if my sleeping position is causing headaches." Elevating the head can indeed lead to ov...

[Read More] Understanding Persistent Head Pain: Causes and Treatment Options


Managing Nerve Pain and Swelling in Elderly Patients After Spine Surgery

Tightness in the thigh muscles, numbness, and mild edema in the legs? My mother, who is 88 years old, participated in a volunteer trip on November 14, where she walked too much, resulting in foot pain and nerve compression that prevented her from sleeping and standing. During thi...


Dr. Jiang Junyi Reply:
Dear Ms. Amy, You mentioned that your mother is experiencing numbness in her feet, along with a sensation that the tendons in her right foot seem to be pulling up towards her buttocks. This may indicate compression of the lumbar nerve roots. Post-surgery, it is common to encount...

[Read More] Managing Nerve Pain and Swelling in Elderly Patients After Spine Surgery


Overcoming Insomnia: Tips for Managing Sleep Disruptions from Trigeminal Neuralgia

Insomnia and difficulty falling asleep? Doctor, I experienced severe pain from trigeminal neuralgia that kept me awake until around 4 AM one day. Since then, I haven't had a recurrence while awake, but I still suffer from insomnia. When I lie down, my mind races with thought...


Dr. Cai Zongzhang Reply:
Hello Wei-Feng: It is recommended to discuss with a physician who specializes in treating trigeminal neuralgia, as both issues can be addressed simultaneously.

[Read More] Overcoming Insomnia: Tips for Managing Sleep Disruptions from Trigeminal Neuralgia


Understanding Persistent Dizziness: Possible Causes and Treatment Options

Persistent dizziness and vertigo? Hello Doctor, I discovered over a year ago that I have poor hearing in my left ear, along with unilateral tinnitus, a feeling of fullness in the ear, and headaches. I began visiting an otolaryngologist for examinations, during which I underwent A...


Dr. Peng Shiwei Reply:
You should seek medical treatment at a neurology outpatient clinic for your symptoms. Thank you.

[Read More] Understanding Persistent Dizziness: Possible Causes and Treatment Options


Understanding Anxiety in Elderly Patients with Constipation: Causes and Solutions

Elderly individuals experience high anxiety regarding "not having a regular daily bowel movement." My father is 82 years old and has been experiencing significant anxiety about bowel movements for the past year. If he does not have a bowel movement early in the morning,...


Dr. Jiang Junyi Reply:
Dear Ms. Zoe, You mentioned, "What could be the possible causes of anxiety related to 'constipation' (pseudoconstipation)? Is it related to dementia? How can family members assist? Which specialty should we consult?" Anxiety can activate the sympathetic nervo...

[Read More] Understanding Anxiety in Elderly Patients with Constipation: Causes and Solutions


Understanding Foot Numbness: Causes and Solutions for Walking Discomfort

The tingling sensation in the soles of the feet becomes more pronounced the longer I walk? Occasionally, there is numbness in the soles of my feet, especially after walking for more than 20 minutes, where the numbness becomes more pronounced and can extend to halfway up my calves...


Dr. Jiang Junyi Reply:
Dear Miss Lin, You mentioned that "the numbness in the soles of your feet becomes more pronounced, and it extends to half of your calves, improving only after resting for a while, but there is still a slight numbness in your feet." Your symptoms may suggest possible sc...

[Read More] Understanding Foot Numbness: Causes and Solutions for Walking Discomfort


Understanding Involuntary Muscle Twitches: Causes and Solutions

Involuntary muscle twitching? Hello doctor, I am currently 26 years old. In the past few months, I have been experiencing shoulder and neck twitching just as I am about to fall asleep at night. This often causes me to wake up suddenly, and it happens multiple times throughout the...


Dr. Wu Mukhan Reply:
Hello, your description may be indicative of myoclonus, which can occur in some individuals upon falling asleep and is usually a normal physiological phenomenon. However, if the frequency of these episodes is high and affects your sleep or daily life, it is advisable to consult a...

[Read More] Understanding Involuntary Muscle Twitches: Causes and Solutions


Understanding Dizziness: Causes, Triggers, and Relief Strategies

Dizziness caused by high blood pressure or multiple factors? Process Review: Last Monday: I sought medical attention for a hand strain caused by exercise, which severely disrupted my sleep at night. The physician prescribed pain relief medication sulindac (200 mg) and muscle rela...


Dr. Jiang Junyi Reply:
Dear Ms. Li, You mentioned, "prescribing the pain reliever sulindac (200 mg) and the muscle relaxant phenprobamate (400 mg)... the episodes often occur during times of stress and fatigue." The dizziness you are experiencing may be related to your menstrual cycle, which...

[Read More] Understanding Dizziness: Causes, Triggers, and Relief Strategies


Understanding Neurological Changes After Influenza: Anxiety and Brain Health

Brain issues Hello, I would like to ask a question. Five years ago during the winter break, I contracted influenza A and had a high fever. After seeing a doctor, I felt somewhat better, but since that illness, I have felt strange. Sometimes I wake up very excited and chatty in th...


Dr. Jiang Junyi Reply:
Hello Mr. Jason: You mentioned, "I laugh when I laugh and get angry when I get angry," and you also asked if head injuries always lead to dizziness and vomiting. You previously had an MRI, and the doctor said everything was fine. You are concerned whether you might have...

[Read More] Understanding Neurological Changes After Influenza: Anxiety and Brain Health


Understanding Dizziness After Head Injury: When to Seek Further Evaluation

Slipping in the bathroom, head injury? Hello Doctor, I accidentally slipped and hit my head (upper right side of the occipital region) in the bathroom on November 28, 2023. I went to the emergency room and received six stitches. However, starting on December 6, 2023, I began to...


Dr. Jiang Junyi Reply:
Hello Mr. A-Lung, You mentioned, "On 2023/12/12, I have been feeling slightly dizzy all day. I wonder if it could be a concussion or a brain hemorrhage?" Generally speaking, if there is no loss of consciousness, no anticoagulant use, or significant local hematoma, head...

[Read More] Understanding Dizziness After Head Injury: When to Seek Further Evaluation


Understanding Vibratory Sensations and Balance Issues: A Neurology Perspective

Head movement with a sensation of tremors in the legs? Hello doctor, my symptoms are as follows: Since November of last year, I have felt tremors while sitting. When I brush my teeth or wash my hair (sitting on a small stool facing down) or while doing dishes, I feel my calves vi...


Dr. Peng Shiwei Reply:
It is recommended that you visit a neurology outpatient clinic for evaluation and treatment by a specialist to determine if further examinations are necessary. Thank you.

[Read More] Understanding Vibratory Sensations and Balance Issues: A Neurology Perspective


Understanding Persistent Headaches and Dizziness: Possible Causes and Solutions

Persistent headaches and dizziness for over a month? Hello, doctor. I would like to ask about my condition. I have been experiencing headaches for a month now, with daily pain that feels tight and pressure-like. Recently, I've noticed a pulsating sensation in my temples and ...


Dr. Cai Zongzhang Reply:
Hello Eric: There are various causes of headaches, and not all of them can be identified through a CT scan. If the headache does not improve, it is recommended to continue follow-up treatment in a neurology outpatient clinic.

[Read More] Understanding Persistent Headaches and Dizziness: Possible Causes and Solutions


Understanding Nerve Sensations and Blood Flow Issues During Movement

Inquiry about issues related to blood flow in the brain during turning over, along with numbness in the hands, feet, shoulders, neck, and back? Hello Doctor: From November 27 to 29, I often felt tingling in my fingers, palms, and soles, mostly very mild and almost unnoticeable, w...


Dr. Cai Zongzhang Reply:
Good morning: Based on the symptoms mentioned, the cause cannot be determined. It is recommended to visit a neurology outpatient clinic.

[Read More] Understanding Nerve Sensations and Blood Flow Issues During Movement


Understanding Persistent Headaches: Causes and Concerns After One Month

Headache persisting for over a month? Hello, doctor. I have been experiencing headaches for over a month now. My head feels uncomfortable every day, sometimes I feel dizzy and at other times I experience pain. There is a tight sensation on both sides of my temples, which radiates...


Dr. Jiang Junyi Reply:
Hello Mr. Eric, You mentioned that you feel a tight sensation on both sides of your temples and that your mind is not clear. Your symptoms are more indicative of tension-type headache. Tension-type headaches are caused by muscle tightness in the head. Common manifestations inclu...

[Read More] Understanding Persistent Headaches: Causes and Concerns After One Month


Understanding Persistent Dizziness: Causes and Next Steps for Relief

Feeling dizzy all day? Hello Doctor, I have been experiencing dizziness since early May (not a spinning sensation, just feeling lightheaded all day). Initially, I had symptoms of heat and dizziness, thinking it was heatstroke; I also had two episodes of gout at that time, but it ...


Dr. Jiang Junyi Reply:
Hello, Sir: You mentioned, "1. Is it okay if the C-reactive protein is normal? 2. Is it possible that the feeling of pressure and dizziness in the head is actually a headache rather than vertigo? 3. I'm unsure what else I should get checked." How has the medication...

[Read More] Understanding Persistent Dizziness: Causes and Next Steps for Relief


Understanding Numbness and Blood Flow Issues in Neck and Limbs

Numbness in the hands, feet, back, and neck, as well as concerns related to blood flow during turning? Hello Doctor: From November 27 to 29, I often felt tingling in my fingers, palms, and soles, mostly very mild and barely noticeable, without affecting my activities. Additionall...


Dr. Jiang Junyi Reply:
Good morning, Miss. You mentioned experiencing "numbness and tingling, particularly in the shoulders and back, which is quite pronounced and frequent... and feeling a significant rush of blood to the head when turning over." This may warrant consideration of dynamic cha...

[Read More] Understanding Numbness and Blood Flow Issues in Neck and Limbs


Head Injury from Rolling Door: Symptoms and Next Steps

Hit the top of the head against a rolling metal door? Hello, doctor. Yesterday, I accidentally bumped into a rolling shutter door that was just about to rise while I was bending down. At the moment of impact, I felt nauseous once and experienced a temporary loss of vision twice. ...


Dr. Jiang Junyi Reply:
Hello, Miss: You mentioned that "I can't really turn my head, and washing my hair while bending over causes severe pain. The right side also hurts a lot while sleeping, but it feels a bit better after waking up." Your symptoms may suggest inflammation of the cervic...

[Read More] Head Injury from Rolling Door: Symptoms and Next Steps


Understanding Head Pain and Body Tremors: When to Seek Neurological Help

Body shaking and headache? Hello, doctor! Sometimes I suddenly feel a pressure in my head (on both sides of my temples) accompanied by a headache, and my body also shakes! Sometimes even when I am still, my body shakes. Additionally, I have some difficulty breathing! What kind of...


Dr. Jiang Junyi Reply:
Hello Mr. Dzz: You mentioned that you are experiencing "pressure on both temples" accompanied by headaches and body shaking. Your symptoms may suggest tension-type headaches, which are caused by muscle tightness in the head. Common manifestations include tight, constric...

[Read More] Understanding Head Pain and Body Tremors: When to Seek Neurological Help


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