Sleep, Neurology FAQ - Page 50

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Understanding Nighttime Headaches: Causes and Solutions

Headache before bedtime? Sometimes I experience severe headaches before going to sleep. Lying down in a specific position helps alleviate the pain, but when I change positions, the pain starts again. What could be the possible issue? Thank you.


Dr. Jiang Junyi Reply:
Hello, based on your description, the cause of your headache may be attributed to 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 all...

[Read More] Understanding Nighttime Headaches: Causes and Solutions


Understanding Facial Numbness: Causes and Next Steps for Relief

Numbness in the left cheek? Hello, Doctor. My question is regarding my left cheek, from the corner of my left eye to the left side of my mouth. I have seen a neurologist and underwent facial nerve stimulation tests, which came back normal. I have taken antihistamines and medicati...


Dr. Lan Shengxing Reply:
Dear Mr. Liu, with the current technology, it is indeed difficult to detect the small branches of nerves in the epidermis. I believe this is more related to your issue. The facial nerve stimulation test can inform us whether there is an obstruction in the circuit between the fift...

[Read More] Understanding Facial Numbness: Causes and Next Steps for Relief


Post-Surgery Sleep Issues: Understanding Recovery After Brain Surgery

Postoperative Sleep Issues After Brain Surgery Hello, my mother fainted due to dizziness on March 1, 2016, and after being examined at the hospital, it was discovered that there was air in her brain. The cause was a fracture in her skull from a previous fall (around the eye and n...


Dr. Gao Chunde Reply:
Certain physical ailments can often lead to disturbances in sleep. Postoperative complications are typically better understood by experienced surgeons. Your father should be a neurosurgeon, so it would be beneficial to consult them for their expertise in this area.

[Read More] Post-Surgery Sleep Issues: Understanding Recovery After Brain Surgery


Why Are Antiepileptic Drugs Prescribed for Insomnia?

Why is it necessary to take anticonvulsants for insomnia? Hello, Dr. Lan. I have insomnia and visited a neurologist who prescribed me 0.5 mg of Clonazepam and 500 mg of Calcium Carbonate. I found out that Clonazepam is an anticonvulsant medication. I had a car accident last Decem...


Dr. Lan Shengxing Reply:
Dear Mr. Tsai, the symptoms you described may be indicative of a parasomnia, specifically a type of sleep disorder known as sleep movement disorder. Mild forms of sleep movement disorder are not epilepsy, but to determine whether your symptoms are related to epilepsy, an EEG (ele...

[Read More] Why Are Antiepileptic Drugs Prescribed for Insomnia?


Understanding Tongue Numbness: Causes and Concerns During Sleep

Numbness of the tongue? Hello Doctor: Recently, when I am about to fall asleep, I experience a tingling sensation at the back of my tongue (it feels somewhat like a mild tremor). Sometimes, I also feel this sensation in my esophagus or chest. This only occurs when I am sleeping; ...


Dr. Gao Chunde Reply:
Currently, it seems that there are no related neurological issues that can be identified. However, some patients with gastroesophageal reflux disease have reported similar descriptions. You may want to assess if there are any gastrointestinal abnormalities, and if necessary, refe...

[Read More] Understanding Tongue Numbness: Causes and Concerns During Sleep


Understanding Dizziness, Palpitations, and Sleep Apnea Symptoms

Dizziness, sleep apnea, palpitations, and difficulty breathing? Hello Doctor, sometimes I experience palpitations throughout the day, accompanied by shortness of breath. Occasionally, I feel inexplicably dizzy, almost fainting. At night, I sometimes wake up feeling suffocated, an...


Dr. Gao Chunde Reply:
The heart should first be evaluated for any related issues, especially arrhythmias or hyperthyroidism, and the physician will likely arrange for relevant tests. As for nasal congestion and snoring, it may be necessary to consult an otolaryngologist to determine if there is any na...

[Read More] Understanding Dizziness, Palpitations, and Sleep Apnea Symptoms


Understanding Post-Concussion Symptoms: When to Seek Further Medical Help

Mild concussion Hello doctor, two years ago I fell off my bicycle and hit my head hard against the concrete. At first, I thought I was fine and didn't pay much attention, but afterwards, I would often wake up at night feeling dizzy. I went to a large hospital for a CT scan, ...


Dr. Lan Shengxing Reply:
Dear Keke, the symptoms you mentioned may not necessarily be unrelated to a concussion. Please go to the hospital for an examination. Best, Lan Shengxing.

[Read More] Understanding Post-Concussion Symptoms: When to Seek Further Medical Help


Post-Head Injury: When to Seek Further Medical Evaluation

Swelling of the head after a head injury? Doctor, I would like to ask about an incident that occurred a few days ago. I experienced a direct impact to the floor while wearing a safety helmet, and after an X-ray at the hospital, it was found that there is a slight fracture in the ...


Dr. Lan Shengxing Reply:
Dear Ms. Tseng, if your skull is truly fractured, it is a serious matter. Please go to the hospital for an examination immediately. Lan Shengxing

[Read More] Post-Head Injury: When to Seek Further Medical Evaluation


Understanding Right-Sided Pain: Causes and Effective Treatments

Significant pain on the right side? Hello, Director: I have recently been experiencing stiffness in my cervical spine, soreness in my right back, chronic pain from my right leg to my pelvis, and both of my calves are very stiff. I need deep tissue massage to be able to sleep, and...


Dr. Lan Shengxing Reply:
Dear Ah Xiang, if this has been affecting your quality of life and sleep for a long time, you may very likely have fibromyalgia. Please consult a neurologist. Best regards, Lan Shengxing.

[Read More] Understanding Right-Sided Pain: Causes and Effective Treatments


Understanding REM Sleep Behavior Disorder: Causes and Symptoms

Rapid Eye Movement Sleep Behavior Disorder (REM Sleep Behavior Disorder) In the past couple of years, I have been waking up from nightmares at irregular times. I have a congenital heart condition, and my cardiologist believes it is due to excessive stress (I was also in a car acc...


Dr. Lan Shengxing Reply:
Dear Anonymous, yes, this aligns with the definition of REM Sleep Behavior Disorder. Please consult a neurologist at a clinic with a sleep laboratory.

[Read More] Understanding REM Sleep Behavior Disorder: Causes and Symptoms


Neck Pain and Unusual Symptoms: When to Seek Specialist Help?

Neck and similar areas? Doctor: Hello, I have been experiencing tightness and discomfort in my upper neck for three months! I have seen a doctor and had an X-ray, and the doctor said there was nothing serious and taught me some health protection methods. However, as I enter the t...


Dr. Lan Shengxing Reply:
Dear Ms. Huang, this issue may need to be consulted with a neurologist or a surgeon to determine if it is related to the original problem with the blue star.

[Read More] Neck Pain and Unusual Symptoms: When to Seek Specialist Help?


Understanding Sleep-Related Numbness: Causes and Solutions

Numbness while sleeping? Hello, doctor. Recently, I often wake up in the middle of the night with numbness on the same side of my body. My head, hand, and foot on the right side feel numb. When I move a bit, it gets better, but I'm not sure what's going on. Thank you, D...


Dr. Gao Chunde Reply:
Generally, poor peripheral blood circulation affects at most one limb, either a hand or a foot, especially if there is compression. If both the head and the same side limb are involved, it indicates a problem above the cervical spine, particularly in the brain. It is advisable to...

[Read More] Understanding Sleep-Related Numbness: Causes and Solutions


Managing Epilepsy in Teens: When to Consider Medication and Triggers

A child experiencing a seizure in the first year of high school? Hello, Doctor. My child had their first seizure in the third year of junior high school, characterized by stiffening of the limbs, upward eye movement, and loss of consciousness for about 1-2 minutes (this occurred ...


Dr. Gao Chunde Reply:
It is really difficult to convince oneself and the patient to take medication daily for an event that occurs only once a year. However, if there are indeed structural lesions in the brain, then treatment and medication are necessary. If not, regular follow-up visits are required,...

[Read More] Managing Epilepsy in Teens: When to Consider Medication and Triggers


Understanding Severe Headaches, Dizziness, and Breathing Difficulties

Headache, dizziness, palpitations, and shortness of breath? Two weeks ago in the evening, I suddenly experienced a severe headache and difficulty breathing, prompting me to rush to the emergency room. I told the doctor that my head was pounding, I had tinnitus, and most important...


Dr. Gao Chunde Reply:
In general, a neurologist will conduct a detailed assessment based on your headache and related symptoms. If there is a consideration for a specific type of headache, they will explain it to you. If not, it indicates that they believe they can manage your treatment effectively, a...

[Read More] Understanding Severe Headaches, Dizziness, and Breathing Difficulties


Why Am I Prescribed Antiepileptic Drugs Without Having Epilepsy?

Why take epilepsy medication if there is no epilepsy? Hello Dr. Huang, I recently discovered that the medication I have been taking is for epilepsy. I initially visited a clinic due to dizziness, vomiting, and insomnia. Despite visiting other clinics, I continued to experience di...


Dr. Huang Yingzhe Reply:
Dizziness may be treated with anticonvulsants in certain specific situations. Some older medications for insomnia can also be used for epilepsy, but the two medications you mentioned are not among them! It is advisable to discuss with the prescribing physician to determine whethe...

[Read More] Why Am I Prescribed Antiepileptic Drugs Without Having Epilepsy?


Chronic Back Pain: Understanding Causes and Seeking Effective Treatment

Back pain Hello Doctor, I would like to ask about my mother's long-term back pain. She experiences pain every day, and sometimes it is so severe that she cannot get out of bed; climbing stairs is also very difficult for her. We have tried electrotherapy rehabilitation, but t...


Dr. Jiang Junyi Reply:
Hello, based on your description, your symptoms may be related to lumbar degeneration. You are experiencing dull pain in the lower back, difficulty turning over or getting out of bed, and temporary improvement after walking for a while, with less impact during daytime activities....

[Read More] Chronic Back Pain: Understanding Causes and Seeking Effective Treatment


Understanding Tongue Numbness and Dizziness After Lying Down

Experiencing tongue numbness while lying down? Hello, doctor. After exercising and taking a shower, I often experience dizziness. Recently, when I lie down to sleep, it feels like blood is rushing to my head. I also feel a tightness in my chest, and my nose feels heavy and conges...


Dr. Gao Chunde Reply:
Regarding dizziness and blood flow to the brain, it may be helpful to check blood pressure first. Issues with the nose and tongue, as well as sleep problems, can be evaluated by an otolaryngologist to determine if there are any related issues, particularly with nasopharyngeal all...

[Read More] Understanding Tongue Numbness and Dizziness After Lying Down


Understanding Sleep Medications: Concerns About Seizures and Side Effects

I often have racing thoughts before bed, making it difficult for me to fall asleep? Doctor, I often find myself thinking about various things at night when I try to sleep. I visited a clinic, and the doctor prescribed medication for me, which I've been taking for about three...


Dr. Gao Chunde Reply:
Antiepileptic drugs can be used to treat various non-epileptic conditions, such as involuntary movements, neuropathic pain, migraines, and certain types of anxiety or panic disorders. As for Sinopril, I personally do not have knowledge in that area, and I couldn't find any i...

[Read More] Understanding Sleep Medications: Concerns About Seizures and Side Effects


Understanding Persistent Dizziness: When to Seek Neurological Help

What is the problem? Hello, Doctor Gao. I have been experiencing dizziness for almost a month now. The symptom is that my forehead feels very hot, as if I have a fever, even when I sleep. However, I do not have a fever. I feel lethargic every day. My blood pressure is normal, and...


Dr. Gao Chunde Reply:
Sometimes, insufficient sleep or chronic stress and fatigue can lead to muscle tension in the head and neck, resulting in similar symptoms. However, when seeking medical attention, the physician will conduct a thorough evaluation to determine if there are other causes unrelated t...

[Read More] Understanding Persistent Dizziness: When to Seek Neurological Help


Understanding Morning Headaches: Causes and Solutions for Relief

Headache issues? Hello, Doctor. Since the end of 2014, I have been experiencing headaches that usually start in the morning upon waking or wake me up in the morning. The headaches are accompanied by nausea, and after vomiting, I feel somewhat better. The headaches can last for 3 ...


Dr. Gao Chunde Reply:
Common headaches typically do not wake a person from sleep. If you experience headaches that do wake you up in the middle of the night, it is advisable to see a doctor promptly. Headaches that begin in the early morning, are accompanied by vomiting, and cause a feeling of pressur...

[Read More] Understanding Morning Headaches: Causes and Solutions for Relief


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