Sleep, Neurology FAQ - Page 9

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Understanding Thumb Tremors: Causes and Concerns After Napping

The right thumb is bent and trembling? This afternoon, I slept on my desk for about 40 minutes, and later in the evening, my right thumb started to tremble when I bent it (but I don't feel weak, and I can use it normally). The trembling is quite noticeable. Additionally, whe...


Dr. Wu Mukhan Reply:
Your symptoms may be due to compression of the peripheral motor nerves while sleeping on your stomach, leading to weakness and abnormal movements. It is advisable to avoid this sleeping position. Typically, rest, heat therapy, and massage can help alleviate the symptoms. If there...

[Read More] Understanding Thumb Tremors: Causes and Concerns After Napping


Understanding Spinal Issues: Neurological Pain and Diagnosis

Spinal issues Due to pain in the lumbar spine, nerve conduction studies and electromyography were performed during military service medical examination. Attached are the relevant reports and X-rays. I would like to inquire whether there is a nerve issue, as the pain is severe eno...


Dr. Jiang Junyi Reply:
Dear Mr. W: (As the attached file is no longer readable.) You mentioned experiencing pain so severe that you cannot stand or sleep, and that it extends to your toes. This may indicate symptoms of nerve compression due to a herniated disc or peripheral nerve compression. 1. The...

[Read More] Understanding Spinal Issues: Neurological Pain and Diagnosis


Addressing Soft Palate Dysfunction After Stroke: Seeking Solutions

My dad's soft palate is not moving? Hello, Doctor. My father suffered a stroke affecting the left and right corona radiata, which has resulted in very unclear speech, significant nasal voice, excessive drooling, inability to elevate his tongue, and weakness in elevating the ...


Dr. Peng Shiwei Reply:
Hello, from a neurology perspective, both limb weakness and soft palate weakness can be caused by a stroke. Therefore, it is recommended to focus on rehabilitation. I am not sure if your father is undergoing speech therapy. Generally, the first 3 to 6 months after a stroke is con...

[Read More] Addressing Soft Palate Dysfunction After Stroke: Seeking Solutions


Understanding Leg Neuropathic Pain: Causes and Management Strategies

Leg neuropathy, polyneuropathy? Hello Doctor, I have consulted multiple physicians (in rehabilitation, orthopedics, neurosurgery, and neurology), but I still cannot identify the problem... I am 32 years old and work as a software engineer. My symptoms seem quite variable, and I h...


Dr. Jiang Junyi Reply:
Hello Mr. Zac, You mentioned that "when walking, the outer side of my left ankle feels like it's being electrified, and after this pain sensation appeared, my outer calf and the sole of my foot began to feel numb and tingly (which may indicate nerve damage)." This...

[Read More] Understanding Leg Neuropathic Pain: Causes and Management Strategies


Understanding Unexplained Dry Heaving: Possible Neurological Causes

Frequent unexplained dry heaving? Hello Doctor, I am currently 21 years old and a university student. For the past three years, I have occasionally experienced dry heaving and nausea. Initially, I suspected that it might be due to eye strain from prolonged use of my phone or comp...


Dr. Jiang Junyi Reply:
Hello Mr. Kevin, You mentioned experiencing symptoms of bright vision and dry heaving occurring simultaneously, which typically requires a day of rest and sleep for the symptoms to resolve the next day. I wonder if you are also experiencing headaches? It may be worth considering...

[Read More] Understanding Unexplained Dry Heaving: Possible Neurological Causes


Understanding Right Side Abdominal and Back Nerve Sensations: Causes and Next Steps

Electric, numb, swollen, and prickling sensations appeared in the right side of the abdomen and right side of the back? Hello Doctor, two years ago I started experiencing electric, numb, bloated, and prickling sensations in the right side of my abdomen and right side of my back. ...


Dr. Jiang Junyi Reply:
Hello Ms. Ju, You mentioned that you are experiencing electric, numb, swollen, and prickling sensations in your right abdomen and right back. Your symptoms may suggest an abnormality in the lumbar nerve roots. A common cause is nerve root compression, but a minority of cases may...

[Read More] Understanding Right Side Abdominal and Back Nerve Sensations: Causes and Next Steps


Understanding Widespread Tingling: Possible Causes and Concerns

Generalized numbness and tingling? Hello, Doctor. I am Aisha, who asked a question three days ago. The tingling sensation in my right palm spread to my upper arm the next day, and now I also have tingling in my left palm, arms, both legs, inner thighs, as well as my back and neck...


Dr. Peng Shiwei Reply:
Hello, numbness and tingling may be related to peripheral nerve or spinal cord issues, while the likelihood of brain-related problems is lower. During the waiting period for the report, please monitor for any increasing weakness in the limbs, as well as any "head" sympt...

[Read More] Understanding Widespread Tingling: Possible Causes and Concerns


Understanding Right Hand Pain: Is It Shingles or Something Else?

Numbness and tingling in the right palm? Hello doctor, three weeks ago I was diagnosed with shingles on the left side of my ear. After the skin symptoms healed, I have been taking B vitamins to alleviate the nerve pain. Aside from occasional sharp nerve pain in my left cheek, las...


Dr. Peng Shiwei Reply:
Hello, based on your symptoms, it is unlikely that the area is affected by shingles. The most probable neuropathy in that region is carpal tunnel syndrome. You may try to reduce wrist movements and wear a wrist brace to alleviate the symptoms. You can continue taking B vitamins. ...

[Read More] Understanding Right Hand Pain: Is It Shingles or Something Else?


Can Daytime Sleepiness and Nighttime Delirium Improve in Parkinson's Patients?

Can daytime sleepiness and nighttime delirium in a patient with stage II Parkinson's disease be improved? Three months ago, my mother was diagnosed with stage II Parkinson's disease (due to multiple small strokes). Currently, she requires a walker for mobility and moves...


Dr. Peng Shiwei Reply:
Hello, I believe your mother's delirium symptoms are not related to the chronic course of Parkinson's disease, but are more likely associated with her previous infection and hospitalization. Generally, this type of acute delirium tends to improve gradually over time, an...

[Read More] Can Daytime Sleepiness and Nighttime Delirium Improve in Parkinson's Patients?


Could Weakness and Pain in Your Legs Signal ALS Symptoms?

Weakness and pain in the legs could be a precursor to amyotrophic lateral sclerosis (ALS)? In 2021, I was diagnosed with possible sciatica (only through X-rays). After continuous rehabilitation, I improved for a while, but occasionally my lower back would still feel sore, allowin...


Dr. Jiang Junyi Reply:
Dear Miss Xiao: You mentioned that "when walking, if the feeling underfoot is not right, there will be a sudden pain, and then the legs feel weak and powerless." These are not symptoms of amyotrophic lateral sclerosis (ALS). The ALS you are concerned about primarily re...

[Read More] Could Weakness and Pain in Your Legs Signal ALS Symptoms?


Understanding Unexplained Body Tremors: A Neurological Perspective

Involuntary body shaking? Hello doctor, about a week ago while I was at work, I suddenly started feeling dizzy and unsteady. It’s not a spinning sensation, nor do I see objects moving; I don’t experience double vision. Occasionally, I feel a bit nauseous and uncomfortable, and so...


Dr. Jiang Junyi Reply:
Hello Ms. Joyce, Could you please clarify whether the "tingling sensation in the fingers of your right hand and the toes of your right foot" occurs simultaneously with the dizziness, or has this symptom been present for a long time? If they occur at the same time, we m...

[Read More] Understanding Unexplained Body Tremors: A Neurological Perspective


Understanding Facial Twitching: Causes and When to See a Neurologist

I've been experiencing twitching in my right cheek before going to bed these past couple of days? As per the title, over the past couple of days, I have been experiencing a tight sensation in my right cheek during the evenings, which may twitch once or twice. When lying down...


Dr. Jiang Junyi Reply:
Hello Ms. Chang, You mentioned that "the right cheek feels a bit tight and may twitch once or twice," which could still be symptoms related to poor sleep. Your symptoms do not seem to resemble facial nerve paralysis, which affects the seventh cranial nerve and is clini...

[Read More] Understanding Facial Twitching: Causes and When to See a Neurologist


Understanding Throat Sensation and Nausea: When to Seek Medical Help

Sensation of a foreign body in the throat with dry heaving? Hello Doctor: About two weeks ago, I started experiencing headaches... The sensation is a tightness in the forehead between the eyebrows, with pain on both sides of the head. Sometimes I feel dizzy and nauseous. After vi...


Dr. Jiang Junyi Reply:
Dear Mr. Johnny, You mentioned that you feel tightness in your forehead and between your eyebrows, experience pain on both sides of your head, and sometimes feel dizzy and nauseous. After visiting the clinic and receiving pain medication, you noticed some improvement. You also m...

[Read More] Understanding Throat Sensation and Nausea: When to Seek Medical Help


Understanding Finger Tingling: Causes and When to Seek Help

Numbness in the fingertips? Hello, doctor. For the past three days, I have been experiencing a sensation in the fingertips of both hands (more so in the right hand) that feels like there is a foreign object present, intermittently. Occasionally, I also feel a tingling sensation, ...


Dr. Jiang Junyi Reply:
Dear Mr. A-Jia, You mentioned that "sometimes there is, sometimes there isn't... occasionally feeling like an electric current flowing through the back of the hand and fingers," which may suggest a peripheral nerve issue. Common causes include sensory nerve abnorm...

[Read More] Understanding Finger Tingling: Causes and When to Seek Help


Understanding MRI Results: Implications of Cerebral Leukoaraiosis and Ischemic Changes

The MRI findings suggest suspected ischemic lesions in both cerebral hemispheres? Hello Dr. Tsai: I have been experiencing severe headaches intermittently since the year before last, with varying frequency. Most of the time, I manage the pain with acetaminophen. Earlier this year...


Dr. Cai Zongzhang Reply:
Hello, Aikes: The aforementioned MRI report indicates that small vessel degeneration in the brain has led to ischemic changes, which are lesions caused by reduced blood flow resulting in localized brain tissue ischemia. The common causes of small vessel diseases in the brain are ...

[Read More] Understanding MRI Results: Implications of Cerebral Leukoaraiosis and Ischemic Changes


Experiencing Dizziness and Memory Issues Upon Waking: What Could It Be?

I have been experiencing dizziness upon waking up for the past ten days? Hello, doctor! For the past ten days, I've been experiencing dizziness upon waking up (sometimes it's immediate, and other times it occurs about an hour after having breakfast). I usually sleep aro...


Dr. Peng Shiwei Reply:
Hello, based on your symptoms, it seems more like dizziness combined with a headache. If the symptoms persist, it is recommended that you visit a neurology outpatient clinic. Thank you.

[Read More] Experiencing Dizziness and Memory Issues Upon Waking: What Could It Be?


Understanding Body Tingling and Vibrations: When to See a Neurologist

Feeling slight numbness and mild vibrations in the body? Hello, doctor. A few days ago, I experienced some palpitations, and occasionally felt a slight vibration and mild numbness in my lower back (especially around the coccyx), legs, and chest while sitting, standing, or lying d...


Dr. Peng Shiwei Reply:
Hello, based on your symptoms, I believe it would be advisable to monitor the situation for a while longer. However, if you find it very concerning, you may also consider consulting a neurologist. Thank you.

[Read More] Understanding Body Tingling and Vibrations: When to See a Neurologist


Understanding Hip and Leg Pain: When to Seek Medical Advice

Medication Consultation Hello Dr. Peng: I often experience discomfort and aching in my right thigh near the hip joint, which extends to the thigh muscles. Pressing on that area causes significant soreness. When I sleep with my knees straightened or bent, I often hear cracking sou...


Dr. Peng Shiwei Reply:
Hello, it is recommended that you take B12 after meals, which may help improve your symptoms. As for the discomfort related to the hip, it seems to be more related to muscle or fascia issues. It is advisable to consult a neurologist or a rehabilitation specialist. Thank you for y...

[Read More] Understanding Hip and Leg Pain: When to Seek Medical Advice


Post-Surgery Nerve Pain: Understanding Ankle Fracture Complications

Seven months after undergoing surgery for a fracture above the left ankle with the placement of a metal plate, there is still persistent numbness and tingling below the ankle? Hello Doctor, I am writing on behalf of my father. He is 56 years old. Last September, he had an acciden...


Dr. Jiang Junyi Reply:
Hello: You mentioned that your father is experiencing peripheral nerve damage. If the peripheral neuropathy is caused by nerve compression, it may exhibit the following characteristics: 1. The pain is described as burning or electric-like. 2. Symptoms have a specific dermatomal d...

[Read More] Post-Surgery Nerve Pain: Understanding Ankle Fracture Complications


Understanding PPPD: Managing Dizziness After Ear Stone Displacement

I have been experiencing dizziness for over four months? Hello, after the displacement of my otoliths, I have been experiencing persistent dizziness. The doctor diagnosed me with PPPD (Persistent Postural-Perceptual Dizziness) and advised me to undergo some rehabilitation and tak...


Dr. Peng Shiwei Reply:
Hello, I recommend that you continue with your rehabilitation. However, you can hold each position for a bit longer and transition between positions more slowly. This will allow your body to gradually adapt to the sensations of dizziness, and I believe you will see improvement ov...

[Read More] Understanding PPPD: Managing Dizziness After Ear Stone Displacement


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