I get sudden jerks when I am about to sleep. Why?

Hello doctor,

I am a 31-year-old male. My problem is that when I am about to go to sleep, I experience a sudden jerk. I asked my wife about this. I do not jerk while sleeping or in the middle of sleep. It happens just when I am about to fall asleep. Suddenly, a quick jerk occurs. It happens a couple of times then finally I go to sleep. It happens during the daytime also. After lunch, while taking a nap, there is a sudden jerk when I am about to fall asleep. Once I sleep then there are no issues until I wake up. A few months back I had this problem then it disappeared and now I am getting it again. CT brain was done a few months back, but I do not have the report now. But the result was normal with no abnormalities. I have no diabetes and no thyroid issues. My liver function test (LFT) and kidney function test (KFT) are normal. I am taking medicine for BP alone. I am taking the tablet Telista-AM and sometimes I take the tablet Pan-D. A complete health check-up was done. I was an alcoholic for a few years. If I drink and sleep, then there are no issues. I also have a little bit of depression and anxiety due to business or work issues. Please help.

Hello doctor,

Thank you for the reply. I have been taking Amlodipine with Telmisartan for one and a half years. Initially, I was on 10 mg of Amlodipine, and a few months back, the dosage was reduced to 5 mg. Now the issue is that I have had ankle swelling for a long time. Kindly refer to the attached pictures. Is it due to the tablet Amlodipine? How often in patients have you seen having ankle swelling due to the tablet Amlodipine? Is it rare or a common side effect? I have taken electrocardiogram (ECG), echo, and computed tomography (CT) whole abdomen. All are normal. I only have high blood pressure which is now under control. I was taking the tablet Torsemide 5 mg for a few months but now I stopped as my blood pressure (BP) was controlled with tablet Telista-AM. I took the tablet Torsemide as hydrochlorothiazide. I cannot use it as it raises my uric acid levels. However, even after using the tablet Torsemide, my ankle is of the same size. There is no pitting. Please help.