Brief Answer: Essential tremor, ion / vitamin deficiencies Detailed Answer: Hi and thanks for the query, A careful and keen evaluation of the tremors you are experiencing is needed. It might be useful to know if this is the first time you are experiencing these tremors or not. The fact that these are unilateral need a careful review. The absence of pain or loss of motor function renders the possibility of what is called essential tremor most probable. This is a tremor that is really not associated to very serious disease. The fact that it is again one sided, makes this possibility more feasible. In case it were due to stress, it would have been more likely to be bilateral. A complete neurological review is however needed to be sure there is no other associated neurologic disease, that could explain why your symptoms are one sided. Everything being equal, this should be an essential tremor. Treatment is generally effective with common first lone drugs like PropranoloL and Primidone. the respective dosages and duration of therapy depend exclusively on the gravity of the disase, and clinical response to initial dosage. Compliance to therapy therefore is the mainstay of management. Screening for common deficiencies of Vitamins and microelements in blood could be potentially useful. It is not rare to find such symptoms associated with such deficiencies. Calcium, Magnesium and Vitamin B complex deficiencies are so far the most common. I propose you book an appointment with a neurologist. Please feel free asking follow up questions through this forum in case you have any special concerns. Kind regards as I wish you the best of health. Dr Rogers

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Brief Answer: Clinical review and cited tests Detailed Answer: Hi and thanks for the query, I do think essential tremor should be considered, from experience and clinical description you gave. Other mentioned possibilities should also be evaluated deeply. A complete neurological examination, Blood Calcium, Magnesium, Vitamin B1,2,3, 6, and 9 levels, D, a chest X XXXXXXX and an ECG just be reassured. Doing a fasting blood glucose test could be useful. It is true that the results you presented (105) are within normal limits, but at times, its worth controlling. Essential tremor is a clinical diagnosis, not generally requiring any invasive tests. Putting the patient on a trial therapy is usually used to judge the appropriateness of the diagnosis. Thanks and hope this helps. I shall be glad offering any other ideas that could help in improving your health. Kind regards

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