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What Causes Severe Hand Tremors?

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Posted on Mon, 28 Dec 2015
Question: I am here on behalf of my friend,she says her hand is always shaking.and its hardly stable.what would cause such a thing to happen?
doctor
Answered by Dr. Ajay Panwar (56 minutes later)
Brief Answer:
Please tell some details:

Detailed Answer:
Hi XXXX,
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist,here to answer your query.

I'd surely like to be of help in this regard,but I need to know a few details beforehand-
1)Since when she is having these tremors?
2)In which hand(or both hands) is she having these?
3)Does she have these tremors at rest or when she is doing something with her hands?or,Are these tremors rest tremors or action tremors?
4)Does she remain frequently anxious?
5)Any other medical history/disease history for her?

Please follow up with details so that I can answer this well.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ajay Panwar (3 hours later)
1. she doesnt remember but its been happening probably since a month.
2.Left hand shakes more.but both hands shake.
3.mostly while doing something.but at rest too if not on any support.
4. she says she doesnt know,but she has been taking lots of pressure over her studies and procrastinating,later staying up for studies.lack of sleep.
5.last time she checked she said she had low bp.has been coughing a lot too.
doctor
Answered by Dr. Ajay Panwar (3 hours later)
Brief Answer:
Anxiety/Thyroid function tests/Clonazepam

Detailed Answer:
Hi XXXX,
Thanks for being in follow-up and providing details.

In background of the clinical details,you have provided,the likely differentials for the cause of these tremors can be-
1)Anxiety related
2)Thyroid abnormalities
3)Essential tremors

At this point of time,I would suggest to get a 'Thyroid function tests' study done for her,to look for anything abnormal,if so.

Further,I would suggest that she should be put on a trial of clonazepam and propranolol.I am hopeful that these medicines will improve her symptoms.THESE MEDICINES SHOULD BE TAKEN UNDER THE SUPERVISION OF A PHYSICIAN ONLY.

Besides,she should also start doing regular mental relaxation exercises like meditation.This lifestyle adaptation is likely to be beneficial.

If you have some further questions,I shall be glad to have you in follow-up.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Ajay Panwar

Neurologist

Practicing since :2007

Answered : 1827 Questions

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What Causes Severe Hand Tremors?

Brief Answer: Please tell some details: Detailed Answer: Hi XXXX, Thanks for being on healthcaremagic.com. I am Dr.Ajay Panwar,a neurologist,here to answer your query. I'd surely like to be of help in this regard,but I need to know a few details beforehand- 1)Since when she is having these tremors? 2)In which hand(or both hands) is she having these? 3)Does she have these tremors at rest or when she is doing something with her hands?or,Are these tremors rest tremors or action tremors? 4)Does she remain frequently anxious? 5)Any other medical history/disease history for her? Please follow up with details so that I can answer this well. Regards Dr.Ajay Panwar, MD,DM(Neurology)