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What is the reason for uncontrolled shakiness with weakness in both arms and legs?

Jun 2015
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General & Family Physician
Practicing since : 2011
Answered : 3337 Questions
Male, age 65, uncontrolled shakiness with weakness in both arms and legs. He is drinker (Vodka). He is also on high cholesterol and HBP meds. He also took Ambien in the middle of the night last night. This is the first time these symptoms have occurred. He usually has mild tremors of the hands but never anything as severe as the shaking. Thanks,
Posted Sun, 29 Dec 2013 in Brain and Spine
Answered by Dr. Polash Sannigrahi 1 hour later
Brief Answer: Neuropathy, poor neuro-muscular co-ordination Detailed Answer: Hello XXXXXXX Thanks for your query. The symptoms as mentioned in your post are essentially neurological in origin. And there are 3 important risk factors, namely: 1. Habit of consumption of alcohol. 2. History of high blood pressure. 3. History of high cholesterol level in blood. These are responsible for causing damage to the nerves (known as Neuropathy) as well as the brain & subsequently affect the neuro-muscular co-ordination resulting in tremors, uncontrolled shaking, weakness, etc. Incidence of several falls in the last two weeks with dizziness further substantiates this. Symptomatic relief can be obtained by intake of nervigenic agents (like Vitamin B6, Vitamin B 12, Folic acid) as well as multivitamin & multimineral supplements including iron, calcium & Vitamin D needs to be added in his diet to help in blood formation & nerve conduction. The medications for high blood pressure & cholesterol need to be taken regularly to maintain their normal level. Also he should avoid consuming alcohol to prevent further deterioration of his condition. If symptoms still persist, kindly consult a Neurologist & get a complete Neurological examination done. Certain investigations like fresh estimation of blood pressure & blood sugar levels, lipid profile & nerve conduction studies will be helpful in formulating further management plan. There is no need to worry, he will be fine. Till then, he should maintain adequate hydration & proper nutrition status, exercise regularly and avoid stress. Wishing him a Good Health. Please let me know if I need to clarify further. Take care.
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