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My hands shake so badly, I lose water out of my mouth on drinking because my head shakes. i am 71

My hands shake so badly, it takes both hands to guide the mouse and even then difficult for years I have been shaky and now worse. It takes two hands to guide the mouse and even then it is difficult. I fall constantly for no reason. I lose water out of my mouth on drinking because my head shakes. i am 71. Thanks, Judy
Asked On : Wed, 22 Dec 2010
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General & Family Physician 's  Response
Hi. Welcome To HealthcareMagic

Tremors have many reasons. Neurological disorders or conditions that can produce tremor include multiple sclerosis, stroke, traumatic brain injury, and neurodegenerative diseases that damage or destroy parts of the brainstem or the cerebellum. Other causes include the use of some drugs (such as amphetamines, corticosteroids, and drugs used for certain psychiatric disorders), alcohol abuse or withdrawal, mercury poisoning, overactive thyroid, or liver failure. Some forms of tremor are inherited and run in families, while others have no known cause.
I recommend a thorough neurological examination first. And then you needs get some laboratory tests, TSH, Lead levels. You also need a CT scan or MRI of the brain to look for anything abnormal.

There is no complete cure for the tremors. But Depending on the diagnosis, there are very useful medications. Ex . If it is Parkinson disease can be treated with levodopa and/or dopamine-like drugs such as pergolide mesylate, bromocriptine mesylate, and ropinirole(Plus other drugs like Amantidine and anti-cholinergic medicines.). Essential tremors are treated with propranolol.

Evaluation by neurologist is critical for management.

Regards, Dr. Jagdish
Answered: Wed, 22 Dec 2010
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