Sign-in to Ask A Doctor - 24x7
OR
Sign in with GoogleGet your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
What Causes Severe Fatigue And Tremors In The Right Arm?
for several weeks I have been feeling extremely tired and need to push myself to get out of bed. I feel I have enough sleep and noticed that I am going to bed earlier than usual. I also noticed a slight tremor in my right arm - paining and drinking from a water bottle. I exercise regularly and eat healthy. I work a full time job, care for my grandchildren 2-3 times a week and weekends, as well as my 90 y/o mother in law. I care for my dog and cat, and my husband and youngest 20 year old daughter still living at home. All of which I was able to manage well until recently. I have never been one to nap during the day but find myself nodding off regularly lately in the afternoons. can you suggest something ?
Tue, 30 Oct 2018
Hi,
The causes of tremor can be many. It can be due to neurological conditions like Parkinson's, stroke, tumor etc., hormonal issues like increased thyroid function, electrolyte alterations, exposure to toxins, drugs etc. Often no condition is found and it can be simply in the setting of anxiety.
So its evaluation requires some blood tests such as blood count, thyroid function, electrolytes, liver and kidney function. If all results normal a neurological exam to check for other neurological signs and a brain MRI would be the next step. In terms of likelihood, I would say that Parkinson's and other brain lesions do not look likely for that presentation so you shouldn't be alarmed. Actually, if the neurological exam is fully normal, evidencing no coordination issues or oculomotor signs, the MRI might not be necessary at all. The blood tests I mentioned are cheap routine tests though and should be done.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Ivan R. Rommstein,
General Surgeon
The causes of tremor can be many. It can be due to neurological conditions like Parkinson's, stroke, tumor etc., hormonal issues like increased thyroid function, electrolyte alterations, exposure to toxins, drugs etc. Often no condition is found and it can be simply in the setting of anxiety.
So its evaluation requires some blood tests such as blood count, thyroid function, electrolytes, liver and kidney function. If all results normal a neurological exam to check for other neurological signs and a brain MRI would be the next step. In terms of likelihood, I would say that Parkinson's and other brain lesions do not look likely for that presentation so you shouldn't be alarmed. Actually, if the neurological exam is fully normal, evidencing no coordination issues or oculomotor signs, the MRI might not be necessary at all. The blood tests I mentioned are cheap routine tests though and should be done.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Ivan R. Rommstein,
General Surgeon
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer.
For a more detailed, immediate answer, try our premium service
[Sample answer]
Related questions you may be interested in
Loading Online Doctors....