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I have chills, shaking, high blood pressure , drowsiness ,

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Posted on Tue, 19 Mar 2019
Question: I have chills, shaking, high blood pressure, drowsiness, aching arms, legs, neck and head, clumsy walking, no fever. Is this a medical problem or an anxiety problem?
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Answered by Dr. Salah Saad Shoman (3 hours later)
Brief Answer:
A number of causes

Detailed Answer:
Dear Ma’am, I have gone through your question and I understand your concerns but these symptoms could be due to a number of causes.. I would recommend that you check every twelve hours on your blood glucose level and on your blood pressure for one week and keep a record of the readings.. This will help assess if the dosage of your anti hypertension and anti diabetes medications needs adjustment..
Also I would recommend that you get an Ecg and an echocardiogram to exclude if the neck and arm pain is heart related..
If exacerbation of pre-existing illness has been excluded then you should get a blood test for your thyroid hormonal profile including T3, T4 and TSH along with a blood test to check on the levels of calcium, vitamin d and vitamin b12 to exclude thier difficiencies.. I hope you find this helpful
Above answer was peer-reviewed by : Dr. Nagamani Ng
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Follow up: Dr. Salah Saad Shoman (10 hours later)
Thank you. I don't take diabetes medicine but I do take Amlodipine and Clonidinel for blood pressure. I will continue to check my bp and sugar levels every 12 hours, as you suggestd. My calcium and TSH are normal. My D, B12, T3, and T4 have not been tested. I had an ECG and it said "Lateral T wave abnormality". What does that mean and is that concerning? I have and appointment with my new cardiologist next week, and I have an echo scheduled in two weeks.
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Answered by Dr. Salah Saad Shoman (28 hours later)
Brief Answer:
A number of causes

Detailed Answer:
Dear Ma’am, hello again.. lateral T wave abormalities could be due to either cardiac, pulmonary, neurogenic or inflammatory causes.. This is why I would recommend an echocardiogram to be done.. I hope you find this helpful
Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Salah Saad Shoman

Internal Medicine Specialist

Practicing since :2004

Answered : 2503 Questions

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I have chills, shaking, high blood pressure , drowsiness ,

Brief Answer: A number of causes Detailed Answer: Dear Ma’am, I have gone through your question and I understand your concerns but these symptoms could be due to a number of causes.. I would recommend that you check every twelve hours on your blood glucose level and on your blood pressure for one week and keep a record of the readings.. This will help assess if the dosage of your anti hypertension and anti diabetes medications needs adjustment.. Also I would recommend that you get an Ecg and an echocardiogram to exclude if the neck and arm pain is heart related.. If exacerbation of pre-existing illness has been excluded then you should get a blood test for your thyroid hormonal profile including T3, T4 and TSH along with a blood test to check on the levels of calcium, vitamin d and vitamin b12 to exclude thier difficiencies.. I hope you find this helpful