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Suggest Treatment For Tiredness And Soreness In Body

Posted on Tue, 13 Oct 2015

Question: Hello, I am a 27 year old female, a week ago I started feeling very tired and having soreness in my upper body, also feel shaking of my hands and when I try to sleep my legs and hands kinda jump and that wakes me up sometimes, also, sometimes I feel this shaking inside my body. Also I have been having headaches for the las two days and trouble falling asleep, I feel a lot of chills at night and I sweat a lot. What could it be?

Answered by Dr. Tushar Kanti Biswas (5 hours later)

Brief Answer:
?Anxiety state or withdrawal symptoms

Detailed Answer:
Hi,

Thank you for your query. I can understand your concerns.
It could be due to acute anxiety state or withdrawal symptoms. Are you addicted to alcohol or is there any history of substance abuse?
It is also pertinent to know your vitals like temperature,pulse ,blood pressure ,respiratory rate apart from symptoms to exclude any organic cause. Do you have any finger tremor on stretched arms. Is there any similar episode in the past?
Give little more details.

Regards

Dr. T.K. Biswas M.D. XXXXXXX

Above answer was peer-reviewed by : Dr. Sonia Raina

Follow up: Dr. Tushar Kanti Biswas (1 hour later)

Very little finger tremor on stretched right arm. I should have mentioned that I am currently on Sertraline 100mg. Some time ago when I started on meds my anxiety was really bad and got this tremors even on my face. Is it possible that I might need a higher dose of sertraline? I have no fever, my blood pressure was a little high a couple days ago But I thought that was because I have not been able to sleep well.

Answered by Dr. Tushar Kanti Biswas (44 minutes later)

Brief Answer:
Anxiety disorder & Selective serotonin reuptake inhibitors (SSRIs)

Detailed Answer:
Hi,

Thank you for your query. I can understand your concerns.

Sertraline (SSRI) is usually prescribed for Panic Disorder ( episodes
with a variety of physical symptoms, including trembling),a form of primary anxiety disorder.
Sertraline dose in such cases Adults: PO 25 mg once daily initially ; after 1 wk, to increase the dose to 50 mg once daily. Patients not responding to 50 mg dose may benefit from dose increases up to a XXXXXXX of 200 mg/day; however, dose changes should not occur at intervals < 1 wk.
Dose is adjusted based on the clinical response.
Discuss with your doctor.

Regards

Dr. T.K. Biswas M.D. XXXXXXX

Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Sonia Raina