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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

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Cervical Spondylitis, Tremors, Movable Pain In Chest, TMT Positive. Tests, Scans Done. Losar 50, Indral 40 Taken. Suggestions?

My problem started one year back. My age is 45 years. Suddenly my heart beat was 120.min. pressure was 160/90. My voice and head was shaking. headache was constant. Doctor adviced some blood test. Neck xray. My blood test was normal but xray shows cervical spondalytis. Doctor said that it is a case of head neck tremor and cervical spondalytis. They prescribed losar50 and indral 40 twice a day. now my heart beats remains normal. pressure around 135/90. But i feel non comfortable during evening hour. IN the mean time, i felt shaking of my body during going on bed. movable pain in my chest which goes an comes. i was gone for ecg, holter monitor , echo, EEG and tmt test. all was ok except tmt test in which st deviation was 2.4 and doctor said that tmt is positive. after that dr. suggested for thalium stress test which was found normal. Please suggest for further. thanks.
Sat, 11 May 2013
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Neurologist 's  Response
Hi,
Thank you for posting your query.
Regarding your tremors, it seems to be a case of essential tremors, where shaking can occur in head, voice, neck and hands. Treatment is with inderal (beta blockers).
Losar is a good medicine for BP control and can be continued.
TMT positive and normal stress thalium are conflicting. However, if you continue to have chest pain or breathlessness, you can go for a coronary angiogram to confirm if you have a blockage of any heart blood vessel.
Please get back if you require any additional information.

Best wishes,

Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)
Senior Consultant Neurologist
Apollo Hospitals, Hyderabad,
My personal URL on this website: http://bit.ly/Dr-Sudhir-kumar
My email: drsudhirkumar@yahoo.com
I find this answer helpful

1 Doctor agrees with this answer

Neurologist Dr. Sudhir Kumar's  Response
Hi,
Thank you for posting your query.
Regarding your tremors, it seems to be a case of essential tremors, where shaking can occur in head, voice, neck and hands. Treatment is with inderal (beta blockers).
Losar is a good medicine for BP control and can be continued.
TMT positive and normal stress thalium are conflicting. However, if you continue to have chest pain or breathlessness, you can go for a coronary angiogram to confirm if you have a blockage of any heart blood vessel.
Please get back if you require any additional information.

Best wishes,

Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)
Senior Consultant Neurologist
Apollo Hospitals, Hyderabad,
My personal URL on this website: http://bit.ly/Dr-Sudhir-kumar
My email: drsudhirkumar@yahoo.com
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
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Cervical Spondylitis, Tremors, Movable Pain In Chest, TMT Positive. Tests, Scans Done. Losar 50, Indral 40 Taken. Suggestions?

Hi, Thank you for posting your query. Regarding your tremors, it seems to be a case of essential tremors, where shaking can occur in head, voice, neck and hands. Treatment is with inderal (beta blockers). Losar is a good medicine for BP control and can be continued. TMT positive and normal stress thalium are conflicting. However, if you continue to have chest pain or breathlessness, you can go for a coronary angiogram to confirm if you have a blockage of any heart blood vessel. Please get back if you require any additional information. Best wishes, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad, My personal URL on this website: http://bit.ly/Dr-Sudhir-kumar My email: drsudhirkumar@yahoo.com