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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Nausea, Exhaustion And Hand Tremors?

I am 62 years old. 5 1 , 190lbs. i have been dealing with very low nausha upon rising. it does not last. I have been sleeping almost around the clock. About 12-14 houres a day. I feel exhausted and I have no drive or interest in very much. No feaver. My hands have a random uncontrlled shaking and right hand lots of cramping and some times I can t close it at all due to sever pain. I have bulging discs in my spine at the base of my neck and pinched nerves from an old injury. Also bi lateral corpaltunnel. I have arthritis and bersiteus shoulders and both feet, left knee is a replacement, right leg, knee has shattered cartillege. Occationally I am dizzy and miss step and am light headed. This happens when I don t eat until about 6 hours after waking up. I never have been a breakfast person. I am retired now for two years due to Disability. The random shaking and the lightheadedness are my main comcerns.Thank you for your help. 1 week ago bp was 115/65 with a pulse of 107.
posted on Mon, 2 Apr 2018
Twitter Sun, 30 Sep 2018 Answered on
Twitter Mon, 1 Oct 2018 Last reviewed on
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Neurologist, Surgical,  's  Response
Hi,

In my opinion, postural hypotension or lowering of blood pressure after changing body position should be considered.

Arrhythmias and anemia are also the conditions to be considered.

I think that an evaluation with blood tests and cardiac workup are necessary for these conditions in order to achieve a correct diagnosis.

Discuss with your primary care Doctor for these issues.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Erion Spaho,
Neurologist, Surgical
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What Causes Nausea, Exhaustion And Hand Tremors?

Hi, In my opinion, postural hypotension or lowering of blood pressure after changing body position should be considered. Arrhythmias and anemia are also the conditions to be considered. I think that an evaluation with blood tests and cardiac workup are necessary for these conditions in order to achieve a correct diagnosis. Discuss with your primary care Doctor for these issues. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Erion Spaho, Neurologist, Surgical