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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Anxiety Along With Tremors In The Hands?

I wake up some mornings feel jittery and nervous. Can't even hold a cup of coffee without spilling it from trembling, can't hit the keys on my computer keyboard accurately, can't take notes because I can't keep my hand still long enough to scribble a complete word, etc. Doesn't happen too often, but when it does, it's irritating.
posted on Sun, 29 Oct 2017
Twitter Fri, 17 Nov 2017 Answered on
Twitter Mon, 20 Nov 2017 Last reviewed on
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Ayurveda Specialist,  's  Response
**
Thanks for contacting with your health concern

1. Since not able to deduce your age from the history, so I usually consider tremors according to the AGE, i.e.

A. If it is in young patient, then first symptom wise approach is

- Is he nervous, [anxiety related- tremors appear when the person is tense or excited]

- Is he Alcoholic, [alcohol induced or withdrawal tremors]
- Is person Thyrotoxic, [enlarged thyroid, ask for serum T3, T4, TSH]
- Is it drug-induced, [asthma medication, antidepressants, certain hypertensives drugs]
- Is it hysterical, [if tremors are atypical, or involving only one limb or increases in presence of people]

B. If it is in old patients, then

- it could be senile tremors, [bilateral, affect hands, neck & legs and increase if patients attempt to hold or write something]

- It could be early Parkinson's disease

PS. As treatment will depend on the cause of tremor whether physiological or pathological thus consult an Endocrinoneurologist for further evaluation and management.
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What Causes Severe Anxiety Along With Tremors In The Hands?

** Thanks for contacting with your health concern 1. Since not able to deduce your age from the history, so I usually consider tremors according to the AGE, i.e. A. If it is in young patient, then first symptom wise approach is - Is he nervous, [anxiety related- tremors appear when the person is tense or excited] - Is he Alcoholic, [alcohol induced or withdrawal tremors] - Is person Thyrotoxic, [enlarged thyroid, ask for serum T3, T4, TSH] - Is it drug-induced, [asthma medication, antidepressants, certain hypertensives drugs] - Is it hysterical, [if tremors are atypical, or involving only one limb or increases in presence of people] B. If it is in old patients, then - it could be senile tremors, [bilateral, affect hands, neck & legs and increase if patients attempt to hold or write something] - It could be early Parkinson s disease PS. As treatment will depend on the cause of tremor whether physiological or pathological thus consult an Endocrinoneurologist for further evaluation and management.