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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Do Body Tremors And Severe Fatigue Indicate?

The last couple of days I have been very ill I can’t sleep when I close my eyes my eyes just like shake inside my whole body started shaking today although I’m exhausted I cannot sleep found out that my aunt her daughter my grandmother and my father all have Graves’ disease I’ve had this happen to me one time before back in 2008 I have these large goiters on my thyroid the last couple day s I have been very ill I can’t sleep when I close my eyes they shake my whole body is shaking and although I’m exhausted I can sleep my aunt, grandmother , dad and cousin all have Graves’ disease. The dr did a thyroid test but said although your levels are low they are still With in the range I need help I can’t function like this what can I do
posted on Mon, 8 Jan 2018
Twitter Tue, 6 Mar 2018 Answered on
Twitter Thu, 8 Mar 2018 Last reviewed on
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General & Family Physician,  's  Response
Hello,

As per your clinical history is concerned, please follow like this:

1) If you have clinically examined by your doctor [Endocrinologist] and done all pathological tests and report is normal then you should not think about Graves’ disease.

2) Discuss with your treating Doctor about [Escitalopram] and [alprazolam].

3) Discuss with your clinical psychologist for a specific plan for Psychotherapy. Do follow lifestyle modification like this:
a) Do take treatments early.
b) Keeping track of your personal life can help you and your mental health provider identify what's causing you stress and what seems to help you feel better.
c) You can reduce anxiety by carefully managing your time and energy.
d) Try to avoid unhealthy substance use like Alcohol, drug use, caffeine, and nicotine, et cetera.

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

Regards,
Dr. Uday Nath Sahoo
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What Do Body Tremors And Severe Fatigue Indicate?

Hello, As per your clinical history is concerned, please follow like this: 1) If you have clinically examined by your doctor [Endocrinologist] and done all pathological tests and report is normal then you should not think about Graves’ disease. 2) Discuss with your treating Doctor about [Escitalopram] and [alprazolam]. 3) Discuss with your clinical psychologist for a specific plan for Psychotherapy. Do follow lifestyle modification like this: a) Do take treatments early. b) Keeping track of your personal life can help you and your mental health provider identify what s causing you stress and what seems to help you feel better. c) You can reduce anxiety by carefully managing your time and energy. d) Try to avoid unhealthy substance use like Alcohol, drug use, caffeine, and nicotine, et cetera. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Uday Nath Sahoo