Post-Bowel Movement Tremors and Breast Discomfort - Surgery

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Bowel issues / Chest issues


I would like to ask the doctor a few questions.

1.
Regarding bowel movements: Is it normal to have hand tremors after defecation? I used to think that my hand tremors after bowel movements were due to straining too hard, but I later noticed that sometimes I experience them even when I don't exert much effort.
Although it's not a symptom I have every time, I'm a bit worried that there might be other factors involved, and I'm concerned about the possibility of developing something serious.
2.
Regarding chest issues: Recently, I've been feeling discomfort in my chest, often experiencing itching that varies in location, but most frequently occurs in the area between my breasts (the cleavage) or on the right side of my chest.
The left side occasionally itches, but not as often.
I'm unsure of the cause, and the information I find online is always quite alarming.
Additionally, my menstrual period just ended less than a week ago, and the chest issues began about two to three days before my period started.
Thank you, doctor, for your answers.

Fang Fang, 10~19 year old female. Ask Date: 2020/05/20

Dr. Chen Jiaming reply Surgery


1.
There can be many reasons for hand tremors, and since they do not occur every time during bowel movements, a causal relationship cannot be established.
For hand tremors, it may be advisable to consult a specialist in metabolism or neurology for further evaluation and treatment.
2.
Adolescent females may experience breast tissue swelling or pain due to hormonal influences that fluctuate with the menstrual cycle.
Discomfort can also commonly arise from friction with bras.
This is considered physiological and not pathological.
Most symptoms tend to normalize after menstruation, so there is no need for excessive concern.

Reply Date: 2020/05/20

More Info


Understanding your concerns about post-bowel movement tremors and breast discomfort is important, and I appreciate you reaching out for clarity on these issues. Let's break down your questions into two main areas: the tremors after bowel movements and the breast discomfort you are experiencing.


Post-Bowel Movement Tremors
Experiencing tremors or shaking after a bowel movement can be concerning, but it is not uncommon. There are several potential explanations for this phenomenon:
1. Vagal Response: During a bowel movement, especially if you are straining, you may stimulate the vagus nerve, which can lead to a temporary drop in heart rate and blood pressure. This can cause feelings of lightheadedness, weakness, or even tremors as your body reacts to the sudden change.

2. Muscle Fatigue: If you are exerting a lot of effort during bowel movements, your muscles may become fatigued, leading to tremors. This is particularly true if you are using your abdominal muscles excessively.

3. Anxiety or Stress: Sometimes, the act of using the bathroom can trigger anxiety, especially if you are concerned about your health. This anxiety can manifest physically as tremors.

4. Dehydration or Electrolyte Imbalance: If you are not adequately hydrated or if your electrolyte levels are off (for example, low potassium), you might experience muscle tremors.

5. Underlying Medical Conditions: While less common, certain medical conditions such as hyperthyroidism, neurological disorders, or metabolic imbalances can lead to tremors. If this is a frequent occurrence, it would be wise to consult a healthcare professional for further evaluation.


Breast Discomfort
Regarding the breast discomfort you are experiencing, there are several factors to consider:
1. Hormonal Changes: Since you mentioned that your discomfort began a few days before your menstrual period, it is likely related to hormonal fluctuations. Many women experience breast tenderness or discomfort due to changes in estrogen and progesterone levels during their menstrual cycle.

2. Cyclical Mastalgia: This is a common condition where breast pain occurs in relation to the menstrual cycle. It usually resolves after menstruation but can be bothersome.

3. Skin Irritation: The itching you describe could be due to skin irritation, which may be exacerbated by hormonal changes, friction from clothing, or even allergic reactions to detergents or fabrics.

4. Infections or Cysts: While less common, infections (like mastitis) or benign breast cysts can cause discomfort and itching. If the discomfort persists or worsens, it is advisable to seek medical attention.

5. Psychological Factors: Anxiety about health can sometimes manifest as physical symptoms, including breast discomfort. If you are feeling anxious about your health, this could contribute to your symptoms.


Recommendations
1. For Tremors: Monitor your bowel habits and try to avoid straining during bowel movements. Ensure you are well-hydrated and consider discussing your symptoms with a healthcare provider, especially if they persist or worsen.

2. For Breast Discomfort: Keep track of your symptoms in relation to your menstrual cycle. If the discomfort continues or if you notice any unusual changes in your breasts (such as lumps, persistent pain, or changes in skin texture), it would be prudent to consult a healthcare professional for a thorough examination.

3. General Health: Maintaining a healthy lifestyle, including a balanced diet, regular exercise, and stress management techniques, can help alleviate some of these symptoms.

In conclusion, while both tremors after bowel movements and breast discomfort can be concerning, they are often linked to benign causes, particularly hormonal changes. However, if you have ongoing concerns or if your symptoms change, seeking medical advice is always the best course of action.

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