Hand Tremors: Causes and When to Seek Help - Neurology

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Body tremors?


Hello doctor, I have recently been experiencing slight tremors in my hands, especially when holding objects.
I also feel a bit shaky when bending down or leaning forward, and when I lie flat, my body seems to pulse in rhythm with my heartbeat.

Qiu Xiaojie, 20~29 year old female. Ask Date: 2021/09/07

Dr. Cai Zongzhang reply Neurology


Hello, Ms.
Chiu! It is recommended that you visit the neurology outpatient clinic.

Reply Date: 2021/09/07

More Info


Hand tremors can be a concerning symptom, and understanding their potential causes is crucial for determining when to seek medical help. Tremors are involuntary, rhythmic muscle contractions that can lead to shaking movements in one or more parts of the body. They can occur in various situations and can be classified into different types based on their characteristics and triggers.


Common Causes of Hand Tremors
1. Essential Tremor: This is one of the most common types of tremors and is often hereditary. It typically manifests as a shaking of the hands when performing tasks like writing or holding objects. Essential tremor can worsen with stress, fatigue, or caffeine consumption.

2. Parkinson’s Disease: Tremors associated with Parkinson’s disease usually occur at rest and may be accompanied by other symptoms such as stiffness, bradykinesia (slowness of movement), and postural instability. If your tremors are accompanied by these symptoms, it’s essential to consult a healthcare professional.

3. Anxiety and Stress: Emotional factors can significantly impact physical health. Anxiety can lead to tremors, especially in stressful situations. If you notice that your tremors increase during times of anxiety or stress, this could be a contributing factor.

4. Medications: Certain medications can cause tremors as a side effect. Stimulants, some antidepressants, and medications for asthma or other conditions may lead to shaking hands. If you’ve recently started a new medication, it’s worth discussing this with your doctor.

5. Hyperthyroidism: An overactive thyroid can lead to tremors, along with symptoms like weight loss, increased heart rate, and nervousness. A simple blood test can determine your thyroid hormone levels.

6. Alcohol Withdrawal: If you have been consuming alcohol regularly and suddenly stop, you may experience tremors as part of withdrawal symptoms. This can be serious and may require medical intervention.

7. Neurological Conditions: Other neurological disorders, such as multiple sclerosis or dystonia, can also cause tremors. These conditions may present with additional neurological symptoms that warrant further evaluation.


When to Seek Help
It’s essential to consult a healthcare professional if you experience any of the following:
- Persistent Tremors: If your hand tremors are persistent and interfere with daily activities, it’s time to seek medical advice.

- Accompanying Symptoms: If you notice other symptoms such as changes in coordination, balance issues, stiffness, or changes in speech, these could indicate a more serious underlying condition.

- Sudden Onset: If the tremors appear suddenly and are accompanied by other neurological symptoms, it’s crucial to seek immediate medical attention.

- Impact on Quality of Life: If the tremors are affecting your ability to perform tasks, such as writing, eating, or using tools, it’s important to discuss this with your doctor.


Conclusion
In summary, hand tremors can arise from various causes, ranging from benign conditions like essential tremor to more serious neurological disorders. If you’re experiencing tremors, especially if they are new or worsening, it’s advisable to consult a healthcare professional for a thorough evaluation. They may recommend tests, such as blood tests or imaging studies, to determine the underlying cause and appropriate treatment options. Early intervention can often lead to better management of symptoms and improved quality of life. Remember, you are not alone in this, and seeking help is a crucial step toward understanding and addressing your symptoms.

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