Unexplained Shaking Sensations: When to See Your Family Doctor - Family Medicine

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Frequent sensation of shaking?


Hello Doctor: A few weeks ago, I started experiencing noticeable sensations of swaying (especially when sitting, walking is better).
It feels somewhat like being on a boat, and later this sensation changed to feeling like an "earthquake," and then returned to the original swaying feeling like being on a boat.
P.S.
I had this "boat-like feeling" before the recent midnight earthquake, so it should not be related to the recent tremors.
Should I first see a family physician for this issue? What could be potential causes for this phenomenon? I'm a bit anxious about going to the hospital for a check-up, fearing there might be a serious underlying issue.
Recently, I suddenly thought that this condition might be related to masturbation.
I’ve heard that masturbation can sometimes cause dizziness.
On one hand, I feel some things should be proactively mentioned to the doctor to facilitate a quick and accurate assessment, but I’m hesitant to bring up this possible factor unless the doctor asks me directly.
After all, it’s quite embarrassing, and I worry that the doctor might have a negative impression of me.
But I’m also concerned that if I don’t mention this, it might lead to missing important examinations and result in serious problems.

Niming, 20~29 year old female. Ask Date: 2022/03/26

Dr. Chen Bozhang reply Family Medicine


Hello, Miss Anonymous: The intermittent and pronounced sensation of swaying that you described, which feels somewhat like being on a boat and is not accompanied by significant headaches, is likely caused by a disturbance in the inner ear balance system.
It is recommended that you visit an otolaryngology (ENT) or neurology clinic to arrange a series of balance nerve examinations.
When consulting with the physician, you can feel free to discuss related factors, including masturbation, without feeling embarrassed, as all relevant factors will be considered in the physician's assessment of your condition.

Reply Date: 2022/03/26

More Info


Experiencing unexplained shaking sensations can be concerning, and it's important to approach this issue with a clear understanding of potential causes and the appropriate steps to take. The sensations you describe, such as feeling like you're on a boat or experiencing tremors similar to an earthquake, can stem from various medical conditions, and it’s wise to seek medical advice.

Firstly, it's crucial to recognize that these sensations can be linked to several factors, including neurological, vestibular (inner ear), or psychological issues. For instance, conditions like anxiety or panic attacks can manifest physically, leading to sensations of shaking or instability. Additionally, vestibular disorders, which affect balance and spatial orientation, can cause similar feelings. Other potential causes could include medication side effects, dehydration, or even low blood sugar levels.

Given that you mentioned these sensations began a few weeks ago and have evolved over time, it would be prudent to consult your family doctor. They can perform a thorough evaluation, which may include a physical examination, a review of your medical history, and possibly some diagnostic tests. These tests could help rule out any serious underlying conditions, such as neurological disorders or issues with your inner ear.

Regarding your concern about the relationship between these sensations and masturbation, it’s understandable to feel hesitant about discussing personal matters with a healthcare provider. However, it’s essential to remember that doctors are trained to handle sensitive topics with professionalism and confidentiality. If you believe that your symptoms might be related to this activity, it’s worth mentioning during your consultation. This information can provide your doctor with a more comprehensive understanding of your situation and help them make informed decisions about your care.

In terms of when to see your family doctor, it’s advisable to do so if:
1. The shaking sensations persist or worsen over time.

2. You experience additional symptoms, such as dizziness, headaches, or changes in vision.

3. The sensations interfere with your daily activities or quality of life.

4. You have concerns about the potential impact of your symptoms on your overall health.

In conclusion, while it’s natural to feel apprehensive about discussing personal issues with a doctor, addressing your symptoms openly can lead to a better understanding of your health and appropriate treatment. Your family doctor is there to help you navigate these concerns, and seeking their guidance is a proactive step toward ensuring your well-being. Remember, early intervention can often lead to better outcomes, so don’t hesitate to reach out for help.

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