Body Tremors: When to Seek Medical Advice - Family Medicine

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Body tremors


Hello, doctor.
In recent days, I have been able to clearly feel my body swaying while sitting.
Although the movement is not very large, whether I am sitting or leaning, it feels like an earthquake, and later I realized that there was no earthquake.
I don't know why I still feel this swaying sensation.
It used to be very mild, but now it has become more pronounced and lasts for a long time; I can clearly feel the movement of my body as long as I am sitting.
Even a slight movement makes the swaying feel more intense.
Since I am very sensitive to dizziness, I would like to see a doctor, but I am unsure which specialty to consult.

Lin, 30~39 year old female. Ask Date: 2022/04/27

Dr. Liao Yaopan reply Family Medicine


Hello, it is recommended to first consult a neurologist for evaluation.
Online consultations are not equivalent to in-person visits and cannot provide a diagnosis or treatment recommendations.
Changhua Hospital cares about you.

Reply Date: 2022/04/27

More Info


Experiencing body tremors can be concerning, especially when they become more noticeable and persistent. It’s important to understand that tremors can arise from various causes, and seeking medical advice is crucial for proper evaluation and management.


Understanding Body Tremors
Tremors are involuntary, rhythmic muscle contractions that can cause shaking movements in one or more parts of the body. They can occur at rest or during movement and may vary in intensity. Common types of tremors include:
1. Resting Tremors: Often associated with conditions like Parkinson's disease, these tremors occur when the muscles are relaxed.

2. Action Tremors: These occur during voluntary movements, such as reaching for an object.

3. Postural Tremors: These happen when maintaining a position against gravity, such as holding your arms outstretched.


Possible Causes
The sensation of your body shaking while sitting could be attributed to several factors:
- Anxiety or Stress: Emotional states can manifest physically, leading to tremors or shaking sensations.

- Neurological Disorders: Conditions like Parkinson's disease, essential tremor, or multiple sclerosis can cause tremors.

- Medications: Some medications can lead to tremors as a side effect.

- Metabolic Issues: Low blood sugar, thyroid problems, or electrolyte imbalances can also result in tremors.

- Caffeine or Stimulants: Excessive intake can lead to jitteriness and shaking.


When to Seek Medical Advice
Given that your symptoms have become more pronounced and are affecting your daily life, it is advisable to seek medical attention. Here are some signs that indicate you should see a doctor:
- Persistent Symptoms: If the tremors continue for an extended period or worsen.

- Impact on Daily Activities: If the tremors interfere with your ability to perform everyday tasks.

- Associated Symptoms: If you experience other symptoms such as dizziness, weakness, changes in vision, or difficulty with coordination.

- Family History: If there is a family history of neurological disorders.


Which Specialist to Consult
When seeking medical advice, you may consider starting with a primary care physician. They can perform an initial evaluation and may refer you to a specialist based on their findings. Potential specialists include:
- Neurologist: For evaluation of neurological conditions that may be causing the tremors.

- Psychiatrist: If anxiety or stress is suspected to be a contributing factor.

- Endocrinologist: If metabolic issues are suspected.


What to Expect During the Consultation
During your visit, the doctor will likely:
1. Take a Detailed History: Discuss your symptoms, their onset, duration, and any associated factors (like stress or caffeine intake).

2. Perform a Physical Examination: Assess your neurological function, including coordination and reflexes.

3. Order Tests: Depending on the initial findings, tests such as blood work, imaging studies (like MRI or CT scans), or nerve conduction studies may be recommended.


Conclusion
In summary, experiencing body tremors can be distressing, and it’s important to address these symptoms with a healthcare professional. Early evaluation can help identify the underlying cause and guide appropriate treatment. Remember, it’s always better to err on the side of caution when it comes to your health. Seeking help can provide peace of mind and potentially lead to effective management of your symptoms.

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