Tongue twitching
Hello Doctor: My tongue cannot relax and feels very tense; it keeps wanting to twitch.
Sometimes I also feel a tightness in my throat.
I would like to know what the cause of this might be.
I have a history of anxiety disorder; could this be related to my anxiety?
Wan Ting, 20~29 year old female. Ask Date: 2022/07/20
Dr. Cai Zongzhang reply Neurology
Hello Wan-Ting: If the symptoms mentioned above appeared after starting psychiatric medication, please discuss with your physician whether the medication may be the cause.
If you have not taken any medication, it is recommended to visit a neurology clinic.
Reply Date: 2022/07/20
More Info
Hello! Thank you for reaching out with your concerns regarding tongue tremors and the associated feelings of tightness and discomfort in your throat. It’s understandable to seek clarity on these symptoms, especially when you have a history of anxiety.
Tongue tremors, or involuntary movements of the tongue, can indeed be linked to anxiety and stress. When a person experiences anxiety, the body often enters a heightened state of arousal, which can lead to muscle tension throughout various parts of the body, including the tongue. This tension can manifest as tremors or spasms, making it feel as though the tongue is tight or unable to relax. Additionally, anxiety can lead to hyperawareness of bodily sensations, causing you to focus on these movements more than you might otherwise.
There are several potential causes for tongue tremors, and while anxiety is a significant factor, it’s essential to consider other possibilities as well:
1. Muscle Tension: As mentioned, anxiety can lead to increased muscle tension. This tension can affect the muscles of the tongue, leading to tremors or spasms.
2. Neurological Factors: In some cases, tremors can be related to neurological conditions. While this is less common, it’s important to rule out any underlying neurological issues if the tremors persist or worsen.
3. Medication Side Effects: If you are taking medications for anxiety or other conditions, it’s worth discussing with your healthcare provider. Some medications can cause tremors as a side effect.
4. Nutritional Deficiencies: Deficiencies in certain vitamins and minerals, such as vitamin B12, can lead to neurological symptoms, including tremors. Ensuring you have a balanced diet is crucial.
5. Stress and Fatigue: High levels of stress and fatigue can exacerbate anxiety symptoms and lead to physical manifestations like tremors.
To address your concerns, here are some steps you can take:
- Consult a Healthcare Professional: It’s essential to discuss your symptoms with a healthcare provider. They can perform a thorough evaluation, including a physical examination and possibly blood tests, to rule out any underlying conditions.
- Manage Anxiety: Since you have a history of anxiety, consider exploring various anxiety management techniques. These can include cognitive-behavioral therapy (CBT), mindfulness practices, and relaxation techniques such as deep breathing exercises or progressive muscle relaxation.
- Stay Hydrated and Nourished: Ensure you are drinking enough water and consuming a balanced diet rich in vitamins and minerals. This can help support overall neurological health.
- Monitor Your Symptoms: Keep a journal of your symptoms, noting when they occur and any potential triggers. This can help you and your healthcare provider identify patterns and develop a tailored approach to treatment.
- Consider Medication Review: If you are on medication for anxiety, discuss with your doctor whether your current regimen is appropriate or if adjustments are needed.
In conclusion, while tongue tremors can be distressing, they are often manageable, especially when linked to anxiety. By addressing the underlying anxiety and exploring potential physical causes, you can work towards alleviating these symptoms. Remember, seeking help is a sign of strength, and there are many resources available to support you on this journey. Take care!
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