Tremors
If you experience involuntary shaking or trembling of the head or lips while watching television or concentrating on a task, and sometimes your hands also tremble involuntarily, it is advisable to see a doctor.
You should consider consulting a neurologist, as they specialize in conditions related to the nervous system and movement disorders.
Thank you.
Liu Tai Tai, 30~39 year old female. Ask Date: 2005/08/31
Dr. Cai Jueren reply Family Medicine
When our body performs movements, it utilizes antagonistic muscle groups to maintain balance.
In certain situations, when small muscle groups are insufficiently antagonistic, so-called "involuntary movements" may occur, such as hand tremors, blinking, or head shaking.
This is not a disease and does not require a doctor's visit.
However, patients with thyroid disorders or myasthenia gravis should discuss with their physician whether these symptoms are due to changes in their condition or side effects of medication.
Reply Date: 2005/08/31
More Info
Involuntary tremors can be a concerning symptom, especially when they occur during activities that require concentration, such as watching television or focusing on a task. These tremors can manifest in various parts of the body, including the head, lips, and hands, and their presence may indicate an underlying neurological condition or other health issues.
When considering whether to see a doctor for involuntary tremors, it is essential to evaluate the frequency, duration, and severity of the tremors, as well as any accompanying symptoms. If the tremors are persistent, worsening, or accompanied by other neurological symptoms such as weakness, changes in vision, difficulty speaking, or coordination problems, it is advisable to seek medical attention promptly.
The appropriate specialist to consult for involuntary tremors is typically a neurologist. Neurologists specialize in disorders of the nervous system, which includes the brain, spinal cord, and peripheral nerves. They can conduct a thorough evaluation, which may include a detailed medical history, physical examination, and possibly imaging studies or laboratory tests to determine the cause of the tremors.
There are several potential causes of involuntary tremors, including:
1. Essential Tremor: This is a common movement disorder that causes rhythmic shaking, often in the hands, but can also affect the head and voice. It typically worsens with movement and can be hereditary.
2. Parkinson's Disease: This neurodegenerative disorder is characterized by tremors, stiffness, and bradykinesia (slowness of movement). Tremors in Parkinson's disease often occur at rest and may be accompanied by other symptoms such as rigidity and postural instability.
3. Anxiety and Stress: Psychological factors can also contribute to tremors. Anxiety can lead to muscle tension and shaking, particularly in stressful situations.
4. Medications: Certain medications can cause tremors as a side effect. If you have recently started a new medication, it may be worth discussing with your doctor.
5. Hyperthyroidism: An overactive thyroid can lead to tremors, along with other symptoms such as weight loss, increased heart rate, and anxiety.
6. Caffeine or Stimulants: Excessive consumption of caffeine or other stimulants can lead to tremors. Reducing intake may alleviate the symptoms.
7. Neurological Disorders: Other neurological conditions, such as multiple sclerosis or dystonia, can also present with tremors.
If you decide to see a doctor, be prepared to provide detailed information about your symptoms, including when they started, how often they occur, and any factors that seem to trigger or worsen them. This information will help the healthcare provider make an accurate diagnosis.
In summary, if you are experiencing involuntary tremors that are persistent or concerning, it is advisable to consult a neurologist. They can help determine the underlying cause and recommend appropriate treatment options. Early intervention can be crucial in managing symptoms and improving quality of life.
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