Hand Tremors and Palpitations: When to Seek Medical Help

Q: Hand Tremors and Palpitations: When to Seek Medical Help

Hello： If the symptoms are not very pronounced, it may not be necessary to see a physician. <br>If it seems more like a neuropsychiatric issue and the symptoms cause significant distress, it is advisable to consult a psychiatrist first.

I would like to ask..?

Dear Dr.
Yang,
I would like to ask about my symptoms: my hands tremble, I experience palpitations, and my heart rate is faster than normal.
Initially, I thought I had hyperthyroidism, but my blood test results came back negative.
However, I still have symptoms of hand tremors, palpitations, and chest tightness.
I'm unsure which specialist I should see.
Thank you!

Pang Qiyu, 10~19 year old female. Ask Date: 2008/04/11

Dr. Yang Hongzhi reply Internal Medicine

Hello: If the symptoms are not very pronounced, it may not be necessary to see a physician.
If it seems more like a neuropsychiatric issue and the symptoms cause significant distress, it is advisable to consult a psychiatrist first.

Reply Date: 2008/04/11

More Info

When experiencing symptoms such as hand tremors, palpitations, and chest discomfort, it is essential to understand the potential underlying causes and when to seek medical help. Although you have ruled out hyperthyroidism through blood tests, these symptoms can still arise from various other conditions that may require attention.

Firstly, hand tremors can be caused by several factors, including anxiety, stress, caffeine consumption, or even certain medications. In some cases, they can be indicative of neurological conditions such as essential tremor or Parkinson's disease. If the tremors are persistent or worsening, it would be wise to consult a neurologist who specializes in movement disorders.

Palpitations, characterized by an irregular or rapid heartbeat, can also stem from multiple sources. Common causes include anxiety, excessive caffeine intake, dehydration, or electrolyte imbalances. However, they can also be a sign of more serious heart conditions, such as arrhythmias or other cardiovascular issues. Given your symptoms of chest discomfort alongside palpitations, it is crucial to consult a cardiologist. They can perform tests such as an electrocardiogram (ECG) or echocardiogram to assess your heart's health and rule out any significant issues.

In addition to consulting a neurologist and a cardiologist, it may also be beneficial to see a primary care physician. They can provide a comprehensive evaluation of your symptoms, review your medical history, and coordinate care between specialists if necessary. They can also check for other potential causes of your symptoms, such as anemia, vitamin deficiencies, or other metabolic disorders.

It is important to note that if you experience severe symptoms such as chest pain, shortness of breath, or fainting, you should seek emergency medical attention immediately. These could be signs of a serious condition that requires prompt intervention.

In summary, while your initial concern about hyperthyroidism has been addressed, the persistence of your symptoms warrants further investigation. Consulting a neurologist for your hand tremors and a cardiologist for your palpitations and chest discomfort is advisable. Additionally, a primary care physician can help guide your care and ensure that all aspects of your health are considered. Remember, early intervention can often lead to better outcomes, so do not hesitate to seek medical help when symptoms persist or worsen.

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