Hand Tremors: Causes and When to Seek Help - Neurology

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Hand tremors can be a source of concern and discomfort, especially when they have been present since childhood. Your description indicates that your tremors are exacerbated by hunger and emotional states such as anxiety or anger. While it’s good to know that your thyroid function has been ruled out as a cause, there are several other potential explanations for your symptoms.

Tremors can be classified into several types, with the most common being essential tremor and physiological tremor. Essential tremor is a neurological disorder that causes rhythmic shaking, often in the hands, and can worsen with movement or emotional stress. It is typically hereditary, so if family members have similar issues, this could be a factor. Physiological tremors, on the other hand, are normal tremors that everyone experiences to some degree, but they can become more pronounced under certain conditions such as fatigue, anxiety, or low blood sugar.

Other potential causes of hand tremors include:
1. Anxiety and Stress: As you mentioned, your tremors are more noticeable when you are emotionally charged. Anxiety can lead to increased muscle tension and tremors.

2. Caffeine Intake: High caffeine consumption can lead to tremors as it stimulates the nervous system.

3. Medications: Certain medications can cause tremors as a side effect. If you are taking any medications, it would be worth discussing this with your doctor.

4. Neurological Conditions: Conditions such as Parkinson’s disease or multiple sclerosis can cause tremors, although these are less likely given your age and the nature of your symptoms.

5. Nutritional Deficiencies: Deficiencies in certain vitamins, particularly B12, can lead to neurological symptoms, including tremors.

Given your symptoms and the fact that they have persisted for a long time, it would be advisable to seek a comprehensive evaluation. You should consider visiting a neurologist, as they specialize in disorders of the nervous system and can provide a thorough assessment of your tremors. They may conduct a physical examination, review your medical history, and possibly order additional tests such as blood tests or imaging studies to rule out other conditions.

In addition to seeing a neurologist, it may also be helpful to consult with a mental health professional if anxiety is a significant factor in your tremors. They can provide strategies for managing stress and anxiety, which may help reduce the severity of your symptoms.

In summary, while hand tremors can be benign and related to factors like anxiety or fatigue, it is essential to have them evaluated by a healthcare professional to rule out any underlying conditions. A neurologist would be the appropriate specialist to consult for your symptoms. Remember, understanding the cause of your tremors is the first step toward effective management and treatment.