Can Stress Cause Drowsiness and Tremors? What to Know - Neurology

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Can excessive stress cause drowsiness and trembling in the hands and feet?


Hello, Doctor: I would like to ask you, can excessive stress cause drowsiness and tremors in the hands and feet? If not, what diseases could cause these symptoms? If I need to go to the hospital, which department should I see? Thank you for your response, Doctor.

Liang Ruishan, 20~29 year old female. Ask Date: 2002/07/30

Dr. Huang Yingzhe reply Neurology


Excessive stress can certainly lead to many uncomfortable physical symptoms and may reveal underlying health issues.
If the problems are indeed related to stress, it is advisable to consult a psychiatrist for a discussion.

Reply Date: 2002/07/30

More Info


Stress is a significant factor that can lead to various physical and psychological symptoms, including drowsiness and tremors. When the body is under stress, it activates the "fight or flight" response, which can lead to a cascade of physiological changes. These changes are primarily mediated by the autonomic nervous system and the release of stress hormones such as cortisol and adrenaline.

How Stress Affects the Body
1. Drowsiness: Chronic stress can lead to fatigue and drowsiness for several reasons. Stress often disrupts sleep patterns, leading to insomnia or poor-quality sleep. When the body is unable to rest adequately, it can result in excessive daytime sleepiness. Additionally, stress can lead to mental exhaustion, making it difficult to stay alert and focused, which can further contribute to feelings of drowsiness.

2. Tremors: Tremors or shaking in the hands and feet can also be a response to stress. This is often due to the release of adrenaline, which prepares the body for a quick response to perceived threats. The increased adrenaline can lead to muscle tension and involuntary muscle contractions, resulting in tremors. Furthermore, anxiety, which is often a byproduct of stress, can exacerbate these tremors.


Other Possible Causes
While stress can certainly cause drowsiness and tremors, it is essential to consider other medical conditions that may present with similar symptoms:
- Anxiety Disorders: Conditions such as generalized anxiety disorder or panic disorder can lead to both tremors and fatigue.

- Thyroid Disorders: Hyperthyroidism, in particular, can cause tremors, increased heart rate, and fatigue.

- Neurological Conditions: Disorders such as Parkinson's disease or essential tremor can lead to tremors, although these are usually accompanied by other neurological symptoms.

- Metabolic Issues: Conditions like hypoglycemia (low blood sugar) can cause tremors and fatigue.

- Substance Withdrawal: Withdrawal from substances such as alcohol or certain medications can lead to tremors and drowsiness.


When to Seek Medical Attention
If you are experiencing persistent drowsiness and tremors, it is advisable to consult a healthcare professional. You should consider visiting a primary care physician first, who can perform an initial evaluation and determine if you need to be referred to a specialist, such as a neurologist or psychiatrist, depending on the findings.


Recommendations for Managing Stress
1. Lifestyle Modifications: Incorporate regular physical activity, which can help reduce stress levels and improve sleep quality. Aim for at least 30 minutes of moderate exercise most days of the week.

2. Relaxation Techniques: Practices such as mindfulness meditation, yoga, or deep-breathing exercises can help manage stress and reduce symptoms of anxiety.

3. Sleep Hygiene: Establish a regular sleep schedule, create a restful environment, and avoid stimulants before bedtime to improve sleep quality.

4. Professional Help: If stress becomes overwhelming, consider seeking help from a mental health professional. Therapy can provide you with coping strategies and support.

5. Nutrition: Maintain a balanced diet rich in whole foods, as proper nutrition can influence mood and energy levels.

In conclusion, while stress can indeed lead to drowsiness and tremors, it is crucial to rule out other potential medical conditions. A comprehensive evaluation by a healthcare professional can help identify the underlying cause and guide you toward appropriate treatment and management strategies.

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