Understanding Propranolol Side Effects: Tremors and Limb Weakness
Tremors and intermittent weakness in the limbs? A few days ago, I went for an examination due to mild hand tremors and was prescribed 309 Propranolol (Inderal) to take twice daily. I have been taking it for over three weeks now, but I am experiencing hand tremors, weakness in my ...
Dr. Jiang Junyi Reply:
Hello: Based on your description, propranolol is primarily a sympatholytic agent. It has shown good therapeutic effects for essential tremors or tremors caused by emotional stress. However, due to potential side effects from decreased heart rate and blood pressure, such as fatigu...[Read More] Understanding Propranolol Side Effects: Tremors and Limb Weakness
Understanding Benign Tremors: Symptoms, Diagnosis, and Management Tips
Benign tremor Hello Doctor: Over the past year, I have been experiencing muscle twitching all over my body, and sometimes I also feel weakness, which makes me quite anxious. I have consulted many Western and traditional Chinese medicine doctors, but the symptoms persist, and I fe...
Dr. Jiang Junyi Reply:
Hello: Based on your description, it seems you are caught in a dilemma of seeking medical care from various sources. To address this issue, it is advisable to first select a medical center near your residence to consolidate your medical records, as cloud-based reports, while info...[Read More] Understanding Benign Tremors: Symptoms, Diagnosis, and Management Tips
Understanding Benign Tremors: Symptoms, Diagnosis, and Management Tips
Benign tremor Hello Doctor: Over the past year, I have been experiencing muscle twitching all over my body, and sometimes I feel weakness, which has made me quite anxious. I have consulted many Western and traditional Chinese medicine doctors, but the symptoms persist, and I feel...
Dr. Jiang Junyi Reply:
Hello: Based on your description, it seems you are caught in a dilemma of seeking medical care from various sources. To address this issue, it is advisable to first select a medical center near your residence to consolidate your medical information. While cloud-based reports can ...[Read More] Understanding Benign Tremors: Symptoms, Diagnosis, and Management Tips
Understanding Sleep Tremors and Migraines: When to Seek Medical Advice
Muscle twitching, migraine? Hello doctor, I would like to ask if the following symptoms my friend experiences while sleeping are normal and if she needs to go to the hospital for an examination. She is 20 years old, does not smoke or drink alcohol, has a family history of diabete...
Dr. Cai Zongzhang Reply:
Hello, regarding your friend's issue, it is uncertain if he is simply too fatigued. Especially considering the sleep conditions you described, this phenomenon may occur due to excessive fatigue or long-term irregular sleep patterns. It is recommended that he maintains a regu...[Read More] Understanding Sleep Tremors and Migraines: When to Seek Medical Advice
Understanding Essential Tremor: Symptoms, Causes, and Concerns
Tremors and muscle twitching? Hello Doctor: Recently, I have noticed that my hands are trembling. After an examination at a large hospital, the doctor told me it is essential tremor. However, I learned that essential tremor is often hereditary, but my parents don't seem to h...
Dr. Jiang Junyi Reply:
Hello: Based on your description, primary tremor is primarily a symptom caused by instability in muscle coordination. Generally, physicians may prescribe Propranolol to stabilize the symptoms. This medication works by reducing sympathetic nervous system activity. Our autonomic ne...[Read More] Understanding Essential Tremor: Symptoms, Causes, and Concerns
Concerns About Propranolol: Side Effects and When to Stop Medication
I would like to ask a question about antiarrhythmic medications? A few days ago, I went for an examination due to slight hand tremors and was prescribed 245 mg of propranolol to take twice daily. The next morning, after taking the medication, I experienced several side effects, i...
Dr. Jiang Junyi Reply:
Hello, based on your description, the action of Propranolol is to reduce sympathetic nervous system activity. Our autonomic nervous system is regulated by the sympathetic and parasympathetic nervous systems, where one acts as the accelerator and the other as the brake. The sympat...[Read More] Concerns About Propranolol: Side Effects and When to Stop Medication
Understanding Hand Tremors: When to Seek Neurological Advice
Tremor issues? Hello Doctor: Recently, I noticed that when I rest my wrist on the table and use my phone with one hand, I experience some shaking in my hand. The frequency is not fast, and the amplitude is not large; it just feels a bit unusual. I'm not sure if this has been...
Dr. Jiang Junyi Reply:
Hello, based on your description, our bodies can experience physiological tremors, primarily due to excessive use of large muscles or an overreaction of the sympathetic nervous system. However, these types of tremors tend to occur at a faster rate. Our autonomic nervous system is...[Read More] Understanding Hand Tremors: When to Seek Neurological Advice
Understanding Finger Tremors: Causes and Solutions for Gamers
Finger twitching I occasionally notice that when I raise my pinky finger while gaming at night (like when playing "Turtle"), it tends to shake a bit (the movement is quick, and if I relax my whole hand while only raising my pinky, the amplitude is slightly larger). Some...
Dr. Jiang Junyi Reply:
Hello: You mentioned experiencing numbness and abnormal twitching in your little toe. First, we should consider the possibility of muscle hypertonicity causing abnormal contractions. Additionally, tremors may be due to thyroid dysfunction. I recommend that you visit a neurology o...[Read More] Understanding Finger Tremors: Causes and Solutions for Gamers
Understanding Muscle Twitches and EMG Results: A Neurology Perspective
Muscle twitching and electromyography-related issues? Hello Doctor, Since around June 2017, I began to notice slight tremors in both of my hands, and when lying flat, I felt a sensation of my body vibrating. In July, I visited a neurologist for the first time, and the doctor ob...
Dr. Jiang Junyi Reply:
Hello: Generally speaking, about 70% of patients with motor neuron disease present with limb weakness, while around 20% exhibit weakness in the bulbar region as their clinical manifestation. In terms of limb involvement, the initial presentation is usually asymmetric hand weaknes...[Read More] Understanding Muscle Twitches and EMG Results: A Neurology Perspective
Understanding Right-Sided Neck and Head Pain: Is It a Stroke Warning?
Tightness in the right posterior part of the head, along with shoulder and neck pain, which is also causing discomfort in the eyes? Hello, doctor. I would like to ask you a question. My husband is 40 years old and works in a physically demanding job. He has a smoking habit and ha...
Dr. Jiang Junyi Reply:
Hello: Your husband is a smoker, which places him in a high-risk group for stroke. If he experiences sudden neurological deficits such as unilateral limb weakness or slurred speech, cerebrovascular disease should be the first consideration. Other causes of limb pain, such as cerv...[Read More] Understanding Right-Sided Neck and Head Pain: Is It a Stroke Warning?
Understanding Essential Tremor: Causes, Treatments, and Next Steps
Tremors in the hands, feet, and body? Hello, doctor: I would like to ask about my condition. I noticed that my left hand has been trembling since high school, and now my right hand also has slight tremors. When I extend my five fingers forward, they tremble significantly. When I ...
Dr. Jiang Junyi Reply:
Hello, essential tremor: The exact cause of the tremor cannot be determined; it may be due to a specific constitution or hereditary tremor. Typically, the tremor is more pronounced when holding objects, while some individuals may experience shaking when writing or performing spec...[Read More] Understanding Essential Tremor: Causes, Treatments, and Next Steps
Understanding Hand Tremors: Why Writing Triggers Wrist Shaking
The wrist occasionally experiences vibrations? When writing, my hand always trembles, but it’s fine when I'm not writing.
Dr. Jiang Junyi Reply:
Hello: Your symptoms are more indicative of essential tremor, where the exact cause of the tremor cannot be determined. It may be due to a specific constitution or hereditary tremor. Typically, the tremor is more pronounced when holding objects, while some individuals may experie...[Read More] Understanding Hand Tremors: Why Writing Triggers Wrist Shaking
Understanding Muscle Tremors: Causes, Diagnosis, and Treatment Options
Muscle tremors Hello, doctor. Recently, I visited a traditional Chinese medicine practitioner for body adjustment and weight loss. After about two weeks, I started experiencing tremors in the muscles at the back of my left upper arm. The shaking comes and goes; sometimes it doesn...
Dr. Jiang Junyi Reply:
Hello: There are many reasons for muscle twitching. In addition to nerve conduction issues, it may be necessary to consider metabolic disorders such as hyperthyroidism and electrolyte imbalances. It is recommended that you discuss further treatment and examinations with your atte...[Read More] Understanding Muscle Tremors: Causes, Diagnosis, and Treatment Options
Understanding Muscle Tremors: Causes and When to Seek Help
Muscle twitching Hello, I would like to ask about a condition I've been experiencing for the past two weeks. I've been feeling slight tremors in my body that are not visible externally, but I can sense them, similar to a low-frequency vibration as if a machine is nearby...
Dr. Jiang Junyi Reply:
Hello, the causes of tremors can be categorized into four types: physiological tremors, psychological tremors, essential tremors, and pathological tremors. 1. Physiological tremors: These do not occur under normal circumstances and only arise in specific situations such as stre...[Read More] Understanding Muscle Tremors: Causes and When to Seek Help
Understanding Left Thumb Twitching and Muscle Weakness: A Neurology Perspective
Twitching of the left thumb with muscle spasms and a feeling of weakness? For the past couple of days, my left thumb has been twitching frequently (as if it were being shocked), and sometimes my hand experiences slight tremors. Additionally, for the past six months, my entire bod...
Dr. Jiang Junyi Reply:
Hello, you may want to first rule out physiological tremors, which can occur in certain situations such as stress, anxiety, or anger. Other factors, such as side effects from certain medications or the consumption of beverages like coffee, tea, or cola, may also trigger this. If ...[Read More] Understanding Left Thumb Twitching and Muscle Weakness: A Neurology Perspective
Understanding Tremors: Could They Be Primary Essential Tremor?
The body may tremble? My symptoms are as follows: 1. My hands tremble. I've had this for a long time (since around middle school). When I lift a cup to drink, my hands shake, and my head shakes as well. When typing or using the mouse, both hands tremble, with my left hand sh...
Dr. Hong Weibin Reply:
Hello: Based on your inquiry, in addition to primary tremor, physiological tremor may also be a possible cause. A consultation with a neurologist can help clarify the situation. If it does not affect your daily life, there is generally no need for excessive concern.[Read More] Understanding Tremors: Could They Be Primary Essential Tremor?
Understanding Nerve Issues: Causes of Numbness and Muscle Cramps
Easy numbness in hands and feet along with twitching? I would like to ask about my previous experience with bronchodilator medication, which caused severe side effects such as palpitations and tremors, leading me to discontinue its use. Since then, those symptoms have resolved. H...
Dr. Jiang Junyi Reply:
Hello, based on your description, women tend to have smaller skeletal structures, which can lead to a higher risk of nerve compression. Maintaining proper posture is very important. If you frequently experience numbness, it is advisable to supplement with B vitamins during the da...[Read More] Understanding Nerve Issues: Causes of Numbness and Muscle Cramps
Unexplained Hand or Foot Tremors: When to Seek Medical Advice
Uncontrollable trembling of the hands or feet? My boyfriend first noticed it when he felt a slight twitch in my hand while I was sitting relaxed on the back of his motorcycle. He asked if I was cold, wondering why I twitched. I said no and didn't realize I was twitching. Rec...
Dr. Jiang Junyi Reply:
Hello: You mentioned that muscle spasms are rapid involuntary muscle contractions, resembling a jolt. While in more severe cases, myoclonus can be a physical condition that affects a person's normal life, physiological myoclonus (such as hiccups, sleep myoclonus, and muscle ...[Read More] Unexplained Hand or Foot Tremors: When to Seek Medical Advice
Understanding Thumb Tremors: Causes and Concerns for Young Adults
The thumb is experiencing persistent twitching? Hello, I am a 27-year-old female. My right thumb has been twitching for about a month. Initially, the twitching lasted only a few seconds at a time, but now it can continue for three to four hours. Recently, I have also felt the twi...
Dr. Hong Weibin Reply:
Hello: Muscle twitching is often associated with lesions of the lower motor neurons; however, there are many diseases affecting the lower motor neurons, and they are not necessarily related to amyotrophic lateral sclerosis (ALS) or Parkinson's disease. Conditions such as ele...[Read More] Understanding Thumb Tremors: Causes and Concerns for Young Adults
Can Rivotril and NORINA Be Safely Combined for Neurological Issues?
Rivotril and NORINA Hello Doctor, I recently experienced involuntary muscle twitching and hand tremors. A neurologist prescribed Rivotril 0.5 mg (21-day supply, 11 tablets, take half a tablet once). However, due to personal reasons, I need to take NORINA tablets 5 mg to delay my ...
Dr. Jiang Junyi Reply:
Hello, based on your description, Rivotril is a long-acting sedative within the benzodiazepine (BZD) class, with a typical dosage range of 0.25-10 mg. It is generally recommended to start with a low dose. When using higher doses, it is important not to abruptly discontinue the me...[Read More] Can Rivotril and NORINA Be Safely Combined for Neurological Issues?