Are hand tremors anxiety-related or sign of illness?
Hello doctor,
I am 27 years old. I have suffered from gastroesophageal reflux disease (GERD) for a couple of years along with anxiety and depression, which some think is related to GERD or the opposite way round. I have taken Citalopram for about three years on and off. Seven months ago, I decided myself and finally did stop for good. Citalopram 10 mg was the dose, and I have been feeling great since. Three days ago, I got a call from the hospital, and they have scheduled me for a Nissen fundoplication surgery after a year of test and conservative treatment. Two days after I found that they had put a date to my surgery which is next week. I did sit before the computer and took a pen. I saw my left hand shaking; shaking like a tremor or Parkinson symptom. I have never seen this before, and I did get a shower, and the hand did not shake the same after. When I searched on the internet, and of course, I can only see negative things like essential tremor and Parkinson disease. I feel nervous and shaky since then, like restless arms, legs and fatigue. I am apprehensive about this. Can this only be a symptom of anxiety inside my body as I fear for the surgery? The symptoms are not noticeable to others, but only myself and I still feel restless.Is this anything serious or will this subside when things are getting closer or after surgery? It seems like I have been working so hard on getting the help I need for my GERD and when I finally got the call from the doctor about they want to give me this surgery; everything turned around. I am feeling restless. I have a hair thinning problem and slight beard alopecia areata. I have attached the photos of medicine I am taking for hair thinning problem and vitamin supplement) I am also on probiotics to help with constipation, sometimes it occurs due to indigestion and GERD.
26 Apr 2024 - 1 min read
Is immediate help needed for seizures and disorientation?
Hello doctor,
This is a question regarding my fiance. I am very worried as he refuses to visit a doctor. The symptoms are the following: Right-hand tremors, seizures sometimes when he is on the couch and relatively minor ones and mumbling nonsense during night-time when he was laid down like he is sleep talking and only hears me after I talk three or four times. Last night after he was napping on the couch, he woke up to take his bath and the water was heating. He stayed still for 5 minutes on the heating system staring blankly at the wall. I tried to communicate, but he was wholly unresponsive. I tried to shook him and he stared at me with glassy eyes. He would not answer anything I said. I started slapping him slightly on the face and shooked him to make him responsive. He raised his hand to hit me back, but he seemed that he had no control over his muscles and the slap was so weak that I barely felt it. Then I turned the lights on. He started being more responsive. He became mad and requested to put out the lights. I refused and he kept repeating the words to turn off the lights. He did not move, but seemed mad about the lights and started raising his voice. So, I turned it off. He became unresponsive again. Then, he began pacing around the house mumbling about the television set that was not working. I tried to calm him down but failed. He became a little more responsive by that time and responded with a few words to a few things I asked, but he seemed that he was completely lost in another world or something. After an hour or so, he had his bath and even started to joke. I asked him what was the last thing he remembered and with a little persistence, it seemed that he remembered what had happened in that hour. He had two glasses of wine before that happened. I do not know if alcohol is significant here. I am very scared. I scared that I do not want to lose him. He is the only person I have in this world. Thank you for taking the time to read it. Kindly help me.
26 Apr 2024 - 1 min read
What test should be done for tingling sensation in feet?
Hi doctor,
I have been suffering with tingling and needling sensation in my feet from the last one and a half year. It may be peripheral neuropathy. If it so, then what is the treatment for it? Which tests should I undergo to diagnose the reason? I had 10 vitamin B12 injections before two months. I had one for every three days, but it did not help me.
25 Apr 2024 - 1 min read
Please let me know if my father is treated in the right way.
Hi doctor,
The patient is a 65 year old, slim and athletic body male. He did not have diabetes or any health issues in the past. He was a little unwell for about last one week. He had a slight fever for about three to four days, following which he only had some cough without any fever for two days. He used some over the counter medicine (OTC) cough syrup during the last two days. About 20 hours ago, he started developing some difficulty in breathing and was taken to a local hospital. An Electroencephalogram (EEG) suggested to the local doctor that he may have had a heart attack and was given some Heparin along with some antibiotic and moved to a bigger hospital. A few quick tests and a bit more revealed to the neurologist that the heart is not the issue. I just got to know that the newbie general physician prescribed some unwanted medications. I was informed by the nurse that the diagnosis was septic encephalopathy and bronchopneumonia. I managed to get a picture of the patient's current chart. All vitals are holding for the last 10 hours since his admission at the current hospital. The patient has been unconscious for the last 15 hours. The neurologist is unavailable for a few more hours. I have attached all the prescriptions and findings of the hospital visits since the first admission. Please let me know if this coma is deepening and whether I should request that the patient to be moved to an even better hospital.
25 Apr 2024 - 1 min read
Can surgery for left ventricle AVM cause left side weakness?
Hello doctor,
I have choroid plexus AVM (Arteriovenous malformation) (sm grade 2) in the right temporal horn of the lateral ventricle. Doctor said embolization and gamma knife are not possible. So they opted for microsurgery and said surgery would lead to weakness on the left side. I want to know what are the other effects? How long will it exist? Will the effect become normal after some days? Please explain. I am currently on Eptoin 100 mg.
23 Apr 2024 - 1 min read
