Dr. Hitesh Kumar
Neurology
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Patient's Query
Hello doctor,
Please see my symptoms: 1. Headache. 2. Hands slightly shaking. 3. Nervous ticks (meaning I make a flinching motion). Please also note that I feel anxiety daily. Thank you.
Hello,
Welcome to icliniq.com. Since when are you having anxiety? Sweaty and shaky hands are a manifestation of anxiety. Though headaches can be associated with anxiety too, a headache needs more detailed history: 1. In which part of the head it is? 2. Is it severe or mild? 3. Do you have any nausea or vomiting associated? 4. How is your day-to-day mood usually? Investigations to be done: 1. magnetic resonance imaging (MRI) brain. 2. Thyroid profile. 3. Serum vitamin B12. 4. Ophthalmological (fundus) examination to look for papilledema. Thank you.
Patient's Query
Hello doctor,
Thank you very much for responding. I have been feeling anxious for about two years now. It started when I felt myself swallowing often, then I became anxious about people hearing my swallowing and that is how the cycle went on. The headache is more on and off, I would feel a random streak of pain on either side of the head, both left and right maybe twice for the day which would then go away immediately. When it happens it makes my face cringe so I would say it is mild? I have no nausea or vomiting. Overall my mood is only affected because I fear something is wrong with me because I do not normally get headaches. Otherwise, I am in my normal mood.
Thank you.
Hello,
Welcome back to icliniq.com. Possibly your problem is due to anxiety itself. But, we need to rule out few other conditions. That is the reason I suggested those tests. Also,I suggest you consult a neurologist in person for a good diagnosis and management. Thank you.
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Neurology
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