Anxiety is accompanied by fear, increased heart rate, sweating, and heavy breathing. It is normal to feel anxious once in a while. But, when the feeling of worry does not go away and gets worse with time, it requires to be treated.

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What could cause frequent muscle twitches in quad and calf muscles with no loss of muscle strength?

Query: Hello doctor, I am a 41-year-old male who is 5'10" and in pretty good shape. However, last week while I was sitting on the couch at night I noticed muscle twitches in my quad muscles. I ignored it thinking maybe I walked or exercised more than normal. But since then they have not gone away and I no...  Read Full »

Dr. Hitesh Kumar

Answer: Hello, Welcome to Such muscle twitching can happen in few medical conditions like anxiety, motor neuron disease, nerve injury, benign fasciculation syndrome, and hyperthyroidism. If you do not have any weakness or muscle thinning, it may be due to anxiety. I suggest to observe it. ...  Read Full »

I was diagnosed with subdural hematoma two years back and have headaches since then. What could be the reason?

Query: Hello doctor, I am in my forties with type 2 diabetes. I was also diagnosed with subdural hematoma due to CSF (cerebrospinal fluid) leakage two years back and have had constant migraines since then. I have taken multiple CT (computed tomography) scans and show no sign of brain bleed, but I have t...  Read Full »

Dr. Hitesh Kumar

Answer: Hello, Welcome to I read your query and understand your concern. I would like to know some more details about your symptoms: Did you undergo any surgery for the subdural hematoma, or did it resolve on its own? Since when did you start to have headaches or migraine? Which part ...  Read Full »

What causes headaches, shaky hands and nervous tics?

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.  Read Full »

Dr. Hitesh Kumar

Answer: Hello, Welcome to 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 ...  Read Full »

My 15 year old son shows a lot of anger and aggressiveness. Why?

Query: Hello doctor, My 15 year old son is showing a lot of anger and aggressiveness. Please see his attached files for the details. I want your second opinion. I need your opinion on the possible treatment of my son to reduce his extreme angriness, lack of patience, and restlessness. His exams are around...  Read Full »

Dr. Hitesh Kumar

Answer: Hello, Welcome to I have seen all the attached reports (attachment removed to protect patient identity). I would like to know a more detailed history of your son: Since when is he having such behavior? You also mentioned that he is very sincere about his study, and his behavior is...  Read Full »

I have twitching of different muscles. Can I be sure it is not ALS?

Query: Hello doctor, The last week and a half every few minutes, I got a muscle twitch in random parts of my body. My left eye twitches more constantly than that. I have general anxiety and major health anxiety which I am wondering can play a role. I have no muscular weakness at all, and no atrophy from wh...  Read Full »

Dr. Hitesh Kumar

Answer: Hello, Welcome to Frequent muscle twitches without any muscle weakness or atrophy and normal reflexes can be due to anxiety. The other possibility can be benign fasciculation syndrome. But before labeling this, it is advisable to rule out other possible grave diseases. Let me suggest...  Read Full »

I am experiencing a burning sensation from behind my head to my spine. Why does this happen?

Query: Hi doctor,I am experiencing a burning sensation from behind my head to my spine. And I am currently taking tablet Cipralex 10mg.  Read Full »

Dr. Hitesh Kumar

Answer: Hello, Welcome to I understand your concern. I would like to know a few details about your symptoms. When did you first notice this burning sensation behind your head and up your spine? Did it begin four days later? Or did it happen occasionally before? Is it continuous? If it is in...  Read Full »

Do I feel shaky and have muscle spasms due to Benzodiazepines withdrawal or anxiety?

Query: Hi doctor, Two months before, I had surgery done to remove tissues from my chest, and for three to four weeks, I was not feeling good. When I lift a glass of water or something from the ground, my hands and legs shake. But when I am at rest, I am fine, and occasionally I get muscle spasms. Also, I h...  Read Full »

Dr. Hitesh Kumar

Answer: Hi, Welcome to Shakiness and unsteadiness can happen in an anxiety state, which may be associated with more anxiety symptoms like palpitations, a feeling of impending doom or fearfulness, and sleep disturbance. It does not seem to be a Benzodiazepine withdrawal effect because you have...  Read Full »

Can hysterectomy cause headaches?

Query: Hello doctor, I have pain in the left side of the head. It starts when I sleep because of hot flashes and palpitation due to forced menopausal (hysterectomy).  Read Full »

Dr. Hitesh Kumar

Answer: Hello, Welcome to I would like to know some further details about headache: 1. Since when you started to have these headaches? How many years or months? And since when you had menopause? 2. In which part of the head you feel headaches? (You can attach your photo, clicked from a litt...  Read Full »

Are myoclonic jerks harmful?

Query: Hi doctor,I really need help. I am a 24-year-old girl, and I have been experiencing severe neurological discomfort. Occasionally I will experience myoclonic jerks in my face, especially when startled. Recently, I have been getting crawling sensations in my skin when trying to sleep, and it travels f...  Read Full »

Dr. Hitesh Kumar

Answer: Hello, Welcome to I would like to know some details about your symptoms. Since when you started to have "myoclonic jerks" on your face? What exactly happened in that so-called " myoclonic jerk"? Please describe it in detail: - in which part of the face it happens? - is location fix...  Read Full »

Why am I having pressure in head with pain, dizziness and weakness in legs?

Query: Hi doctor, I am a 51-year-old female. My symptoms are triggered by any physical exertion even just walking to the bathroom. I have pain and pressure in the head, weakness in the legs, dizziness, and pain in the center of the chest. It lasts for thirty minutes to three hours. I have done an MRI of th...  Read Full »

Dr. Hitesh Kumar

Answer: Hi, Welcome to I would like to know some further details about your symptoms. Please mention about the duration of headache, kind of headache whether it is heavy or stretching or squeezing or throbbing, part of the head where you feel headache, do you have nausea or vomiting during he...  Read Full »

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