HomeAnswersInternal Medicineessential tremorsWill essential tremor cause post-micturition dribble with a diminished sense of smell?

Can essential tremor cause post-micturition dribble and a diminished sense of smell?

Share

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At March 4, 2017
Reviewed AtSeptember 12, 2023

Patient's Query

Hi doctor,

I am a 28 year old male who was diagnosed with essential tremor six years ago. Presently, I have tremors only in my right hand and thumb, but it feels like my entire body wants to move. Before, I used to get tremors on some movement, but nowadays, it is present even while at rest. I am also getting muscle twitches in my left bicep on and off. Occasionally my voice gets low and shaky, and I struggle with words. I am currently taking Bisoprolol, Amlodipine and Ramipril. I have noticed my sense of smell is diminishing quite rapidly, though I do not have a cold or flu. I do not know if this is related, but I also have stiff upper back and neck, which gets worse in the mornings. I have nightmares which are affecting my sleep, although this could be due to my depression and anxiety. I also have post-micturition dribble, which is embarrassing. I seem to be choking on my saliva or when I have a drink on a daily basis now. Please help as my symptoms are getting worse.

Hi,

Welcome to icliniq.com.

Based on the history which you have provided, it seems to be a progressive neurological condition. Essential tremor is diagnosed when there is no pathology in the brain, and the cause is idiopathic or unknown. But in your case, it is a bit of concern as you have developed urine symptoms. Usually, urine symptoms do not appear in functional or anxiety disorder. There has to be some organic pathology, and you need to get a neurological examination done by an expert neurologist.Investigations to be done are as follows. Contrast-enhanced MRI of the brain, Thyroid profile, Vitamin B12 level, Nerve conduction velocity, Electromyography. The differential diagnoses are,Frontal lobe pathology, Vitamin B12 deficiency, Multiple cranial nerve involvement, Peripheral neuropathy.

Patient's Query

Hi doctor,

Thanks for the reply. I have booked an appointment with my general practitioner. I hope for a neurologist referral. Although it is rare, I am concerned about early onset of Parkinson's.

Hi,

Welcome back to icliniq.com.

Loss of sense of smell and tremors are present in Parkinson's disease, but the other essential criteria for diagnosis are bradykinesia and hypokinesia which means slowing of movement initiation. Do not worry for now. Let us discuss this after your neurological examination and tests.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Anshuman Srivastava
Dr. Anshuman Srivastava

Internal Medicine

Community Banner Mobile
By subscribing, I agree to iCliniq's Terms & Privacy Policy.

Ask your health query to a doctor online

Internal Medicine

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.

This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy