Why do I have perioral movements and hand tremors?

Hello,

Welcome to icliniq.com. I understand your concern and need more information to suggest better. How long have you been on Seroquel (Quetiapine) medication? Did you experience hand tremors, involuntary movements of jaw, mouth, etc., before starting this drug? Does the severity of tremor decrease with physical activity or intentionally trying to stop? Apart from this a strict diabetic control should be warranted. Follow diet control and do regular exercises in the form of brisk walking and jogging for 30 to 40 minutes a day. Follow periodic blood sugar monitoring and treatment as advised by a diabetologist.

Hello,

Welcome back to icliniq.com. Thank you for the updated information. The gradual worsening of hand tremors and involuntary movements over years might possibly indicate the Parkinson's disease, aneurodegenerative disorder. There are no specific laboratory tests to diagnose this condition. You should undergo a complete neurological evaluation with investigations like liver function tests, 24 hours urinary copper, serum ceruloplasmin, etc., as advised by the neurologist to rule out other underlying disease conditions causing the problems. Positron emission tomography (PET) scan seems to be helpful in diagnosis than conventional computed tomography (CT) and magnetic resonance imaging (MRI) scan. I would suggest you to discuss the above with the nearby neurologist for evaluation and further treatment for the best of your health. In the meantime, you can safely take tablet Pregabalin 150 mg at night time for symptomatic relief under doctor's supervision.