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Q. I am getting sudden tremors and dizzy spells with hot and cold flushes. Is this Parkinson's disease?

Answered by
Dr. Penchala Prasad Kandikattu
and medically reviewed by Dr. Hemalatha
This is a premium question & answer published on Sep 11, 2020 and last reviewed on: Sep 18, 2020

Hi doctor,

I am 48 years old. I have two problems which I believe are related. One of the symptoms would be internal tremors/vibrations, which started as a slight twitch in my left foot and progressed to the whole body and has recently started down the right leg. It is very annoying. I spent a bit of time lately thinking of ending it, which prompted me to do something about it.

The second thing is dizzy spells, which come with no warning. All of a sudden, I just want to curl up in the fetal position. For a few minutes, I can do a very little and then I get hot and cold flushes a bit then it all goes away but then I feel lethargic and cannot be bothered doing anything and my brain does not seem to work good. I am usually extremely active but I had days where my body just does not want to move. I have problems with trust when it comes to doctors and I am reluctant to go and see one so I thought I would write instead. I have not convinced myself yet, but Parkinson's mixed with mini-strokes seem to fit the bill.

#

Hello,

Welcome to icliniq.com.

Do you have any investigations or an MRI brain with you? Do you suffer from any rigidity, athetosis, and tremors in the hands? Are there any bladder or micturition problems? Do you take any pills for hypertension or diabetes?

Without examination and investigations, it is difficult to explain the cause. I am mentioning a few possible causes.

1. Simple partial seizures may present like movements in a single limb without loss of consciousness.

2. Lumbar spondylosis muscle weakness in the lower limbs.

3. Diabetic or hypertension patients may present like peripheral neuropathy along with muscle weakness.

4. Vitamin D deficiency, hormonal imbalance may also contribute like this.

5. Postural hypotension, anemia also present like this.

6. Postmenopausal or andropausal syndrome.

7. Electrolyte imbalance.

Parkinsonism or Parkinson's plus syndrome may need clinical examination, and MRI brain is required to confirm the diagnosis.

Usually, Parkinsonism may present after the age of 60 years or above. If the disease may be due to multiple infractions or stroke means, then it needs MRI (magnetic resonance imaging) brain to confirm the diagnosis.

So please get done complete blood picture, serum electrolytes, serum B12 levels, MRI brain, blood sugar levels, and thyroid profile. Use tablet Vertin 16 mg thrice daily for three days, capsule Evion 400 twice a day for one week. Do yoga and meditation regularly.

Review with reports or consult with your physician he will examine and treat you accordingly.


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