[19F] Experiencing body tremors post-gardening

Patient Description

A 19-year-old female experienced whole-body shaking, particularly in the hands and chest, after working in the garden. The shaking resembles the sensation of hunger-induced tremors and improves with sitting. She reported dizziness a few days ago and feels anxious with a fast heartbeat after physical activity. There is no unusual fatigue or weakness, but significant brain fog is noted, possibly related to Behçet’s disease. Dietary intake today was minimal, consisting of a cookie and chocolate milk. Current medications include Topamax 50mg, Meloxicam 7.5mg, Prozac 20mg, Wellbutrin 350mg, birth control, and Omeprazole 40mg. No known allergies except to Amoxicillin.

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Arora's Assessment

What might be happening

Based on your symptoms, here are some possibilities:

  • Low Blood Sugar (Hypoglycemia): Your symptoms of shaking and feeling better after sitting could be related to low blood sugar, especially since you've only had a small amount to eat today. Eating more regularly can help prevent this.

  • Dehydration or Electrolyte Imbalance: Working in the garden can lead to dehydration, which might cause shaking and dizziness. Ensuring adequate fluid intake is important.

  • Anxiety: Your fast heartbeat and shaking could also be related to anxiety, especially if you were feeling stressed or anxious.

  • Behçet’s Disease: While brain fog can be associated with Behçet’s disease, it might not be directly related to your current symptoms. However, it's important to monitor any changes.

What you can do

  • Eat a Balanced Meal: Try to have a nutritious meal with protein, carbohydrates, and healthy fats to stabilize your blood sugar.

  • Stay Hydrated: Drink plenty of water, especially after physical activity, to prevent dehydration.

  • Rest and Relax: Sit down and take deep breaths to help calm your body and reduce anxiety.

  • Track Symptoms: Use MDandMe to journal your symptoms, track your progress, and share insights with your healthcare provider.

What you should look out for

  • Seek Medical Attention: If the shaking persists, worsens, or is accompanied by other concerning symptoms like chest pain or severe dizziness, contact a healthcare professional.

  • Monitor Symptoms: Keep an eye on any new or worsening symptoms related to your Behçet’s disease or overall health.

Remember, it's always best to consult with a healthcare professional for a formal diagnosis and treatment plan.

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2 mo ago

People Also Ask

What are the common symptoms of low blood sugar and how can they be managed?

Common symptoms of low blood sugar include shaking, sweating, dizziness, hunger, irritability, and confusion. To manage it, eat a balanced meal with carbohydrates, proteins, and fats, and avoid skipping meals.

How can dehydration or electrolyte imbalance affect the body, and what are the signs to watch for?

Dehydration or electrolyte imbalance can cause symptoms like dizziness, fatigue, dry mouth, and muscle cramps. It's important to drink plenty of fluids and consume foods rich in electrolytes, such as bananas and sports drinks, especially after physical activity.

What are some effective ways to manage anxiety-related symptoms like a fast heartbeat and shaking?

To manage anxiety-related symptoms, practice deep breathing exercises, engage in regular physical activity, and consider mindfulness or relaxation techniques. If symptoms persist, consult a healthcare provider for further advice.

How does Behçet’s disease potentially contribute to symptoms like brain fog?

Behçet’s disease can cause brain fog due to inflammation affecting the nervous system. Managing overall inflammation through medication and lifestyle changes can help alleviate these symptoms. Regular monitoring and consultation with a healthcare provider are recommended.

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