[34M] Experiencing tremors and morning vomiting

Patient Description

A 34-year-old male has been experiencing hand and leg tremors for the past 3-4 months. The tremors occur primarily when using the hands or holding them outstretched and tend to subside when relaxed. The patient reports difficulty with fine motor tasks and changes in handwriting, along with cramping and stiffness in the hands and legs. Additionally, the patient experiences vomiting every morning, with nausea persisting throughout the day. There is bright red blood in the stool, with increased frequency of bowel movements, although no abdominal pain is reported. The patient consumes alcohol nightly, approximately a pint of liquor, and has experienced some withdrawal symptoms when attempting to reduce intake. There are no known allergies or pre-existing medical conditions, and the patient is not currently taking any medications.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, there are a few potential explanations for what you might be experiencing. Please remember that these are not diagnoses, and it's important to consult with a healthcare professional for a formal evaluation.

  1. Essential Tremor or Parkinson's Disease: The tremors in your hands and legs, especially when using your hands or holding them outstretched, could be indicative of essential tremor or early signs of Parkinson's disease. Essential tremor is a common movement disorder that can cause tremors during movement. Parkinson's disease can also cause tremors, along with stiffness and changes in fine motor skills. A neurologist would typically evaluate these symptoms and may recommend imaging studies or other tests to confirm a diagnosis.

  2. Gastrointestinal Issues: The presence of bright red blood in your stool, along with changes in bowel habits, could suggest a lower gastrointestinal issue such as hemorrhoids, anal fissures, or other conditions affecting the lower digestive tract. Bright red blood often indicates bleeding closer to the rectum. A gastroenterologist might perform a colonoscopy or other diagnostic tests to determine the cause.

  3. Alcohol-Related Effects: Your nightly alcohol consumption could be contributing to both the tremors and gastrointestinal symptoms. Alcohol can affect the nervous system and lead to tremors, especially if there is a dependency or withdrawal component. It can also irritate the gastrointestinal tract, potentially leading to bleeding or changes in bowel habits. Reducing alcohol intake and seeking support for alcohol use could be beneficial.

What you can do

Tremors and Motor Symptoms:

  • Consider consulting a neurologist for a thorough evaluation of your tremors and motor symptoms. They may recommend specific tests or treatments to address these issues.
  • Practice relaxation techniques and stress management, as stress can exacerbate tremors.
  • Keep a journal of your symptoms using MDandMe to track any changes or patterns, which can be helpful for your healthcare provider.

Gastrointestinal Symptoms:

  • Schedule an appointment with a gastroenterologist to investigate the cause of the blood in your stool and changes in bowel habits.
  • Maintain a balanced diet rich in fiber to support digestive health and consider staying hydrated to help with bowel regularity.
  • Avoid alcohol consumption, as it may be contributing to your symptoms. Seek support if needed to reduce or eliminate alcohol use.

What you should look out for

  • If you experience any worsening of symptoms, such as increased tremors, significant changes in bowel habits, or more frequent or severe bleeding, seek medical attention promptly.
  • Be aware of any new symptoms, such as severe abdominal pain, dizziness, or fainting, and seek care if they occur.
  • If you notice any changes in your ability to perform daily activities due to tremors or other symptoms, discuss these with your healthcare provider.

Please remember that this information is not a substitute for professional medical advice. It's important to consult with a healthcare provider for a comprehensive evaluation and appropriate management of your symptoms.

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1 mo ago

People Also Ask


What could be causing my hand and leg tremors?

Hand and leg tremors could be caused by conditions such as essential tremor or Parkinson's disease. Essential tremor is a common movement disorder that causes tremors during movement, while Parkinson's disease can cause tremors, stiffness, and changes in fine motor skills. A neurologist can evaluate these symptoms to determine the cause.


Why am I experiencing bright red blood in my stool?

Bright red blood in the stool often indicates bleeding in the lower gastrointestinal tract, which could be due to hemorrhoids, anal fissures, or other conditions. A gastroenterologist can perform diagnostic tests, such as a colonoscopy, to identify the cause.


How does alcohol consumption affect tremors and gastrointestinal symptoms?

Alcohol consumption can affect the nervous system and contribute to tremors, especially if there is a dependency or withdrawal component. It can also irritate the gastrointestinal tract, potentially leading to bleeding or changes in bowel habits. Reducing alcohol intake can help alleviate these symptoms.


What steps can I take to manage my symptoms and improve my health?

To manage your symptoms, consider consulting a neurologist for tremors and a gastroenterologist for gastrointestinal issues. Practice relaxation techniques to manage stress, maintain a balanced diet rich in fiber, stay hydrated, and avoid alcohol. Keeping a symptom journal can also be helpful for your healthcare provider.


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