[34M] With tremors, fatigue, muscle weakness, and tendon pain

What might be happening

Based on the symptoms you've described, here are some possible explanations:

Tremors, Fatigue, Muscle Weakness, and Tendon Pain

1. Parkinson's Disease:

   • Rationale: Parkinson's disease often presents with tremors, muscle stiffness, slowness of movement, and balance issues. The fact that your tremors worsen with physical exertion and heat, and you experience muscle stiffness and a softer voice, aligns with common symptoms of Parkinson's.
   • Typical Treatments/Testing: Diagnosis usually involves a neurological examination and may include imaging tests like an MRI. Treatment often includes medications like Levodopa and physical therapy.

2. Essential Tremor:

   • Rationale: Essential tremor is a neurological disorder that causes involuntary and rhythmic shaking, especially noticeable in the hands and arms. It can worsen with movement and improve with rest.
   • Typical Treatments/Testing: Diagnosis is primarily clinical, based on symptoms and family history. Treatment may include medications like beta-blockers or anticonvulsants.

Unifying Diagnoses

1. Medication Side Effects:

   • Rationale: Both Bupropion and Zoloft can cause tremors and muscle weakness as side effects. The sudden onset of your symptoms could be related to these medications.
   • Typical Treatments/Testing: Your doctor may review your medications and possibly adjust dosages or switch medications.

2. Thyroid Dysfunction:

   • Rationale: Thyroid issues can cause tremors, fatigue, muscle weakness, and tendon pain. Hyperthyroidism, in particular, can lead to these symptoms.
   • Typical Treatments/Testing: Blood tests to check thyroid hormone levels (TSH, T3, T4) are typically done. Treatment may involve medications, radioactive iodine, or surgery.

What you can do

Tremors, Fatigue, Muscle Weakness, and Tendon Pain

1. See a Doctor:

   • Given the severity and duration of your symptoms, it's important to consult a healthcare professional for a thorough evaluation. They may refer you to a neurologist for specialized care.

2. Medication Review:

   • Discuss your current medications with your doctor to see if they could be contributing to your symptoms. They may adjust your dosages or switch medications.

3. Lifestyle Adjustments:

   • Rest: Continue to rest when needed, especially after physical exertion.
   • Hydration: Stay well-hydrated, especially in hot conditions.
   • Balanced Diet: Ensure you're getting a balanced diet rich in nutrients to support overall health.

4. Physical Therapy:

   • Consider seeing a physical therapist to help manage muscle weakness and improve balance.

5. Symptom Tracking:

   • Use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider. This can help in identifying patterns and triggers.

What you should look out for

Given the complexity of your symptoms, it's important to seek medical care as soon as possible. Reasons to seek care even more urgently include:

• Worsening Tremors: If your tremors become more severe or start affecting other parts of your body.
• Severe Muscle Weakness: If you experience significant difficulty in performing daily activities.
• Balance Issues: If you have frequent falls or severe balance problems.
• Changes in Speech or Swallowing: If you notice significant changes in your speech or difficulty swallowing.

Remember, while I can provide information and suggestions, it's crucial to consult with a healthcare professional for a formal diagnosis and appropriate treatment.