[36M] Experiencing abdominal tremors and related symptoms

Patient Description

A 36-year-old male reports a 6-year history of persistent stomach issues characterized by tremors in the lower quadrants of the abdomen, initially on the right side and now also on the left. These tremors lead to headaches, sinus pressure, and nausea, but can be temporarily alleviated by manual pressure. The patient is currently on gabapentin to reduce the tremors, which are particularly exacerbated by rest and the consumption of fatty or spicy foods. Additionally, the patient has been diagnosed with GERD, generalized anxiety disorder, and mild sleep apnea, and is taking sertraline and lansoprazole. The headaches, which are tension-like and located at the back of the head, are rated as a 3 or 4 on the pain scale and are directly related to the abdominal tremors.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

  • Functional Dyspepsia: This is a chronic disorder of sensation and movement (peristalsis) in the upper digestive tract. It can lead to discomfort in the upper abdomen, including feelings of fullness, bloating, and nausea. The exact cause is unknown, but it's often associated with eating certain foods, like fatty or spicy foods, which you've mentioned worsen your symptoms.

    • Treatment typically involves dietary changes and medications to reduce stomach acid and help food move through your stomach more easily.
  • Gastroesophageal Reflux Disease (GERD): You've mentioned that you've been diagnosed with GERD. This condition can cause a variety of symptoms, including discomfort in the stomach and esophagus, especially after eating certain foods. It can also cause nausea and a feeling of a lump in your throat.

    • Treatment usually involves lifestyle changes, such as avoiding certain foods and drinks, and medications to reduce stomach acid.
  • Anxiety Disorders: You've also mentioned that you've been diagnosed with generalized anxiety disorder. Anxiety can cause a variety of physical symptoms, including stomach discomfort and headaches. It can also make other symptoms feel worse.

    • Treatment often involves a combination of therapy, lifestyle changes, and medication.

What you can do

Here are some things you can try to help manage your symptoms:

  1. Keep a symptom diary: This can help you identify any patterns or triggers for your symptoms. Note down what you eat and drink, your stress levels, and any other factors that might be relevant.

  2. Try relaxation techniques: Techniques such as deep breathing, meditation, and yoga can help reduce anxiety and may help manage your symptoms.

  3. Follow a healthy diet: Try to eat a balanced diet with plenty of fruits, vegetables, lean proteins, and whole grains. Avoid foods that seem to trigger your symptoms.

  4. Stay hydrated: Drink plenty of water throughout the day.

  5. Consult your doctor: It's important to discuss your symptoms with your doctor. They can provide a formal diagnosis and recommend appropriate treatment options.

What you should look out for

You should seek immediate medical attention if you experience any of the following:

  • Severe abdominal pain
  • Blood in your stool or vomit
  • Unexplained weight loss
  • Difficulty swallowing
  • Chest pain
  • Shortness of breath

Remember, I'm an AI and this advice is based on the information you've provided. It's always important to consult with a healthcare professional for an accurate diagnosis and treatment.

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1 yr ago

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People Also Ask


What are the common symptoms of functional dyspepsia?

Common symptoms of functional dyspepsia include discomfort or pain in the upper abdomen, feelings of fullness, bloating, nausea, and sometimes vomiting. These symptoms can be triggered by eating certain foods, stress, or other factors.


How can GERD be managed effectively?

GERD can be managed by making lifestyle changes such as avoiding foods and drinks that trigger symptoms, eating smaller meals, not lying down immediately after eating, and elevating the head of the bed. Medications like proton pump inhibitors or H2 blockers can also help reduce stomach acid.


What lifestyle changes can help reduce anxiety-related physical symptoms?

Lifestyle changes that can help reduce anxiety-related physical symptoms include practicing relaxation techniques like deep breathing, meditation, or yoga, maintaining a regular exercise routine, ensuring adequate sleep, and avoiding caffeine and alcohol.


When should someone with stomach issues seek immediate medical attention?

Immediate medical attention should be sought if someone experiences severe abdominal pain, blood in stool or vomit, unexplained weight loss, difficulty swallowing, chest pain, or shortness of breath.


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