[40F] Experiencing shakiness, fatigue, and sleep disturbances

Patient Description

A 40-year-old female reports feeling shaky, tired, and unable to sleep. The shakiness is described as a deep sensation in the chest, similar to shivering but without the presence of cold. These symptoms have been present for one night. Further details about the nature of the shakiness, such as whether it is a fine tremor or a more noticeable shaking, would be helpful in narrowing down the potential causes.

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Arora's Assessment

What might be happening

Given your symptoms and history of congestive heart failure, the following conditions could be causing your symptoms:

  • Anxiety or Stress: Anxiety or stress can cause a variety of physical symptoms, including shakiness, tremors, and difficulty sleeping. These symptoms can be exacerbated by concerns about your health.

    • Treatment typically involves stress management techniques and, in some cases, medication.
  • Low Blood Sugar (Hypoglycemia): This condition can cause shakiness, sweating, and a feeling of being jittery. It can occur in people with diabetes, but also in those who have not eaten for a while.

    • Treatment involves eating or drinking something with sugar, like fruit juice or a candy bar, to quickly raise your blood sugar levels.
  • Side Effects of Medication: Certain medications, including those used to treat congestive heart failure, can cause shakiness or tremors as a side effect.

    • If this is the case, you should not stop taking your medication without consulting your doctor. They may be able to adjust your dosage or switch you to a different medication.
  • Heart Arrhythmia: An irregular heartbeat can sometimes cause a feeling of shakiness or fluttering in the chest.

    • Treatment can involve medication, lifestyle changes, or in some cases, surgery.

What you can do

Given your history of congestive heart failure, it's important to consult with your healthcare provider about these symptoms. They can provide a formal assessment and order relevant tests if necessary. In the meantime, here are some things you can do:

  1. Try to relax and manage your stress. Deep breathing exercises, meditation, or listening to calming music may help.
  2. Ensure you are eating regular, balanced meals to maintain your blood sugar levels.
  3. Keep track of your symptoms and any potential triggers. This information can be helpful for your doctor.

What you should look out for

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

  • Chest pain or discomfort
  • Trouble breathing or shortness of breath
  • Fainting or severe dizziness
  • Rapid or irregular heartbeat

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with your healthcare provider for accurate information.

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1 yr ago

Top picked over-the-counter products for Tingling or Cold Sensations at the Back of Your Head

People Also Ask


What are common causes of shakiness and difficulty sleeping in adults?

Common causes of shakiness and difficulty sleeping in adults include anxiety or stress, low blood sugar, side effects of medication, and heart arrhythmias. It's important to consult a healthcare provider to determine the specific cause.


How can anxiety or stress affect physical health, particularly in relation to shakiness?

Anxiety or stress can lead to physical symptoms such as shakiness, tremors, and difficulty sleeping. These symptoms occur due to the body's 'fight or flight' response, which can increase heart rate and adrenaline levels.


What should I do if I suspect my medication is causing side effects like tremors?

If you suspect your medication is causing side effects like tremors, do not stop taking it without consulting your doctor. They may adjust your dosage or switch you to a different medication to alleviate the side effects.


When should I seek immediate medical attention for symptoms like shakiness and chest discomfort?

You should seek immediate medical attention if you experience chest pain or discomfort, trouble breathing, fainting, severe dizziness, or a rapid or irregular heartbeat, as these could indicate a serious condition.


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