[42M] With sudden onset of shaky body, rapid pulse, and high blood pressure

Patient Description

A 42-year-old male presents with a sudden onset of shaky hands and body, rapid pulse, and high blood pressure, which started approximately one hour ago. The patient also reports tingling fingers, hand cramps, clammy skin, body chills, and cramps in the back and abdominal area. The symptoms are exacerbated by stress and anxiety, and the patient consumed alcohol last night. There is no relief from the symptoms. The patient has not experienced similar episodes to this extreme in the past. There have been no recent changes in diet or sleep patterns. The patient started an antibiotic back in July but has not taken it for about three weeks.

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Arora's Assessment

What might be happening

Based on the symptoms you've described—shaky hands and body, tingling fingers, cramping hands, high blood pressure, rapid pulse, clammy skin, body chills, and cramps in your back and abdominal area—there are several potential serious conditions that could be causing these symptoms:

  1. Hypertensive Crisis: Given your high blood pressure and rapid pulse, you could be experiencing a hypertensive crisis, which is a severe increase in blood pressure that can lead to a stroke or other serious health issues. This condition requires immediate medical attention.

  2. Panic Attack: The combination of rapid pulse, clammy skin, and body chills could also indicate a severe panic attack, especially given your recent stress and anxiety. Panic attacks can cause a variety of physical symptoms that can be very distressing.

  3. Alcohol Withdrawal: Since you mentioned consuming alcohol last night, it's possible that you could be experiencing symptoms of alcohol withdrawal, which can include shaking, high blood pressure, and rapid pulse.

  4. Electrolyte Imbalance: Symptoms like muscle cramps, tingling, and shaking can also be caused by an imbalance in electrolytes, which are essential minerals in your body that help regulate nerve and muscle function.

What you can do

  1. Seek Immediate Medical Attention: Given the severity and sudden onset of your symptoms, it is crucial that you seek immediate medical attention. Please go to the nearest emergency room or call 911. If you are unable to get to the hospital yourself, ask someone to drive you.

  2. Stay Calm: Try to stay as calm as possible while you wait for medical help. Stress and anxiety can exacerbate your symptoms.

  3. Avoid Alcohol and Stimulants: Refrain from consuming any more alcohol or stimulants like caffeine, as these can worsen your symptoms.

  4. Hydrate: Drink water to stay hydrated, but avoid excessive amounts until you have been evaluated by a healthcare professional.

  5. Monitor Symptoms: Keep track of any changes in your symptoms, especially if they worsen. This information will be helpful for the medical professionals treating you.

Remember, I am not a doctor, and it is essential to seek care from real health professionals to receive a formal diagnosis and appropriate treatment. Your health and safety are the top priority.

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7 mo ago

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People Also Ask


What are the symptoms of a hypertensive crisis?

Symptoms of a hypertensive crisis can include severe headache, shortness of breath, nosebleeds, severe anxiety, and a rapid pulse. It is a medical emergency that requires immediate attention.


Can stress and anxiety cause physical symptoms like shaking and rapid pulse?

Yes, stress and anxiety can cause a variety of physical symptoms, including shaking, rapid pulse, sweating, and clammy skin. These symptoms can be part of a panic attack.


What are the signs of alcohol withdrawal?

Signs of alcohol withdrawal can include shaking, sweating, rapid heartbeat, high blood pressure, anxiety, irritability, and in severe cases, seizures or hallucinations.


How can an electrolyte imbalance affect the body?

An electrolyte imbalance can lead to symptoms such as muscle cramps, weakness, fatigue, irregular heartbeat, confusion, and tingling sensations. Electrolytes are crucial for nerve and muscle function.


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