[48F] Experiencing intense whole-body shaking and moderate weakness

Patient Description

A 48-year-old female is experiencing an intense whole-body shaking episode that began suddenly and has been constant for approximately 3 minutes. The patient also reports feeling moderate weakness characterized as body fatigue that started today. The shaking does not seem to be exacerbated by any particular activities or situations, and nothing has been identified that alleviates it. The patient has a history of autoimmune disease, which may be relevant to the current symptoms. The weakness has been severe enough to drastically impact daily activities, although specific tasks that are affected were not detailed. No recent injuries or accidents were reported that could be related to the symptoms.

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Arora's Assessment

What might be happening

Based on the information you've provided, you may be experiencing:

  • A Seizure: Sudden, uncontrolled electrical disturbance in the brain. It can cause changes in your behavior, movements or feelings, and in levels of consciousness. The shaking and disorientation you described are common symptoms.

    • Treatment typically involves medications to control and prevent seizures.
  • A Panic Attack: Sudden episodes of intense fear that trigger severe physical reactions when there is no real danger or apparent cause. The shaking and disorientation could be symptoms of a panic attack.

    • Treatment often involves psychotherapy, medication, or both.
  • Hypoglycemia: Low blood sugar, a common issue for people with diabetes. It can cause shaking, weakness, and disorientation.

    • Treatment involves consuming a fast-acting source of sugar.

Remember, it's important to consult with a healthcare professional for an accurate diagnosis.

What you can do

  1. If you suspect a seizure, seek immediate medical attention. If you have a known seizure disorder, follow your seizure action plan.
  2. If you think you're having a panic attack, try to find a quiet place and practice deep breathing. Reach out to a mental health professional for further support.
  3. If you have diabetes and suspect hypoglycemia, consume a fast-acting source of sugar, such as a glass of fruit juice or a few pieces of hard candy. Follow up with your healthcare provider if symptoms persist.

What you should look out for

Seek immediate medical attention if:

  • Your shaking is accompanied by loss of consciousness, difficulty breathing, or chest pain.
  • You experience recurrent episodes of shaking.
  • Your symptoms worsen or do not improve with treatment.

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

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11 mo ago

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People Also Ask


What are the common symptoms of a seizure?

Common symptoms of a seizure include sudden, uncontrolled shaking or jerking movements, loss of consciousness, confusion, and sometimes staring spells. Seizures can vary in intensity and duration.


How can I differentiate between a panic attack and a seizure?

A panic attack often involves intense fear, heart palpitations, sweating, and a sense of impending doom, whereas a seizure typically involves involuntary movements and possible loss of consciousness. A medical evaluation is necessary for accurate differentiation.


What are the signs of hypoglycemia and how can it be managed?

Signs of hypoglycemia include shaking, sweating, dizziness, confusion, and weakness. It can be managed by consuming a fast-acting source of sugar, such as fruit juice or glucose tablets, and monitoring blood sugar levels.


How does an autoimmune disease potentially affect symptoms like shaking and weakness?

Autoimmune diseases can cause systemic symptoms like fatigue and weakness due to the body's immune system attacking its own tissues. This can exacerbate or mimic other conditions, making diagnosis and management more complex.


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