[51M] Experiencing intermittent tremulousness and lightheadedness

Patient Description

A 51-year-old male reports experiencing intermittent tremulousness, particularly in the hands, which lasts about an hour and is more pronounced while sitting. Exercise seems to alleviate the symptoms. In addition, the patient experiences lightheadedness with a severity of 5 out of 10, described as fatigue and general malaise, lasting for an hour and occurring at any time of the day. The patient also experiences chills. No severe headache, loss of consciousness, or chest pain has been reported. The patient's medical history includes GERD, rosacea, disc herniation, meningioma, sleep apnea, and bruxism, diagnosed 15 years ago. Current medications include propranolol, lamotrigine, and omeprazole. There are no known allergies or adverse reactions to medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are a few possibilities:

  • Essential Tremor: This is a neurological condition that causes involuntary shaking or trembling. It typically affects the hands, but can also affect the arms, head, and other parts of the body. The tremors usually occur during movement or when trying to hold a position, and they may be more noticeable during periods of stress or fatigue. Essential tremor is often treated with medication, such as propranolol, which you are currently taking.

  • Anxiety: Physical symptoms such as tremors, lightheadedness, and chills can sometimes be caused by anxiety. This would be more likely if you've been feeling particularly stressed or anxious lately. Treatment for anxiety can involve medication, therapy, and lifestyle changes.

  • Side Effects of Medication: Propranolol, which you are taking, can sometimes cause side effects such as tremors and lightheadedness. If you started this medication recently, it might be worth discussing this with your doctor.

What you can do

  1. Keep a symptom diary: Note down when your symptoms occur, what you're doing at the time, and any potential triggers. This can help you and your doctor identify patterns and potential causes.
  2. Stay hydrated and eat regular, balanced meals: This can help prevent lightheadedness caused by low blood sugar or dehydration.
  3. Continue to exercise regularly: You mentioned that exercise seems to help your symptoms. Regular physical activity can also help improve your overall health and wellbeing.

What you should look out for

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

  • Sudden onset of severe headache
  • Loss of consciousness
  • Chest pain or discomfort
  • Difficulty speaking or understanding speech
  • Weakness or numbness on one side of your body
  • Changes in vision

Please remember that while I strive to provide accurate and helpful information, I am an AI and not a doctor. You should consult with a healthcare professional for a formal diagnosis and treatment.

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1 yr ago

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People Also Ask


What is essential tremor and how is it treated?

Essential tremor is a neurological condition that causes involuntary shaking, often affecting the hands. It can be more noticeable during movement or when holding a position. Treatment often includes medications like propranolol, lifestyle changes, and sometimes therapy.


Can anxiety cause physical symptoms like tremors and lightheadedness?

Yes, anxiety can cause physical symptoms such as tremors, lightheadedness, and chills. These symptoms can be more pronounced during periods of stress. Treatment may involve medication, therapy, and lifestyle modifications.


What are the common side effects of propranolol?

Common side effects of propranolol include fatigue, dizziness, lightheadedness, and sometimes tremors. If you experience these symptoms, especially after starting the medication, it's important to discuss them with your doctor.


How can keeping a symptom diary help in managing my condition?

Keeping a symptom diary can help identify patterns and triggers for your symptoms. By noting when symptoms occur and what you are doing at the time, you and your doctor can better understand your condition and tailor your treatment plan.


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