[57F] Experiencing generalized body shaking, weakness, and facial pressure

Patient Description

A 57-year-old female reports a sensation of internal body shaking, described as similar to anxiety, which affects the whole body and is present at rest and with movement. This has been occurring for less than a week. The patient also experiences tiredness, a lack of appetite, a weird feeling in the head, pressure in the ears, and pressure in the upper cheeks below the eyes, which is suggestive of sinus pressure and has been intermittent for about a week. The patient's legs feel weak, but there has been no noted weight change. The facial pressure is rated as mild to moderate in severity (3-4 on a scale of 10) and is not accompanied by fever or chills. The patient has a history of IBS, which could be related to the loss of appetite. The symptoms are most alleviated during sleep.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Anxiety Disorder: This condition can cause a variety of physical symptoms, including a shaky feeling, tiredness, and loss of appetite. It can also cause a sense of pressure in the head or face, and can make your legs feel weak.

    • Treatment typically involves psychotherapy (talk therapy), medications, or both. Lifestyle changes, such as regular physical activity, a healthy diet, and adequate sleep, can also be beneficial.
  • Sinusitis: This is an inflammation or swelling of the tissue lining the sinuses. It can cause pressure or pain in the face, and may also cause a feeling of pressure in the head.

    • Treatment often involves the use of decongestants and pain relievers. In some cases, antibiotics may be necessary.
  • Ear Infection: An infection in the ear can cause pressure in the ear and face, as well as a feeling of pressure in the head. It can also cause a feeling of general unwellness, which could explain your tiredness and loss of appetite.

    • Treatment typically involves antibiotics, and in some cases, pain relievers.

What you can do

You should consult a healthcare professional to discuss your symptoms. They may want to perform some tests to confirm a diagnosis. In the meantime, you can try the following:

  1. Practice relaxation techniques, such as deep breathing, meditation, and yoga, to help manage your anxiety symptoms.
  2. Use a warm compress on your face to help relieve sinus pressure.
  3. Drink plenty of fluids and get plenty of rest to help your body recover if you have an infection.

What you should look out for

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

  • Severe facial pain or pressure
  • Difficulty breathing
  • Severe or worsening anxiety
  • Any new or worsening symptoms

Please remember that this advice is intended to be general in nature, and specific causes may not apply to your personal circumstances. Always consult with a healthcare provider for appropriate examination, testing, and care.

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11 mo ago

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People Also Ask


What are common symptoms of anxiety disorders that might affect the body physically?

Anxiety disorders can cause a variety of physical symptoms including a shaky feeling, tiredness, loss of appetite, a sense of pressure in the head or face, and weakness in the legs.


How can sinusitis cause facial pressure and what are some home remedies to alleviate it?

Sinusitis can cause facial pressure due to inflammation or swelling of the tissue lining the sinuses. Home remedies include using a warm compress on the face, staying hydrated, and using a humidifier to keep the air moist.


What are the signs of an ear infection and how is it typically treated?

Signs of an ear infection include pressure in the ear and face, a feeling of pressure in the head, and general unwellness. Treatment typically involves antibiotics and sometimes pain relievers.


How can lifestyle changes help manage symptoms of anxiety?

Lifestyle changes such as regular physical activity, a healthy diet, adequate sleep, and practicing relaxation techniques like deep breathing, meditation, and yoga can help manage symptoms of anxiety.


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