[66M] With episodes of strong pain, tremors, and fatigue

What might be happening

Based on the symptoms you've described, here are some possible explanations:

Tremors

• Essential Tremor: This is a common neurological disorder that causes involuntary and rhythmic shaking, especially in the hands. It can be exacerbated by stress or fatigue.
• Parkinson's Disease: Although you haven't reported muscle stiffness or slowness of movement, Parkinson's disease can sometimes present with tremors as an early symptom. Given your history of CIDP (Chronic Inflammatory Demyelinating Polyneuropathy), it's important to consider other neurological conditions.

Pain in Feet or Hands

• Peripheral Neuropathy: Given your history of CIDP, it's possible that the pain in your feet and hands is related to nerve damage. CIDP can cause chronic pain and discomfort in the extremities.
• Arthritis: Chronic pain in the hands and feet could also be due to arthritis, which is common in older adults.

Fatigue

• Chronic Illness: Your existing conditions like COPD, asthma, and hypothyroidism can contribute to overall fatigue. Managing these conditions effectively is crucial.
• Medication Side Effects: Some medications for your chronic conditions might cause fatigue as a side effect.

What you can do

Tremors

• Consult a Neurologist: Given the severity and frequency of your tremors, it's important to consult a neurologist for a thorough evaluation. They may recommend tests like an MRI or blood tests to rule out other conditions.
• Medication Review: Your doctor might adjust your current medications or prescribe new ones to help manage the tremors.

Pain in Feet or Hands

• Pain Management: Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage pain. However, consult your doctor before starting any new medication.
• Physical Therapy: A physical therapist can provide exercises to help manage pain and improve mobility.

Fatigue

• Manage Chronic Conditions: Ensure that your COPD, asthma, and hypothyroidism are well-managed. Regular check-ups with your healthcare provider are essential.
• Healthy Lifestyle: Maintain a balanced diet, stay hydrated, and get adequate rest. Gentle exercises like stretching or light walking can also help improve energy levels.

General Tips

• Symptom Journal: Use MDandMe to journal your symptoms, track progress, and get insights. This can be very helpful for your healthcare provider to understand your condition better.
• Stay Hydrated: Drink plenty of water throughout the day to help manage fatigue and overall well-being.

What you should look out for

Given the complexity of your symptoms and existing conditions, it's important to seek medical care if you experience any of the following:

• Worsening Tremors: If the tremors become more frequent or severe, seek medical attention immediately.
• Severe Pain: If the pain in your feet or hands becomes unbearable or is accompanied by swelling or redness, consult your doctor.
• Breathing Difficulties: Given your history of COPD and asthma, any new or worsening breathing difficulties should be addressed immediately.
• Sudden Changes: Any sudden changes in your symptoms, such as new neurological symptoms or significant changes in your ability to perform daily tasks, should be evaluated by a healthcare professional.

Remember, while I can provide information and suggestions, it's crucial to consult with your healthcare provider for a formal diagnosis and treatment plan. If you have more questions or need further assistance, feel free to continue the conversation.