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Suggest Treatment For Severe Body Tremors While On Advair
Question: I have been experiencing tremors/shudders (sometimes very strong) upon arising from bed. Also, even shorter ones before getting up. Primarily on my left side but sometimes on my right side as well. I have stopped my use as of yesterday of inhalers (Advair250/50, albuterol, Spiriva Respimat), but have done so reluctantly because I've had 3 URI's in the past year, the latest in May 2016. I have an appt with my internist next week, but I am becoming quite concerned . My husband has had Parkinson's for 21 years and it's always uppermost in my mind. Have I started off reasonably buy dropping inhalers, mostly my last new drugs in the year? I know this is probably complicated, but I'd appreciate your opinion if you have time. Thank you for your consideration. XXXXXXX Sizenbach
Brief Answer:
Careful examination would sort out the diagnosis.
Detailed Answer:
Hi,
Thank you for posting your query.
I am Dr Sudhir Kumar, Neurologist and would try my best to help you.
I have noted your symptoms and recent medications.
First is to do a careful neurological examination, which is most valuable in sorting out the diagnosis.
The most likely cause could be medication-related. So, you have done the right thing by stopping inhalers. If you are better in a week, then, it would confirm a medication-related cause.
Other possibility is "essential tremors", where tremors persist throughout the day, and gets exacerbated on doing a physical activity, such as writing or holding a cup of tea.
Parkinson's disease would have additional symptoms such as slowness of movements, rigidity of arms/legs, etc.
I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.
Wishing you good health,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX XXXXXXX
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in
Careful examination would sort out the diagnosis.
Detailed Answer:
Hi,
Thank you for posting your query.
I am Dr Sudhir Kumar, Neurologist and would try my best to help you.
I have noted your symptoms and recent medications.
First is to do a careful neurological examination, which is most valuable in sorting out the diagnosis.
The most likely cause could be medication-related. So, you have done the right thing by stopping inhalers. If you are better in a week, then, it would confirm a medication-related cause.
Other possibility is "essential tremors", where tremors persist throughout the day, and gets exacerbated on doing a physical activity, such as writing or holding a cup of tea.
Parkinson's disease would have additional symptoms such as slowness of movements, rigidity of arms/legs, etc.
I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.
Wishing you good health,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX XXXXXXX
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in
Above answer was peer-reviewed by :
Dr. Yogesh D
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