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What Causes Fatigue, Trembling Of The Hands And Slurred Speech?
Question: my symptoms : lethargy, heavy , sore eyes, like extremely tired, sensitive to light. feels like head full of cotton, hands trembling, occasional slowing/slurring of speech, small 'pus' like pimple under one eye lid , symptoms wax and wane , feel better overall at night (? darkness and lying down?) Went to ER week ago - mri/ ekg, blood work negative. Have never felt this rotten ever before. No fever, occasional unsteady on my feet; Had an extreme situation like the above - onset day after 2nd cataract surgery (Oct. 24, 2016). Dr. said eye looked good, no problem with sedation (only thing I could think of that might explain symptoms) Lasted about 3 weeks, got better and essentially went away, Latest symptoms began about a month ago following a sinus infection, treated with antibiotic, infection ? cured, but from then on have felt as above, with symptoms lessening and worsening. Feel really rotten currently. There ya go - in a nutshell. email: YYYY@YYYY I thank you .
Brief Answer:
Probable causes of your symptoms
Detailed Answer:
Hi xxxxxxxxx, thanks for asking from HCM.
I can understand your concern. Your symptoms are suggestive of some generalised disease. It can be psychological or organic.
Now coming to psychological disease which can cause such type of symptoms
- Depression
- Chronic fatigue syndrome
Organic disease which can cause such symptoms
- Hypothyroidism
- vitamin B12 deficiency
- Chronic illness like prolonged viral fever, chronic sinusitis
- Chronic anaemia with multivitamin deficiency disease
Now to reach unto some diagnosis, evaluation of your history/general examination and some investigations are needed. You need to consult a good neurologist for history and examination. The tests which can help you, are
- Thyroid function test
- Vitamin B12 and D level
- Hemoglobin level
- ESR and CRP if history of infection
If all these tests are negative and history/examination not suggestive of organic disease, you should consult Psychiatrist to rule out psychological disease.
Final treatment can be given after confirming diagnosis. Till then for relief, you can follow some advise
- Bed rest
- Take tablet Paracetamol with Caffien after proper prescription
- Yoga and stretching exercise for muscular flexibility
- Body Massage
You can send me your blood reports, I can help you better.
If any doubt, do let me know.
Thanks. Take care.
Probable causes of your symptoms
Detailed Answer:
Hi xxxxxxxxx, thanks for asking from HCM.
I can understand your concern. Your symptoms are suggestive of some generalised disease. It can be psychological or organic.
Now coming to psychological disease which can cause such type of symptoms
- Depression
- Chronic fatigue syndrome
Organic disease which can cause such symptoms
- Hypothyroidism
- vitamin B12 deficiency
- Chronic illness like prolonged viral fever, chronic sinusitis
- Chronic anaemia with multivitamin deficiency disease
Now to reach unto some diagnosis, evaluation of your history/general examination and some investigations are needed. You need to consult a good neurologist for history and examination. The tests which can help you, are
- Thyroid function test
- Vitamin B12 and D level
- Hemoglobin level
- ESR and CRP if history of infection
If all these tests are negative and history/examination not suggestive of organic disease, you should consult Psychiatrist to rule out psychological disease.
Final treatment can be given after confirming diagnosis. Till then for relief, you can follow some advise
- Bed rest
- Take tablet Paracetamol with Caffien after proper prescription
- Yoga and stretching exercise for muscular flexibility
- Body Massage
You can send me your blood reports, I can help you better.
If any doubt, do let me know.
Thanks. Take care.
Above answer was peer-reviewed by :
Dr. Remy Koshy
Answered by
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