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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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26 Year Old Feeling Scared And Stressed, Tremors In The Hand And Leg. MRI, ECG And Blood Test Reports Are Normal. Have Sinus Problems. Need Help

Hi, From past more than a year I am having weird problem. I always feel kind of scared and stressed and find my right hand and leg tremoring making me difficult to stand. This happens for a 5-10 seconds and after that I feel good. I have done different medical tests including MRI, ECG, various blood test and all came normal. I am not sure why this is happening and how do I get rid of it. I am 26 Male. I have sinus problem. Can you help me? I am an IT professional so stress is always there. First time it happened while playing Squash. Then my friends took me to doctor and doctor said it is paralytic attack/ work in brain/TIA. Since then these words keep coming to my mind and even though I am not stressed it happens. From past few months I have tried not thinking about it and the episodes have reduced from daily to once in a week. Also, the tremor goes off with sweating. But it happens even when I am not stressed. Every morning I wake with the fear of what doctor told me. I really do not know whether I will get rid of this.
Fri, 4 Jan 2013
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Psychiatrist,  's  Response
Dear Ravi,
Hi! One thing you have missed out in your description is that whether these episodes occur at the time of actual stressful periods or these occur when there is no stress at all. If most of your investigations have come normal and this episodes are really distressing to you, you should always consider seeking the help of a psychiatrist. It may be possible that you are suffering from a anxiety disorder called panic disorder. IN that case some medications along with psychotherapy will surely help you in this regard. And also consider getting an EEG done.
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Psychiatrist,  Dr. Sundar Gnanavel's  Response
Hello........
Thanks for your query. I can understand your concern with anxiety symptoms. The symptoms suggest anxiety attacks referred to as panic attacks. I would suggest a thorough psychiatric evaluation for the anxiety symptoms. Effective anti-anxiety agents as well as psychotherapy (eg cognitive behavioural therapy) is available to manage the anxiety symptoms. In addition you can learn stress management strategies considering the nature of work from a psychological counsellor. You may also try put breathing relaxation exercises/ yoga/ meditation. Hope you find my suggestions useful.
Regards
Dr Sundar Gnanavel
Psychiatrist
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26 Year Old Feeling Scared And Stressed, Tremors In The Hand And Leg. MRI, ECG And Blood Test Reports Are Normal. Have Sinus Problems. Need Help

Dear Ravi, Hi! One thing you have missed out in your description is that whether these episodes occur at the time of actual stressful periods or these occur when there is no stress at all. If most of your investigations have come normal and this episodes are really distressing to you, you should always consider seeking the help of a psychiatrist. It may be possible that you are suffering from a anxiety disorder called panic disorder. IN that case some medications along with psychotherapy will surely help you in this regard. And also consider getting an EEG done.