Please help! For the last 9 months I have had these episodes of weakness, tremors, fatique, high blood pressure that goes up to 160/120 with episode, ulcers in mouth and nose, sleeplessness, red rash on face, joint pain and small notes on finger joints. Toes swell up like sausages but goes down over night. Had a complete cardio work up-good. Blood pressure high in morning after being on medication. Lungs and breathing-good ! People are noticing the tremors at work. embarrassing ! Tremors get worse with fatique and weakness.