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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain And Body Tremors That Begin With The Right Hand?

My brother, a 60 yr old white male, has been very sick. HIs pain level is so bad he is taking morphine every 12 hrs and oxycodone every 4 hrs. He has had MRS of the brain and spine. Back surgery was not recommended. He lost 70 lbs (possibly related to a gall bladder problem that took time for the Drs to Dx) Very weak almost wheel chair bound. Hands and entire body will shake. Saw many neurologist and recently is being check at U. of Pittsburgh. they ruled of MS and Parkinsons. They are thinking possible autoimmune disease Do u know what would cause severe pain, and shaking. It starts right hand, head r. leg, left side.
Wed, 12 Dec 2018
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Internal Medicine Specialist 's  Response
Hello,

Pain and body tremors may be due to age-related or Parkinsonism disease or parking son plus syndrome or infection, essential tremor or stroke or Alzheimer's disease etc.

Until examination is done it is difficult to say what it is. Use tablet pantoprazole before breakfast for one week. Get it done a clinical examination and serum electrolytes.

Also, check serum b12 level or folic acid levels. Please consult your neuro physician he will examine and treat you accordingly.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Penchila Prasad Kandikattu , Internal Medicine Specialist
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What Causes Pain And Body Tremors That Begin With The Right Hand?

Hello, Pain and body tremors may be due to age-related or Parkinsonism disease or parking son plus syndrome or infection, essential tremor or stroke or Alzheimer s disease etc. Until examination is done it is difficult to say what it is. Use tablet pantoprazole before breakfast for one week. Get it done a clinical examination and serum electrolytes. Also, check serum b12 level or folic acid levels. Please consult your neuro physician he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Penchila Prasad Kandikattu , Internal Medicine Specialist