Tremor: a shiver in the hands, without which you could do without

Your hands may shake from time to time, when you are very tired, stressed, irritated or angry. ("I was so furious that I was shaking!") It is clear that there is nothing to be surprised and not to worry about. But there is a shiver, a tremor that is not transient, causes anxiety and can grab not only the hands, but also other parts of the body, especially the tongue and head. Here are some of its most common manifestations.

The first danger for anyone who begins to tremble is Parkinson 's disease . And quite rightly, because this neurological disease is serious, incurable and often disfigures a person.

No one knows why some people develop Parkinson's disease, how to prevent it, but we know well what happens in the brain of these patients. They have a deficiency of a substance called dopamine. Modern treatment attempts to replace the missing dopamine and neutralize the effect of its absence.

The following is information that will help you distinguish one shiver from another.

You may begin to tremble because of the toxic effects of chemicals or medications . Excessive consumption of coffee ("I just can not live without ten cups a day") and alcohol are classic examples. Medications that take asthmatics to facilitate airflow into the lungs (theophylline) or epileptics to control seizures (dilantine) may also cause shivering. Compasin, a wonderful soothing and anti-nausea remedy, occasionally causes a shiver and nodding head twitches, especially in the elderly - symptoms that are frighteningly similar to symptoms in Parkinson's disease. A simple drug cancellation will stop trembling.

There is also an "essential" tremor - often a hereditary disease in which one hand or both shakes. This causes panic, reminding Parkinson's disease, and there should not be panic. Tremor in "Parkinson's" at rest is constant and decreases when the patient stretches out his arm. Idiopathic tremor, on the other hand, is rarely manifested when the arms are at rest, and it becomes obvious when you are trying to do something, get it, or write it. Emotional stress worsens the situation. But most importantly, patients with "essential" tremor do not have any other symptoms of Parkinson's disease - speech disorder, muscle stiffness, and they walk normally. In short, they are not and will never become disabled due to their pathology.

Like Parkinson's disease, "essential" tremor is most common in the elderly (it is observed in 15% of people over 75 - which is why it is also called "senile" tremor ), but this disease occurs in 35- and 40-year-olds. And although the "essential" tremor is not a manifestation of the disease, it has one particularly unpleasant consequence: a couple of sips of alcohol markedly reduces tremors, and people with such tremors begin to rely on alcohol to avoid unpleasant situations. Over time, they can become alcoholics.

Trembling can accompany various diseases, including far- reaching liver damage, kidney disorders and increased thyroid function . Any brain damage, whether it's Parkinson's disease, multiple sclerosis, head trauma with a concussion or a stroke , can also cause a shiver. But with all these diseases, tremor is usually the smallest of problems and not a very eloquent symptom. For example, in the case of increased thyroid function, as a rule, there are many other symptoms: nervousness, palpitations, increased heart rate, bulging eyes, thinning of hair and trembling of the tongue. If you suspect this disease, stretch your hands palms down, spread out your fingers and put a piece of thin paper on the back of your hands. Fine vibration is typical of hyperthyroidism. The tremor of "parkinsonics" is also very characteristic. As I mentioned, he is stronger at rest and less noticeable when the patient makes directional movements. During sleep, it disappears.

If your hands started to tremble, that's what you need to look for.

Did you see a new medicine in your medicine cabinet? Especially look for compassin, dilantine or barbiturates (phenobarbital), each of which can be a "criminal."

If you take cocaine or other drugs and your hands start to tremble, the reason is obvious.

If you feel good, but your fingers are trembling with one hand, which may be accompanied by some involuntary movements of the head, both worsen when you are nervous - you have a benign, or "essential", tremor. This condition is often manifested in members of the same family. It can begin in the early years of life and then disappear or become worse with age. It does not reflect any disease . Do not rely on alcohol to help yourself with an important business or social event.

If you are 70 years or more , you are basically healthy and noticed a slight tremor of the hands and, possibly, the lower jaw, this is just a small disorder that is sometimes observed in some people with aging. Do not worry - it will not give anything else.

Alcoholism is one of the most common causes of trembling. If you find that a morning binge is "absolutely necessary for you to start your day smoothly," you immediately got an explanation for the trembling of the hands - and a big problem.

If you have diabetes and you have taken too much insulin, a low concentration of blood sugar can cause a shiver. But then you will also feel weakness and sweating. Everything will pass quickly if you eat a little sweet or drink orange juice.

Shiver due to increased thyroid function also captures the tongue, which is shaking slightly when protruding.

Remember, trembling is not a disease, but a symptom that can be present in healthy people, as well as in various diseases.

Symptom: trembling

What can it mean? What to do with him?
Stress. Relax.
Parkinson's disease - if the trembling increases in a state of rest and decreases, when you drag for something. Drugs, brain operation (still at the experiment stage).
Reaction to a medicine. Cancel, reduce the dose or replace.
"Essential", "family", or "old" tremor. This is not a disease. Relax, do not rely on alcohol.
Liver disease. Medications, diet.
Kidney disease. Diet, dialysis.
Increased thyroid function. Medications, surgery, irradiation.
Multiple sclerosis. No treatment at this time.
Stroke. Supportive care.
Normal aging. Treatment is not necessary.
Alcohol. Avoid.
Diabetes. Avoid reactions to insulin.