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Tremor like symptoms
On Monday this week I've been sweating a lot during my commute to office and then from a 700m walk to office from the canteen and Surat's weather have been worse than ever. On Monday my hands were trembling and I was sweating and today is Thursday when I was working on desktop and suddenly my left hand started vibrating I'm feeling anxious because of it as my grandfather had a history of parkinson's. Please suggest what to do. Thank you!
Answers (18)
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As you are complaining of excess sweating then you need to know that due to sweating water content in our body decreases and with that we also lose some sodium and potassium ions, decrease in these ions can cause nausea, tingling sensation, numbness, tremors, palpitations (increase heart beat), make you feel fatigue, anxious, irritable, etc.
So you should:
1. Dehydrate yourself properly with ORS water recommended by WHO not the ORS L sold in the market.
2. Do one serum electrolytes test.
3. Send the report to me and I will tell you what to do.
Hope this helps and relieves your worries.
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Drink enough water, take some rehydrating fluids like coconut water, nimbu paani, etc.
Try to be relaxed.
Get serum b12, thyroid function tests , c.t. scan brain, done and share results.
Try taking tab neurobion forte one daily for 2 weeks.
Tab gabba pentin 300mg one morning and one evening for 2 weeks.
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Most likely due to dehydration, heat, or anxiety 👍 not suggestive of Parkinson’s at your age.
Ensure good hydration, electrolytes, proper sleep, and reduce caffeine/stress.
If it keeps repeating, check Hb, thyroid, B12.
For proper evaluation and reassurance, you can book a consultation.
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Hyponatrimia
Add electoral powder buttermilk curd in abundance. No parkinsonism. Relax
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Rehydrate with Electrolytes: Stop drinking plain water for a few hours. Switch to an ORS (Oral Rehydration Solution) or an electrolyte-rich drink (like coconut water) to replenish the salts lost during your Surat commute.
⢠Check Your Vitals: Given your access to a clinical setting, check your Blood Pressure and Random Blood Sugar (RBS). Heat-induced hypotension (low BP) or a sugar dip could easily explain the trembling.
⢠The "Paper Test": Hold your hands out flat in front of you with a piece of paper on top. If the paper shakes, itâs likely an "action" or "postural" tremor (caused by caffeine, stress, or electrolytes).
⢠Magnesium Supplementation: Sometimes a simple magnesium supplement can calm muscle "vibrations" caused by heat stress.
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Your symptoms after continuous exposure to current temperature is normal and not related to any nervous system dysfunction. It's due to loss of various electrolytes in your sweat.
Few steps can help you here:
1- Take an umbrella while commuting
2- Drink plenty of alkaline water which you can make by putting a slice of cucumber, a slice of ginger and few mint leaves in your water bottle. You need to change these the next day. Rest of the day, you can keep filling this bottle.
3- You should replenish your list salts by taking ORS, Coconut water, lassi, chhach, nimbu Pani etc.
4- Monitor how often you are passing urine and what is the colour of your urine. If urination is reduced and the colour is darker than normal, you may visit a nearby hospital for a quick fluid supplement.
Next Steps
Take ORS and do as adviced above
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It seems like episodic tremor due to anxiety,heat or due to exertion.U have mentioned like their weather is worst.So it is may be Heat induced.
Due to sweating there can be loss of electrolytes in body and cause electrolyte imbalance results in these kind of tremor.
Parkinson is unlikely to be in ur age and it causes resting tremors
Next Steps
1.Drink ORS and fluids regularly
2.Don't skip meals
3.Have adequate sleep
4.Practice relaxation and breathing
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I understand that experiencing sudden hand tremors can be quite distressing, especially with a family history of Parkinson’s disease. However, based on the symptoms and the context you’ve provided, there are several common, reversible factors to consider before suspecting a chronic neurological condition.
1. Immediate Considerations (Differential Diagnosis)
Heat Exhaustion & Electrolyte Imbalance: You mentioned excessive sweating due to the weather in Surat and physical exertion (700m walk). This can lead to dehydration and loss of electrolytes (like sodium, potassium, or magnesium), which commonly causes muscle twitching or "vibrating" sensations.
Physiological Tremor: Everyone has a subtle tremor that can become visible (exacerbated) due to stress, anxiety, high caffeine intake, or physical fatigue.
Hypoglycemia (Low Blood Sugar): Trembling and sweating together are classic signs of a drop in blood glucose, especially if you haven't eaten well before your commute.
Anxiety-Induced Symptoms: Sudden "vibrating" sensations while working are often somatic symptoms of anxiety, which can create a cycle where worrying about the tremor makes it more pronounced.
2. Addressing Parkinson’s Concerns
It is important to note that Parkinson’s disease rarely presents in a 24-year-old with sudden, intermittent episodes triggered by heat or exertion. Parkinsonian tremors are typically "resting tremors" that occur when the limb is fully supported and relaxed, and they usually progress very slowly over years, not days.
3. Recommended Next Steps
Hydration: Immediately increase your intake of water and ORS (Oral Rehydration Salts) to replenish electrolytes lost through sweating.
Observation: Keep a brief log of when this happens. Is it after coffee? When you’ve skipped a meal? Or only when you are feeling stressed at work?
Blood Tests: To rule out physiological causes, I recommend getting a basic screening:
CBC (Complete Blood Count)
Serum Electrolytes
TSH (Thyroid Stimulating Hormone) – Overactive thyroid can frequently cause hand tremors and heat intolerance.
Random Blood Sugar (RBS)
4. When to Seek an In-Person Evaluation
If the tremor becomes persistent (present even when you are calm and cool), if you notice a change in your handwriting, or if you experience any loss of balance, please consult a neurologist for a physical examination.
Interim Advice: Ensure you are getting adequate sleep and try to limit stimulants like tea or coffee for the next few days to see if the symptoms subside.
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mostly its due to long sitting ,screening, anxiety and stress.parkinson disease have resting tremor its mean when you are resting and tremor start automatically and you have no control on this.so keep in mind .
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Most likely due to heat, dehydration and anxiety. This can cause sweating and temporary hand tremors.
Drink plenty of fluids, take rest, avoid caffeine, and manage stress. Observe for few days.
If tremor persists, increases, or occurs at rest → get checked. You can consult me for proper evaluation.
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From your description, this does not strongly suggest Parkinson’s disease, especially at your age (24 years). Parkinson’s typically presents later in life and with persistent, progressive tremors, not sudden, occasional episodes like this.
What you’re experiencing is more likely due to heat exposure, dehydration, anxiety, or temporary factors like low blood sugar or fatigue. Excess sweating, walking in heat, and then noticing tremors can happen in such situations. Anxiety itself can also cause or worsen hand tremors, especially when you start focusing on them.
Next Steps
- Ensure adequate hydration, especially in hot weather
- Do not skip meals; maintain regular eating habits
- Reduce caffeine intake (tea/coffee/energy drinks)
- Try relaxation techniques (deep breathing, proper sleep)
- If symptoms persist or increase, get basic tests: CBC, blood sugar, thyroid profile
Health Tips
Occasional tremors in such situations are usually benign and reversible.
Parkinson’s tremor is typically continuous and associated with stiffness/slowness, which you have not described.
Avoid overthinking or repeatedly checking your hands—it can increase anxiety and symptoms.
Seek medical review if tremors become persistent, worsen, or affect daily activities.
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"I understand your anxiety, especially given your family history of Parkinson's. However, at age 24, sudden hand trembling or vibrations are very rarely linked to Parkinson’s Disease. Based on your description of heavy sweating during your commute in Surat's heat followed by tremors while working, it is highly likely that your symptoms are related to Electrolyte Imbalance (Dehydration), Heat Exhaustion, or Anxiety-induced physiological tremors. When the body loses salts like Sodium and Potassium through sweat, muscles can twitch or vibrate involuntarily."
Next Steps
Parkinson’s tremors are typically 'resting tremors' that occur when the hand is completely relaxed and usually progress very slowly over years. Your symptoms appeared suddenly after physical exertion and heat exposure, which points toward a metabolic or stress-related cause. Stress and anxiety about the family history can also trigger a 'Fine Tremor' which makes the hand feel like it's vibrating."
Health Tips
"To manage this and find peace of mind, I suggest the following:
Hydration: Immediately start taking ORS (Oral Rehydration Salts) or coconut water to replenish electrolytes lost during your commute.
And for more information feel free to contact and consult
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Need few more details for proper understanding of your issue.
You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
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If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a detailed discussion
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Have ors
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Do consult
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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