Sir, my hand shake very fast every time due to stress ,depression and hesitation .and creates problem on writing any words .how can stopped it. please give a good suggestion.

Dr. Lalit Kumar TripathyGeneral Physician40yrs exp

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.1.It could be due to essential tremor. The cause of the tremor is unknown. In some cases it is hereditary and runs in families. There is no definite treatment unless it is severe 2 Other causes of tremor could be Stress, anxiety, panic, nervousness,inadequate sleep, physical exhaustion, strong emotion, hyperthyroidism, hypoglycemia, smoking/Tobacco/alcohol abuse/withdrawl, excess tea/coffee, drugs like steroid/amphetamine, neurological disorder, cerebellar dis order, brainstem disorde, r multiple sclerosis, stroke, head injury, mercury poisoning, liver failure, parkinsonism etc 3. Investigate yourself to exclude the above causes of tremor after consulting neurologist 4.Avoid stress/anxiety/nervousness/ panic etc 5. Avoid excess tea/Coffee/ smoking/alcohol if you have 6.take good nourishing diet 7.Have adequate sleep. 8. Do a thyroid function test to exclude thyroid problem 9.Consult neurologist for further advice.  

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