Whole Body Shaking Concerns
Gender: Female Age: 34 Weight: 350 lbs (I'm currently following a diet and exercise routine, resulting in some weight loss) I experience significant health-related anxiety. At present, I'm taking Wellbutrin at a dosage of 150 mg. My symptoms began appearing roughly two weeks ago. Over a month ago, I was quite ill with COVID-19, which left me with debilitating fatigue and headaches for three weeks. The impact of COVID on my mental state heightened my anxiety considerably, leading me to take Hydroxyzine 50 mg for several consecutive days to manage it. About three days into this regimen, I started to notice a persistent dull ache at the back of my head and neck, accompanied by internal vibrations throughout my body. I also experienced insomnia, sudden bursts of brain activity often referred to as "brain zaps," and noticeable shaking in my muscles when I attempted deliberate movements like reaching for or gripping something, lifting my leg, or flexing my arm. During the night, my feet would move involuntarily akin to a cricket. It felt as though I was unable to execute movements smoothly. I perceive no weakness, to my knowledge, yet I constantly feel as if I am trembling, especially pronounced after engaging in physically demanding tasks. Upon waking, the trembling seems to subside, although it does not completely disappear. Understandably, I am deeply anxious, particularly after a family acquaintance was recently diagnosed with Parkinson's disease. While I recognize that my symptoms could be attributed to harmless issues—such as heightened anxiety, stress, long COVID, medication side effects, or even an essential tremor that I've never acknowledged before—the possibility of something serious looms heavily on my mind due to my anxiety. Out of sheer desperation, I visited an urgent care facility where they conducted blood tests to assess my thyroid function, liver health, pancreatic levels, A1C, minerals, and more. Thankfully, all results returned normal. I have a scheduled appointment with my primary care physician next Tuesday. What are your thoughts on this situation?
Answers (1)
3/26/2025, 10:40:35 PM
OpenHealth AI
It sounds like you're dealing with a lot of complex symptoms and understandably feeling anxious about them, especially given your recent health history. It's important to know that while your symptoms can be distressing, many have potential explanations related to your anxiety, stress levels, and the aftereffects of COVID-19.
Explanation of Symptoms:
- Internal Shaking and Trembling: This can often be linked to anxiety or stress, especially following illness, and may manifest as muscle twitching or tremors. The body often remains in high alert after experiencing significant health stressors.
- Insomnia and "Brain Zaps": These symptoms can be associated with anxiety and might also be side effects of certain medications like Wellbutrin, particularly if you’ve recently adjusted your dose or started a new medication.
- Physical Fatigue and Aches: Both post-viral fatigue (common after COVID-19) and anxiety can lead to chronic muscle tension, resulting in aches and feelings of instability.
Next Steps:
Given that you have a scheduled appointment with your primary care physician coming up, here are actionable steps to consider in the meantime:
- Monitor Your Symptoms: Keep a detailed journal of your symptoms, including any triggers, times of occurrence, and what alleviates or worsens them. This will provide your doctor with valuable insights.
- Practice Relaxation Techniques: Engage in breathing exercises, mindfulness, or gentle yoga to help manage anxiety and muscle tension. Short, frequent relaxing activities can help your body ease out of a stressed state.
- Establish a Sleep Routine: Try to maintain a consistent sleep schedule, reduce screen time before bed, and create a calming bedtime environment to help manage insomnia.
- Hydration and Nutrition: Ensure you are well-hydrated and eating balanced meals, focusing on nutrient-rich foods that can support overall health and mental well-being.
- Gradual Activity: Engage in light physical activity or gentle stretching. Slowly increase your fitness routines as you feel able, listening to your body to avoid overexertion.
Reassurance:
It's great that you've already sought medical advice and had comprehensive tests to rule out serious conditions. Continuing to communicate openly with your healthcare provider will be very important. Also, try to remind yourself that many of the symptoms can be linked to anxiety and the physical stress your body has been under.
Keep focusing on self-care, and I encourage you to share all your symptoms and concerns with your primary care physician, as they can offer you the most personalized guidance moving forward. Let me know if you have any more questions or need further support!
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