Upper Body Tremors Linked to Yawning: Post-Surgical Onset and Potential Diagnoses
Age: 35, male, 125 kg, 181 cm tall, with Type 2 diabetes (managing with metformin 1000 mg and Jardiance) and Obstructive Sleep Apnea (using CPAP). Hello everyone, I'm reaching out because I've been experiencing an odd condition and could use some support. Approximately a month ago, after undergoing surgery for a fissure/fistula (Lateral Internal Sphincterotomy and fistulotomy), I encountered unexpected tremors in my upper body. These primarily occur in the back of my neck, the lower section of my skull, and my shoulders, mostly triggered by yawning (about 90% of the time). The tremors begin right when the yawn concludes, last between 30 and 60 seconds, and feel both involuntary and intense, leaving me utterly fatigued. Additionally, I get the impression that I can't fully yawn. Previously, these tremors also occurred after bowel movements, but now they predominantly arise from yawning, with a few sporadic triggers. Two neurologists have evaluated my situation: one indicated that this might be a case of hyperventilation syndrome, prescribing Nexito 5 mg to take at night, while the other diagnosed Functional Neurological Disorder (FND). I’ve also been informed that I have generalized anxiety disorder and have recently begun treatment with gabapentin and SSRIs. This has been quite bewildering for me. Has anyone else experienced yawn-related tremors? Is this a typical symptom of FND or perhaps indicative of something else? Any advice or shared experiences would be greatly appreciated!
Answers (1)
6/19/2025, 1:20:46 PM
OpenHealth AI
It sounds like you're experiencing a challenging combination of symptoms following your surgery, particularly the upper body tremors associated with yawning. I appreciate you sharing the details of your situation, and I want to provide you with some helpful guidance.
Summary of Key Points:
- Possible Causes: The tremors you're experiencing post-yawning might be linked to your recent surgery, anxiety, or a form of Functional Neurological Disorder (FND).
- Management Strategies: Focus on stress reduction techniques and identify triggers while maintaining communication about your symptoms with your healthcare providers.
Explanation:
Post-surgical tremors can be complex and vary depending on individual factors, including anxiety and overall health. Your diagnoses of hyperventilation syndrome and FND explain some of the neurological aspects of your symptoms, which might manifest physically as tremors. Anxiety can heighten muscle tension and may contribute to the intensity and fatigue you feel after yawning. Gabapentin and SSRIs can help in managing anxiety and neurological symptoms, but it may take time to notice significant improvements.
Next Steps:
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Monitor Symptoms: Keep a journal of your tremors, noting when they occur, their intensity, and any associated feelings (like stress or anxiety). This can help identify if there are additional triggers or patterns.
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Practice Relaxation Techniques: Incorporate stress-reduction strategies such as deep breathing exercises, progressive muscle relaxation, or mindfulness meditation. These can help manage anxiety and potentially reduce the occurrence of tremors.
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Evaluate Medication Effects: Pay attention to how the new medications (Nexito, gabapentin, SSRIs) affect your symptoms. If you notice changes, keep your doctors informed.
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Stay Engaged with Healthcare Providers: Continue discussing these symptoms with your healthcare team, especially if they evolve or worsen. They may need to adjust your treatment plan based on ongoing assessments.
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Physical Activity: If you are able, consider engaging in gentle physical activities, which can help improve both physical and mental well-being.
Please remember to reach out if you need additional support or if your symptoms change significantly. You're not alone in this experience, and staying proactive about your health is important.
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