yawning plus tremors

Hi and tks..I am 79,male, have hyperetension fr 10 yrs; due to eliminated tyroids;all kinds of noises in ears;and excessive yawning BOTH  before falling asleep and after wakening.. 5 to 10 times a min.Also inner  tremors in chest imm after awakened very similar to having cold body,that last some 5 min. Also I am quite active,playing tennis singles 3 times a week and am the most vigorous among my peers-but also sleep 8 to 9 hours dayly taking 1 pill like FLAZINIL and ZETIX  for 40 years-recommended by doctors due to cronic (chronic) sleeplesness...I am 5/11 tall, weight 155 always,never have dizziniss nor fatigues, but have  an herniated disc{¨backaches but not severe } for 38 yrs.The yawning is getting worse 2 hears hence;perhps due to very shallow breathing.Pls tell me I am NOT getting  Parkinsons or Alzheimers..

[Christopher R Newey, DO]

Thanks for using the forum. I am happy to address your questions, and my answer will be based on the information you provided here. Please make sure you recognize that this forum is for educational purposes only, and it does not substitute for a formal office visit with a doctor.

Without the ability to examine and obtain a history, I can not tell you what the exact cause of the symptoms is nor can I determine based on the description you provide whether or not you have Parkinsonism features or Alzheimer features. However I will try to provide you with some useful information.

The excessive yawning is behavioral, but it may indicate an underlying sleep disorder such as apnea. Sleep apnea most often occurs in overweight people who snore but can occur in anyone. Symptoms include snoring, daytime sleepiness, lack of concentration, and headaches. Untreated, sleep apnea can cause many medical problems (such as high blood pressure), and with treatment many symptoms improve. The diagnosis is made by a sleep study, called a polysomnogram, and treatment involves a mask placed over the nose and/or mouth that is adjusted to improve ventilation during sleep. I recommend that you speak to your physician regarding this option.

If you continue to be concerned about Parkinsonism features or Alzheimers, you should speak to your primary physician. You may benefit being evaluated by a neurologist.

Thank you for this opportunity to answer your questions, I hope you find the information I have provided useful, good luck.