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shaking
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shaking

I have been having my lower left eye lid twitching for over a year.
I have been shaking for almost 10 weeks now whenever I am trying to do something. Holding a spoon to feed myself, using a mouse, etc. my fingers and wrist shake. It is almost as if I am week however I am not actually week its just when I am trying to exert the finer muscles in doing partial movements. If I try to spread my toes out partially my toes and whole foot shake.
I have had diarhea (diarrhea) for about the same amount of time, pretty much every morning.
I have random pins and needles on my right hand along with burning sensations on my nuckles and forearm, as well as random muscle spasms on my legs and arms.
GP thinks anxiety so he gave me zoloft and I thought I was going to die on it. Total body vibrations nonstop, nausea, sleepyness, brain fog, lack of focus at work etc. Neuro is leaning toward anxiety too but Im just not so sure I believe them.

Could this really be all anxiety? these symptoms are definately giving it to me if I didn't already have it. What kinds of things should the doctors be testing me for? I had thyroid initially and was told it was ok but I didnt see the numbers. Neuro did an EMG and I get the results this week. I'm thinking of asking for Lyme test, and MRI but I'm not sure if the doctors will go along with it. Luckily I have no real pain just funny feelings, fatigue slight dizzyness from time to time etc.

Any help is much appreciated I am really starting to get scared from all of this. My wife and I were planing on starting a family soon and now I'm second guessing all that.

I'm 31 male good shape relativley athletic build big on exercise and eating right not overweight never smoked and dont drink much.
1120846_tn?1356043429
If these symptoms were in my patient, I certainly would consider anxiety as most likely but would not limit the differential diagnosis to this.

Not in order of likelihood, the conditions to consider:
Lead toxicity, arsenic poisoning, multiple sclerosis & other demyelating, porphyrias (very rare), lupus,  pheochromocytoma (very rare).

There are many explanations for your symptoms and anxiety is definitely a strong possibility. You are right to question how sure are your physicians with this diagnosis.
Don't be afraid to ask for a second opinion from another neurologist.
I hope this helps!
4 Comments
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Avatar_m_tn
Thank you for your response I may have to get another opinion. I am just worried because the shakyness has been going on for so many weeks its hard to believe it could all be in my head. Especially because I don't feel worried about anything.
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Avatar_m_tn
EMG came back normal. Dr. was hesitant to do additional testing but is going to do an MRI just to be sure. Now what? This is driving me crazy. Who do I have to go to what specialty what tests?
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803451_tn?1390087022
See a neurologist at a University teaching hospital and do not rest until you are thoroughly checked out.  If you do not like the doctor - if the doctor is rude or dismissive - change doctors and don't hesitate.  If you have tremors it could be many things as the doc suggests - just get checked out thoroughly and don't worry about the diagnosis - there are many new neuro drugs on the market - just persevere and take care of yourself.  You may want to see a woman neuro - some of the male neuros - not all - are extremely judgmental and will send you to a shrink before blinking.  They are the lazy neuros which is why I say go to a university hospital and bring someone with you for support!  Good luck!
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