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Ask Dr. David Your Own Question
Dr. David
Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 46707
Experience:  Board Certified Physician
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i have server shaking and tremors in my hands twitching in

Customer Question

i have server shaking and tremors in my hands twitching in my eyes and palpations in fingers and tingling in fingers both hands and the odd twith in my head and tierd all the time
Submitted: 3 years ago.
Category: Medical
Expert:  Dr. David replied 3 years ago.

Dr. David :

This is Dr. David

Dr. David :

I am sorry you are having these symptoms.

Dr. David :

you need blood testing to check for low potassium and low magnesium levels.

Dr. David :

low electrolyte levels can cause nerve and muscle twitching.

Dr. David :

sorry you are tired all the time.

Dr. David :

you should also get your iron levels and thyroid hormone levels checked as well.

Dr. David :

low iron and low thyroid hormone levels can cause fatigue .

Dr. David :

have you seen a doctor to get these blood test yet?

Customer:

my doctor is usuless if im honest it like ive got the syptoms of adhd so i did an online tes it that came bk i have it x

Dr. David :

I'm sorry your doctor is useless.

Dr. David :

you might have to try to find another GP.

Dr. David :

if you feel like you have ADHD, you might need to see a psychiatrist and treatment for it.

Dr. David :

there are medications for ADHD

Dr. David :

like adderall or ritalin which could help your symptoms.

Dr. David :

ask your GP to refer you to see a psychiatrist for diagnosis and evaluation.

Dr. David :

would you be willing to see a psychiatrist?

Customer:

yes i would

Dr. David :

good.

Dr. David :

do you have any other questions?

Dr. David :

that I can help you with?

Dr. David :

if done for now, please leave +++ positive feedback below the chat box

Dr. David :

you might have to scroll down to see the ratings area below the chat box

Dr. David :

we only get credit for helping clients after positive feedback

Dr. David :

you can always reach me as Dr. David if you have other questions.

Customer:

i wouldlike help to get all my syptoms sorted for adhd what would they do

Dr. David :

ask you about your symptoms.

Dr. David :

if you have racing thoughts

Dr. David :

difficulty time of concentration.

Dr. David :

restlessness

Dr. David :

impulsive.

Customer:

i cant concentrate hyper all the time interupt people all the time cant sit still irratuble hyrated or i dont get the attention i want ill keep on and on till i get it i flick from one task to the other just crave attention all the time if i dnt get it ill just go on and on and get verystressedtill i get what i want

Dr. David :

could be ADHD.

Customer:

i talk alot to and i can be so annoying i live with my sister so she notices alot of wat i do

Customer:

night times r worse be cause become really hyper at nite and wont sleep till im tierd which is usually about 1ish/2ish

Dr. David :

I see.

Dr. David :

could be ADHD

Customer:

i just need some help to control it

Dr. David :

there are medications to help with adult ADHD.

Dr. David :

but you have to see a psychiatrist for diagnosis first

Dr. David :

and then talk about adderall or ritalin medication to help your symptoms.

Customer:

my dr wont help me or refer me wish was my dr u brilliant

Customer:

could u help me

Customer:

mysisters boyfriend keeps saying i need romething to calm down xx

Dr. David :

I wish I could prescribe medication for you.

Dr. David :

but it is illegal for online doctors to prescribe medications.

Dr. David :

you might very well need a medication to help calm you down.

Dr. David :

you might have anxiety disorder possibly as well

Customer:

its ok

Dr. David :

you have to see a psychiatrist for diagnosis and treatment.

Dr. David :

ask for a referal to see a psychiatrist.

Customer:

i do have anxitey and depreession

Dr. David :

well, you need your anxiety and depression treated.

Dr. David :

possibly with an SSRI medication like citalopram or paxil

Customer:

im on sertrline 150

Dr. David :

that is good.

Dr. David :

you can talk to your doctor about the option of increasing your dose up to 200mg a day

Customer:

i was on citaloprm but the stopped working

Dr. David :

or adding on additional medications to help calm down anxiety like klonopin.

Customer:

thank u so much for your help idohave learning disabilitie aswell

Dr. David :

you are welcome

Dr. David :

talk to your doctor about possibly increasing the dose up to 200mg of sertraline

Dr. David :

and adding klonopin to help your anxiety.

Customer:

your brilliant have a good eveing

Dr. David :

that might help.

Customer:

ive given u excellent cos u r

Customer:

:-)

Dr. David :

thanks

Dr. David :

do you see the ratings area below?

Dr. David :

you can always reach me again as Dr. David if you have other questions.

Dr. David :

thanks for using JustAnswer.com

Customer:

yes ive clicked excellent

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