How JustAnswer Works:
  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • Go back-and-forth until satisfied
    Rate the answer you receive.
Ask DR. EHTISHAM Your Own Question
DR. EHTISHAM
DR. EHTISHAM, Doctor
Category: Medical
Satisfied Customers: 6077
Experience:  MBBS, FCPS
41140702
Type Your Medical Question Here...
DR. EHTISHAM is online now

My daughter is 19yr old and having tremor since few years

This answer was rated:

My daughter is 19yr old and having tremor since few years that was diagnosed as familial tremor. But now it’s getting worse. She can’t even hold the fork while she eats, finds difficulties wearing short heals
Assistant: Have you seen a doctor about this yet? What medications are you taking?
Customer: she booked appointment with a GP they gave her a phone appointment after 2 weeks
Assistant: Anything else in your medical history you think the Doctor should know?
Customer: She was prescribed beta blockers and used it for 2 weeks then she stopped it as she didn’t feel benefit

Hello! My name is Dr.Ehtisham. Welcome to JustAnswer. I'm reviewing your question now, and will post back with your reply momentarily.

Customer: replied 1 month ago.
Hello this is Lamees
That was written by my mother but I made the account so now you are directly speaking to me the patient
Customer: replied 1 month ago.
I would like to add that lately I have been experiencing balance problems when I walk or do things I used to be able to do before. For example it’s harder to walk in heels. I have gotten blood tests for my thyroid and bloody sugar as well as blood pressure and they’re all normal

Have your doctor advised any MRI of the brain?

Regards

Customer: replied 1 month ago.
No he has not

Have you been to any neurologist yet?

Regards

Customer: replied 1 month ago.
Yes I have and he prescribed the beta blockers for me
Customer: replied 1 month ago.
That as I mentioned did not help maybe because they were only 10 mg but I don’t know why they did not help that much

Thanks for the details

In my opinion there are two ways to address your current issue

One is to get an MRI first and look for any secondary reason for your symptoms

If that is normal then you need an increase in dose of beta blockers

Secondly you can start by increasing the dose of beta blockers and see the response in few weeks and if it does not get better then go for an MRI

A dose of 10mg is too low and needs to be increased

Please do let me know if you have any other question

Regards

Customer: replied 1 month ago.
I have stopped taking the beta blockers a while ago what dose do you recommend ?
It’s propanolol
Customer: replied 1 month ago.
I forgot the exact dose now so I’m not sure how much to take

You should take 10 mg twice daily

But it can be easily increased up to 80 mg daily

Please do let me know if you have any other question

Regards

Customer: replied 1 month ago.
How is it possible to get an MRI done here in the UK

It has to be advised by the doctor and then you can get it done

Regards

Customer: replied 1 month ago.
Okay
Thank you

You are welcome

DR. EHTISHAM and 3 other Medical Specialists are ready to help you