Table of contents:
Everyone, from children to the elderly, can experience shaking hands. This condition generally occurs due to fatigue, cold, or because you are feeling angry or scared. However, this complaint should not be taken lightly if it occurs frequently or is accompanied by other symptoms because it can be a sign of certain diseases
Elderly people often experience shaking hands, for example when pouring drinks or trying to reach certain objects. Shaky hands can indeed be a sign of natural aging which is normal.
However, on the other hand, shaking hands risk being an early symptom of a more dangerous disease. In severe cases, shaking hands can also be a sign of neurological disorders related to degenerative diseases, such as Parkinson's disease.
Shaking hands are generally caused by a disturbance in the brain that controls body movements. These involuntary and unwanted movements can be mild or severe and also temporary or chronic, depending on the underlying cause.
Causes of Shaking Hands
Hand shaking that persists, or is often felt can be a sign of certain diseases or conditions, such as:
- Essential tremor, which is a common shaking of the hand that is often used or even both, when you want to move it
- Parkinson's disease, which is a chronic disease that interferes with brain function and coordination of body movements, and can cause tremors when the sufferer is still or when muscles are not being used and actually subsides when moving
- Low blood sugar level
- Overactive thyroid gland
- Multiple sclerosis, which is a disorder of the nervous system, brain, and spine, which affects body movements
- Peripheral neuropathy, ie damage to the peripheral nervous system
- Brain tumor
- Huntington's Disease
- Poisoning by certain substances, such as mercury, carbon monoxide, and manganese
- Excess consumption of caffeine and alcohol
- Side effects of taking certain drugs, such as antipsychotic drugs, asthma medications, amphetamines, and corticosteroids
Although the shaking hands in Parkinson's disease have characteristics that can be distinguished from essential tremor, the symptoms of both diseases can worsen over time if not treated promptly.
In addition to the hands, people with essential tremor can experience tremors in other body parts, such as the eyelids, lips, head, arms, or vocal cords. Essential tremor can be genetic. The cause and treatment of this condition are not yet known.
Diagnosis and Treatment of Shaking Hands
Symptoms of shaking hands that are mild or not caused by disease, generally get better on their own. This applies to shaking hands from stress, cold, fatigue, or caffeine and alcohol consumption.
However, complaints of shaking hands need to be watched out for and immediately consult a doctor if you experience the following:
- Gets worse, even while resting
- Occurs prolonged, severe, or has greatly interfered with daily activities
- Accompanied by other symptoms, such as weakness, headache, abnormal tongue movements, muscle stiffness, or uncontrollable movements appear
To confirm the diagnosis and look for the cause, the doctor will perform a physical examination and supporting examinations, such as blood and urine tests, CT scan, MRI, electromyography or EMG (neuromuscular examination), and EEG (brain electrical examination).
After the diagnosis of shaking hands is determined, the doctor will provide appropriate treatment according to the cause. Meanwhile, to relieve complaints of shaking or tremors in the hands, doctors can give propranolol beta-blockers, anti-seizure drugs, sedatives, or botox injections. If the symptoms do not improve with treatment, the doctor may suggest surgery.