My hands and my body keeps shivering or trembling when I apply some extra effort such as gyming and sometimes when there are things which need extra precision or care the same thing happens like pouring a cup of tea. I want to know what is this problem and how can it be solved?

Dr. Lalit Kumar TripathyGeneral Physician40yrs exp

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.1.It could be due to essential tremor. The cause of the tremor is unknown. In some cases it is hereditary and runs in families. There is no definite treatment unless it is severe 2 Other causes of tremor could be Stress, anxiety, panic, nervousness,inadequate sleep, physical exhaustion, strong emotion, hyperthyroidism, hypoglycemia, smoking/Tobacco/alcohol abuse/withdrawl, excess tea/coffee, drugs like steroid/amphetamine, neurological disorder, cerebellar dis order, brainstem disorde, r multiple sclerosis, stroke, head injury, mercury poisoning, liver failure, parkinsonism etc 3. Investigate yourself to exclude the above causes of tremor after consulting neurologist 4.Avoid stress/anxiety/nervousness/ panic etc 5. Avoid excess tea/Coffee/ smoking/alcohol if you have 6.take good nourishing diet 7.Have adequate sleep. 8. Do a thyroid function test to exclude thyroid problem 9.Consult neurologist for further advic. 

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