Tremors??

Male patient age 25 Chief Complaints Complain of Hand tremors, sleeplessness and mild headache since three days History History of taking alcohol since 3-4 years Same history of episode happen in childhood also Vitals Bp;120/78 Pulse:84

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Pt is alcoholic Check LFTS and KFTS Adv usg abdomen Hepatorenal dysfunction leads to involuntary tremors Hepatic cirrhosis Jaundice Uremia Depression Any such complications may lead as well as withdrawal leads to such presentation

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Patient develop alcohol withdrawals symptoms to do chronic alcohol use. In this case we can start benzodiazepines divided doses with depending quantity about alcohol intake... With vitamins injection and Iv fluid slowly... OD. Next try chlorozipoxide tables no much improved tremor. Anxieties possibility I child hood case. So now a person on alcohol depends, administration this person is for de addiction...analysis about alcohol intake history and regarding start further management... Anti craving mood stabilizer anxieties relieving behavior modified.

Sir he taking alcohol Daily
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With alcohol having a depressant effect, heavy consumption can lead to the brain becoming used to a reduced level of stimulation. As alcohol then leaves the body, the brain becomes flooded with more activity, which results in the nervous system becoming hyperactive, causing alcohol tremors or shakes. It can occur as quickly as eight hours after your last drink.

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Alcoholic tremors ? Withdrawal tremors To rule out familial essential tremor, Hyperthyroidism, anxiety. Propranolol , anxiolytic, Thiamine

Go for Panchakarmaa Treatment with Shashtisaali Pid sweda,go for the Virechan,Give him Zandopa half tea spoon bd with some Vathar Medicine

Common is always common & rare is always rare. Why not to start treating him on the line of Anxiety disorder.

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When was the last time pt consumed alcohol?

Today
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