Thursday, December 04, 2025

15 Reasaons your hands maybe shaking

Trembling hands are unpleasant and inconvenient, often causing concern that something may be wrong with our bodies or that it might be a symptom of a serious issue. The truth is, anyone can suffer from hand tremors at any age due to non-threatening causes such as stress, fatigue, or excessive caffeine intake. However, it can also indicate a problem that requires medical attention. Tremors can intensify and make daily tasks difficult, necessitating a prompt identification and treatment of the cause. This is essential not only to stop the tremors and regain control of our hands but also to maintain overall health. If you suffer from hand tremors, here are 15 possible causes to consider:

1. Essential Tremor (AKA benign tremor, familial tremor or idiopathic tremor) 
This is the most common reason why many people cannot hold a cup of coffee without their hand shaking. The tremor begins when the hand is in use but stops when the hand is at rest. The cause is not entirely clear, but experts believe it to be genetic. If your symptoms are mild, there's no need for concern. However, if the tremor interferes with daily activities, treatments such as medication, occupational therapy, or surgery might help.

2. Excessive Caffeine
Do you need your morning coffee to start the day? How about the coffee at 10:00, after lunch, and in the evening? That's a lot of coffee and, consequently, a lot of caffeine, which can cause hand tremors if consumed excessively. Note that caffeine is also present in other items you may consume, including headache medications, chocolate, and soft drinks. So even if you don't drink many cups of coffee a day, be mindful of your total caffeine intake. 
 
3. Certain Medications 
As mentioned, some medications contain caffeine, which might contribute to your hand tremors. Additionally, some medications have side effects that include tremors. These typically include mood-altering drugs, migraine reducers, asthma treatments, or neuropathic pain medications, and sometimes antihistamines. Check the leaflet of any medication you're taking to see if hand tremors are listed as a side effect. 
 
4. Lack of Sleep  
You can't expect your body to function properly without adequate rest. Hand tremors due to lack of sleep are a signal from your brain that you need to rest. Fortunately, if you provide your body with the necessary sleep, this issue should resolve. Try taking a nap to see if it stops the tremors. 
 
5. Parkinson's Disease
 man holding his other hand
 
Here we move into more serious causes. Hand tremors caused by Parkinson's disease occur when the brain cells linked to muscle movement are damaged. The tremor usually starts in one hand and spreads to the other over time. Besides hand tremors, you might also experience slower movement, balance issues, or stiffness in the arms and legs. Treatment is typically medicinal, but surgery can also help improve hand control.

6. Multiple Sclerosis 
This disease damages the fatty and insulating coating of nerves called myelin. This disrupts the transmission of nerve impulses between nerve cells, with hand tremors or tremors in other body parts being a primary symptom. Treatment involves medication, and occupational therapy can help you better manage the symptoms. 
 
7. Hyperthyroidism 
 Hand tremors can indicate thyroid issues, particularly hyperthyroidism. This means your thyroid gland is overactive, leading to many other unpleasant symptoms. Besides tremors, you might notice weight loss (without trying), sensitivity to bright light, rapid heartbeat, and sleep problems. A simple blood test can diagnose this, so don't delay if you suspect thyroid issues. 
 
8. Low Blood Sugar 
Your body needs sugar, which is transported throughout via the bloodstream. If your blood sugar is low, your hands may start to tremble. Eating something sweet can stop these tremors. Note that consistently low blood sugar levels can indicate diabetes, excessive alcohol consumption, or poor diet. Some medications can also cause this. If it happens frequently, see a doctor to determine the cause. 
 
9. Stress 
Are you facing a stressful task, like public speaking, or watching a scary movie? Any stressor can accelerate your heartbeat and cause hand tremors, but these symptoms should disappear once the stressor is gone. Try relaxation techniques to reduce the stress and associated tremors.


10. Smoking  
If you thought smoking to cope with stress would help you stop the tremors, think again. Smoking can actually worsen the tremors because it increases your heart rate, causing your hands to shake. If you're looking to calm down and stop the tremors, cigarettes are not the solution. 
 
11. Alcohol Withdrawal 
A glass of wine each evening doesn’t make you an alcoholic and won’t cause serious issues like tremors. However, if you suffer from alcohol addiction and stop drinking, you may experience withdrawal symptoms, one of which is hand tremors. This begins about 10 hours after the last drink and can last for weeks, so you might not connect the tremors to alcohol withdrawal, but they are likely related.

12. Vitamin B12 Deficiency  
Vitamin B12 plays a significant role in maintaining the health of the nervous system. Vegetarians or vegans are at a higher risk of deficiency in this essential vitamin, and some medications can also affect its levels in your body. Besides hand tremors, you might feel tingling in your legs. If this happens, a blood test can confirm your vitamin levels and determine if you need supplements. 
 
13. Pheochromocytoma 
 This long word describes a rare tumor that can develop in the adrenal gland. Although usually benign, it secretes an excessive amount of adrenaline and noradrenaline into the blood, affecting the heartbeat and raising blood pressure. This leads not only to hand tremors but also to headaches, excessive sweating, and shortness of breath. Ultimately, the tumor can cause heart disease and stroke, so it should be surgically removed.


14. Liver Problems Hand tremors are a very common symptom of liver issues, an organ that detoxifies the body. When the liver fails to perform its function properly for any reason, toxins build up in the body, which can cause hand tremors. These tremors can become jerky and involuntary, similar to a bird flapping its wings, indicating hepatic encephalopathy – a condition resulting from liver failure due to chronic liver disease. 
 
15. Brain Injury 
If you've had a stroke or suffered a head injury that affected the brain, it can certainly cause chronic hand tremors. To address this issue, see a doctor who can prescribe suitable medications or refer you to occupational therapy. In such a case, it’s essential to avoid the controllable causes of hand tremors, like caffeine and nicotine, as they can easily worsen your symptoms.
 
 

This is only for your information, kindly take the advice of your doctor for medicines, exercises and so on.   

 
 

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Saturday, November 22, 2025

Stomach cancer: Madurai Apollo Hospital alerts people with SMS symptoms of this ‘Silent Killer’ like heartburn, gastritis, indigestion etc as warning signs

The silent threat of increasing number of stomach cancer cases was explained for the benefit of general public by the gastro and oncology teams of Apollo Speciality Hospitals in Madurai at a press meet organized in Madurai today-November 21st 2025.

Apollo Cancer Centres in Madurai today launched ‘Save My Stomach’ (SMS) early detection program for stomach cancer as an initiative for timely screening, accurate diagnosis and improve the survival outcomes because stomach cancer is a ‘silent killer’ and the noticeable symptoms usually show only in its advanced stages of this cancer.

“Our SMS idea is for early detection of particularly men over 60 years age. Chronic gastritis, obesity, smoking, long-term gastritis with symtoms like persistent heartburn, indigestion and unexplained bloating shoud never be ignored. These are the warning signs and so the Apollo Cancer Centres from Madurai is launching ‘Save My Stomach’ campaign for timely screening. A simple endoscopy can detect stomach cancer at a curable stage when treatment is minimally invasive and survival rates are higher,” the medical oncologists’ team of Apollo Cancer Centres in Madurai- Dr.P.K.Muthukumaraswamy, Dr.J.Devanand and Dr.T.Deenadayalan have explained to reporters at the press meet in Madurai today.

The press conference was addressed by Dr.Nikhil Tiwari, Chief Operating Officer of Apollo Hospitals Madurai Cluster (ROTN) along with Dr.K.Praveen Rajan, Joint Director of Medical Services, Apollo Hospitals-Madurai and the surgical oncologists team of Dr.T.K.Sarpparajan and Dr.K.Balu besides the expert gastro team of Dr.P.Rajesh Prabhu and Dr.C.Praveen Kumar who stressed that early detection with simple endoscopic screening helps in stomach cancer care treatment without chemotherapy etc.

 

This is only for your information, kindly take the advice of your doctor for medicines, exercises and so on.   

 

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Wednesday, November 12, 2025

Diet, lifestyle hacks to say goodbye to acid reflux and protect yourself from oesophageal cancer

Doctor shares diet tips and lifestyle tweaks to manage acid reflux and prevent oesophageal cancer, along with treatment and medications to avoid complications.

 Acid reflux might seem harmless, but chronic gastroesophageal reflux disease (GERD) can have life-altering consequences, including the development of oesophageal cancer. In an interview with HT Lifestyle, Dr Aparna Govil Bhasker (Consultant Bariatric and Laparoscopic Surgeon at MetaHeal - Laparoscopy and Bariatric Surgery Center in Mumbai and Saifee and Apollo and Namaha Hospitals in Mumbai) highlighted that certain factors make some people more susceptible to oesophageal cancer, including:

 Chronic GERD (acid reflux lasting for years)

Barrett’s oesophagus

Obesity (which increases pressure on the stomach, worsening reflux)

Smoking and excessive alcohol use

A diet

If you experience any of these symptoms or have multiple risk factors, do not ignore them. Seeking medical attention early can improve outcomes.

How to reduce the risk:

1. Managing acid reflux to prevent cancer

One of the ways to lower the risk of oesophageal cancer is by controlling acid reflux effectively. As per Dr Aparna Govil Bhasker, here’s how that can be done: 

  • Maintain a healthy weight – Excess weight increases abdominal pressure, pushing acid into the esophagus.
  • Eat smaller meals – Overeating increases acid production and worsens reflux.
  • Avoid trigger foods – Limit spicy, fatty and acidic foods, as they weaken the LES.
  • Quit smoking and reduce alcohol consumption – Both can damage the esophageal lining and weaken the LES.
  • Do not lie down immediately after eating – Wait at least 2–3 hours before lying down to prevent acid reflux.
  • Elevate your head while sleeping – Sleeping with an elevated head can reduce nighttime reflux.

 

2. Medical treatment options

Dr Aparna Govil Bhasker revealed that doctors may prescribe medications to help manage GERD and prevent complications:

  • Antacids – Neutralise stomach acid for temporary relief.
  • H2 Blockers – Reduce acid production (e.g., ranitidine, famotidine).
  • Proton Pump Inhibitors (PPIs) – Stronger acid reducers (e.g., omeprazole, pantoprazole).

When is surgery needed?

For severe GERD that does not respond to medications, Dr Aparna Govil Bhasker recommended that surgical options like fundoplication may be considered as this procedure tightens the LES, preventing acid reflux. If diagnosed with Barrett’s oesophagus, Dr Aparna Govil Bhasker suggested that regular endoscopic monitoring is essential to detect early signs of cancer.

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