Warning Signs Of Essential Tremor

Shaking Voice

An individual whose voice shakes frequently may be affected by essential tremor. Shaking voice and vocal tremor are terms used to describe when an individual experiences involuntary movements of the muscles located in their throat, vocal cords, and voice box. In rare cases, a tremor in the muscles located in an individual's chest, mouth, or abdomen may be the cause of their vocal tremor. A vocal tremor is almost always due to rhythmic muscle movements when it is caused by essential tremor. The rhythmic muscle movements in the muscles that control the voice can result in a quivering sound in the affected individual's voice. An individual who has a shaking voice may experience alterations in the pitch or volume of their voice and interruptions in their production of vocal sounds. Because the muscles in an individual's throat, voice box, and vocal cords weaken as they advance in age, a shaking voice from essential tremor most often manifests in the fifth or sixth decade of life.

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Tremors Worsening With Stress

An essential tremor patient may notice their symptoms become worse with stress. Stress manifests with changes in an individual's physical state, mental state, and emotional state. Common causes of stress include confrontations, deadlines, job loss, new job, death of a loved one, divorce, marital difficulties, legal problems, retirement, illnesses, and financial problems. The worsening of essential tremor when the individual is under stress falls under the physical changes that occur in their body. Other physical changes, besides shaking, induced by stress include sweaty palms, weight gain, weight loss, erectile dysfunction, chronic fatigue, and stooped posture. The mechanism behind how stress causes a patient's essential tremor to become worse is not clear, but it is thought to be associated with how the stress response speeds up numerous chemical and molecular processes in the body. The increased speed of these processes can exacerbate the effect of the inappropriate nerve signals that cause essential tremor.

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