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"   Question I work extremely long hours, around 12 per day over a five-day week as a human resources director for a hotel group.  Although my energy levels are high, I find that at different times of the day, my hand shakes to the extent that it is difficult to write even reasonably clearly but in the evenings, I&amp;#039;m fine.  Do you have any suggestions? I am sure the answer will be to take it a little easier!    Answer  The fact that your symptoms disappear in the evening, when you relax, is significant.  There are several causes for this kind of tremor.   The physiological tremor is the most common as it affects everyone. This tremor is made worse by stress, excess alcohol and an overactive thyroid.  There is also a condition called benign essential tremor which is most obvious when the sufferer tries to do something. However, this would not improve spontaneously at different times of day.   Treatment for either is usually unnecessary.  Both your diagnosis and your recommended treatment are correct; but do take professional advice if it becomes worse or more persistent.  Yours sincerely The NetDoctor Medical Team  Other Qs &amp;amp;amp; As Adult bed-wetting Am I paranoid? Bad behaviour and serotonin levels Can a urinary infection affect an older person&amp;#039;s mental state? Can hypnotherapy cure my weight problem? Could this be Tourette&amp;#039;s syndrome? Dizzy and exhausted Have I been hallucinating? How can conquer dieting inertia? How can I combat my PMT? How can I kick the nail-biting habit? How can I make myself taller? I can\u2019t swallow my food I can&amp;#039;t cope with ME any more I can&amp;#039;t seem to lose weight I feel sick quite often I get sick every time I meet a boy I really like I have a hang-up over going to the loo I have a really bad stammer I have difficulty urinating in public toilets I have had bulimia for nearly five years I have wet my bed I keep making a mockery of my exams. I suffer from excessive perspiration I want to do something about my shoplifting I want to get rid of my cellulite I was awake during a laparoscopy I&amp;#039;m a hypochondriac I&amp;#039;m always tired I&amp;#039;m unsure of all these psychiatric terms Jealous of a teacher&amp;#039;s body Jealousy and boredom Kicking in my sleep My 10-month-old bangs her head against the wall My nose is red The words I hear just don&amp;#039;t make sense Tightness in my throat Twitching all over my body - what could it be? What is Tietze&amp;#039;s syndrome? What is Asperger&amp;#039;s? What is Munchausen syndrome? What is serotonin? What is wrong with me? What therapy do I need?  Last updated 04.01.2012 "^^<http://www.w3.org/2001/XMLSchema#string>
<http://www.netdoctor.co.uk/ask-the-expert/a4141/my-busy-lifestyle-is-giving-me-the-shakes/>