What should I do if my head tremors are severe? What should I do if my head shakes are severe?

Head shaking is most thought to be an essential tremor and can be present in individual patients with Parkinson's disease. Essential tremor, also known as essential tremor, can occur at any age, middle-aged and elderly people have a higher incidence, patients can manifest as head tremor, neck tremor, and may also have hand and forearm tremor, mainly postural or actional, generally will not appear hypertonia, will not appear positive pathological signs, the patient's disease progresses slowly after the onset of the disease, and will not lead to disability. Mild cases do not require special **, if the patient's symptoms are severe, it may cause the patient to feel unwell, affect life and work, propranolol can be applied**.

Parkinson's disease is a degenerative disease of the elderly, and there is currently no specific method to treat it, and drugs such as medopa can also be used.

Head tremors, which may be caused by essential tremor, can also be seen in Parkinson's disease, parkinsonism, or in young people, by Wilson's disease. Parkinson's disease and parkinsonism both occur in the elderly, patients can have resting tremor in the early stage, mainly manifested as hand tremor, or head tremor, there is no specific method. Trihexyphenidyl can be taken orally, and in severe cases, patients may have increased muscle tone, or medopa or Xining controlled-release tablets can be used.

If it is Parkinson's syndrome, it is generally mostly caused by cerebrovascular disease nerves, mainly active ** primary disease. In the case of essential tremor, the patient mainly presents with postural or action tremor, which usually occurs in the hands or forearms, and individual patients may also have head tremors. After the onset of the disease, the symptoms progress slowly, most of them do not cause disability, and no special ** is required when the disease is mild, and propranolol can be taken orally in severe cases.

There are many causes of head tremor, such as Parkinson's disease, essential tremor, psychogenic factors, cerebellar lesions, etc., you are 21 years old, Parkinson's disease is less likely, and essential tremor may still be considered.

Suggestions: 1. Do head MRI and thyroid function test to rule out others**; 2. To rule out arrhythmias such as heart block and bradycardia, you can try propranolol and other drugs to observe the effect (find a neurologist to guide the use of drugs). The most important thing is to reduce the psychological burden and avoid excessive emotional stress, which may induce or even aggravate the condition.

A receptor blocker such as propranolol may be used**, if symptoms are severe or if the drug is not sensitive**