I am a 19 year old medical first year student in South Africa. In my final year at school I was in the top 85 students in the country, and attended one of the best schools in the country. My problem is this: from approximately 11years of age I have had a very slight tremor in my fingers. This has become slightly more pronounced over the years. It now bothers me when doing fine motor tasks such as dissections. It is particularly noticeable after holding scissors or tweezers tightly for some time. It is also observable when holding a phone or tablet. It is especially noticeable if I tense my muscles. When lifting a mug of tea etc there is a much more pronounced tremor for about 5 degrees of motion to my mouth but is otherwise minimal in the path of motion. The tremor is very fine, but is visible in the fingers. I believe it to be a fast tremor. No tremor at rest. Tenor not visible at rest in fingers but if I deliberately stretch out my fingers flat like a small fan, the tremor is observable. Tremor is visible with or without caffeine intake. My stress levels are potentially higher than most, but not in anyway that it interferes with daily activities nor such that I am aware of it. My slight worry is that this might preclude me from specialising in surgery later. My mother has a minor tremor in her hands. Any advice?
As with your history you have essential tremor, your family history is plosive as your mother has tremor. Essential tremor is benign condition with positive family history. It increases with stress. You can take beta blocker as propranolol to relieve tremor. Some contraindication of beta blocker is asthma. Bradycardia, diabetic history