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Agitation


db2504
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Does anyone get very agitated during symptoms of shaking/trembling? In general my daughter has a very easygoing temperament, but when she feels shaky/trembling she gets very irritated quickly. She gas even told me she can feel herself getti g this way but cannot do anything to control it. Is this from adrenaline rushes? Any information in regards to these questions would be appreciated. Thank you.

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I used to have this symptom very badly. I felt like my evil twin would take over my brain and my mouth. I found myself apologizing a lot because I would get so snippy with people. I do think it was the adrenaline putting me in fight or flight mode and unfortunately I more of a fighter than a flighter, I guess. I think my first or second post ever on this forum was asking this same question....I thought I was losing my mind between this and the brain fog and cognitive issues. Over time, the meds have helped to some degree and I have used meditative breathing to help get control of myself when I have adrenaline surges, both physically and mentally. I also got real honest with myself about it and decided I would not speak in those moments when I recognize that it's happening. Recognizing the situation and learning to control it was a skill that had to be honed like so many others with this illness. I still find myself having a bit of road rage when I'm driving....I really would like a sign for my car that says "I have enough adrenaline going on without your crazy driving. Please stay away from my vehicle." Lol!

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I get episodes where I get anxious and agitated for no reason at all and I get shortness of breath then shakiness. Sometimes I get these spells two or more days before a migraine. I get bad anxiety before a migraine hits. Also years ago when i used to have hypoglycemia i got similar spells. maybe she could try drinking orange juice next time and see if it helps.

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Before I was diagnosed with Dysautonomia and started on the right medications, I used to have that happen. I remember being in a meeting, and the other person was being snippy, and I had tremors, pounding heart, and feeling that my adrenaline was out of control. I had to ride it out, and think long before I spoke.

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I get this as well in different forms; sometimes I can tell from the moment I wake up in the morning that I'm just going to be very irritable that day, so typically I try and give myself a little more space from people those days because I know it really has nothing to do with how I'm wanting to feel or anything that other people are doing that is making me feel that way, but there's other times where it seems like something triggers that sort of irritable feeling and it just kind of keeps going on its own and you can't really do anything to stop it you just have to let it pass. And being symptomatic can easily trigger irritability with me.

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Like Katie mentioned, Catacholamin - esand Epinephrine. These hormones are all fight and flight and responses. So when our bodies produce too much of them, some of us feel agitated (like myself, especially in the morning when my levels are at their highest) and tremor, which is at it's worst also. Has your daughter had a 24 hour urine catecholamine test? Serum (blood labs draws) would only catch high numbers if she;s experiencing too much of the hormone at that time

Sarah

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For some reason I have been very agitated all day today for no reason! I hope this doesn't mean I am going to get a migraine in a couple days because sometimes i get this way a couple day s before one. I am just highly agitated all day and snapping at people which i don't mean too and feel bad about it. i keep trying to relax but nothing helps.

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Hey artluvr09 I wrote something similiar to that in my response above, but I get that too every once in a while I'll have a day where its like your just super irritable for no specific reason but it just stays with you throughout the day, its like you have to ride it out and try to not freak out on people in the mean time.

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Hope you're feeling better now artluvr, that agitation is miserable.
I get agitation too, more often a horrible feeling of impending doom but often irritable as well. Everyone's different, but I certainly think mine comes from adrenaline rushes, because usually get that hand shaking at the same time and my pupils get HUGE.
If it is adrenaline, anything that tamps down those surges might help? For me, beta blockers made a huge difference….they blocked some of that adrenaline response, and it made it so much easier to be calm and felt much better mood wise. It can be a bit tricky since beta blockers lower blood pressure too though, found I needed to drink lots and get more salt, or I'd still get adrenaline surges from having blood pressure dropping too low. Seems to be a tricky balancing act, like so much with dysautonomia.…
Hope your daughter finds something that works, db2504. As a (now grown) daughter who's gone through that kind of agitation, I know it can be painful to have her snap at you (even when it's got nothing to do with you), and it's definitely not easy to watch her go through it.

(P. S. Katybug, I laughed so hard at your car sign idea…I get that road rage too!)

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Hi DB

Just checking in to see how your daughter's breathing test's went? Hopefully you ladies got some answers and crossed or added some things off the list, but most importantly that things went well for her! The autonomic workup and all the specialists can be overwhelming.. how is she doing throughout all this?

Also, was thinking,I've done about 15 of them over the years, but just a suggestion would be a 24 hour urine catecholamine collection. http://labtestsonline.org/understanding/analytes/catecholamine/tab/sample - this website gives really great info about the test and why/how its done plus the benefits over just a blood test only.
http://stress.about.com/od/stressmanagementglossary/g/All-About-Catecholamines.htm

Best of luck to you both,

Sarah

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I don't get angry agitated but I often get extremely emotional afterwards - particularly when I wake up in the middle of the night with a crazy heartrate; I can't stop crying. I think alot of this has to do with the panic attack that the tachycardia usually triggers but it could be similar to what your daughter experiences. Not sure if that helps at all!

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hi everyone,

here's just a suggestion that helps me out when I am feeling agitated
The Conscious "Breath"
The conscious breath is simply being aware of your own breathing. When people are anxious or stressed, they tend to take shallow breaths, breathing from their shoulders. Proper breathing involves expanding the lungs and diaphragm, without involving the shoulders. Sit in a comfortable position, and place one hand on your belly and the other on your chest. Close your eyes and breathe normally. Pay attention to your breathing rate, the rise and fall of your chest, and how the air feels in your lungs. Sit and focus on your breath for at least five minutes." livestrong

This is from a really great article: Yoga Breathing Exercises for Anxiety http://www.livestrong.com/article/18814-yoga-breathing-exercises

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Hi sarah. Sorry i just saw your question to my daughters breathing tests. The breathing tests were okay but the dr said her ttt was not. Her hr goes up the 30 beats but does not stay up. It drops down to 40. So now the dr wants to do a sweat test. If thats abnormal she had pots and if not nms. So confusing. They just keep changing her diagnosis.

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