question: Hello doctor, I am 27 years old. I have suffered from GERD for a couple of years along with anxiety and depression, which some think is related to GERD or the opposite way round. I have taken Citalopram for about three years on and off. Seven months ago, I decided myself and finally did stop for good. Citalopram 10 mg was the dose, and I have been feeling great since. Three days ago, I got a call from the hospital, and they have scheduled me for a Nissen fundoplication surgery after a year of test and conservative treatment. Two days after I found that they had put a date to my surgery which is next week. I did sit before the computer and took a pen. I saw my left hand shaking; shaking like a tremor or Parkinson symptom. I have never seen this before, and I did get a shower, and the hand did not shake the same after. When I searched on the internet, and of course, I can only see negative things like essential tremor and Parkinson disease. I feel nervous and shaky since then, like restless arms, legs and fatigue. I am apprehensive about this. Can this only be a symptom of anxiety inside my body as I fear for the surgery? The symptoms are not noticeable to others, but only myself and I still feel restless.Is this anything serious or will this subside when things are getting closer or after surgery? It seems like I have been working so hard on getting the help I need for my GERD and when I finally got the call from the doctor about they want to give me this surgery; everything turned around. I am feeling restless. I have a hair thinning problem and slight beard alopecia areata. I have attached the photos of medicine I am taking for hair thinning problem and vitamin supplement) I am also on probiotics to help with constipation, sometimes it occurs due to indigestion and GERD.