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TV doctor explains the science behind 5 common symptoms

by David Jones

TV doctor explains the science behind 5 common symptoms

A TV doctor has explained five common symptoms (stock image) (Image: Getty)

No matter how healthy we are, our bodies always seem to find a way to surprise us with an unexplained ache or a mysterious twitch at the most unexpected moment. These are usually nothing to worry about, but if they happen regularly, it’s normal to wonder if you should be concerned. Thankfully, a TV doctor has explained why the science behind five common symptoms, what they mean, and when you should get help.

Dr Amir Khan is a familiar face on ITV’s Lorraine and other programmes, and posted a video on TikTok outlining a series of common symptoms that he said “feel totally random, but actually have a proper medical explanation”. He said: “Get ready to say ‘wait, that’s me!'”

Firstly, he said: “You know when your eyelid starts twitching for no reason, like it’s doing its own little dance? That’s called myokymia. It’s a spontaneous, involuntary muscle contraction, usually of a particular muscle in the eyelid, often triggered by things like caffeine, fatigue, or stress.

“You don’t need to worry. It’s benign and self-limiting in most cases. But if it does spread beyond the eye or doesn’t stop after a few weeks, speak to your GP.”

Dr Khan described the second symptom as “really common”. “Have you ever noticed how coffee goes straight through you, particularly first thing in the morning? That’s thanks to your gastrocolic reflex, a natural response where stretching the stomach sends signals to the colon to get moving,” he said.

“Caffeine makes this stronger by stimulating gastrin release, a hormone that promotes digestion, smooth muscle squeezing, or contractions of your bowels, and increases movement in your gut overall. It’s especially strong after fasting overnight. It’s not diarrhoea, it’s just your gut waking up to its clock and doing its job.”

The third is feeling out of breath while speaking. “If you do feel short of breath just whilst talking, but are otherwise healthy, it could be a breathing pattern disorder, sometimes called dysfunctional breathing,” Dr Khan said.

“This means your breathing is shallow, rapid, and mainly upper chest-based instead of coming from the diaphragm. It can be caused by chronic stress or anxiety, habitual over-breathing, or poor posture, or poor vocal use.”

For the fourth point, Dr Khan explained why some people with health problems may feel worse later in the evening and at night, “That could be stress, anxiety, could be pain as well,” he said. “Have you ever wondered why these things ramp up at night? Well, here’s the science.

“Your cortisol levels drop in the evening. Cortisol is an anti-inflammatory hormone, so without it, pain and swelling can feel worse. Also, your circadian rhythm shifts, making your body more sensitive to stimuli at night. And your brain has fewer distractions, so it notices every heartbeat, ache, or worry more clearly. This combination makes everything feel louder, but knowing that can help you manage it better.”

Finally, Dr Khan said: “Ever notice your hands, feet, or back start sweating just from nerves or stress? This is emotional sweating.

“It involves eccrine sweat glands mostly in your palms, soles, and armpits, and is triggered by your parasympathetic nervous system. That’s the fight or flight response. Unlike sweating to cool your body, emotional sweating happens due to psychological stress.”

Summing up, Dr Khan said: “So all of this isn’t your body malfunctioning, it’s just doing its thing. Most of these symptoms are completely harmless, but if they’re persistent or affecting your quality of life, that’s when it’s time to speak to your doctor.”

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