Conversation: The conversation between human and AI assistant.
[|Human|] Good morning,I have heart palpitations..like large thumps when I lay down. This is going on along with tremors. My hands tremble all day long. I am a woman, 40 years old. In otherwise good health my whole life. Dont take birth control pills. Have exercised and lifted weights from the age of 19.
[|AI|]  Hello and thanks for writing. I can understand your concern and would try to help you in the best possible way. Palpitations with tremors are commonly found in overactive thyroid, anxiety disorders or hypertension. I suggest you should consult a physician and get yourself worked up for these conditions. A complete medical history a physical examination will go a long way in diagnosing your problems. You may also need a few tests like BP measurement, CBC, ECG, Thyroid levels and others. Once the diagnosis is made then a comprehensive management plan may be started for you which may include lifestyle changes, behavior therapies and medications.In the meanwhile you should avoid stress and avoid situations that aggravate your problems.