Conversation: The conversation between human and AI assistant.
[|Human|] Hi Doctor,I am a 29 yrs old female. Over past 1 to 2 years, i am noticing my both hands shaking/ shivering ! earlier it used to happen only on rare occassions but now its very frequent. Say when i am writing/ picking up a glass of water/ cooking or doing nothing, my hands, especially right one, start shivering. the shivering is mild sometimes and sometimes it worsens-embarassing feeling ! I am not on any medication for any health issue. I have elderly people in my family who have same problem-but thats age related ! I was diagnosed with L5-S1 & S1-S2 disc bulge 2 yrs ago for which i took physiotherapy sessions and the pain has reduced a lot ! Please advise me on the shivering part.
[|AI|]  Hi, Based on the details you have given you have lumbosacral disc which is recovering and another is tremor in hands mainly in the right hand which is mixed type tremor (rest and action tremor)You require detail clinical examination by neurologist for tremor frequency, look for bradykinesia, thyroid examination and for intention tremorRequire thyroid profile blood test, imaging of brain to rule out structural lesionMeantime you can have propranolol (collar 40 mg 1/2 daily)Regards Chat Doctor.