Conversation: The conversation between human and AI assistant.
[|Human|] I m a 41 year old female 5 8 , sedentary lifestyle and 250lbs. On blood pressure meds and cholesterol with good results. When I cough or raise my arms (or voice) both arms tremble and shake. Sometimes my eyelid twitches too. Never lasts for more than 30 seconds. Slight pain on the right side of my neck. What s causing this nonsense?
[|AI|]  Hi, Thank you for posting your query. These disturbances are due to changes in autonomic, mainly the sympathetic nervous system. On coughing or with other activities as described by you, there is release of sympatho-mimetic amines, which can cause shaking and eyelid twitches. There is no need to worry about them. I hope it helps. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/