Conversation: The conversation between human and AI assistant.
[|Human|] my 5 year old arms shake or twitch or bounce both at same time she is awake but does not seem to realise she is doing it she did this last month but stopped after a couple of hours but started doing it this before school and still doing it walking to school
[|AI|]  Hi, Welcome to this forum. Can understand your concerns. Involuntary movement of upper and lower Limbs could be due to calcium deficiency, seizure, tremor due to multi vitamin deficiency. You should do calcium levels in child, complete blood count, l electroencephalogram should be done if tremors persists. Next time, this kind of involuntary movements occur then you should take the child to ER because it is very necessary to get the child examined during period of involuntary movements. Review with above reports. I hope this will help you. Take care.  Chat Doctor.