what cause tingling in your arms while coughing?l m 48 yrs old,i do smoke,i m 5 4 tall weighing 140 lbs,when i cough i feel tingling in both my arms,sometimes i can feel my heart pound really hard then it will stop it sometimes does it alot but at times it will stop then do it again later,i have like bubbles in both my legs and was just assuming they were busted veins,should i be concerned?