Conversation: The conversation between human and AI assistant.
[|Human|] Tied fullness in head off balance dizziness anxiety don t feel well if in hot weather numbness down right hand side little finger numb now and again aches in joints feel so tied all the time sleep well try to excercisebut hard because feel so tied and ache been over the last two years am trying stay positive but draining not having energy frustrating have beautiful family who are very supportive just like your opinion on what you may think I m 48 no smoker non drinker healthy eater don t eat red meat
[|AI|]  Hi, Thanks for writing in. The cause for your dizziness and numbness can be due to compromised blood supply or nerve pinching in the cervical spine. Dizziness is a non-specific symptoms and at your age, the supply to brain requires evaluation. It is possible that there are occasions when the blood supply to your brain might be less and this can be due to the flow dynamics through the carotid and vertebral arteries or if it is only experienced when you raised your arms then there can be a cervical rib causing momentary compression of blood vessels in the neck. The numbness can happen due to the cervical rib as well. Numbness in the hands is an important symptom and a concern that requires to be detailed clinical evaluation and imaging investigations.