Conversation: The conversation between human and AI assistant.
[|Human|] For several months I wake to a faster and harder heart rate, I can feel on waking my heart rate pulsating in my Feet and hands. I also experience pins and needles, along with numbness in my hands and feet. This numbness and pins and needles can also happen when I am awake in the day. I feel pain also radiating up my legs on occasions as well. I find that I feel unable to do any exercise as on exertion my legs feel very heavy and clumsy, along with a raised heart rate almost jumping out of my chest at times. Last week I went to a beach area where I had to walk down about 100 steps to the beach, going down was fine but coming back up I was completely exhausted and my legs felt heavy and clumbsy.
[|AI|]  Hello and thanks for writing. I can understand your concern and would try to help you in the best possible way. The problems you are facing could be summarized as having palpitations, neuropathy, shortness of breath and fatigue. These can be due to diabetes, heart conditions, anemia, vitamin B12 deficiency or anxiety disorder or any other cause. I suggest you get yourself worked up for the same. You may need to answer a few questions pertaining to your problems to help understand the nature of your illness. You may also require a complete physical examination including some tests like complete blood count, peripheral smear, fasting glucose levels, vitamin b12 levels and other tests. Once a diagnosis is made a comprehensive management plan may be started for you which may include dietary advices, lifestyle modifications, medication and physical therapy.