Conversation: The conversation between human and AI assistant.
[|Human|] I have been experiencing numbness in fingers ,mainly,when waking up which does not go away for a time I GET LOSS OF FEELING IN FEET (SELDOM) AND LAST WEEK A HAD ABOUT 5 DAYS OF TINGLING IN JAW,BUT NOTHING SINCE. i AM IN THE PROCESS OF TRYING TO GET OFF ZANAX AND HAVE REDUCED MY DOSE BY 1/4 GM EACH DAY i AM THINKING IT MAY BE PRE STROKE SYMTOMS..M ON WARFARIN...CAN YOU SUGGEST REASON
[|AI|]  Hi, Thanks for your query.* Most likely cause for numbness in feet and hands is peripheral neuropathy. I would recommend you to get vitamin B 12 levels done. As you are having this kind of pain only in evenings, I would like to know what kind of job you are doing like playing musical instrument/job which makes feet vibratory - then there are chances ofRaynauds phenomenon. In this condition, people will experience numbness in feet with similar cold feeling. Cold stimulation test confirms it. We should also rule out hypothyroidism where few patient experience similar symptoms. Get T3, T4, and TSH done. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care