Conversation: The conversation between human and AI assistant.
[|Human|] BP was 169/121 after what I believed to be a panic attack. (Been under a ton of stress)  Rested for 20 minutes and took it again and it was 157/115. Now 45 minutes later I have "pins and needles" feeling in left fingertips and in hand when I try and make a fist. I was going to call my dr in the morning but wondering if I should go to the ER instead.
[|AI|]  Hello, Thanks for your query. The pins and needles in fingertips that you are having are likely to be related to a nerve root compression at the level of lumbar spine. Other causes include injury to spinal cord, Lack of blood supply as a result of plaque formation in the blood vessels, diabetes, stroke, multiple sclerosis and underactive thyroid. Abnormal levels of calcium, potassium, or sodium in your body and a lack of vitamin B12 can also cause tingling sensations. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care