Conversation: The conversation between human and AI assistant.
[|Human|] My 39 year old daughter has intermittent numbness of her forearms and wrists radiating to fingers.  She just sent me a picture of her left hand.  From the distal phalanx of the left long finger is white and she says it is cold.  The ring finger nailbed looks cyanotic.  She says this can come on without warning.  No particular time or activity.  She does awaken during the night bilateral hand numbness.  She had asked me (RN) about it several weeks ago and I advised wearing wrist splints at night.  This didnt seem to be help.  She hasnt mentioned weakness, dropping objects or numbness above the elbows. Does this sound like MS or cervical stenosis??
[|AI|]  Hi, thank you for asking Chat Doctor. With this presentation, I think it is a circulatory (vascular) problem. Blood supply to these regions might have been compromised. I would suggest she sees a cardiologist for proper assessment and management. I hope that answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. We will be delighted to answer more questions from you. I wish her good health