<s>[INST] I am having issues with my arms and legs. They are achy and often numbing lately, especially my arms extending to my hands, especially when I sit or lie down. Sometimes I feel pin prick pain in my legs and either I have gained a lot of weight lately that has gone solely to my arms and legs or they are swollen. I also sometimes worry about my heart. I do sometimes have anxiety issues but today my symptoms were quite bad and I am feeling worried. Due to recent insurance change I don t have a regular doctor. Should I go to an ER or urgent care facility? [/INST] Dear Sir/MadamI have gone through your query and read your symptoms.In my opinion, you are having peripheral neuropathy, this can be due to diabetes, alcohol or drugs,take Tab Methylcobolamine 1500 mcg SR one daily at night.Tab Pregabalin 75 mg SR one daily at evening tea time.Cap B long one daily after lunch.protect your hands and feet from too cold and hot, too cool air, protect from injury. and if any injury occurs consult your doctor early.I hope that answers your query. If you want any more clarification, contact me back. </s>