<s>[INST] Hi, Started with initial ringing in ears and was prescribed serc tablets which stopped the ringing but began having mild headaches, nothing overly painful more annoying then anything. Also notice my right temple seems more swollen then usual.. It s been going for about 3 weeks now and started having pins and needles when waking up in my right hand over the last 2 days. Haven t had any other unusual characteristics. Thoughts? [/INST] Hello!Welcome on Healthcaremagic!The swollen right temple, coupled with headaches, can raise suspicions on temporal artheritis. The pins and needles in your right hand can be related to a pinched nerve, but they are not related to the right temple. Coming to this point, I would recommend consulting with a neurologist for a careful physical check up and some tests: - a brain MRI study- complete blood count, PCR, and sedimentation rate for inflammation- a cervical spine X ray study to exclude chronic degeneration of the vertebral column, which can cause nerve compression (mimicking the pins and needles in the right arm). Hope you will find this answer helpful!Kind regards, Dr. Aida </s>