### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
hi im 23 and ive been having episodes for 4 months now where out of the blue i get breathless, palpitations feeling of weakness pins an needles and numbness in hands an feet an lightheadedness also i get a warm feeling in the heart area and also before all this happens i notice my veigns in hands dissappear and feel like im being drained of oxygen and blood find it hard to find pulse and when i do its very weak not slow but very weak and light this has been going on since june ive been to docs he thinks its anxiety but i think its low blood pressure caused by heart problem because i get no emotional anxiety symptoms an do not stress much ,the doc prescribed me beta blockers but as im aware i mite have low blood pressure i dont think i should take them what do you think it is?

### output:

Hi, thank you for providing the brief history of you. A thorough neuromuscular assessment is advised. As your doctor mentioned anxiety, then the symptoms you are facing can be related to the same. Also, if you are having tingling, pins needles, numbness etc. you should check up with a neurological assessment and an MRI might help understand the brain tissue status, if the scan comes normal than it will be just and anxiety related issues. Besides, the breathlessness, palpitations etc. are controlled by the brain stem and along with the MRI scan we can assess the brain images and come to a conclusion. In most of the cases due to some amount of stress and anxiety such symptoms arise and the scant runs out to be normal. If any abnormality found than treatment will be accordingly. Also, you can get your cardiac assessment done for your satisfaction if you feel your Blood pressure is low, and you have some cardiac disease. Treatment will be all directed as per the comparison between the diagnostic reports and the clinical signs & symptoms. Performing regular meditation, breathing exercises and yoga should help you further more for avoiding such kind of signs and symptoms. RegardsJay In Chat Doctor. 