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

### input:
I have anxiety, Im told, but when I told my psych dr that the numbness starts in my fingertips(both hands), goes into my hands and up my arms and is also in my lips and mouth and further during an attack. The meds Im on are not working all the time and the numbness can stay in my fingers and lips for days or longer.  My psych told me to pretend this doesnt happen.  Its all in my head. It is not.  Im not a crazy person and this is all new to me since September.

### output:

Hello dear, The symptoms as mentioned in your post can be attributed to:1. Para-spinal spasm and entrapment of nerve fibers at the Spinal region.2. Inadequate HY Chat Doctor.  Dietary deficiencies of certain nutrients like Iron, Calcium, vitamin D, Vitamin B12, Folic acid, etc. which help in blood formation & nerve conduction.4. Peripheral neuropathy caused due to any fluctuation in blood pressure or blood sugar level. Symptomatic relief can be obtained by intake of cervicogenic agents (like Vitamin B6, Vitamin B12, Folic acid) as well as multivitamin & multimineral supplements including iron, calcium & vitamin D needs to be added in your diet. Physiotherapy & postural exercise will also be helpful. If symptoms still persist, kindly consult a Neurologist & get a complete Neurological examination done. Certain investigations like complete blood count, serum electrolyte estimation, fresh estimation of blood pressure & blood sugar levels & nerve conduction studies will be helpful to rule out any pathological cause for the symptoms.X-ray & MRI of spine can also be carried out to detect any nerve entrapment. Wishing you a Good Health. Take care.