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

### input:
I started a 6 weeks ago with pain in right big toe at the end of the tip of bone worsened by pushing off. Went to foot dr and said after many tests that it was nerve damage. The pain has subsided and turned to numbness. I soon after had the fingers of my right hand swell and turn red. Looks like rheumatoid arthritis. This same feeling went to left foot big toe and next toe. I also past week I now have numbness in both big toes and also ring finger and little finger in both hands. This numbness is there all day long and moves up my arms too. It is getting worse by the day. Any ideas or tests to suggest to doctors? Also, I get vertigo type symptoms 4+ times per year and have numbness for over a month from right ear to under right jaw. Seems like swelling in gland under jaw. I would appreciate any help. Background... I am 39 year old white male who prefers to workout daily (6 ft 175 lbs) and is overall in fair health. Have stomach acid issues for 5 plus years and thoracic back pain since June 2014. Heart rate and blood pressure are very good. No know diabetes in past years

### output:

Hi you need to rule out two things rheumatoid arthritis and peripheral neuropathy or disc prolapse or burgers disease the tests you will need will depend on the examination conducted by the doctor, and this includes the blood tests for arthritis, along with MRI and X-rays for looking the condition of spine and joints. Also note if you are an alcoholic or smoker, than that could be causing these symptoms and in that case a CT Anglo of the lower limbs may be needed