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

### input:
Hi my name is Priscilla Im 16 years old.  Ive been wondering why when I get angry or upset my arm and fingers tingle.  It makes me worry because the tingle kinda hurts and my chest hurts as well. Please can you tell me why I get this tingling sensation?

### output:

Hello, I have gone through your query and understand your concern. You have to understand that hyperventilation is one of the least understood anxiety issues. It occurs when you breathe out too much carbon dioxide. While your body does need oxygen and generally breathes out CO2, your body needs a healthy amount of CO2 as well. When you hyperventilate, those balances are thrown off. When you have an anxiety attack/panic attack, you'll often find that you're breathing incredibly fast, and that may cause you to hyperventilate. During an anxiety attack, you may feel like you're not getting enough air, and that may cause you to try to take deeper breaths. Unfortunately, in many cases you did already have enough air and that sensation was misleading, so your response makes your hyperventilation worse. Since tingling hands is most commonly caused by hyperventilation, you should start by gaining control of your breathing.1. Take slower breaths is a start. Also, try not to breathe in through your chest as much. It may feel like you're not getting a full breath, but remember that hyperventilation causes the feeling of needing more air, even though the opposite is true.2. You should also start walking. Make sure that you're getting good blood flow. As the muscles work, your breathing will often become a bit healthier, and your hyperventilation should decrease. Once you've got your tingling hands under control, it's time to work on the anxiety itself. Hope this helps. Please write back for further queries. Wishing you good health.