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

### input:
I am having pain numbness and tingling down both arms, hands feet and legs, mostly left side. My vision goes blurry periodically throughout the day, I have headaches with pressure in ears, and severe fatigue. Every time I eat, which I don t have much of an appetite, I have diarrhea and have a lot of heart burn.

### output:

Here there are a couple of possibilities with your symptoms, You have symptoms of numbness and tingling in your hand, arm and feet more on left side of body, also headache, and heart burn after you eat, severe fatigue, as well sometimes blurry vision for entire day. As per this you need to take following steps.1. Check your eyesight and no. It can also cause headache if there is weak eye sight.2. Check your blood pressure and blood sugar. This can be region for headache as well fatigue.3. Visit a euro physician for proper examination for headache issue. If needed to go ahead for MRI scan.4. Visit an orthopedic in case if numbness is also associated with pain in neck and back spine. Orthopedic will do certain physical test and may ask for some more scaling or x-ray and will give you treatment as per that.5. If you always get tired withblittle walk, and it used to be along with breathing difficulty then you need to do ECG and treadmill test for checking out heart health. If there is any issue then visit cardiologist.6. If nothing wrong with heart then heart burn could be just due to acidity and have anti acid tablet as or your physician suggestion. You can also improve your lifestyle by having food at right time and changing food preference ti healthy and balance diet. Also do regular walking exercise. I am sure you will feel better when you follow all above things with proper evaluation and treatment. Take care.