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

### input:
Hi I have been diagnosed with peripheral pparasthesia in both my feet. My Dr cannot find a reason for this as there are apparently lots of causes...mainly diabetes...but I m not diabetic. What is the best p medication for this problem....I m on Cymbalta for depression/anxiety but am reading this is also a helpful for paraesthesia. I was on Lyrica (for a different problem) but h this did not help my feet either.....What would you suggest and have you ever heard of a natural cream called Emuaid that is purported to cure paraesthesia symptoms...Thanks Janet

### output:

Parasthesias CAN BE DUE TO SEVERAL CAUSES OTHER THAN DIABETES-PERIPHERAL NEUROPATHY DUE TO THIAMINE DEFICIENCY, VITAMIN B12 AND FOLATE DEFICIENCY, CALCIUM DEFICIENCY, HYPOTHYROIDISM, AND SO ON. SOMETIMES IT CAN EVEN BE DUE TO CONNECTIVE TISSUE DISORDERS LIKE SHE, PSS.KINDLY GET CV(NERVE CONDUCTION VELOCITY) STUDIES DONE TO PINPOINT THE DIAGNOSIS. GET A COMPLETE BLOOD COUNT(CBC) DONE ALONG WITH PERIPHERAL BLOOD SMEAR. ALSO, T3, T4, TSH WILL BE WORTHWHILE.  IF CV IS WITHIN NORMAL AND THE OTHER TESTS DO NOT SHOW ANY ABNORMALITY, WE CAN LOOK FOR PSYCHOGENIC CAUSES LIKE UNDERLYING DEPRESSION OR STRESS. U MAY EVEN BE HAVING SOMATOFORM DISORDER IN WHICH UNEXPLAINED PHYSICAL SYMPTOMS OCCUR WITHOUT ANY UNDERLYING ORGANIC BASIS/ CAUSE. IN THAT CASE U CAN TRY TAB AMITRIPTYLINE 10 MG SLOWLY INC TO 25 MG AT NIGHT.  Chat Doctor. 