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

### input:
I am having numbness and tingling of fingers and toes periodically throughout the day. I also have a siatic nerve issue on the right side hip that runs down the right leg. Would this be causing the issue in my fingers or could it be something else? I am a 50 yr old female who also is going thru menoupausle symptoms. I work with my hands a lot with my job stocking grocery shelves

### output:

Hello dear, Considering the case history of Sciatic nerve issue, the symptoms can be attributed to para-spinal spasm and entrapment of nerve fibers at the lower spinal region. Other causes can be:1. Inadequate HY Chat Doctor. 2. Dietary deficiencies of certain nutrients like Iron, Calcium, vitamin D, Vitamin B12, Folic acid, etc. which help in blood formation & nerve conduction.3. Peripheral neuropathy caused due to any fluctuation in blood pressure or blood sugar level.4. Hormonal changes- as you are going through menopauseSymptomatic 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 lumbosacral spine can also be carried out to detect any nerve entrapment. Wishing you a Good Health. Take care.