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

### input:
Let me start by saying Im a mess! First off, I am a 32 yo black female and I have been having head pressure/ headaches/ numbness on left side of face/ ear pressure/ dizziness for about a year. Went to ER and they did a MRI, but to no avail, it didnt show anything! They wrote it off as migraines and they prescribed Tramadol.  Recently, Ive been experiencing tingling mostly in my legs, but occasionally in arms as well. Ive been fatigued, anxious, moody, and depressed. My body is generally achy and stiff especially when standing up from a seated position. I really need to get bloodwork asap because I think that whatever is going on is probably pretty serious. So, from my list of annoying ailments, do you have any earthly idea of what could be going on with me?

### output:

Hello ! I understand your concern. In my opinion there is nothing to worry about. Dizziness, headaches, ear pressure, tinglings may be caused by an orthostatic hypotension. I would recommend a full blood count to rule out anemia. A measurement of blood pressure in sitting position and after 5 minutes in standing up position would be necessary to rule out orthostatic hypotension. If there is a decrease of more than 20mmHg to your systolic blood pressure when standing up it may be an orthostatic hypotension. All these symptoms can also be caused by depression. If all examinations are all right, I would recommend an Antidepressant like Paroxetine, Duloxetine or Escitalopram for some months. It will help with headaches and your humor too. Hope to have been helpful! Thank you for using Chat Doctor! Best wishes, 