Quora User, worked at Earth. 1  Businesses in the US (or any other country, for that matter) must charge VAT when selling e-services to European consumers. Many US companies (especially the larger ones) do comply with this policy, and charge VAT to EU residents, even if they do not have a physical presence within the EU. List of VAT Rates.
See MD: Hand numbness likely is due to pressure on the nerve either from damage, inflammation or direct pressure. Throat sensation can be topical in nature - not likely lemon water, but excess acid could irritate it. This may also be nerve related. So, get to the MD and find out what is going on.
Hypoparathyroidism is a rare condition that can cause muscle twitches, seizures, cramps, tingling, and more. The median nerve, which runs through the arm and hand, can cause swelling pain and numbness if injured. Damage to the ulnar nerve causes swelling, pain and numbness in the forearm, hand, and ring and little fingers. Dupuytren's contracture is a condition of the hand tissue that causes the fingers to curl.