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Hello,I am Dr. Aren and I will help with your query.Have you discussed this with your doctor?Has he examined you in reference with this complaint?Your complaints definitely need to be looked into,initially by your Physician and if required by a Neurologist.You may need investigations like EMG,CT/MRI scan of the brain or spine apart from other investigations for Vitamin B12 and folate levels,thyroid profile,liver and kidney function tests. Specialised tests like small fibre biopsy(skin biopsy) to rule out small fibre neuropathy may be needed since such symptoms can arise from a whole lot of problems. Increased stress and anxiety levels may also cause such symptoms.It would be prudent to discuss this with your PCP and physician.If you need further clarification ,please do let me know.