Pakistani english is based on an Urdu accent in English. Most Pakistanis speak Urdu as a first or second language and according to the concept of language acquisition a person usually speaks their third language with an accent reminiscent of their second languag.
Pain, Numbness, Tingling, and Weakness of the Upper Extremities. When a patient is experiencing pain, numbness, tingling or weakness in the arms or hands and they do not have a distinct injury in the same area, there are typically three possible causes for those symptoms. The first cause is nerve irritation.
Healthgrades Editorial Staff. Tingling in both feet can have a number of causes, including an injury, sitting in one position for a long period of time, or a circulation problem that impairs blood flow to the feet. Tingling in both feet can also be caused by nerve damage from extreme heat or cold or from toxic substances. Alternatively, tingling in both feet may be caused by peripheral neuropathy, a disorder in which the peripheral nerves that relay signals between the body and the brain and spinal cord lose function. Peripheral neuropathy can be due to a number of specific diseases and disorders, including diabetes and alcoholism.