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.
When this hormone is thrown off balance during menopause, it can affect the nervous system, producing symptoms like tingling extremities. While estrogen fluctuations are a prime cause of tingling extremities during menopause, other medical conditions can trigger tingling in the hands, feet, arms, and legs.