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.
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.