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.
Menopause and Tingling in Hands and Feet. Menopause can cause a variety of symptoms in women. Some symptoms, such as night sweats or hot flashes, are quite well known. Others, such as paresthesis, are less well known but can cause significant discomfort or even pain. Paresthesis refers to a tingling sensation in the extremities. Tingling in hands and feet is generally caused by the hormonal changes associated with menopause. It can range from mild to severe and include tingling, burning, stinging, prickling, increased sensitivity or numbness in the hands and feet.