<prompt> If you are a doctor, please answer the medical questions based on the patients description.i am expeirencing what seems to be anemia. my blood shows low hemoglobin. my entire chest, feet, and hands have been numb for about 2 weeks now. about once a week i have terrible episodes where i become confused, all my senses go numb, i have closed eye hallucinations and my vision goes a little off. i just go some sort of whacko. i cant seem to find and answers anywhere, and its important thati note that im a very very heavy electronic cigarrette user. is there any link to cigs and my symptoms? any other advice?  <response>: Hello! Thank you for asking on Chat Doctor! Regarding your concern, I would explain that anemia is not related to electronic cigarette use. From the other hand all your symptoms could be related to chronic anemia or a chronic pulmonary disease. I recommend consulting with your attending physician and performing some tests: - a chest X-ray study and respiratory function tests- an arterial blood gas analysis-iron and vitamin B12 levels to investigate for the possible cause of anemia. Meanwhile, I recommend stopping smoking and take plenty of water to remain wealthy Chat Doctor. Hope to have been helpful! Best wishes, 