<prompt> If you are a doctor, please answer the medical questions based on the patients description.Hi, I have had so many neurological symptoms on and off over the last 10 years it really annoys me if something else happens. I have now noticed pins and needlesnumbness in my left hand. It has got worse in the last few weeks and is now there several times a day. I have carpel tunnel and have had it for years, and that is in both hands in the first two fingers and thumb but I only get that at night or first thing in the morning. This is different - it is during the day and affects my whole hand whilst I am using it, especially when my hand is not down. Is it worth going to the doctor again?  <response>: Hello dear, The symptoms as mentioned in your post can be due to nerve compression secondary to Carpal tunnel syn Chat Doctor. Other reasons for such symptoms can be:1. Peripheral neuropathy2. Anemia either Iron deficiency or It B12 deficiency anemia3. Any abnormality in blood pressure blood sugar levels4. Deficiency of certain nutrients like Iron, vitamin B 12, Calcium, etc. which also interferes with blood formation nerve conductionSymptomatic relief can be obtained with intake of cervicogenic agents like It B12, B6 Folic acid. However, the underlying cause needs to be treated. So, kindly visit a Neurologist get a proper clinical examination done including nerve conduction studies. Investigations like complete blood count, estimation of blood pressure and blood sugar levels Thyroid profile will be helpful. Wishing you a good health. Take care. 