Hi. all your symptoms need to be investigated as there is associated swelling of hands and feet. If the patient comes to my consulting with above symptoms I do ENT endoscopy
to rule out the local problems like fullness/ redness
of the eardrums, Blood pressure, Neck examination for muscle spasms. In addition I would suggest the patient to undergo blood tests for hemogram, blood sugar , urea and creatinine
, urine test etc. Can ask for an opinion of Medical Specialist if the tests suggest so . I hope this answer has helped you to understand .