Bunch of symptoms, lasting few years, what to do?

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Hi, i am 22 years old, male, smoker.

For a last few years i experience cold hands and feets almost all the time, feeling is awful rest of body is hot/normal but feets/hands(palms) are freezing. Other symptom is pricking at the point i need to sweat or release heat from body, anything i found similiar to that is Cholinergic Urticaria. Worst moments are when i experience some stress, excitment or anything similiar my hands/feets get cold, i feeling pricking, hot rushing to the head, and that embrace my anxiety, then everything goes wrong. Please reply someone who know what this could be or experiencing same or similar. Thank you.

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