Rarely i wake up at night with rectal pain. recently i had it and it was extremely painful. i felt nauseous, light headed, my arms started falling asleep. i used prep h and that helped as well as a hot shower. why would arms tingle? wasn't hypervnt

Abnormal unrelated: You have nocturnal rectal pain. That is abnormal. It wakes you up and that is abnormal. You either have hemorrhoids or you have constipation. So record you bowel movements ( how many and how often per day) and your diet(what are you eating and drinking). This should be treated. You should see your doctor with this history. Unrelated is that you are probably sleeping on your arms.