Hello doctor, I am 45 years. I am feeling stiffness in the neck for the last two years. Now, there is pain in the throat, some gastric problem also. Please suggest treatment. Three to four hours after having food, gas starts coming from chest to throat. Sometimes, I have change in voice, shortness of breath and problem in speaking comfortably.
Hello. So, your neck stiffness is likely a cervical spondylosis. You should get X-ray cervical spine AP/ lat view and further may need MRI. You need to visit physiotherapist after X-ray for physiotherapy. I suggest you have tablet Neurobion forte once a day which is a nerve vitamin. Also, Diclofenac gel for local application whenever needed. If stiffness is too much, you may have tablet Myoril (Thiocolchicoside) 4 mg whenever needed up to two to three times a day for stiffness. If this is not helpful then I suggest tablet Pregabalin 75 mg bedtime, which is a nerve stabilizer. This can be added later if needed. For your gastritis, you should avoid fatty, oily and spicy diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, fruits. Avoid smoking and alcohol if any. You can get prescribed tablet Pan DSR (Pantoprazole and Domperidone) 40 mg or Esomeprazole-Domperidone combination before breakfast once a day for two weeks. If not adequately relieved, then you should add syrup Sucral O (Sucralfate) or Gelusil (Aluminium and Magnesium antacid) two teaspoons three times a day for a week. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. For more information consult a cardiologist online -->