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How to effectively manage cervical spondylosis?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am 45 years old. I have been experiencing stiffness in my neck for the past two years. Recently, I have also developed pain in my throat and some gastric issues. Please suggest treatment. Three to four hours after eating, I experience gas rising from my chest to my throat. Sometimes, I notice changes in my voice, shortness of breath, and difficulty speaking comfortably.

Please help.

Hello,

Welcome to icliniq.com.

So, your neck stiffness is likely due to cervical spondylosis. You should get an X-ray of the cervical spine in both AP (anteroposterior view) and lateral views, and you may also need an MRI (magnetic resonance imaging). After the X-ray, you should visit a physiotherapist for treatment. I suggest taking one tablet of vitamin B12 supplements once a day, as it contains nerve vitamins. Additionally, you can apply Diclofenac gel locally whenever needed. If the stiffness is severe, you may take Thiocolchicoside 4 mg as needed, up to two to three times a day. If this is not helpful, I recommend adding Pregabalin 75 mg at bedtime, which is a nerve stabilizer; this can be introduced later if necessary.

For your gastritis, you should avoid fatty, oily, and spicy foods. Try to take a walk after eating instead of resting. Opt for multiple small meals rather than heavy ones, maintain regular sleep habits, and avoid stress. Incorporate plenty of green leafy vegetables and fruits into your diet. If you smoke or consume alcohol, it's best to avoid these as well.

You can get a prescription for Pantoprazole and Domperidone 40 mg, or an Esomeprazole-Domperidone combination, to be taken before breakfast once a day for two weeks. If you do not experience adequate relief, consider adding Sucralfate syrup or an Aluminium and Magnesium antacid, taking two teaspoons three times a day for a week. Please consult your specialist doctor, discuss your symptoms with them, and start taking the medications with their consent.

I hope this helps you.

Thank you.

Medically reviewed byDr. K. Shobana

Published At June 22, 2018
Reviewed AtOctober 30, 2024

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