Brief Answer:
To check for cervical spondylosis

Detailed Answer:
Hello,
Thank you for your query.
I'm Dr. Shuba Hariprasad and will be answering your query today.

Based on your symptoms I would like to rule out cervical spondylosis & nerve compression.

Would you clarify a few things for me please?
*do you have any other medical issues or take any medications?
*how are your urine and stools?
*any digestion/stomach troubles?
*during these episodes, do you feel as if the rooms spins?
*do you have any vision disturbances?
*do you have any other symptoms like sweating, fever, stomach ache, loose stools, ringing in the ears?
*do you work at the computer or do any repetitive activity that uses your neck and arms?

I recommend :
- a physician consult
-x-rays of the cervical spine
- electrocardiogram (to check for any heart rhythm disturbances)
-blood tests (complete blood count, blood glucose levels, liver & kidney function tests, electrolytes, Thyroid stimulating hormone )
-a carotid doppler and CT scan of the brain if clinically indicated
- an ENT /orthopedic consult, based on clinical exam results

Based on these a diagnosis will be made.

When the space between the spinal bones (vertebrae) reduce, either due to age, posture, or certain activities that overuse the neck & arms, this can compress on the nerves that pass through th and can also impinge on the blood flow to the back of your brain and spine.

As you have a pace maker, It is possible that there may be heart rhythm disturbances which can compromise the circulation temporarily. This must be ruled out as well.

Please consider my recommendations and let me know if there is anything else I can help you with.
Hoping to hear back from you. Hope this helps

Wish you good health.
Regards,
Dr. Shuba Hariprasad

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