Thank you for your query.
1. The following conditions are associated with such symptoms:
a. Cervical Spondylosis
b. Acid Reflux
c. Thoracic outlet Syndrome
d. Ear related problems.
2. The corresponding investigations and consultations are:
a. X-ray Cervical Spine
and a Orthopedic opinion.
b. A Gastroenterologist's opinion
c. A Neurologist's opinion
d. A PTA (Pure Tone Audiometry
), Impedance Audiometry and Positional tests for dizziness and vertigo.
3. Additional tests are:
a. Neck Vessel Color Doppler Study.
b. Abdominal Ultrasound to rule out a Hiatus (Sliding) Hernia.
c. MRI or MRA Scan of the Neck and upper Chest .
4. This is probably a nerve or blood vessel compression syndrome either in the neck (neck pain and grinding) or chest (low blood pressure).
5. Further treatment will depend on your test results.