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Suggest remedy for neck pain, nausea and vomiting

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Posted on Fri, 18 Sep 2015
Question: Hi
I have chronic neck pain,in the back, it's hard to pinpoint, it feels like it's so deep in there. Inside my skull maybe? but it's affecting my everyday living. It's like my whole central nervous system is in ruins, constantly stomach pain, well not pain but nausea, never any vomiting, kinda feels like hunger pains. I can't deal with it anymore. The nauseau is the killer.
I don't have the best lifestyle.
doctor
Answered by Dr. Ajay Panwar (3 hours later)
Brief Answer:
Tell a few details-

Detailed Answer:
Hi XXXX,
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist,here to answer your query.

I would surely like to be of help but I need to know a few details beforehand-
1)Is this pain episodic or persistent?
2)Is the neck pain associated with headache also?
3)Does the pain increases on exposure to light or sound?
4)Do you have tingling in arms or legs?
5)Have you been on routine painkillers for past few months?

Possibility of chronic tension type headache(neck pain is common variant of TTH) is likely.At the same time,possibility of cervical spondylosis is to be ruled out.Down the list,Chronic Migraine is a less likely,possibility.

Please follow up with details so that I can answer your query better.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ajay Panwar (3 hours later)
Episodic
No tingling but easily get pins and needles and it takes ages to come to
Yes headaches
Painkillers casually when really bad but I also do a lot of recreational drugs.. Amphetamines
Doesn't increase with sound or light
doctor
Answered by Dr. Ajay Panwar (3 hours later)
Brief Answer:
Mental relaxation exercises/Amitriptyline/avoid recreational drugs

Detailed Answer:
Hi XXXX,
Thanks for being in follow-up and providing further details.

It is likely to be a Tension type headache(TTH) with some medication overuse element in it.I suggest you to start doing regular dedicated mental relaxation exercises like meditation/yoga/pranayama.It will likely be of help.At the same time,please start taking tab.amitriptyline 10 mg once a day at bedtime.I hope to see you improving soon.
You must avoid recreational drugs and casual painkillers.That way,medication overuse will be taken care of.Recreational drugs may cause adverse central effects.

Hope that I have answered your query.If you have some further questions,I shall be glad to answer else please close the thread,rate it and write a review as your rating will be of help to me.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Ajay Panwar

Neurologist

Practicing since :2007

Answered : 1827 Questions

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Suggest remedy for neck pain, nausea and vomiting

Brief Answer: Tell a few details- Detailed Answer: Hi XXXX, Thanks for being on healthcaremagic.com. I am Dr.Ajay Panwar,a neurologist,here to answer your query. I would surely like to be of help but I need to know a few details beforehand- 1)Is this pain episodic or persistent? 2)Is the neck pain associated with headache also? 3)Does the pain increases on exposure to light or sound? 4)Do you have tingling in arms or legs? 5)Have you been on routine painkillers for past few months? Possibility of chronic tension type headache(neck pain is common variant of TTH) is likely.At the same time,possibility of cervical spondylosis is to be ruled out.Down the list,Chronic Migraine is a less likely,possibility. Please follow up with details so that I can answer your query better. Regards Dr.Ajay Panwar, MD,DM(Neurology)