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Suggest Treatment To Reduce Pain Caused By Cervical Disc Disease

Posted on Wed, 2 Apr 2014

Question: I have been taking gabapanten 300mg 3x a day I have lhermittes sign I went three days without any problems under stress the returned so I call my neurologist office it was closed so I paged the Dr on call he told me to double my dose to 1800mg per day so for two day I've been on 1800mg and yet I. Can still feel the shock like sensations traveling from the base of the the back of my head all the way to my toes my Neurosurgeon says my mri is not that bad I'm 37 and t have DDD c-3toc-5 I'm in constant pain they won't give me any other pain meds but they are planning to do epidural Injections in another week I asked for pain med to get be by until the injection and he refused said to talk to my pcp who says he is not going to give me meds either because he thinks it will induce my risk of falling I'm already I n a wheelchair so I don't under stand what they're thinking is could you please help me understand I would greatly appreciate it Thank you for you time , XXXX Also today I've been vomiting much bile an can feel it rising in my throat burning in my esophagus pain on my right side kinda up high not server pain just a little ache.

Answered by Dr. Sudhir Kumar (7 hours later)

Brief Answer: Duloxetine or pregabalin may be used. Detailed Answer: Hi, Thank you for posting your query. I can understand your discomfort on account of pain, due to cervical disc disease and Lhermitte's sign. Gabapentin is a good drug, however, 1800 mg is a pretty high dose. So, I agree that you should not take more than that. Since you are wheelchair, there is no risk of falling, however, you may feel dizzy or buddy if you take higher dose than that. So, you can take other effective medications such as duloxetine or pregabalin, which are also very effective in controlling neuropathic pain. I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information. Wishing you good health, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist Apollo Hospitals, Hyderabad, India Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar My BLOG: http://bestneurodoctor.blogspot.in

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sudhir Kumar (37 minutes later)

Thank for your answer of my question , however what about the vomiting of bile and my upper right side aching I've had gerd but this seems different much more burning in my stomach and throat I don't really feel it in my mouth except when I have to throw up which is all my food then green slimey stuff that burn my mouth and throat like fire any suggestions I've tried tums and medium but the different don't work. Would someone please answer my second question about vomiting the bile it happened again today is this serious or just heartburn?? Any thoughts would be appreciated, Thank you for your time XXXX

Answered by Dr. Sudhir Kumar (19 hours later)

Brief Answer: Seems related to heart burn. Detailed Answer: Thank you for getting back. The second problem seems related to the heart burn or acidity. You would benefit from taking rabeprozole tablets to reduce the heart burn and ondansetron tablets to prevent vomiting. Best wishes, Dr Sudhir Kumar MD DM (Neurology)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar