Brief Answer:
Consultation

Detailed Answer:
Hi XXXXXXX XXXXXXX Jha, thanks for asking from HCM.


I can understand your concern. At such young age, you are having so much stress and pain. Do not worry. After reading your MRI report, it seems that you have developed early degenerative changes in cervical spine. Degenerative changes are normal wear and tear which occur in every living person due to age/work/load bearing. I will provide you tips to overcome these and delay the progression.

Your MRI report is saying disc bulge only on subarachnoid space and not on spinal cord and nerves. It is a very good thing. You should follow few tips to delay progression
: Avoid prolonged neck bending like working on computer/laptop/writing/reading. You should adjust your posture such that your neck and back remains straight and the object comes right in front of your eyes.
: Start neck muscle strengthening exercise under physiotherapist instruction
: Till you get some relief, avoid weight lifting
: Avoid pillow use. Instead use thin layers of bed sheet to support neck.
: Start Yoga to bring flexibility and relieve stress.
: You can use neck collar while travelling/working for long duration.
: You can take Tablet Pregabaline/Amitrityline/Nortritiline after prescription. It will receive tingling/pain/needle like sensations.
: Take Methylcobalamine capsules after prescription. If you are vegetarian, you should eat more dairy products like Curd to get it.
: Also take neutron specific vitamin like B12/B6/Pantothenic acid/Folic acid to enhance nerve recovery and treat any deficiency.
: You can take Tablet S-Adenosylmethionine and Tetrahydrofolate after proper prescription. It fasten nerve recovery.

Now coming to mucosal thickening in maxillary sinus/ethmoid sinus/throat sinus, you should
: Steam inhalation 4-6 times daily
: Consult ENT specialist for evaluation
: Avoid cold food/drinks.
: Take Tablet Cetrizine-Xylometazoline-Paracetamol if severe headache/nasal blockade.

If you do not get relief, then consult psychiatrist also to rule out depression. Sometimes depression can give any disease symptom presentation. Do not worry, your reports do not suggest any metabolic disturbances like gas/liver or kidney problem.

You need proper guidance and time.

Hope it will help you. Thanks. take care. If still in doubt, do let me know.

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Brief Answer:
Consultation

Detailed Answer:
Hi XXXXXXX thanks for asking from HCM.


I have read all points. I got your point and will answer one by one.

1. Fatigue and weakness are due to cervical spondylosis and depression. You will get relief after treatment of both.

2, 3, 4, 5, 7. It seems your oral hygiene is poor thats why you are having mucus in throat/tongue problems. It can be treated by
; Consulting ENT doctor
; Oral hygiene
; Chlorhexidine moth wash use daily
; Daily brush twice. Brushing in night is must
; If you have allergy from any food, you can suspect it if you develop ulcer or pain abdomen after eating such food. You should stop eating that food.
; Your MRI was suggestive of sinusitis and it can cause mucus in throat/bad breath. So it needs treatment. I have mentioned in my previous answer.

6 . Regrading dental problems, I am not an expert. But I can tell you what to do to get best dental results
; Use floss to clean teeth other than brushing/mouth wash.
; Avoid sugary and sticky food like sweets/chocolate/cold drinks/tea/coffee. If you have any of them, always do mouth wash and remove sticked food particles.
; Visit dentist every 6 months.

8. The skin redness after scratching is suggesting that you have dermogarphia or urticaria. It is a type of skin allergy. It is treated by
; Avoiding precipitating factors like dust/chemicals/some types of clothes.
; Tablet Cetrizine or Cetrizine-Montelukast after proper prescription
; Consult dermatologist

9. As you have some minor issues, you are not getting relief. Thats why you take stress all the time. You should take a break and go on some vacation. have fun with family an friends. It will relieve your stress. Do some Yoga/mediatation or exercise to control your nerves.

10, 11, 12. Only weakness/fatigue is related to neck problem. Mouth dryness can be caused by antidepressants. You can stop medication only after consulting your doctor. Do not self medicate. It is not good for you.

Hope it will help you. If still in doubt, do let me know.

Thanks. Take care

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