You have pain in both arms while lowering , spitting blood in saliva, and some times high blood prrssure.Pain in both arms means you have some pathology in cneck, you have to go for an xray of neck ,Ap and lateral views, some blood tests like hb, tlc, dlc ,esr, blood sugar, blood urea,
serum creatinine,
lipid profile, urine routine and xray chest. If i have to treat such a patient i will advice cevical collar, tab
diclofenac , peracetamol, MR, cap B complex. For blood in saliva tab chromostat , tab augmentum 625 twice a day
sporlac sachets twice a day. For high BP tab
ramipril H 5mg once a day.For blood in saliva further treatment will depend upon the pathology in xray and0 other reports.