instruction: hello doctor I took a banana shake and started feeling imbalance so I came back home because of restlessness imbalance and palpitations I vomited that night so the next day I went to the hospital there intensive care doctor said it is due to high acidity at that time my be was 150 90 mhg and pulse 10 bum that imbalance subsided in some time and then it occurred once in a week if there is a little bit of anxious environment it will come back since then I had been to cardiologist my psychologist and ent all of them brought it down to anxiety I had done all blood tests ray and mri of neck there was ca budge in mri and mild scoliosis in ray rest all tests were normal my symptoms are imbalance during sitting and walking feeling best in moving vehicle heavy head like a tight band at the back of head restlessness and have started physiotherapy with some relief physio is saying nerve compression due to spondylitis so he is giving ultrasound neck traction and neck exercise and said I do have bad posture too what is it exactly
output: hi I have gone through all your records symptoms like imbalance while sitting and walking with head heaviness restlessness and palpitations with stress precipitating them indicate a non organic or what we call as a functional problem I nothing wrong with hardware a little software issue nothing to worry at all I have my reservations for associating vomiting with your functional problems which I feel may be due to gastritis you do not have any issues with your neck please avoid traction to the neck even if you are feeling better with physiotherapy since there is no evidence of any root compression in mri magnetic resonance imaging I feel what you can start is amitriptyline 10 my every night for a month do regular yoga and mindfulness meditation these things will definitely help you do not be preoccupied with your illness you are absolutely fine if you have underlying stressors you can contact me