Is a mild concentric LVH and Grade I diastolic dysfunction something serious for a 68-year-old woman who's had a high sugar level of 250 and has been taking medication for diabetes for 6 years and heart issues for 4 years? What steps should we be taking? Is there a concern about ischemic heart disease with these symptoms, especially given the normal echo report?

Dr Mubarak Parveez B

General Practitioner

• MBBS
• 2+ Yrs

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Neck Pain and Burping Symptoms

Possible Causes

1. Gastroesophageal reflux disease (GERD): Burping and neck discomfort may be related to GERD, where stomach acid flows back into the esophagus.
2. Dysphagia: Difficulty swallowing or a sensation of blockage in the neck could be causing your symptoms.
3. Musculoskeletal issues: Neck pain might be related to muscle strain or poor posture.

Recommendations

1. Antacids or acid reducers: Over-the-counter medications like antacids (Tums, Rolaids) or acid reducers (Zantac, Pepcid) may help alleviate GERD symptoms.
2. Dietary changes: Avoid trigger foods (spicy, fatty, or acidic), eat smaller meals, and avoid lying down after eating.
3. Physical therapy: Gentle neck stretches and exercises may help relieve musculoskeletal tension.
4. Consult a doctor: Schedule an appointment with your primary care physician or a gastroenterologist to rule out underlying conditions.

When to Seek Immediate Attention

1. Severe symptoms: If you experience severe neck pain, difficulty swallowing, or vomiting blood, seek immediate medical attention.

Answered 04/07/2025