system
Suggest treatment for shoulder pain and anxiety aeurosis
human
Hi, I am Swananda,a teacher. I have been suffering from shoulder joint pain and aso from anxiety neurosis. I have antral gastritis as well. I do not understand why I have been suffering from several problems. I have put on a lot o weight also. Very sad indeed. Please help.
gpt
Hello,Your antral gastritis and anxiety are related. May be the pain killers you take for joint pain lead to increase in gastritis as well. So, try taking physiotherapy.and use less pain killers.Most of patients of anxiety have increased acid production and this chronic acidity leads to indigestion and reflux.You should take medicine for anxiety.I have seen paroxetine :-12.5mg to 37.5mg showing very good response in similar patients. Along with this - you may take pantoperazole 40mg daily for quick response.Try to avoid tea/coffee/cold drinks compeltely. Better avoid spicy food items and excess of salt. This will help in improving digeation and early recovery.With paroxetine, I hope the response in  anxiety will start within a week. Please discuss the meds with your doctor and start them. As anxiety and acidity will improve you will be able to do more work, become more active and so, would loose excess weight.Wish you good health.Dr. Manisha GopalMD Neuropsychiatry