<s>[INST] 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 BP was 150/90 mmHg and pulse 110 bpm. 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, MD, psychologist, and ENT all of them brought it down to anxiety. I had done all blood tests, x-ray, and MRI of neck. There was C4-C7 buldge in MRI and mild scoliosis in x-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? [/INST] Hi. I have gone through all your records. (attachment removed to protect patient identity).  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.e. 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 mg 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. </s>