### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
i am Ravikumar age-29-yaers I suffering from gastric and back pain near the left side back sholder in between spainal card,  left side neck pain and left side updomen pain past 1year, last 9 months back i had checked ECG by Dr.Ramana rao he told me gastric problem after that he givan a tablet RABONICK-ISO last 5months back i met the Gastroentrology doctor in manipal hospital they are suggest me ultra sound and Endoscopic after checked up doctor has givan me some tablets like NEXPRO-40 & CINTAPRO-0.25 thease  tablets i had 2 monthhs but stil am suffering please Doctr can u give me suggestion

### output:

I suggest here you could have mention your ultrasound as well endoscopy report also. Then it could have been helpful to suggest the treatment also. As per your explanation I realize you have taken few tablets for your gastric problem after checking with your report from your doctor. So here I am assuming there was no severe issue in your ultrasound and ECG report. Now still if you are suffering with gastric problem means I suggest taking one anti acid tablet a day and along with this do require lifestyle changes like keep same time for your break fast, lunch and dinner. As well have good breakfast, average lunch, and minimum dinner preferably before or by 8:00pm not after that, don't have tea and coffee more as well always have something along with tea and coffee. Have regularly different fruits and vegetables, maintain fiber rich diet. After your lunch always have some amount of curd.  Chat Doctor.  And exercise like walking or cycling daily for 20-30minutes. Follow this and see it will help for your gastric problem. Now for your neck and shoulder blade pain. Here I suggest to check with x-ray and if needed with MRI. Now based on report here doctor will give you conservative option of medication and physiotherapy which will definitely help you. But if problem is sever damage at spinal level then he may suggest for surgical correction also. In both cases you also have to do certain spinal exercises which will again help to improve strength and stamina of your spine. You can also use hot pack at home for some more relaxing and pain relieving effect on soft tissues. Take care.