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

### input:
Ive been having strange symptoms for the past year, and if you want to count my battle with GERD and Esophageal Spasms, 4-5 years. Ive been on numerous PPI meds sine then, but the bigger problem with what I face now is an onset of neurological symptoms that first developed about a year ago. The most prominent of these symptoms include Tinnitus, Lightheadedness, Blurred Vision, Loss of Balance, Neck and Back pain, and heavy Heart Palpitations. The heart palpitations are more obvious about 10-20 minutes after eating and I know my blood pressure can run pretty high (around 150) but no doctor really seems to think this is a big deal. I was diagnosed by a Family Doctor about 5 years ago with a condition called PSVT. However, a Cardiologist debunked this and said I had nothing to worry about. Well, that was a long time ago and I think my condition may have worsened. Either way, I still cant help but think my spine is the culprit.Now before anyone jumps the gun on the possibility of me having MS or a Brain Tumor, I had an MRI of my brain back in September of last year and a CT scan about a week ago and they botChatDoctore back fine. I have been, however, seeing a chiropractor for my spine where I believe the cause is.Chiropractic hasnt really made me good enough for a long period of time and the adjustments they make dont seem to hold, so Im pretty much done with that option. Ive been seeing a wonderful GI and Neurologist as of last December but my insurane cut out and I can only see people locally with my doctors referral. I was on the brink of getting some imaging done of my cervical spine, but my insurance failed the authorize it on time before my 26th birthday.Anyway, thats where I think the problem is. Im currently awaiting a follow-up to a trip to the ER I had last week with my PCP but until then I could definitely use some advice or enlightenment as to some possibilities. I understand these symtpoms are difficult to pinpoint, so if it helps, when I went to the ER they said I had an outer ear infection and sent me home with some nasal spray. Whatever it is, its affecting my sinuses/ears.

### output:

Hi, Based on the details you suffer from multiple problems the one being is peripheral vertigo secondary to ear infection which can produce tinnitus and vertigo. You need to have betahistine 16 mg twice daily for short duration along with paracetamol 800 mg twice daily which will help to regenerate ear nerve (eighth nerve) along with vestibular rehabilitation exercise in addition to antibiotics. Meet your family physician/ENT surgeon for the prescription the PSVT and post meal worsening consult cardiologist once again or take second opinion cervical and lumbosacral spondylosis, orthopedic /neurologist can help you which depends on clinical examination Hope this will help regards Chat Doctor. 