<s>[INST] 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. [/INST] Hello, Your astral gastritis and anxiety are related. Maybe the painkillers you take for joint pain lead to increase in gastritis as well. So, try taking physiotherapy. And use less painkillers.Most of the 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 :-12.5 mg to 37.5 mg showing very good response in similar patients. Along with this - you may take pantoprazole 40 mg daily for quick response. Try to avoid tea/coffee/cold Chat Doctor.  Better avoid spicy food items and excess of salt. This will help in improving digestion 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 lose excess weight. Wish you good health. </s>