<s>[INST] Dear Sir, I had been chewing tobacco for the last 25 yrs my age is 47 yrs. last 2 yrs i started developing pain in neck region and spine, i took some treatment nothing works as per doctors it is L4 & L5, nowadays i get dizziness and feel less light when i sit in closed room with light. I feel better when i get out. Back pain is still there and dizziness is also there, I have problems with my stomach, i never get clear motion and whenever i eat something my dizziness increases [/INST] Your body has acquired a sort of tobacco dependency. You should try to lessen the qty of CHEWING tobacco gradually and leave it one day by determination. The neck region and L4-5 pain can best be managed by physio, Yoga, deep breathing and taking simple precautions like not bending too much, avoiding jerks etc. Herbal anti-inflammatory and pain managers like GGUL and Shirt capsules are best to your needs. These are not painkillers but gradually control pain by antiarthritic effects. 1/2 a spoon of turmeric powder in warm milk or water everyday once or twice additionally will also help. With all these take warm water. I would recommend a very light purgative Tarunikusumakar chairman 1 tsp at night for consecutive three days. Thereafter, once a week. Commonly available in India. Have leafy vegetables and light food. Hope it helps you. </s>