<s>[INST] hi doctor samuel. i am shalini. recently i had a vry high hypertensive attack. i am on medication for the same since a month now. however,my problem is that there is a feeling of shrillness in my ears which ofcourse is faint now. i also feel sense of tremendous uneasiness in my head , a dizziness when i yawn, or stretch or move my head down  a bit . I had tinnitus in my ears . i had an mri of my cervical vry recently and there was a degeneration between c4, c5, c6 and c7. loss of lordosis n so on . this uncomfortable feeling aggravates in the evenings.i recently had i guess an attack of vertigo. when i turned to the right while sleeping. but now i feel my left side ear onward is causing. what should i do ? [/INST] Hi Sharing, Thanks for writing in. The MRI cervical spine says that you have degenerative changes at vertebral levels C4, C5, C6 and C7. This means that you need to or may have already consulted a neurologist for your problems. If needed, the neurologist will suggest you to wear a collar and guide you for the services of a physiotherapist. Please avoid sudden neck movements and always move your neck slowly. Hope this helps. </s>