Question
A 10-year-old child has experienced neck pain accompanied by vomiting and chest discomfort. Multiple tests have been conducted, including brain CT, X-ray cervical anteroposterior and lateral views, lumbar puncture, blood pressure, and ECG, all of which have come back normal. The MRI showed no abnormalities at the craniocervical junction. The doctor was asked about the possibility of gastrointestinal discomfort and vomiting causing cervical issues, as well as how to confirm the diagnosis.
Answer
Based on the current situation, the possibility of cervical spondylosis is considered high. It is recommended to go to the hospital for a cervical CT scan to clarify whether there is a cervical disc herniation and the severity of the herniation. Severe cervical spondylosis may lead to symptoms such as shoulder and neck pain, numbness in the hands, and more. This is related to maintaining poor posture for long periods, such as bending down to play with a phone, using a computer, or sitting for long periods. It is suggested to actively correct these bad habits, especially for children, who should be given more attention. Regular activity should be incorporated into long periods of sitting; one should get up and move around every half hour to an hour, stretching the body.