Hi,
Since
ultrasound is done it would also be wiser to:
- Have FNAC of the nodule
- X-ray neck for cervical sponditlitis as you are a secretary
- Apply local rubefacient liniment for muscle relaxation
-
Physiotherapy of neck
- Ultrasound for swelling on
sternum and FNAC if required to know the cause
- Continue medicines for reflux
- Stop oily and spicy food as your doctor has thought about GERD
- Once a proper diagnosis is done then the treatment can be specific
- Further investigations like upper GI
endoscopy and
MRI for neck and spine if required
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. T. Chandrakant, General Surgeon