I've been having some trouble with my blood pressure readings. My right arm was at 14296, while the left was 12487. Is this something I should be worried about? On top of that, I've been dealing with feelings of depression and constant negative thoughts. My doctor told me I have some gastric issues like LAX CARDIA, EROSIVE ESOPHAGITIS, and ANTRAL EROSIVE GASTROPATHY. I've been on medication for a while, but they don't seem to be helping. Plus, my upper back has been aching, probably because I'm sitting a lot at work. Could you give me some advice on what I should do?

Regarding your blood pressure difference between your right and left arms, it is important to monitor this discrepancy and follow up with your healthcare provider. It could indicate underlying vascular issues that need to be addressed. As for your feelings of depression and negative thoughts, it is crucial to seek support from a mental health professional for proper evaluation and management. For your gastric issues including LAX CARDIA EROSIVE ESOPHAGITIS and ANTRAL EROSIVE GASTROPATHY, the medications you have been taking may need adjustment. You can try taking a proton pump inhibitor like Esomeprazole (brand name Nexium) along with a prokinetic agent like Metoclopramide (brand name Reglan) for better control of your symptoms. To manage your upper back pain due to prolonged sitting, you can try over-the-counter pain relievers like Ibuprofen (brand name Advil) for pain and inflammation. Additionally, incorporating regular stretching exercises and maintaining a good posture at work can help alleviate the discomfort. It is important to follow up with your healthcare provider for a comprehensive evaluation and personalized treatment plan tailored to your specific health needs.