Is a mild concentric LVH and Grade I diastolic dysfunction something serious for a 68-year-old woman who's had a high sugar level of 250 and has been taking medication for diabetes for 6 years and heart issues for 4 years? What steps should we be taking? Is there a concern about ischemic heart disease with these symptoms, especially given the normal echo report?

Neck Pain and Burping Symptoms _Possible Causes_ 1. _Gastroesophageal reflux disease (GERD)_: Burping and neck discomfort may be related to GERD, where stomach acid flows back into the esophagus. 2. _Dysphagia_: Difficulty swallowing or a sensation of blockage in the neck could be causing your symptoms. 3. _Musculoskeletal issues_: Neck pain might be related to muscle strain or poor posture. _Recommendations_ 1. _Antacids or acid reducers_: Over-the-counter medications like antacids (Tums, Rolaids) or acid reducers (Zantac, Pepcid) may help alleviate GERD symptoms. 2. _Dietary changes_: Avoid trigger foods (spicy, fatty, or acidic), eat smaller meals, and avoid lying down after eating. 3. _Physical therapy_: Gentle neck stretches and exercises may help relieve musculoskeletal tension. 4. _Consult a doctor_: Schedule an appointment with your primary care physician or a gastroenterologist to rule out underlying conditions. _When to Seek Immediate Attention_ 1. _Severe symptoms_: If you experience severe neck pain, difficulty swallowing, or vomiting blood, seek immediate medical attention.