With nausea, the first reaction of many people is to go to the hospital for a gastroscopy to beware of digestive problems, but after the entire examination, it turns out that there is no gastrointestinal problem at all, at which point the gastroenterologist may say that you are completely normal, but you do have recurrent gastrointestinal symptoms. There are many causes of nausea, and cervical spondylosis can also present with such symptoms, mainly nausea, indigestion, belching with a foreign body sensation in the throat. Of course, in addition to the clinical manifestations of the digestive system such as nausea, patients with cervical spondylosis may also have one or more symptoms of sympathetic nerve dysfunction, manifested as headache, dizziness, tinnitus, hearing loss, eye discomfort, a feeling of dryness, blurred vision, excessive sweating, suffocation in the precordial region, panic attacks, and other symptoms of multiple systems. What tests are required? A detailed physical examination by a clinician is essential in the diagnosis of cervical spondylosis, including the extent of numbness and pain in both upper extremities, the presence of muscle weakness and muscle atrophy, changes in tendon reflexes, and some special investigations including the Eaton test, Adson test, Spurling test and Hoffman’s sign test, and the rotational neck test can further differentiate the disease from some other diseases with similar clinical symptoms. The clinician will further examine your symptoms and signs, and X-rays, EMG, CT and MRI are important ancillary tests for the diagnosis of cervical spondylosis. The diagnosis of cervical spondylosis should also take into account the diseases of neurology, otorhinolaryngology, ophthalmology, cardiology and other related departments, and the diagnosis of cervical spondylosis can be made clearly after the relevant diseases are excluded by the corresponding examination. Does it need treatment? Experts remind that if you find frequent nausea, abdominal distension, belching and foreign body sensation in the throat, although the symptoms in the neck and shoulders are mild, it is necessary to go to a specialist for relevant examination so that the clinician can formulate a reasonable treatment plan based on your symptoms, signs and relevant examination results. Especially when some patients have mild symptoms, but imaging tests show severe compression of the cervical medulla, early surgery can be performed to avoid long-term compression of the spinal cord that can cause degeneration and necrosis, leading to serious consequences such as myasthenia and paralysis. What are the treatment options? First of all, you can improve the symptoms by changing your sitting posture, sleeping posture, working habits and some physical exercises. If all of these are not effective, cervical spondylosis can also be treated with medication and nerve block therapy. It is worth noting that before receiving an accurate diagnosis and clinician’s guidance, it is important not to carry out self-treatment based on some information on the Internet. The lighter ones lead to further damage to the soft tissues, and the heavier ones will damage the stability of the cervical spine due to the long-term massage repeatedly acting on the intervertebral discs, small joints and ligaments, accelerating the degeneration and protrusion of the intervertebral discs, causing more serious compression of the cervical spinal cord, and even leading to paralysis.