What causes pulsations under the ribs and in the neck? - Online Doctor Chats
Hi Dr. I've been feeling a pulsating under my ribs right in the middle for a few days now. It's worse when I lay on my stomach. It's not in sync with my heart. I felt my heartbeat on my neck and my stomach and first my heart beats on my neck, then stomach right after. I'm also a week late for my period. I took a test and it said negative. What could this be?
I'm 27 female, no health problems
I read your query
You can feel your pulsations under the ribs and in the neck
Well, I was checking my pulse on my neck to see if it matched with the pulsating in my ribs
The pulse in my ribs would come right after my normal hartbeat
They're like small quick pulses
This seems to be related to blood flow with more intensity than normal
Now this high intensity blood flow may be across a valve in the heart or the blood vessels may be having some atherosclerosis
There can be other causes too
Atherosclerosis is hardening of blood vessels
Since when are you getting these symptoms?
about 3 days ago. Do you think it can be related to my being late for my menstrual cycle? I'm not normally late
Yes it may be related to hormones
But you need to rule our cardiac causes
Ok so what should I do
Due to hormones there can be excess water in the body and it can lead to such symptoms
Firstly you need to get examined preferably by a cardiologist or at least by a family physician
If they agree with your findings then they may advise for an echocardiogram
Ok- is this something I need to do immediately? Or can I wait until maybe Monday?
On physical examination your doctor will be able to rule out many things
If the pulsations are increasing in intensity then you may need an urgent evaluation
Any idea why your periods may be late
The only thing I can think of is I started working out pretty heavily this month About 5-6 times a week.
That may explain the delayed periods
It is also possible that you may be having an asymptomatic condition which is manifesting due to exercise and delayed periods
Do you have any history of high blood pressure?
Not that I know of.
Have you been evaluated with cardiac tests in the past?
Are you there?
Sorry yes I'm here
Yes I have - nothing was wrong. That was about 4 years ago.
Can you feel the pulses?
Right now they're gone They come and go
Worse at night when I'm on my stomach
I feel that you need to be examined despite your history of anxiety
Do you have any question here?
Not really I have plans over the weekend so I'm not going to be able to make an appointment until next week. Do you think this is ok?
I think it should be ok
Just watch if you have deterioration of pulsations
In such a case visit a hospital
what does that meabn
It may be an impending aneurysm
But it is rare
Do you have question?
Are you there?
Yes I'm here sorry I'm a teacher lol
Ok thank you for your help Dr
What does deterioration of pulsaations mean
That's what I meant
It means if you are able to palpate it with your fingers
and if the sixe of pulsation is increasing when you are touching it
it will mean that it is getting worse
Hope you understood this
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