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What causes pulsations under the ribs and in the neck? - Online Doctor Chats

Date : 25-Mar-2014
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2009
Answered : 983 Questions
User: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?
User:I'm 27 female, no health problems
User:Hello Dr.
Doctor:I read your query
Doctor:You can feel your pulsations under the ribs and in the neck
User:Well, I was checking my pulse on my neck to see if it matched with the pulsating in my ribs
User:The pulse in my ribs would come right after my normal hartbeat
User:They're like small quick pulses
Doctor:This seems to be related to blood flow with more intensity than normal
Doctor:Now this high intensity blood flow may be across a valve in the heart or the blood vessels may be having some atherosclerosis
User:Whats atherosclerosis
Doctor:There can be other causes too
Doctor:Atherosclerosis is hardening of blood vessels
Doctor:Since when are you getting these symptoms?
User:about 3 days ago. Do you think it can be related to my being late for my menstrual cycle? I'm not normally late
Doctor:Yes it may be related to hormones
Doctor:But you need to rule our cardiac causes
User:Ok so what should I do
Doctor:Due to hormones there can be excess water in the body and it can lead to such symptoms
Doctor:Firstly you need to get examined preferably by a cardiologist or at least by a family physician
Doctor:If they agree with your findings then they may advise for an echocardiogram
User:Ok- is this something I need to do immediately? Or can I wait until maybe Monday?
Doctor:On physical examination your doctor will be able to rule out many things
Doctor:If the pulsations are increasing in intensity then you may need an urgent evaluation
Doctor:Any idea why your periods may be late
User:The only thing I can think of is I started working out pretty heavily this month About 5-6 times a week.
Doctor:That may explain the delayed periods
Doctor:It is also possible that you may be having an asymptomatic condition which is manifesting due to exercise and delayed periods
Doctor:Do you have any history of high blood pressure?
User:Not that I know of.
User:I do have anxiety though.
Doctor:Have you been evaluated with cardiac tests in the past?
Doctor:Are you there?
User:Sorry yes I'm here
User:Yes I have - nothing was wrong. That was about 4 years ago.
Doctor:Can you feel the pulses?
User:Right now they're gone They come and go
User:Worse at night when I'm on my stomach
Doctor:I feel that you need to be examined despite your history of anxiety
Doctor:Do you have any question here?
User: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?
Doctor:I think it should be ok
Doctor:Just watch if you have deterioration of pulsations
Doctor:In such a case visit a hospital
User:what does that meabn
Doctor:It may be an impending aneurysm
Doctor:But it is rare
Doctor:Do you have question?
Doctor:Are you there?
User:Yes I'm here sorry I'm a teacher lol
User:Ok thank you for your help Dr
User:What does deterioration of pulsaations mean
User:That's what I meant
Doctor:It means if you are able to palpate it with your fingers
Doctor:and if the sixe of pulsation is increasing when you are touching it
Doctor:it will mean that it is getting worse
Doctor:Hope you understood this
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