Can a slight bit of Jugular Vein Distension occur hours after exercise? I'm a 45 year old,female athlete. My BP is fine, & my blood work is fine, and I've never had any issues. My calcium scoring exam was zero (which put me in the 99th percentile for my age). My diet is healthy, my weight is healthy. I have no other signs or systems, but I noticed this vein being enlarged about an hour or so ago. My left ear is starting to hurt all of the sudden as well.