
Suddenly Felt Throbbing And Pulsating Vein In Neck. Should I Be Worried?

Thanks for your query.
I appreciate your efforts for medical consultation in so much distress.
Important aspects of your query are:
• 39 year old male
• Known case of HIV and high blood pressure
• Complaints of: throbbing sensation in left side of neck
You case is interesting and but difficult too because of medical morbidities and limited information. I will try to give my best effort to help you in this problem.
I would like to consider multiple possibilities in following hierarchy:
• High blood pressure: Monitor your BP daily
• Anemia (low hemoglobin): get your complete blood count done.
• Anxiety disorder and stress: need to be rule out by detailed interview by psychiatrist
• Vitamin deficiency: Get serum B12 level. Start multi vitamins as they are easily available.
• Neurological problem: get opinion from neurologist. MRI brain may be needed to rule out pathology.
Final message to you: Do not worry about symptoms, follow above advice, stop substance use if any and take multi vitamins.
I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow ups.
Wish you good health.
Regards,

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