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What Causes Swollen Neck With Pulsating Neck Veins?

Posted on Mon, 30 Nov 2015

Question: I have a swelling on the left side of my neck..and pulsating vein on the right side of my neck..Ive had some chest pain due to Pericarditis post Flu virus.Im in left bundle brandh block with ischeamic changes. On Echo I have a abnormal Septal bounce..Im awaitin MRI +a Ct of my heart.

Answered by Dr. Benard Shehu (36 minutes later)

Brief Answer:
Following answer to your query.

Detailed Answer:
Hi and thank you for asking!
I read your query very carefully.

First of all I would like to check by myself all your test results. Can you upload the reports of all examinations you have done (especially cardiac echo)?

However from what I read it's obvious that your findings may be associated with:
- Pericarditis which is a complication of viral infection.
- Atherosclerosis and large arteries blockage including coronary and carotid blockage.

To definitely exclude any coronary and carotid arteries blockage it's essential to do Cardiac MRI and cardiac CT angiography. If they will result normal than your problems are definitely related to viral Pericarditis.

Hope this will be of help!
Wish you health!
Dr. Shehu
p.s: If you have more questions, please don't hesitate to ask me again.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Benard Shehu (29 minutes later)

Thankyou.Im a Registered Nurse..semi retired 30yrs on Night duty.I know there is an increased risk of Heart problems due 2 shift working.Ive never smoked +walk usually 2/10miles a day with my Dogs.I Had Flu at the end of August +went into work..feeling extremly I took over 2wks to recover +notice Ankle swelling +numbness Left lower leg !I had chest pain but put it down 2 the cough with the Flu!..My TropTs have been normal throughout.But CRP Raised..Pericardal rub head on exam..As you say all due in part to the Perivarditis..which should settle with rest..however Im gettin chest pain at rest on occassion..My Cardiologist as advised if this happens again, go straight toA/E.

Answered by Dr. Benard Shehu (9 hours later)

Brief Answer:
Following advice...

Detailed Answer:
Hi back,

Your symptoms are most likely related to pericarditis. However, since you have had a very stressful job, if you feel intense chest pain you should go to ER to exclude any life threatening situation.

Otherwise, you should wait for the tests (MRI/CT scan) results.

Hope this will be of help!
Wish you health!
Dr. Shehu

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Benard Shehu (4 hours later)

Thankyou Dr XXXXXXX Shehu..I value your advice.Im not an easy patient as you can well imagine !Experienced older Nurse whos seen it all ! I dont trust Drs easily as their only human..+sometime they mess up .. Ihave been told alot of rubbish about what is wrong with me by 5 Drs on admission 2 an acute hosp but you have advised the same as my Cardiologist..who I have great faith in..but its really helpful 2 have a second opion. I live well +do everything in moderation, but Ive ignored my body trying 2 tell me its not well ! 2 busy caring 4 my sick Husband +Father etc but from now on..I have 2 take care of me ! I will await my MRI etc Im positive +sure I will be sorted out..but I thankyou for helping me . XXXXXXX EN RGN ,Mother +Wife/ carer xx

Answered by Dr. Benard Shehu (6 hours later)

Brief Answer:
You will be always welcomed!

Detailed Answer:
Hi back,

You will be always welcomed!

It's a great pleasure to know that my advice were of help.

If you are satisfied with my answer, please close this query and rate it to maximum.

Wish you health!
Dr. Shehu

Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar