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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Why Is My Left Neck Vein Bulges Out Freqently?

I have a left neck vein (jugular, I believe) that bulges out frequently, especially when I m talking and exhaling deeply. The vein is a bit larger than the diameter of pencil, and also has what appears to be a dimple on it toward the bottom. I have an intermittent, slightly dull ache over the area from the vein & toward my clavicle and up toward my lower jaw. I also have noticed a distinct feeling of pressure in my entire neck and head area upon exertion. I dont know if it s relevant, but I was diagnosed w/an atrial septal aneurysm in 2005 (no hole in septum, just floppy. ) Thank you in advance.
Mon, 1 Aug 2016
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General Surgeon 's  Response
Hi Dear !! Thanks for your query to HCM.
I reviewed facts of your query in context to your health issues and feel concerned about them.

My Opinion-
In My opinion, in the given situation you seem to suffer from-Impaired Cardio-dynamics with clot in the atrium from untreated ASA(Atrial Septal Anuerysm) by antiplatelets and blood thinners.
Other defects accompanying ASA needs to be ruled out and treated.
Venous Over-Distension from TOS-(Thorasic Outlet Syndrome) Scalene syndrome or from Extra Rib or long transverse process compromising the space for External jugular neck veins.
Increase in deep breathing and exertion is from compromised cardiac out due to Complications with untreated ASA in your case.

Do's Suggested-
Consults with Cardiologist with 2 D echo studies would fix the cause with CT neck and thorax.
Start treatment of accompanied cardiac failure and clot dissolution with blood thinners and antiplatelet-Clopidogrel medicines.

Other causes need to be ruled out,after getting more details from you.


Next appointment-
Asap to review and plan the treatment for existing problem .

If you update more information/ details upon these suggestions, I would give further suggestions on medicines to correct your health issues.

If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229

Dear, if you don't have any further query in this regard, Do close this query with YOUR pleasing and feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services.

If you want to update more details and ask more update queries ,
You are most Welcome herewith !!

Good Day!!

Wishing Good Healthy Life in time to come!!

Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS
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Why Is My Left Neck Vein Bulges Out Freqently?

Hi Dear !! Thanks for your query to HCM. I reviewed facts of your query in context to your health issues and feel concerned about them. My Opinion- In My opinion, in the given situation you seem to suffer from-Impaired Cardio-dynamics with clot in the atrium from untreated ASA(Atrial Septal Anuerysm) by antiplatelets and blood thinners. Other defects accompanying ASA needs to be ruled out and treated. Venous Over-Distension from TOS-(Thorasic Outlet Syndrome) Scalene syndrome or from Extra Rib or long transverse process compromising the space for External jugular neck veins. Increase in deep breathing and exertion is from compromised cardiac out due to Complications with untreated ASA in your case. Do s Suggested- Consults with Cardiologist with 2 D echo studies would fix the cause with CT neck and thorax. Start treatment of accompanied cardiac failure and clot dissolution with blood thinners and antiplatelet-Clopidogrel medicines. Other causes need to be ruled out,after getting more details from you. Next appointment- Asap to review and plan the treatment for existing problem . If you update more information/ details upon these suggestions, I would give further suggestions on medicines to correct your health issues. If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229 Dear, if you don t have any further query in this regard, Do close this query with YOUR pleasing and feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services. If you want to update more details and ask more update queries , You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! Dr.Savaskar M.N. Senior Surgical Specialist M.S.Genl-CVTS