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[32M] Concerning JVD/JVP Symptoms: Frustration with ER Visits and Ongoing Discomfort

3/28/2025, 5:20:16 PMMale25-34

For the past month, I've been dealing with a troubling issue. Initially, I noticed a noticeable dent in my neck, which has since escalated into a visibly pulsating area that is accompanied by significant pressure, pain, and tenderness. This condition has also caused me chest discomfort during these episodes; however, when I visited the emergency room, they determined my heart was fine, even though I continue feeling discomfort in that region. Unfortunately, they declined to investigate my neck further. I am not taking any drugs or medications at this time, which adds to my concerns about what could be causing these symptoms.

COPDInternal MedicineEndocrinology

Answers (1)

Cony

3/28/2025, 5:20:35 PM

OpenHealth AI

It's understandable to feel frustrated when symptoms persist despite visits to the emergency room. Your concerns about the dent and pulsating area in your neck, along with chest discomfort, warrant careful consideration. Although your heart has been assessed as normal, there are several other potential causes for your symptoms, including issues related to blood vessels or your thyroid.

Explanation

Jugular venous distension (JVD) can indicate changes in pressure within the blood vessels, and it may occur for various reasons. The visible dent and pulsations could be related to increased venous pressure or localized swelling. Conditions such as thyroid issues, vascular abnormalities, or other musculoskeletal problems could contribute to the discomfort and visible changes you're experiencing.

Actionable Next Steps

  1. Monitor Symptoms: Keep track of when your symptoms occur, their duration, and any triggers or relieving factors. Note if you experience any additional symptoms such as swelling, dizziness, or changes in heart rate.

  2. Self-Care Measures:

    • Hydration: Ensure you are well-hydrated, as this can impact your vascular health.
    • Rest & Stress Management: Give yourself breaks and practice relaxation techniques like deep breathing, as stress might exacerbate physical symptoms.
  3. Consider Home Diagnostics: If you have access to a blood pressure monitor, checking your blood pressure could provide useful information. If it seems unusually high or low during your discomfort episodes, that is worth noting.

  4. Follow-Up on Medical Help: Given your ongoing discomfort, consider seeking a second opinion. A general practitioner or a specialist like an endocrinologist or a cardiologist could offer further insights and possibly request imaging studies like an ultrasound or a CT scan to explore underlying issues in the neck or surrounding areas.

  5. Educate Yourself: Research your symptoms and related conditions to form questions for your next healthcare appointment. For example, inquire specifically about potential vascular or thyroid issues.

If you see any new symptoms or changes in your condition, do not hesitate to seek medical advice sooner. Please keep monitoring how you feel and ensure you are comfortable discussing your concerns with a healthcare provider.

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