What Could Be Causing This Constant Pulsating Sensation?
I'm a 32-year-old woman weighing 135 kg, having lost 20 kg unintentionally. My medical history includes the following conditions: • Polycystic Ovary Syndrome (PCOS) • Asthma • Sleep Apnea • Inappropriate Sinus Tachycardia (IST) • Autism Currently, I am on several medications: 100 mg of Seroquel, medication for asthma, 60 mg of Duloxetine, Ozempic, Diltiazem 180 mg, and Nexium. For the past six months, I've been experiencing a rhythmic pulsation in my upper abdomen, neck, and collarbone region (not simultaneously), which resembles a heartbeat. This sensation persists until I fall asleep. Upon waking, it may not return for the first half of the day, but as hours go by, it gradually reappears and continues until I sleep again. I have consulted my physician numerous times about this issue, and he attributes it to my IST. Unfortunately, the IST medication does not alleviate the pulsating. While I do experience heart racing and palpitations due to the IST, this additional sensation feels like an entirely different issue. I've undergone various medical tests, including blood tests, ECGs, a heart monitor, ultrasounds, and X-rays, all of which have returned normal results except for a slightly elevated heart rate and palpitations associated with IST. This abnormal abdominal pulsation is driving me to the edge. I cannot tolerate it any longer. I attempted to do an elimination process by discontinuing each medication for a few days to see if it would stop the pulsations; however, none of the medications made a difference, so I have resumed taking them. Is there anyone out there who might have advice or suggestions? I am desperate for a solution and cannot continue living with this discomfort!
Answers (1)
9/7/2025, 4:01:39 PM
OpenHealth AI
I'm sorry to hear about the discomfort you've been experiencing. It sounds challenging to deal with symptoms that have persisted despite various tests and treatments. Here's a summary of key points along with some actionable steps you can take.
Main Points
- The rhythmic pulsating sensation you're experiencing could be related to your existing conditions, particularly Inappropriate Sinus Tachycardia (IST), but it could also stem from other factors, including muscle spasms or vascular issues.
- Since your medical tests have returned normal, it’s important to consider non-medication management strategies alongside your current care.
Explanation
The pulsating sensation in your upper abdomen, neck, and collarbone area, especially given the context of your health history, may be linked to several factors. IST can indeed cause heart-related symptoms, but the sensation might also relate to the muscles, nerves, or even vascular structures in your upper body. Stress, anxiety, and muscle tension could accentuate this experience, especially given the history of PCOS and sleep apnea, which can contribute to overall stress on the body.
Next Steps
-
Monitor Triggers: Keep a detailed diary of when the pulsations occur. Note the time of day, activities you were engaged in prior, and any symptoms accompanying it. This can help identify patterns or triggers.
-
Relaxation Techniques: Incorporate stress-reduction strategies such as deep breathing exercises, mindfulness, or yoga. These can help alleviate symptoms related to stress and muscle tension.
-
Posture and Muscle Care: Consider evaluating your posture and potentially getting guidance on ergonomic settings for work or rest, as this can affect both muscle tension and discomfort in your upper body.
-
Hydration and Nutrition: Ensure you're well-hydrated, as dehydration can lead to muscle spasms or tension. Given your weight loss and history of PCOS, consider consulting a nutritionist to ensure your diet supports your overall well-being while managing these unique health conditions.
-
Physical Activity: If your asthma and sleep apnea allow, engage in regular light physical activity. Exercise can enhance circulation and may help alleviate symptoms over time.
-
Follow Up on Medical Review: Since your doctor has mentioned IST as a cause, consider asking for a referral to a specialist if you feel comfortable. A cardiologist or a neurologist might provide further insights. Additionally, a consultation with a gastroenterologist could help rule out any gastrointestinal causes for your pulsating sensation.
-
Emotional Support: Talk to a mental health professional if feelings of anxiety or frustration are overwhelming. They can provide coping strategies specifically tailored to women with chronic health issues.
It's essential to keep advocating for yourself and seeking answers. Please know that you are not alone in this experience, and there are professionals who can continue to help you explore and manage your symptoms effectively. Keep track of any new developments, and don’t hesitate to reach out for further support.
Related Questions
Ten Months Post-Miscarriage: Are My Periods Worsening Normally or Should I Be Concerned?
Background Information: I reside in Scotland, where I have sought all my healthcare services. I got my first period at the age of 11, and while I have always experienced some cramps and irregularities, they were never severe. Between the ages of 14 and 20, I was on birth control. Unfortunately, at the age of 20, I suffered a natural miscarriage that took place around six weeks along. Additionally, I have been diagnosed with asthma, but it is currently well under control. In November 2024, I went through a natural miscarriage, which was an emotionally and physically draining experience. It significantly impacted my body. Ever since that event, my menstrual cycles have been extremely painful—much worse than they were previously. I am now enduring intense cramping that radiates from my abdomen to my vaginal area, right thigh, and back. The pain is so excruciating that sitting down is nearly impossible; it feels like I am experiencing shooting cramps throughout my body. The cramps worsen when I need to use the restroom to the point that I often have to relieve myself standing up in the shower just to find some comfort. Furthermore, I’m grappling with severe constipation, fatigue, and a noticeable loss of appetite during my period. My menstrual flow has also become heavier and more clotty than in the past. In May, I revisited my GP to discuss the worsening condition of my periods. Sadly, I was informed that my symptoms were likely not that serious and were possibly related to mental health issues stemming from the miscarriage. After an examination, my cervix was deemed to be normal, and tests for PCOS—which runs in my family—returned negative. Interestingly, I haven’t been particularly upset by the miscarriage, leaving me skeptical about the mental health explanation. Nevertheless, I’ve been working on improving my wellbeing through journaling and relaxation techniques. I was prescribed the pill again, but I have not noticed any significant improvement. My doctors have suggested that I simply “wait a while” to see if my symptoms improve. I’m reaching a point where I am consuming an excessive number of sick days due to the impact of my periods. I am even contemplating a job change to something with a hybrid model, enabling me to work from home during my most challenging days. The constant fatigue and lack of sleep are also taking their toll on me. I maintain a healthy lifestyle with a balanced diet and regular exercise (3 to 5 times a week). I strive to adhere to a routine and keep my weight proportionate to my height and age. To manage the pain, I’ve been using over-the-counter pain relievers and heat therapy, including the Be You patches for additional relief. I have been thinking about exploring private healthcare for a second opinion on whether my symptoms warrant further investigation. My primary inquiry is whether it is reasonable to continue experiencing these difficult periods nearly ten months post-miscarriage or if this could be indicative of a more serious issue that I should address. I anticipated that my periods would be worse for a few months following the miscarriage, but I didn't expect them to remain this bad after such a lengthy period. However, I am not a healthcare professional, and I’m cautious about jumping to the conclusion that something serious is occurring. Thank you in advance for any insights you can provide.
Discomfort Following Medication Administration
I am a 27-year-old female, standing at 5 feet 9 inches and weighing 190 pounds, and I have recently been prescribed tirzepatide. For the past nine weeks, I have not encountered any problems with this medication. However, after administering my latest dose of 0.33 mL yesterday, I began to experience significant soreness and tenderness in the areas around my neck, chest, and underarms. This sudden discomfort has raised my concerns about potential swollen lymph nodes or an allergic reaction. I intend to reach out to my healthcare provider as soon as possible, but given that it's currently 4:30 AM in Utah, USA, I am also seeking advice here to determine if my situation might require urgent medical attention.
Understanding Chest Pain Linked to Strong Emotions: Is This Common?
At 18 years old, I often find it challenging to share my feelings. I've learned to bottle them up, believing that this prevents me from being manipulated or harmed in any way. However, as I've matured, I’ve noticed a peculiar reaction in my body: when I experience intense emotions, such as sadness or anger, I feel a sudden, sharp pain in my chest. Interestingly, if I allow myself to express these emotions, the chest pain subsides, but then I become aware of a headache. I’m curious if this is a normal response or if it's something I should consult a medical professional about. Thank you for taking the time to read my concern. I truly value your feedback.
Child Suffering from Lip Sores?
My toddler, who’s just two years old, is experiencing some discomfort with sores appearing inside his lips. Could these be indicative of a cold sore or perhaps a canker sore? I’m looking for ways to alleviate his pain since he isn’t acting like himself and is refusing to eat. Any suggestions for providing relief would be greatly appreciated.
Experiencing Pain Post-Laparoscopic Appendectomy
I’m a 28-year-old male and it has been three weeks since my laparoscopic appendectomy. Overall, my recovery has been quite good; the incisions have mended nicely. However, I began to feel sudden, intense pains in the area where my appendix was removed just last week. Initially, these pains were intermittent, but they have since become more frequent and severe, sometimes to the point that I struggle to stand upright. Could this be a typical aspect of the healing process, or might there be an underlying issue?