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
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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