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What could cause the visible and strong pulsation on the side of my neck?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I have visible arterial pulses on both sides of my neck. Also, I have a pretty strong pulse as well. I went to several heart doctors last year, and I did multiple tests, all tests' results came back normal, and doctors said that I was fine. So I just wanted to make sure that all is good and fine. What could be the cause? Thank you.
Answered by Dr. Prashant Valecha

Education:

MD

Professional Bio:

Dr. Prashant Valecha is a General Practitioner with expertise in Preventive and Noninvasive Cardiology. He completed his MD (Physician) from Yerevan State Medical University, Armenia, in 2009, and brings over 14 years of clinical experience to his practice in Bhopal. Skilled in the diagnosis and management of a wide range of cardiac ailments, Dr. Valecha focuses on early detection, risk-factor management, and noninvasive treatment approaches to heart disease. He is committed to patient-centered, evidence-based care, helping patients achieve better heart health and overall well-being through prevention, timely intervention, and clear, compassionate guidance.

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Hi,

Welcome to icliniq.com.

I suggest checking the vitals blood pressure and pulse rate. Check whether these visible movements are venous or arterial because in increased RV (right ventricular) pressure, jugular veins pressure increases and are seen. If you can feel it by placing a finger on it, it is arterial . You can do a 2D (2-dimensional) echocardiogram; it can find the underlying cause. Echocardiogram can measure RV pressures and any aorta-related abnormality if any. There is possibility that it can be a normal finding if all comes normal. Thank you.

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Patient's Query

Hi doctor,

Thank you for the reply. I am sure that they are arterial pulses. Also, I do not have high blood pressure, and my resting heart rate is between 60 bpm and 100 bpm. So, it should be normal. I did ECG tests, treadmill tests, blood tests, and colored heart scan tests last year, and all results came back to be normal, but I still seemed to have anxiety about my heart, which made me realize lately that I can visibly see my neck pulses on both sides of my neck and wanted to make sure that it is fine. Thank you.

Answered by Dr. Prashant Valecha

Education:

MD

Professional Bio:

Dr. Prashant Valecha is a General Practitioner with expertise in Preventive and Noninvasive Cardiology. He completed his MD (Physician) from Yerevan State Medical University, Armenia, in 2009, and brings over 14 years of clinical experience to his practice in Bhopal. Skilled in the diagnosis and management of a wide range of cardiac ailments, Dr. Valecha focuses on early detection, risk-factor management, and noninvasive treatment approaches to heart disease. He is committed to patient-centered, evidence-based care, helping patients achieve better heart health and overall well-being through prevention, timely intervention, and clear, compassionate guidance.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hi,

Welcome back to icliniq.com.

Good to hear that your vitals and tests were normal. It can be while anxiety, your heart rate goes up and neck pulsation becomes visible. I hope you will not be having any symptoms like giddiness. One more thing you can do is bilateral carotid artery Doppler to see any localized findings. It seems a normal finding as your all tests are normal so far. If you have any symptoms then have to be correlated clinically. Thank you.

Patient's Query

Hi doctor,

Thank you for the reply. I do not have any dizziness. My symptoms can be from anxiety. I just wanted your opinion if all is good. Thank you.

Answered by Dr. Prashant Valecha

Education:

MD

Professional Bio:

Dr. Prashant Valecha is a General Practitioner with expertise in Preventive and Noninvasive Cardiology. He completed his MD (Physician) from Yerevan State Medical University, Armenia, in 2009, and brings over 14 years of clinical experience to his practice in Bhopal. Skilled in the diagnosis and management of a wide range of cardiac ailments, Dr. Valecha focuses on early detection, risk-factor management, and noninvasive treatment approaches to heart disease. He is committed to patient-centered, evidence-based care, helping patients achieve better heart health and overall well-being through prevention, timely intervention, and clear, compassionate guidance.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hi,

Welcome back to icliniq.com.

Do not worry, as all your tests are normal and you do not have any symptoms that show that you are absolutely fine. I suggest jogging or brisk walking for a healthy heart, do not use tobacco products if you have any habit and if anxiety affects your daily life, consult a psychiatrist. Your condition will improve with counseling. Thanks and regards.

Patient's Query

Hi doctor,

Thank you for the reply. One final question is that have you ever faced patients who had healthy hearts and had visible neck pulses like me? Thank you.

Answered by Dr. Prashant Valecha

Education:

MD

Professional Bio:

Dr. Prashant Valecha is a General Practitioner with expertise in Preventive and Noninvasive Cardiology. He completed his MD (Physician) from Yerevan State Medical University, Armenia, in 2009, and brings over 14 years of clinical experience to his practice in Bhopal. Skilled in the diagnosis and management of a wide range of cardiac ailments, Dr. Valecha focuses on early detection, risk-factor management, and noninvasive treatment approaches to heart disease. He is committed to patient-centered, evidence-based care, helping patients achieve better heart health and overall well-being through prevention, timely intervention, and clear, compassionate guidance.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hello,

Welcome back to icliniq.com.

We need to correlate a finding clinically before getting to a conclusion. I have not seen very prominent pulsation in normal cases. Occasionally, mildly visible pulsation is seen in normal patients with anxiety or stress. Prominent neck pulsation means that the person might have an aorta or its branches-related pathology. We do tests like echocardiogram with color doppler and CT (computed tomography) angiogram of the aorta and its major branches. Thanks and regards.

Medically reviewed by Dr. K. Shobana
Published At March 24, 2022
Reviewed At November 12, 2024

Education:

MD

Professional Bio:

Dr. Prashant Valecha is a General Practitioner with expertise in Preventive and Noninvasive Cardiology. He completed his MD (Physician) from Yerevan State Medical University, Armenia, in 2009, and brings over 14 years of clinical experience to his practice in Bhopal. Skilled in the diagnosis and management of a wide range of cardiac ailments, Dr. Valecha focuses on early detection, risk-factor management, and noninvasive treatment approaches to heart disease. He is committed to patient-centered, evidence-based care, helping patients achieve better heart health and overall well-being through prevention, timely intervention, and clear, compassionate guidance.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

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Companion

Visible Neck Pulsation Companion

How it works

Visible neck pulsations can be a source of concern, but often they are harmless. This guide helps you understand what might cause them and when to seek medical advice.

1

Pulsation
Types

2

Test
Results

3

Anxiety
Impact

4

Importance
Other

5

Clinical
Correlation

6

Underlying
Causes

This information is based on general medical guidance. It is not a substitute for professional medical advice; consult a qualified clinician.

Always consult a doctor before taking medication; self-medication carries serious health risks. Take exact prescribed doses, and never start, change, or stop treatment without medical supervision.
Dr. Prashant Valecha
Dr. Prashant Valecha

Cardiology

Education:

MD

Professional Bio:

Dr. Prashant Valecha is a General Practitioner with expertise in Preventive and Noninvasive Cardiology. He completed his MD (Physician) from Yerevan State Medical University, Armenia, in 2009, and brings over 14 years of clinical experience to his practice in Bhopal. Skilled in the diagnosis and management of a wide range of cardiac ailments, Dr. Valecha focuses on early detection, risk-factor management, and noninvasive treatment approaches to heart disease. He is committed to patient-centered, evidence-based care, helping patients achieve better heart health and overall well-being through prevention, timely intervention, and clear, compassionate guidance.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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