I'm feeling a little concerned because I've noticed a pulsing sensation on the right side of my neck. It's like I can actually see the pulse, and I think it might be from my carotid artery. It's only happening on the right side. Could you help me figure out what might be going on?

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Dr Shubham Chauhan

General Practitioner

MBBS
4+ Yrs

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Feeling a pulsing sensation in the right side of your neck, particularly if it corresponds with the carotid pulse, can be due to several reasons. It might simply be your normal carotid artery pulse, which can sometimes become more noticeable due to factors like anxiety, increased heart rate, or hypertension. However, if the pulsing is new, pronounced, or accompanied by other symptoms such as dizziness, headaches, or visual changes, it could indicate an underlying vascular or cardiac condition that requires evaluation. It would be prudent to consult your healthcare provider for a thorough assessment to rule out conditions such as carotid artery disease or other vascular abnormalities.

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Answered 04/07/2025

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Possible Causes: a. Normal variation in carotid artery visibility. b. Increased blood flow or pressure. c. Aneurysm or vascular abnormality.
Immediate Actions: a. Monitor for additional symptoms like dizziness, headache, or vision changes. b. Avoid strenuous activities until evaluated.
When to Seek Medical Attention: a. If symptoms persist or worsen. b. If accompanied by pain, swelling, or neurological symptoms.
Next Steps: a. Schedule an appointment with a healthcare provider for evaluation. b. Consider an ultrasound or other imaging if recommended by your doctor.

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I'm a bit worried because my blood pressure is at 14289. I'm not really keen on starting medication right away if I can help it. Do you think changing my lifestyle could bring it down, or should I seriously consider taking medication? Any advice would be great.

For a blood pressure reading of 14289, it is slightly elevated and falls within the prehypertension range. Lifestyle changes can definitely help in lowering your blood pressure. You can start by maintaining a healthy weight, exercising regularly, reducing sodium intake, eating a healthy diet rich in fruits and vegetables, limiting alcohol consumption, and managing stress. However, if lifestyle changes alone are not enough to lower your blood pressure, medication may be necessary. It is recommended to consult with a healthcare provider to discuss the best treatment plan for your specific situation.

Answered by 1 Apollo Doctors