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Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 35444
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
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I have a pulsing vein on my right side of neck near collar

Customer Question

I have a pulsing vein on my right side of neck near collar bone. No pain but it happens through out the day.. When I am sitting, lying down. It seems to go away when I take deep breaths. I have no shortness of headaches..
Submitted: 2 years ago.
Category: Health
Expert:  Dr. Arun Phophalia replied 2 years ago.
I am Dr. Arun and will be helping you today.
I am sorry that your question was unanswered for long.
The pulsing you feel is likely to be muscle fasciculation or muscle twitch. Twitching is caused by minor muscle contractions in one particular area, or the persistent and uncontrolled twitching of a muscle group in a distribution of a single nerve fiber or filament. Usually they are benign and resolve on their own, but persistent flutter may need following investigations;
1) electromyography (EMG)
2) nerve conduction velocity (NCV)
3) blood electrolytes like calcium, magnesium, potassium, sodium, etc
4) thyroid and parathyroid function tests
5) blood chemistry and complete metabolic profile
The common causes can be;
1) Idiopathic; no cause is ascertained and majority falls in this group.
2) Increased caffeine intake
3) Increased alcohol intake
4) Medications
5) Deficiency in diet and nutrients / minerals
6) Some neurological diseases; uncommon
If this persists, you may ask your doctor to get a soft tissue ultrasound, which will confirm the cause and rule out any arterial or venous involvement.
It is privilege assisting you.
Please let me know if you have further queries or unanswered questions.
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Thank you.
Expert:  Dr. Arun Phophalia replied 2 years ago.
Thank you for the opportunity to answer completely your Question. Please make sure to rate me because that is how I am credited for my work.
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Thank you.