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Help Me out Please
by ariu, May 13, 2009 11:49PM
Hello
I have distended neck veins on both sides of my neck. They are not distended evenly and there are 2 to 3 bulges formed on both sides of the lower part of my neck when I talk loudly, laugh hard and lie down. Over the period of one year since I noticed this sign it has progressively bulged. Sometimes my neck area itches a little bit after which I touch small red rushes are formed around. I’m 26 and I have no other symptoms.
I consulted some doctors but they seem to have no idea why and what it is. So I’m much worried that the doctors don’t have much clues here. Following results might of help:
Chest PA film report:
There is no infiltrative shadow and focal lesions in both lungs.
Both hilums are slightly dilated.
Heart is normal of size.
Aorta is normal of size.
Right diaphragm’s inner contour is ill-defined.
Comment: Clinical correlation, pulmonologist consultation
The other test result: REST-EGG
303: Right Ventricular Hypertrophy? V1, V5
203: Right Axis Deviation
I have distended neck veins on both sides of my neck. They are not distended evenly and there are 2 to 3 bulges formed on both sides of the lower part of my neck when I talk loudly, laugh hard and lie down. Over the period of one year since I noticed this sign it has progressively bulged. Sometimes my neck area itches a little bit after which I touch small red rushes are formed around. I’m 26 and I have no other symptoms.
I consulted some doctors but they seem to have no idea why and what it is. So I’m much worried that the doctors don’t have much clues here. Following results might of help:
Chest PA film report:
There is no infiltrative shadow and focal lesions in both lungs.
Both hilums are slightly dilated.
Heart is normal of size.
Aorta is normal of size.
Right diaphragm’s inner contour is ill-defined.
Comment: Clinical correlation, pulmonologist consultation
The other test result: REST-EGG
303: Right Ventricular Hypertrophy? V1, V5
203: Right Axis Deviation
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Distended neck veins are a sign of right heart failure/pulmonary hypertension and with the ECG showing right ventricular hypertrophy/Right axis deviation, this possibility can’t be ruled out.
I’ll suggest you to get an echocardiography done as it’ll be the most suitable and specific test to find out the underlying cause. It’ll tell the status of the heart muscle and how well the heart is functioning.
The good news is that your heart size is normal in the x-ray chest which is a very good sign and it indicates that the heart function has not been significantly compromised.