Hello,
The pulsations felt in the abdomen are normally found in some thin persons.But in your case also possibility of abdominal aortic aneurysm(AAA) is high. An aortic aneurysm is a weak spot in the wall of the aorta, the primary artery that carries blood from the heart to the head and extremities. Atherosclerosis(cholesterol deposits) is the main cause of AAA.Atherosclerosis is nowadays not confined to elderly.Due to lifestyle changes,stress and anxiety,faulty eating habits and not taking enough time to exercise,it is becoming more and more common in young people also.
Diagnosed by physical examination and investigations like ultrasound or magnetic resonance angiography. The treatment for an aneurysm depends on many factors: where it is, how big it is, how quickly it is enlarging, and whether or not it has caused any symptoms. For small aneurysms medications to control blood pressure and blood thinner like coumadin are the only treatment that is required.For large aneurysms,surgery may be required.
I feel that you should get yourself evaluated by a surgeon at the earliest so that mode of treatment can be decided.
Hope it helps.Take care and pls do keep me posted if you have any additional queries.
H i there. I read your note and wanted to just let you know I remember having a pusating feeling like that in my epigastrum when I was younger like you. It would just come and go. There were no other symptoms w/it. I wouldn't think it was a AAA as you are very young. Do you have any family history of aneurysms? Most serious AAA are in older individuals and are atleast 4cm in diameter.
You can actually palpate your abdominal aorta if your belly is pretty small, and feel how wide it is.
Another consideration is large intestine or colon spasms but I would think you'd have a bit of discomfort w/that most likely,and you described pusating vs spasms.
The other thing is, if you are going to worry about it alot, then have it checked out. Your dr. can probably relieve your worries pretty quickly. Squibby