The consultation continues with a list of long sought answers being provided:
Me: Dr, I’ve been in total confusion over one year trying to obtain answers for a particular pain located in my chest on the hearts right side, next to the spine. Shoots from back to front upon extra exertion, while I’m in the shower for instance. It’s different from Coronary Artery Spasms.
Dr: “Based on clinical observation of your past Electrocardiograms and Echocardiograms, it’s understood this area where you find the pain shooting through, only upon extreme exertion, is exactly where the heart is trying to push out and possibly enlarge further. So when under strain of contracting and pumping – it gives a “kick-in” / knock feeling against the spine.”
Me: Ahaaa! 💯% sense.
The left sided veins on my neck jump and pulsate with force when I exert beyond limit. Nothing happens to the veins on the right side. A personal opinion from someone who lives and observes everything going on in the body, it’s a clear-cut sign this part is connected to the heart. Yet for 2 years, most of the Dr’s do not understand these symptoms, and worse off, refute it.
Can you please explain?
Dr: So this is in fact what we term as Jugular Venous Pressure. Remember I told you when the heart cannot push out all of the blood coming in, it causes what’s termed as a “back flow.”
The arteries, in specific – the Carotid Artery supplies blood to the brain, neck, and face. So when your heart does not push out blood upwards according to the level of activity, the back flow from the artery seeps into the vein and creates that tightness – strangling – throbbing.
Me: Oh my gosh!!!!! Yessss! You’ve pulled that description out of my mouth lol. It literally feels as if this vein or few veins squeeze the throat and strangle the neck. Sounds weird to use such a term. Someone would probably think she’s exegerating or gone crazy lol, but it’s the truth and why care about what anyone else thinks.
Dr: In that case, tilting your head backwards, will cause the back flow to rise further up.
Tilting it forward along with your chest, lets it flow down and slowly ease off the cardiac pressure.
See, there’s an area here (pointing) on the neck where we check your pulse. If the heart is under strain, the blood vessels push up from under in an attempt to keep up the workload. The higher pressure on it to deliver blood, you’ll find it pulsating with more force. It causes a pulse where there’s no space reserved for it to give a pulse.
Then the small veins ontop start wondering whats happening here and who’s “invading their territory”? They in turn try to push resistance down, irritating some nerve branches surrounding the area. So one side its pressure from down and on the other side, pressure from up.
That’s what causes this midway jam you spoke about – the feeling that an area on your face, upper inner head – brain “pulling tight” as the arteries and veins are fighting their way to maintain equilibrium.
Not to scare or stress you out in any way, but just so you may understand why you’ve gotta maintain cautiousness.
Don’t carry out activity to such an extent where it causes the Carotid Artery and connecting veins to pulsate viciously. Adopt a moderate route so your lungs are kept in a less bleeding state. Let someone wash your hair if it’s a bit difficult.
You’re not weak if you ask for help.
Additional recommendations will be;
🧘♀️ Keep the homeostasis (body’s balancing system) in its calmest state possible, by practicing a form of meditation as preferred. Your daily prayers count as meditation.
🕋 Mindfulness and concentrating on being fully present while observing prayer.
📿 Spare a few minutes thereafter to hymn praises.
✨ These practices are meant to tranquilize the nervous system.
On another important note:
“The days your lungs feel extra clogged, (just like im doing now) – have someone do chest percussions because it’s better if that “blood gunk” comes out.
Using the nebulizer will help. But steaming with plain water at around late noon before night sets in, then doing chest percussions will make you cough out more and rid the fluid out, so at night you can have a good rest. You’ll most likely be able to sleep in a lower position as well.”
(There’s also a mechanical device known as a Therapy Vest – used as a conventional form of ridding mucous or chest fluid from people who have conditions that make chest percussions a tedious job)
Me: WOWW! I’m totally amazed with all this information handed over right now.
Do you have any idea how much it means to be treated respectfully in this regard, and advised accordingly as well…
Considering, the last series of appointments which left me humiliated and shattered after the following scenarios ensued…
(Kindly take note: I’ve broken these explanations into shorter chapters because it might be a lot to absorb. Do not want to overload readers brains all at once. Please don’t hesitate to comment or query if anything is vague or not explained well enough
Thank you / Shukran)