Hello doctor, I have a concern with my health. I have something that make me feel funny in my neck which I can feel the vein get deeper that make me feel rubbing my hand on my neck. It is really annoying me, it start to happens when I had my ankle ligaments reconstruction in two years ago. I came out of the operating theatre and when I moved to a different ward, the vein in my neck started to swell. I suspected that it could be the blood clot, I have told my doctor about it and I had neck scan but it show as normal. I also had blood test and MRI which the results came all clear. I find it strange that i still get the funny feeling in my neck which i can feel the vein get swollen when I go out for a run, play football, fix my car...etc. I have a picture to show you if you want to see what it is?  8:06p

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Hello doctor  8:07p
Hello Chris  8:07p
do you know what i might have?  8:07p
here is the picture you can take a quick look]  8:07p
I'm reading your history now.  8:07p
hello doctor?  8:09p
Yes I'm here.  8:10p
here is the picture  8:10p

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and here it is  8:10p
So to be sure I understand, you have had this for two years, and the vein seems to swell most with activity. You have had MRI and blood tests all negative?  8:10p

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There is no negative  8:11p
can you tell me why it have swollen what i might have?  8:11p
The vein looks like your External Jugular, and is common in people with thin necks. Negative in medical parlance means "normal." Sorry for the confusion.  8:11p
Does the other side look similar?  8:11p
no  8:12p
it only on the left vein  8:12p
i never have that problem before  8:12p
i think it cause by the heavy plaster when I had operation  8:12p
Ok, well the vein looks pretty normal to me. It is also normal for veins to get bigger during activity because of the increased blood flow when you are exerting yourself. I definitely don't think it's a harmful or dangerous condition, and no treatment is needed.  8:13p
well i never have problem before and it is very annoying me because it make me to keep rubbing  8:14p
i dont like it  8:14p
I see. Yes, veins do change over time. Unfortunately there is no good way to get rid of it. I wish I could help you more.  8:15p
it shouldnt be too much blood flow to the vein when i'm exerting  8:15p
All of your veins swell a little when you exert yourself. That is just the way veins work.  8:16p
i'm seeing the specialist on 8th July and i'm hoping they could do something about it but i cant see much  8:17p
from what you just said  8:17p
I still think it would be a good idea to see them. They may have other suggestions as well. I am not a vascular surgeon, so they have some additional knowledge about veins as well.  8:18p
Oh ok thank you for letting me to know, i will ask them about what you said  8:19p
Absolutely! Is there anything else I can help you with?  8:19p
Yes with one other thing  8:20p
Of course. What is it?  8:20p
My scortal got swollen when Im experting myself  8:20p
i need you to take a look to see what it might be  8:20p
OK. if you send me a picture, I will look.  8:21p
some suggest i might have hydrocele or varicocele  8:21p

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it start to get swell when I go out for a run, play football, fix my car...etc  8:21p
Yeah. I'm thinking varicocele as well. That would swell with exertion. Have you seen a urologist?  8:22p
do you know what i might have?  8:22p
Do you think it varicocele?  8:22p
would I need to have operation?  8:22p
Most likely. I suggest seeing a urologist. They will probably want to get an ultrasound. Most varicocoels do not need surgery.  8:22p
Well I had ultrasound but it came up to normal  8:23p
it didn't show anything  8:23p
i think it have missed out  8:23p
Ah. How long ago?  8:23p
i'm going to have MRI scan  8:23p
last year i think?  8:23p
will MRI pick up varicocoel?  8:23p
You are right. Ultrasounds will not always see it, especially if it wasn't enlarged at the time. MRI is a good test for that.  8:24p
Oh ok i'm going to have it on 1st July and I will inform them to let them to know that i might have varicocele and they will need to check on that  8:25p
before send the results to the doctor  8:25p
Good. Hopefully they will be able to see it.  8:25p
Me too, i want to get it sort it out as I have that problem for 2 years now  8:26p
is varicocele related to ED?  8:26p
because i cant be able to get morning erection  8:26p
and when i'm with my partner  8:26p
No. ED has many causes, but varicocoele is not one of them.  8:26p
well thats strange because i don't get morning erections as I used to be  8:27p
Do you smoke? And do you exercise regularly?  8:27p
I have a cold reaction to my glans when I have the bowel movement  8:27p
no i dont smoke and yes i'm doing exercise regulary  8:28p
i have nearly lost 1st  8:28p
i'm on 14st 10lb at the moment  8:28p
OK. Good. Those are the lifestyle changes that are most important to ED. ED tends to be either a general health (cardiovascular) or psychological issue. Congratulations on the weight loss! That's fantastic!  8:29p
yeah it is, i'm trying to lose the weight to get the 6 pack which it good for my penis,but unfortunately it will not help as i dont get enough blood flow to the penis  8:30p
I have a cold reaction to my glans when I have the bowel movement  8:30p
do i have a poor circulation?  8:31p
The weight loss may be partially responsible though. It takes your body time to adjust to the lower fat content. The erection issues may go away in time. And most likely not on the poor circulation. Having your glans change temperature at times is totally normal.  8:31p
is it possible to cure the problem to treat ED by vigra pills or if it would help to cure varicocele to treat my ED problem?  8:32p
Yes, your ED can be treated with Viagra or other drugs like that. The varicocele really doesn't have anything to do with ED, but it can't hurt to have a urologist look at it.  8:32p
i think it is related to varicocele because the doctor i spoken to they said it is related to my ED problem  8:33p
because it got my scrotal swollen that i difficulty to get the errection  8:33p
Ok. Well a urologist is the best person to ask about that. I definitely think you should see one.  8:33p
i am going to, i need to see him but i need to get the results first  8:34p
That you do. You are doing everything the way you should.  8:34p
I am being told that we are almost out of time. Is there anything else I can help with?  8:35p
I hope they will be able to diagnosis the problem i have and hopefully they will be able to cure  8:35p
No not reall  8:35p
*really  8:35p
I hope so too!  8:35p
Have a great day!  8:35p
thats all for today, thanks for your help!


Source: HealthTap, https://www.healthtap.com/ask_docs/transcript/45904