Question 1

what does incidental pulsatile flow in portal vein on liver ultrasound mean ? right sided heart failure? ultrasound was unremarkable other than that.

Accepted Answer

Radiologist: This is a situation where the ordering physician, who knows the patients history, should sit down with the radiologist who interpreted the study and ask what the finding could signify, whether any other studies or referral to a specialist are advisable. The finding may have no clinical significance when the radiologist learns the patients history and other findings.

Question 2

i had pulsatile tinnitus last year. mris were negative. now the blood flow behind my right ear is loud, though not pulsatile. problem?

Accepted Answer

Yes: You may have a stenosis (narrowing of the artery) or an aneurysm near the right ear. See doctor and get this checked out ASAP.

Question 3

how concerning is pulsatile tinnitus?

Accepted Answer

Need a diagnosis: Pulsatile tinnitus is usually an awareness of the carotid artery pulsation next to the cochlea (inner ear).  Even at age 46, it is wise to have a vascular surgeon make sure you do not have any disease of the carotid artery

Question 4

what can i take for a headache that won't cause pulsatile tittinitus to get worse?

Accepted Answer

Tylenol is good: If it is a tension headache, acetaminophen (also called Tylenol) often works very well. This is unlikely to worsen pulsatile tinnitus. If you believe that your headache is actually caused by the pulsatile tinnitus, though, that is something that should be evaluated by a doctor in person.

Question 5

how dangerous is pulsatile tinnitus?

Accepted Answer

Vascular work-up: Pulsatile tinnitus is usually the result of awareness of the carotid artery pulsation adjacent to the inner ear.  It probably is not serious, but I would advise a vascular surgeon evaluate the problem for the rare but possible abnormality of the carotid artery in that area.

Question 6

can you die from having pulsatile tinnitus?

Accepted Answer

Pulsatile tinnitus: Pulsatile tinnitus needs a diagnosis, as it is classically neurovascular related.  It might be a vascular growth or malformation of some kind, or it might just be an unusual path for an otherwise normal carotid artery.  It could also exacerbate with elevated blood pressure, elevated intracranial pressure, or blood pooling in the head.  It usually needs a physical exam and imaging/vascular studies.

Question 7

how can i stop pulsatile tinnitus?

Accepted Answer

Depends: Really depends on the cause of the pulsatile tinnitus. Need it discuss with your doctor.

Question 8

how can i prevent pulsatile tinnitus?

Accepted Answer

Diagnosis: I do not think you can prevent it, but you need to obtain a diagnosis to determine if there is an abnormality of the carotid artery that lies adjacent to the cochlea (inner ear).

Question 9

do i need an mri for pulsatile tinnitus?

Accepted Answer

Could be helpful: Pulsatile tinnitus may be caused by a variety of things such as a dural arteriovenous fistula, an aberrant blood vessel, or possibly a vascular tumor in the ear (glomus tympanicum).  Mri or ct could be helpful to determine the cause but a specialist like and ENT needs to evaluate your symptoms to best decide on the course of action.

Question 10

what to do if i have pulsatile tinnitus and nausea?

Accepted Answer

See ENT: there are many things to consider with pulsatile tinnitus and nausea (cardiovascular, medication, infectious, middle ear process, inner ear process, etc) so I would recommend a thorough exam and hearing test with an ENT.

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Doctor answers about:

Pulsatile venous flow

A member asked:

What does incidental pulsatile flow in portal vein on liver ultrasound mean ? right sided heart failure? ultrasound was unremarkable other than that.

A member asked:

I had pulsatile tinnitus last year. mris were negative. now the blood flow behind my right ear is loud, though not pulsatile. problem?

A member asked:

How concerning is pulsatile tinnitus?

A member asked:

What can i take for a headache that won't cause pulsatile tittinitus to get worse?

A member asked:

How dangerous is pulsatile tinnitus?

A member asked:

Can you die from having pulsatile tinnitus?

A member asked:

How can i stop pulsatile tinnitus?

A member asked:

How can i prevent pulsatile tinnitus?

A member asked:

Do i need an mri for pulsatile tinnitus?

A member asked:

What to do if i have pulsatile tinnitus and nausea?

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