home Audience 12 Jugular vein in the neck. Why does the jugular vein in the neck enlarge? Swelling and pulsation of the neck veins

Jugular vein in the neck. Why does the jugular vein in the neck enlarge? Swelling and pulsation of the neck veins

The jugular vein delivers unpurified blood to the heart for filtering. It is the proximity of the vein to such an important human organ that prompts us to take seriously any changes in its functioning.

Therefore, if the jugular vein in the neck is dilated, examination and therapy are required after the exact causes of the pathology are established.

Features of the pathology

Phlebectasia, or dilatation of the jugular vein, is a disruption of the functioning of blood vessels and valves. Vascular valves cease to regulate the flow of venous blood. The blood, in turn, begins to accumulate, forming clots. A large number of them causes a process of dysfunction in the functioning of almost the entire venous network of the body. Normal blood circulation stops and the person becomes ill.

This condition largely depends on the anatomical structure of the veins.

Anatomical structure

Each of the jugular veins is divided into anterior, external and internal and has its own location:

The internal jugular vein stretches from the base of the skull and ends near the subclavian fossa. There she pours venous blood, which comes from the skull, into the large brachiocephalic vessel.
The beginning of the external jugular vein is located under the auricle. From this point it descends down the upper part of the sternoclavicular muscle. Having reached its posterior edge, it penetrates the vessels of the internal jugular and subclavian veins. The external vessel has many branches and valves.
The anterior jugular vein is initially located on the outer surface of the mylohyoid muscle, moves along the sternothyroid muscle and passes near the midline of the neck. It enters the external and subclavian jugular veins, forming an anastomosis.

The anterior jugular vein is very small and forms a pair of vessels, that is, it is paired.

Symptoms

If the jugular veins are even slightly dilated, then specific signs appear indicating pathology. They depend on the stage of the disease:

Stage 1. A slight swelling (enlargement) in the neck that does not cause discomfort or pain. Determined during a visual inspection.
Stage 2. Pulling pain and the appearance of increased intravenous pressure with rapid movement and sudden turns of the head.
Stage 3. The pain is sharp, intense, there is hoarseness and difficulty breathing.

If the internal jugular vein expands, serious disruptions occur in the functioning of the circulatory system. This situation requires a thorough diagnosis of the causes of the pathology and comprehensive treatment.

Causes

Phlebectasia has no time limits and occurs in both adults and children.

Causes of dilatation of the jugular vein in the neck:

Injured ribs, cervical spine, spine, which provoke stagnation of venous blood.
Concussion, osteochondrosis.
Dysfunction of the cardiovascular system - heart failure, hypertension, ischemia.
Endocrine disorders.
Sedentary work for long periods of time.
Tumors of different ethnogenesis (benign and malignant).

It takes time and accompanying factors for pathology to occur. Therefore, it is very important to identify it early, since the disease leads to disruption of the valves.

Predisposing factors

Cervical varicose veins occur in every third inhabitant of the planet. But for the development of pathology, predisposing factors are needed:

natural lack of connective tissue development;
restructuring of the hormonal system;
spinal and back injuries;
passive lifestyle;
poor nutrition.

The hormonal factor concerns women more. During puberty and pregnancy, there is a risk of vein swelling.

Also important factors in the occurrence of phlebectasis are stress and nervous breakdowns. The neck veins have nerve endings. In normal condition, they form elastic venous vessels. But as soon as a person gets nervous, the pressure in the veins increases and elasticity is lost.

Alcohol, smoking, toxins, and excessive physical and mental stress negatively affect the normal circulation of venous blood.

Diagnosis of phlebectasia

If the dilatation of the jugular vein is in the first stage, then a visual examination by a doctor is quite sufficient. In the second and third stages of the disease, more serious studies are used.

To make a diagnosis when pain and blood circulation problems occur, laboratory tests are used - a general blood test and instrumental tests. Instrumental ones include:

Ultrasound or computed tomography of the cervical, thoracic and skull.
Diagnostic puncture.
MRI with contrast agent.
Doppler ultrasound of neck vessels.

These are the main diagnostic methods that are used to make a final medical opinion.

In certain situations, it is better to diagnose phlebitis with the help of a tandem of doctors of various specializations (therapist, neurologist, vascular surgeon, cardiologist, endocrinologist, oncologist). This allows you to prescribe more precise conservative treatment.

Treatment of pathology

Treatment depends on the expansion of the internal jugular vein on the right or internal on the left, the results of the tests performed, and the degree of influence of the disorders on the entire body. Often, during one therapeutic complex, not only varicose veins are cured, but also other physiological disorders.

The occurrence of expansion on the right does not pose a particular threat to the patient. The pathology on the left side is much more dangerous. This is due to the impossibility of a thorough diagnosis due to the risk of damage to the lymphatic system.

A therapeutic course of medications relieves inflammation, removes swelling, and strengthens blood vessels. With long-term administration of the drug, the installation of a venous catheter is practiced.

At the third stage of the disease, surgical intervention is indispensable. The affected areas of the vein are surgically removed, and healthy ones are connected into one vessel.

Possible complications and their prevention

To avoid complications when an enlargement of the jugular vein appears in the neck, early diagnosis and serious treatment are necessary. If the process enters the uncontrolled phase, there is a threat of rupture of the affected area and death.

The development of the disease is influenced by the patient’s lifestyle, heredity and the above reasons. Only a healthy lifestyle and proper nutrition lead to the fact that blood that is not very polluted enters the brain.

Phlebectasia in children

Vein enlargement occurs at any age. But it is more dangerous for children. Most often, phlebectasia in a child is detected at birth, but cases of pathology appearing at the age of 3–5 years are not uncommon.

The main symptomatic indicators: tumor formation, dilated blood vessels, increased temperature.

The treatment uses approaches used for the recovery of adults. The only difference is that phlebectasia in children is most often treated through surgery.

Jugular vein thrombosis in the neck

Thrombosis, or the appearance of a blood clot inside a vessel, forms mainly in the presence of chronic diseases in the body. If a blood clot appears in a vessel, there is a danger of it breaking off and blocking vital arteries.

In this case, the doctor suggests taking anticoagulants - heparin and fibrinolysin. To relieve inflammation, relax muscles and thin the blood, and, consequently, to resolve a blood clot, the administration of nicotinic acid, antispasmodics, and venotonics is prescribed. The operation is rarely used.

Contraindications and prevention

People suffering from pathology and having a hereditary predisposition to it are contraindicated:

sedentary work and vice versa - excessive physical activity;
frequent stressful situations;
bad habits;
ignoring chronic diseases;
consumption of fatty, spicy, smoked foods, canned food, sweet carbonated drinks.

To prevent jugular vein phlebectasis from occurring, it is advisable to take preventive measures. The main preventive measures are:

regular medical examination;
avoiding stressful situations and physical activity;
timely removal of small enlargements using special ointments;
treatment of chronic diseases;
healthy lifestyle.

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Phlebectasia or dilatation of the jugular vein in the neck

To prevent veins from bursting and a blood clot from entering the heart

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Diseases of the cardiovascular system rank first among body pathologies among the population of the entire globe. Not the least of these pathologies is the expansion of the jugular vein in the neck. By determining the cause of the disease, you can correct its development, avoid unpleasant symptoms and consequences that may arise in the absence of treatment. In order to correctly determine the cause of the disease, it is necessary not only to consult a doctor, but also to correctly determine the condition and possible consequences.

Features of the disease

Dilatation of the jugular vein is called phlebectasia. Such conditions can arise as a result of malfunction of the valves located throughout the vein. For many reasons, the valves can no longer regulate the flow of venous blood; it accumulates in large quantities in the vessel, stretching its walls and disabling more and more valves.

Another important factor is the discharge of blood from the veins located deep under the muscles into the superficial veins. This non-physiological redistribution of blood, due to a number of reasons, causes dysfunction in the entire venous network, also leading to vasodilation.

The jugular vein consists of several branches - a pair of internal vessels, external and anterior. These vessels perform an important function in the body - they carry blood away from the brain and cervical spine. It is its close location to the brain that makes us take seriously any pathological manifestations of the jugular vein.

Causes

It should be noted that phlebectasia does not depend on the age of the patient; it can equally occur in both an adult and a child.

Causes of dilatation of the jugular vein:

neck injuries, traumatic brain injuries, head and cervical contusions, concussions;
spinal and back injuries, rib fractures leading to general venous stagnation;
long forced, uncomfortable posture, sedentary work without a break;
vascular diseases, heart failure, heart defects, coronary and hypertension;
benign and malignant tumors of internal organs, blood cancer;
diseases of the spine and back muscles, in which the patient takes a forced position to alleviate the condition, for example, osteochondrosis;
endocrine diseases.

Often, with the development of dilatation of the jugular vein, there are several factors that cause the disease.

Carrying out diagnostics

To identify and make a final diagnosis, a specialist will need the results of several laboratory and instrumental studies:

duplex scanning of cervical vessels;
duplex transcranial scanning;
multislice computed tomography (MS CT) of the cervical and thoracic regions;
magnetic resonance imaging using contrast agents;
computed tomography of the skull;
ultrasound examination of the neck and chest;
phlebography;
diagnostic puncture;
general blood analysis.

These are the main diagnostic methods that are used to make a final diagnosis. At the same time, the doctor can prescribe only some of them to obtain a complete information picture of the disease.

However, to identify the exact causes of the disease, it may be necessary to consult specialists who will help determine the main factor in the occurrence of jugular vein phlebectasis. Such specialists include a neurologist, endocrinologist, and oncologist.

Symptoms of the disease

Like any other varicose veins, phlebectasia of the jugular vein initially occurs without any obvious symptoms. If the exposure factor is insignificant, then the disease can develop for years without leaving any traces on the body.

The first signs are a visual enlargement of the vessel in the neck, with the upper vessels forming a kind of blue sac, and the lower ones - a clear swelling resembling a spindle in shape. In this case, there is no obvious discomfort for the patient, there is no pain or other subjective signs of the disease.

In the future, a feeling of pressure may develop at the site of the expansion of the jugular vein, especially when bending, screaming or sudden movements of the head.

In advanced cases, painful sensations appear in the neck, the voice becomes hoarse, and difficulty breathing may occur.

The last two cases require immediate treatment, since the development of such symptoms negatively affects the general condition of the body.

Treatment methods

After making a diagnosis and recognizing that the jugular vein is dilated, it is time to decide on treatment procedures.

Treatment primarily depends on the degree of the disease, how much the vessel is dilated and its effect on the surrounding tissues and the general condition of the body. If there is no reason to fear for the normal physiological state of the patient, then active treatment is not undertaken. The work of specialists comes down to monitoring the condition of the vein, the dynamics of its expansion and the impact on surrounding organs and tissues.

If the dynamics are rapid or the expansion of the jugular vein already has a negative effect on the body, a decision is made to surgically treat the disease. It all comes down to removing the affected area of the vein and connecting healthy areas into one vessel. Also read about vascular surgery for varicose veins

Complications and their prevention

Complications from such conditions are rare. Basically, this is the threat of rupture of the affected and weakened section of the vein and subsequent heavy bleeding. This condition is fatal in most cases.

To prevent this scenario, jugular vein enlargement should be treated whenever possible. If the doctor suggests or even insists on early surgical intervention, it should be performed.

Preventive measures

The main preventive measures can be called:

avoiding stress on the body in general and on the neck in particular if there is a predisposition or initial signs of dilation of the jugular vein;
timely cure for diseases that cause varicose veins;
regular scheduled examinations for early detection of the disease;
healthy lifestyle, moderate physical activity, proper nutrition.

The main emphasis should be on people who are predisposed to dilation of the jugular vein due to hereditary characteristics.

It must be remembered that vein diseases are difficult to prevent, but you can easily stop and get rid of them in the initial stages of development. That's why regular checkups with your doctor will help you avoid problems in the future.

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To evaluate filling of the external jugular veins The patient should be placed on his back, with his torso bent at an angle of 45°. Normally, the veins in this position look sunken or fill to a level of no more than 1–2 cm above the manubrium of the sternum, and the filling of the veins during inhalation is less than during exhalation.

Pathomechanism and causes

Swelling of veins is a consequence of increased venous pressure. If in a standing position the filling of the jugular veins reaches the angle of the lower jaw, then the venous pressure is ≥25 cm H2 O. The causes of swelling of the jugular veins are as follows:

1) bilateral - right ventricular heart failure, a large amount of fluid in the heart sac (including cardiac tamponade), constrictive pericarditis (in this case, swelling increases during inspiration - unusual [paradoxical] venous pulse [symptom] of Kussmaul [sometimes observed with severe right ventricular failure]), impaired patency of the superior vena cava (superior vena cava syndrome (320; causes - lung tumor and enlargement of the lymph nodes of the upper mediastinum, less often - thrombophlebitis of the superior vena cava, mediastinal fibrosis, thoracic aortic aneurysm, very large goiter), stenosis or tricuspid valve insufficiency (with insufficiency, a positive venous pulse is observed - filling increases during cardiac systole), pulmonary hypertension, pulmonary embolism, tension pneumothorax;

2) unilateral - large goiter; on the left - compression of the left brachiocephalic vein by an aortic aneurysm.

Diagnostics

1. Assess vital signs(breathing, pulse, blood pressure), since there may be a direct threat to life (especially in the case of cardiac tamponade, tension pneumothorax or pulmonary embolism).

2. It is necessary to collect anamnesis and conduct an objective examination. Examine the hepatojugular drainage to localize the obstruction that is causing the jugular veins to swell. Place the patient on his back. In this case, his torso should be in such a position that the jugular veins do not fill more than 1–2 cm above the level of the jugular notch of the sternum. For 30–60 s, squeeze the area of the right hypochondrium with your hand, and if there is increased sensitivity in this place, another area of the abdominal cavity; Make sure that the patient is breathing freely and observe the jugular veins. Their protrusion above the level of the sternocleidomastoid muscle ( positive hepatojugular reflux) characteristic of congestive heart failure (compression of the liver area increases pressure in the inferior vena cava and right atrium, which is transmitted to the superior vena cava and jugular veins). In healthy individuals or in cases where circulatory impairment is present above the right atrium, compression of the liver does not cause a significant increase in atrial pressure or transmission of increased pressure from the right atrium to the superior vena cava is impossible. Holding your breath during the study of the hepatojugular outflow creates an effect similar to the Valsalva maneuver and swelling of the jugular veins in this case has no diagnostic value.

The jugular vein is a group of veins located in the neck, the main function of which is to circulate blood from the head and neck to the lower extremities. The jugular vein includes the internal, external and anterior veins, which differ from each other in location, size and purpose.

Internal jugular vein

The main function of the internal jugular vein is to collect blood and carbon dioxide from the superior region and transfer it to the vena cava.

Has two ducts:

intracranial;
extracranial.

Two veins serve as intracranial ducts: diploic And emissary. Diploic veins are located in diploic canals, hence the names. They are differentiated by location into frontal, anterior, posterior, and occipital.

Emissary veins are veins whose main function is to connect the veins on the outside of the skull with the veins on the inside.

Thanks to the intracranial ducts, blood flows from the sinuses of the brain to the jugular vein.

The extracranial ducts are the pharyngeal veins, the mandibular veins, the esophagus
venous veins, thyroid veins.

External jugular vein- a vein through which blood flows from the head to the heart. It is small in size. It becomes noticeable visually and upon palpation, when laughing, coughing and singing.

Consists of two venous trunks. One of them is the connection of the external extracranial jugular vein and its tributary behind the mandibular vein.

The external jugular vein has several branch veins: occipital, suprascapular, transverse, anterior jugular vein.

Anterior jugular vein

Consists of the veins of the sublingual region, carries blood flow to the subclavian vein. Differs in small sizes.

Phlebitis is an inflammatory process in the venous wall.

There are several reasons for the occurrence of this disease, the main ones are:

Problems with KCL injections.
This leads to the fact that the injected composition does not enter the vein itself, but into the area nearby. Inflammation forms in damaged tissues, which causes phlebitis.
Neglecting disinfection of medical devices that come into contact with a vein, such as injection syringes and catheters.
Phlebitis occurs as a consequence of injuries, wounds and other damage.
Chemical burn.
Common among drug addicts, especially when intravenously administered opiate-containing substances.

Phlebitis as a consequence of an abscess

An abscess is a process of tissue suppuration, which is localized in the muscles, under the skin, and in organs due to infection.

Symptoms:

It begins with a pronounced clinical picture: high temperature, fever, chills appear, pain appears throughout the body, the patient cannot determine the exact location of the pain, which makes it difficult to diagnose phlebitis, headache and dizziness appear, accompanied by vomiting.

Diagnostics

Phlebitis is diagnosed as follows:

Ultrasound scanning of veins is a procedure, which consists of examining the condition of the veins, indicated for suspected phlebitis. It allows you to see a complete picture of the state of blood flow in the jugular vein, which helps to identify pathologies and disorders that occur with phlebitis and make an accurate diagnosis.

Treatment

Treatment is selected depending on the causes of phlebitis:

if the cause of jugular vein phlebitis is infection, in this case, the following drugs from the antibiotic group are prescribed: cephalosporins, tetracyclines. It should be remembered that when taking tetracyclines, the diet is adjusted and dairy products are excluded.
drugs to increase blood flow. For more effective results, such drugs are used in several forms of release simultaneously, that is, tablets for oral administration are usually combined with external ointments. The most popular in terms of frequency of prescription is troxyvosin. It must be used orally in the form of capsule-shaped tablets and topically in the form of a gel.

Possible complications

With timely and adequate treatment, complete recovery occurs a month after the onset of phlebitis. In the absence of qualified medical care, a number of complications can occur.

Very often, advanced phlebitis causes the development of thrombophlebitis, a dangerous disease that increases the risk of thrombosis.

In addition, a purulent process can often begin in the area of inflammation of the vein. This is why it is so important to seek medical help if you have symptoms of phlebitis. A phlebologist treats and diagnoses phlebitis.

Jugular vein thrombosis in the neck

Causes:

Some chronic, especially autoimmune diseases, cause thrombosis, for example systemic lupus erythematosus and antiphospholipid syndrome.
Cancerous tumors and methods of their treatment, such as chemotherapy, trigger a number of pathological changes in the body, leading to thrombosis.
Women who take oral contraceptives, are most susceptible to thrombosis. For this reason, OK can only be prescribed by a gynecologist after a complete examination. Also, taking hormonal contraceptives is contraindicated for women who smoke and suffer from venous diseases.
Staying in one position for a long time promotes blood thickening and thrombosis. During air travel, during sedentary work, the body is immobilized for a long time, which contributes to the formation of blood clots.
Phlebitis and other diseases in an advanced stage they become the cause of thrombosis.

Symptoms:

The first and most common symptom of jugular vein thrombosis is a sharp pain in the neck that gets worse when turning the head.
Also, in the area of the jugular vein, swelling appears on the skin, the jugular vein enlarges, and the veins themselves become noticeable, visible to the light.
Due to damage to the optic nerve, vision deteriorates sharply, the patient feels weak, and aching pain appears in the arms and legs.
Then either blood poisoning develops or there is a risk of a blood clot breaking off.
The detached thrombus, along with the blood flow, enters the lungs and leads to pulmonary embolism.

Diagnostics

The diagnosis of thrombosis is made based on the patient's symptoms and the results of a number of diagnostic methods.

If the symptoms described above appear, you must call an ambulance, since thrombosis can cause conditions incompatible with life. Differentiating thrombosis from other diseases is quite a difficult task, since these symptoms are common in many other vascular pathologies.

To make an accurate diagnosis, the following studies are carried out:

Thrombodynamics test.
A method that allows you to determine the level of blood clotting. To conduct laboratory tests, the patient's venous blood is required. It is considered a highly sensitive method for detecting circulatory pathologies.
TV test.
Allows you to diagnose the stages of blood clotting and determine disturbances in the rate of fibrin formation.
MRI– tomographic examination, allowing to deeply study the condition of the jugular vein.

Treatment

The treatment method is selected depending on the patient’s condition. There are surgical, medicinal, coagulant methods of treating thrombosis.

Possible complications

The most severe condition that causes thrombosis is thromboembolism, it almost always ends in death. Embolism causes myocardial infarction and stroke.

Causes:

Excessive stress on the body.
The causes of vascular disorders, including ectasia, can most often be heavy stress on the body, such as professional sports, exhausting study or work, all of which affects the cardiovascular system, and therefore directly affects blood circulation and the condition of blood vessels.
Violation of the work and rest regime.
Lack of adequate sleep, long working hours, and night work cause a large number of diseases, including affecting the condition of blood vessels.
Hormonal imbalance
uncontrolled use of hormonal drugs, bad habits, strict diets disrupt a person’s hormonal levels, and, therefore, the functioning of the entire body.
Vascular dysfunction due to spinal injuries.

Symptoms:

The presence of swelling in the neck is the first and main sign of phlebectasia. This is an enlarged vessel, which in the early stages of the disease does not cause discomfort or any pain.

Over time, ectasia will begin to progress, causing compressive pain in the neck, as well as changes in the voice, hoarseness may appear, and breathing problems are often observed.

Treatment:

Treatment depends on the severity of the disease.
At an advanced stage treatment in a hospital setting is indicated. In rare cases, when the course is particularly severe, surgical intervention is performed; most often, treatment of ectasia is limited to drug therapy.
In the treatment of vascular ectasia of the jugular vein Most often, drugs to normalize the functioning of blood vessels, such as thrombo ass and phlegm 600, are combined with injections of trental and antovengin to improve blood circulation.

Possible complications

A complete cure is only possible if ectasia is diagnosed and treated at the very beginning of the disease, so it is important to seek medical help if a person has symptoms resembling jugular vein ectasia.

Jugular vein in a child

Many parents are concerned when they discover that their child's jugular vein in the neck is distended, especially when laughing or crying. Most often, the cause of this deviation is the above-described phlebectasia.

Most often, jugular vein aneurysm in children is a congenital pathology.

Treatment is no different from the adult course. The only thing is that in the case of children, surgical treatment is most often used.

Prevention

As a preventive measure, it is necessary to lead a healthy lifestyle, give up bad habits or reduce the amount of alcohol and tobacco consumed, spend as much time as possible in the fresh air, combine work with leisure. Of great importance in the prevention of jugular vein disease is timely consultation with a doctor.
Many people put off visiting the doctor until later, until the problem becomes so serious that it begins to threaten life and health, and until then they try to be treated with folk remedies, which not only do not help in this case, but also aggravate the situation.
It is important to remember that in the presence of any vascular and venous pathologies In addition to the therapist, it is necessary to regularly visit such specialized specialists as a cardiologist, phlebologist, and surgeon.
Even if there are no diseases, elderly people, office workers who spend most of the day sitting at a computer, schoolchildren sitting at desks need to visit doctors as preventive measures.

Thus

The jugular vein performs a very important function and plays a large role in the blood circulation of the body. Any pathologies in her work lead to serious consequences. Therefore, it is necessary to take your health seriously and carefully monitor its condition.

This is an important sign of blood stagnation in the venous bed of the systemic circulation and an increase in central venous pressure (CVP). An approximate idea of its size can be obtained by examining the veins of the neck. In healthy individuals, in a supine position with the head of the head slightly elevated (at an angle of approximately 45°), the superficial veins of the neck are not visible or are filled only within the lower third of the cervical section of the vein approximately to the level of a horizontal line drawn through the manubrium of the sternum at the height of the angle of Louis ( II rib). When raising the head and shoulders, the filling of the veins decreases and disappears in an upright position. When venous blood stagnates in the systemic circulation, the filling of the veins is significantly higher than the level of the angle of Louis, remaining when the head and shoulders are raised and even in a vertical position.

A positive venous pulse is most often detected with tricuspid valve insufficiency, when during systole some of the blood from the right ventricle (RV) is thrown into the right atrium (RA), and from there into large veins, including the veins of the neck. With a positive venous pulse, the pulsation of the neck veins coincides with ventricular systole and the carotid pulse.

When he is stressed: when he goes crazy or screams hysterically, the veins on both sides of his neck stand out. Not much, but they stand out. When talking or in a calm state it is not visible. I didn’t observe any asymmetry either, there were no bumps, nodules, etc. I read about various vein pathologies and became worried. At 1 year of age, they did a vascular Doppler test - everything was fine there. Ultrasound of the heart is normal. What kind of veins are these? Why do they stand out? Thank you, I'm waiting for your answer.

Answer

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Swelling of the Cervical Veins in an Adult and a Child: Causes

Causes of swelling of the neck veins in children and adults

Pulsation and swelling of the neck veins are typical symptoms of increased central venous pressure. In a healthy person, this phenomenon is quite likely; it can be observed in the neck area, four centimeters from the angle of the sternum. The patient must lie on a bed with the head of the bed raised at an angle of 45 degrees. This position of the body ensures a pressure in the right atrium of ten centimeters of water. Pulsation in the neck veins should disappear when the body is moved to an upright position.

Increased venous pressure is characteristic of cardiac right ventricular failure. In such a situation, pulsation may be felt in the angle of the lower jaw. In some cases, venous pressure increases so much that the veins can swell under the tongue and on the back of the hands.

Stagnation of blood in the systemic circulation leads to the fact that the veins in the neck can expand and inflate. A similar pulsation occurs when blood returns to the right atrium from the right ventricle.

Signs and symptoms

The main signs of pulsation and swelling of the neck veins include:

Swelling in the neck area.
Slow visible pulsation and swelling of the neck veins to the angle of the lower jaw, and in some cases in the sublingual area.
Kussmaul's sign - swelling of the veins when sighing.
Pressure on the right hypochondrium causes swelling of the veins of the neck.
Swelling in the neck area.
Visible heart pulsation can be observed on the anterior chest wall.

Causes of the disease

Swelling of the veins in the neck can be unilateral or bilateral. The reasons are as follows:

unilateral - large goiter; on the left side, an aortic aneurysm compresses the left brachiocephalic vein.
bilateral - accumulation of fluid in the heart sac; cardiac right ventricular failure; venous pulse; constructive pericarditis; impaired blood patency in the superior vena cava; enlarged lymph nodes in the upper mediastinum; lung tumor; thrombophlebitis of the superior vena cava; mediastinal fibrosis; stenosis; pulmonary hypertension; Tension pneumothorax.

Most often, swelling of the veins in the neck is caused by the following pathological conditions:

heart failure;
acquired and congenital heart defects;
hepatojugular reflux;
cardiac tamponade;
tumor in the mediastinum;
arrhythmia.
Blistering veins in the neck in children

A swollen vein in a child’s neck is most often a normal reaction, like any person’s, to some kind of emotional stress, crying, coughing, which results in a change in pressure. Vessels with obstructed blood flow tend to increase in size. Under thin children's skin, the vessels are better visible and the magnification is noticeably much better than in adults. However, if the veins are swollen, you need to consult a surgeon and cardiologist and do a dollarography of the vessels of the head and neck.

This phenomenon should not cause discomfort or pain in children. Over time, when the children grow up, most likely the situation will change and the vein will no longer be so noticeable.

Diagnostics

To make a correct diagnosis, it is necessary to conduct objective and subjective examinations. First of all, the renal-jugular drainage is examined to remove the obstruction causing the veins to swell. Additional research methods include: chest x-ray; echocardiography; Ultrasound of the neck and blood test for thyroid hormones; bronchoscopy; computed tomography of the chest; Ultrasound of the veins of the lower extremities.

Who to contact

If pulsation and swelling of the neck veins appear, you need to visit a cardiologist or therapist. Next, you may need to consult a cardiac surgeon, pulmonologist, rheumatologist, oncologist, or endocrinologist.

When a baby cries, the veins in the neck tighten

seem very swollen

At both sides. They just look so big. My daughter is not plump, rather thin, maybe that’s why.

Under normal conditions, nothing can be felt.

I understand that I'm paranoid, but when it comes to a child, I start to worry.

Tell me, maybe this happens to some kids too, or maybe I need to go see a doctor.

Should I go to a therapist?

thank you flow*

Otherwise, stupidly, I read all sorts of nonsense on all sorts of sites, and I myself swore at the girl in the TD for looking for terrible diseases in herself

Our veins are also tense and there are some kind of pimples on one side. We are 1 year and 7 months old. I am also very worried about this.

I didn’t even know that my daughter had a sore throat, she won’t tell me yet, well at least I’ll catch it in time and treat it

The doctor prescribed spraying aquamaris for the throat, but I somehow doubt it, maybe someone will recommend something else?

How long have you been like this? We’ve been here for a long time, and every time I see him I start to worry

but the doctor said that babies have such a neck - wreaths, arteries, vessels

we went to the local therapist today

she smiled and said that these were wreaths

but it turned out that our neck is red and the submandibular lymph nodes are slightly enlarged, well, we are still cutting molars there

I didn’t even know that my daughter had a sore throat, she hasn’t told me yet, it’s good that I’ll catch it in time and cure it.

I noticed it around 1.5 years old. Maybe due to thinness. He is a slender boy, which is probably why all the wreaths are visible.

We used something like aquamaris (also based on sea water), I don’t remember what it’s called, but it helped us. There doesn't seem to be anything wrong with the composition.

The veins tense when she cries heavily.

The doctor prescribed spraying aquamaris for the throat

aquamaris for the throat. smile:oh, it looks like it’s for the nose! Although, probably, one thing is bullshit - earworm, I’m not a doctor, so I won’t say anything. But it looks like they're spraying him in the nose.

We didn’t buy, Tantum Verde helped us

Why does the jugular vein in the neck enlarge?

The jugular vein is a blood vein that is responsible for the process of blood circulation from the brain to the cervical region. In certain areas of the brain, the blood absorbs carbon dioxide and various toxic substances. The jugular vein delivers unpurified blood to the heart for filtering. It is the proximity of the vein to such an important human organ that prompts us to take seriously any changes in its functioning.

Therefore, if the jugular vein in the neck is dilated, examination and therapy are required after the exact causes of the pathology are established.

Features of the pathology

This condition largely depends on the anatomical structure of the veins.

Anatomical structure

Each of the jugular veins is divided into anterior, external and internal and has its own location:

The internal jugular vein stretches from the base of the skull and ends near the subclavian fossa. There she pours venous blood, which comes from the skull, into the large brachiocephalic vessel.
The beginning of the external jugular vein is located under the auricle. From this point it descends down the upper part of the sternoclavicular muscle. Having reached its posterior edge, it penetrates the vessels of the internal jugular and subclavian veins. The external vessel has many branches and valves.
The anterior jugular vein is initially located on the outer surface of the mylohyoid muscle, moves along the sternothyroid muscle and passes near the midline of the neck. It enters the external and subclavian jugular veins, forming an anastomosis.

The anterior jugular vein is very small and forms a pair of vessels, that is, it is paired.

Symptoms

If the jugular veins are even slightly dilated, then specific signs appear indicating pathology. They depend on the stage of the disease:

Stage 1. A slight swelling (enlargement) in the neck that does not cause discomfort or pain. Determined during a visual inspection.
Stage 2. Pulling pain and the appearance of increased intravenous pressure with rapid movement and sudden turns of the head.
Stage 3. The pain is sharp, intense, there is hoarseness and difficulty breathing.

If the internal jugular vein expands, serious disruptions occur in the functioning of the circulatory system. This situation requires a thorough diagnosis of the causes of the pathology and comprehensive treatment.

Causes

Phlebectasia has no time limits and occurs in both adults and children.

Causes of dilatation of the jugular vein in the neck:

Injured ribs, cervical spine, spine, which provoke stagnation of venous blood.
Concussion, osteochondrosis.
Dysfunction of the cardiovascular system - heart failure, hypertension, ischemia.
Endocrine disorders.
Sedentary work for long periods of time.
Tumors of different ethnogenesis (benign and malignant).

It takes time and accompanying factors for pathology to occur. Therefore, it is very important to identify it early, since the disease leads to disruption of the valves.

Predisposing factors

Cervical varicose veins occur in every third inhabitant of the planet. But for the development of pathology, predisposing factors are needed:

natural lack of connective tissue development;
restructuring of the hormonal system;
spinal and back injuries;
passive lifestyle;
poor nutrition.

The hormonal factor concerns women more. During puberty and pregnancy, there is a risk of vein swelling.

Alcohol, smoking, toxins, and excessive physical and mental stress negatively affect the normal circulation of venous blood.

Diagnosis of phlebectasia

If the dilatation of the jugular vein is in the first stage, then a visual examination by a doctor is quite sufficient. In the second and third stages of the disease, more serious studies are used.

To make a diagnosis when pain and blood circulation problems occur, laboratory tests are used - a general blood test and instrumental tests. Instrumental ones include:

Ultrasound or computed tomography of the cervical, thoracic and skull.
Diagnostic puncture.
MRI with contrast agent.
Doppler ultrasound of neck vessels.

These are the main diagnostic methods that are used to make a final medical opinion.

Treatment of pathology

At the third stage of the disease, surgical intervention is indispensable. The affected areas of the vein are surgically removed, and healthy ones are connected into one vessel.

Possible complications and their prevention

Phlebectasia in children

The main symptomatic indicators: tumor formation, dilated blood vessels, increased temperature.

The treatment uses approaches used for the recovery of adults. The only difference is that phlebectasia in children is most often treated through surgery.

Jugular vein thrombosis in the neck

Contraindications and prevention

People suffering from pathology and having a hereditary predisposition to it are contraindicated:

sedentary work and vice versa - excessive physical activity;
frequent stressful situations;
bad habits;
ignoring chronic diseases;
consumption of fatty, spicy, smoked foods, canned food, sweet carbonated drinks.

To prevent jugular vein phlebectasis from occurring, it is advisable to take preventive measures. The main preventive measures are:

regular medical examination;
avoiding stressful situations and physical activity;
timely removal of small enlargements using special ointments;
treatment of chronic diseases;
healthy lifestyle.

Do you want to get rid of varicose veins in the first year with the help of materials from our experts?

Swollen veins in the child’s neck.. lymphadenitis? I’m in a panic

And today I talked to my mother-in-law and she really upset me - that this is a serious disease and needs to be treated urgently... I’m in shock and panic, because really, this is not the norm... and I don’t know which doctor to go to, what to do.

Please advise, everything is falling out of hand... I’m all exhausted

Mobile application “Happy Mama” 4.7 Communicating in the application is much more convenient!

We were also bloated, I just read that it was lymphadenitis, our doctor didn’t say anything at all, we really were sick a lot in April, now everything seems to have gone away, maybe yours will subside too.

This is the first time I've heard of this =(

lymphadenitis - purulent/serous inflammation of the lymph node. What do veins have to do with it? Lymphadenitis is a serious disease if it is not a symptom of any infectious disease (sore throat, infectious mononucleosis, scarlet fever, etc.). If there is no clear connection with an acute infection, then there will still be pain, swelling in the area of the lymph node (large!!), fever, hyperemia of the skin over this lymph node.

A slight enlargement of the lymph nodes after an illness is lymphadenopathy. It is not dangerous at all and is not a contraindication to vaccinations.

Yes, for clarity. Submandibular and cervical lymphadenitis

These are completely different things, swollen veins or a swollen lymph node!

We've had a lump on our neck since a month - this is a lymph node, we've had all the tests done. They told me to watch.

this means a doctor... one name

We also have a wreath on our necks that swells when we roar! like a knot, do you have the same?

Have you been to the doctor? what did it turn out to be?

thank you, you calmed me down :) We have three teeth coming out at the same time.

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Swelling and pulsation of the neck veins

Swelling and pulsation of the neck veins is a characteristic symptom of increased central venous pressure. Normally, in a healthy person, pulsation of the jugular veins is acceptable, which can be observed in the neck area four centimeters above the angle of the sternum. In this case, the person should lie on the bed with the head of the bed raised at an angle of forty-five degrees. It is in this position of the body that the pressure in the right atrium of the heart corresponds to ten centimeters of water. When you change your body position to a vertical position, the pulsation of the neck veins should disappear.

Causes and factors of occurrence

The main cause of swelling and pulsation of the neck veins is right ventricular heart failure with stagnation of venous blood in the systemic circulation. At the same time, stagnation in the veins of the neck is manifested by their expansion, swelling and visible systolic pulsation (positive venous pulse). This pulsation occurs as a result of the return (regurgitation) of blood from the right ventricle to the right atrium.

The pulsation of the neck veins differs from the pulsation of the carotid arteries in its smaller amplitude and the absence of its sensation upon palpation. Also a distinctive feature is the dissonance between the pulsation on the radial artery and the pulsation of the veins in the neck: on the radial artery the pulse is usually weak, while on the neck the venous pulse wave is clearly and clearly visible.

Increased pulsation of the neck veins and their swelling can be observed in healthy people during stressful situations, neuroses, and excessive physical exertion.

Classification and characteristics

Signs of swelling and pulsation of the neck veins are:

visible slow pulsation and swelling of the veins of the neck along the angle of the lower jaw and even in the sublingual area;
in especially severe cases, swollen and dilated veins can also be found on the back of the hands;
swelling of the veins of the neck during inspiration (Kusmaul's symptom);
swelling of the veins of the neck when pressing on the area of the right hypochondrium;
swelling in the neck area;
visible heart pulsation in the area of the anterior chest wall, epigastrium, and liver.

What diseases does it occur in?

Swelling and pulsation of the neck veins can occur in the following pathological conditions:

congenital and acquired heart and vascular defects (insufficiency of the tricuspid valve, aortic valve);
heart failure;
pericarditis (constrictive, exudative);
cardiac tamponade;
hepatojugular reflux;
severe pulmonary emphysema;
pneumothorax;
compression of the superior vena cava by a tumor or pathologically altered neighboring organ;
neoplastic process (tumor) in the mediastinum;
aneurysm or severe atherosclerosis of the thoracic aorta;
retrosternal goiter;
thrombosis of large venous trunks;
arrhythmias (complete transverse heart block, heart rhythm from the atrioventricular node with the occurrence of simultaneous contraction of the ventricles and atria).

Which doctors should you contact?

If swelling and pulsation of the neck veins appear, you should consult a therapist or cardiologist. In the future, you may need to consult a rheumatologist, endocrinologist, pulmonologist, oncologist, or cardiac surgeon.

Select the symptoms that concern you and answer the questions. Find out how serious your problem is and whether you need to see a doctor.

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Visible vein in a child's neck

My daughter is now 10.5 months old. At about 7.5 months she began to stand up in the crib, at first she stood naturally, not firmly, some falls ended in hitting her head on the side, nothing serious, crying for half a minute, distracted, forgot. but there were two stronger blows, with the left and right “corners” of the forehead on the inner corners of the crib. They are quite sharp. There were no signs of a concussion or anything bad; the force of the blows, after all, was not that great. But a short time after one of the blows, I noticed a vein in the “corner” of her forehead that had not been visible before. It expanded and continues to expand periodically, sometimes visible for a long time, sometimes not visible at all. I don’t see any specific frequency or clear connection with crying or physical activity. Sometimes during crying it is visible strongly, sometimes just a little. Now she’s sleeping, and she’s even more visible in her sleep now than when she was running during the day. In relatively short order, I asked the cardiologist about this. She said that there should be no connection with the stroke, asked about ICP and advised me to contact a vascular surgeon. As I understand it, we simply don’t have such a specialist in our city (specifically for children). Time has passed, I got a little used to the fact that my forehead looks like this now, somehow this one was forgotten due to other sores. And today her husband, who doesn’t sit with her very often, looked at her and said that this vein scares him. That he believes that his daughter damaged her venous valve and this risks that the vessel will stop functioning over time. He referred to his problems with varicose veins in the legs, which he developed after strong physical exercise. loads I understand that it would be necessary to show it to a vascular surgeon, but we don’t have that. And if not him, then who is better, another cardiologist or just a surgeon who looks at navels and joints? Or a neurologist? But I’m generally afraid of them, according to the NSG, my daughter has a slight expansion of the bladder and subarachnoid space - by 2 mm, without dynamics, I’m afraid that they will prescribe Diacarb-Asparkam, they have already tried. I looked for something similar on the Internet - they say it’s a cosmetic defect. But I’m afraid that suddenly my husband is right and I’ll miss something serious. What should I do?

Why be afraid? It's their job to appoint - it's your right not to give

Nodules on a vein

And there is no need to look for flaws.

The structure of the veins is such that when filled with blood, they look knotty in small children. In short, the valves of the veins are already dense, but the walls are still thin.

Vascular network on the face

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