Conversation: The conversation between human and AI assistant.
[|Human|] I have a pulsating or pressure pounding in my head. It has no pain or sound. It disrupts my hearing as it goes on & off. Some of the triggers seam to be talking on the phone, laughing hard, a room full of a lot of noise, alcohol, or maybe just nothing. Some times it last for hours and other times it will last for minutes. It has been going on for years, around thirty . It seemed to start when I came to Florida to live. No Dr. will pay any attention to me even though it has been a real heart ship for me.
[|AI|]  Hi there, I am sorry to hear of the difficulty you are having. It sounds like you might be having a sensation called pulsatile tinnitus, since it is disrupting your hearing, and it is pulsating in nature. Sometimes this is from an unknown reason, and many folks have it, but sometimes it can be caused by an intracranial vascular abnormality- a problem in the blood vessels in the brain. I would recommend you start by coordinating with your primary care doctor, explain your symptoms, and work together to obtain imaging of the blood vessels in the brain, specifically to rule out an arteriovenous malformation or a rural arteriovenous fistula. I hope my answer has been helpful to you.