Conversation: The conversation between human and AI assistant.
[|Human|] I am 54 tall and weigh 260lbs. I have htn, diabetes, and hyperlipidemia. I sometimes have a throbbing pain in my neck near the base of my skull. It feels a lot like my pulse but it is painful. I can sometimes feel the same feelimg in my lower back on each side in the area where my kidneys are. It is not a constant pain, but comes and goes at times. I also take HCTZ for swelling in my ankles. When I take this medicine and I urinate a lot it seems to help with the throbbing pain in my neck. Could this be a result of CHF or fluid retention?
[|AI|]  Thanks for your question on Chat Doctor. I can understand your concern. Yes, this type of throbbing pain can be due to congestive heart failure, fluid retention and aortic aneurysm. Your symptoms are improving with diuretics, so possibility of fluid retention and heart failure is more. Hypertension can cause aortic aneurysm. You are having throbbing sensation near kidneys and neck. So where should also rule out aortic aneurysm. So better to consult doctor and get done 1. ECG, 2d echo to rule out heart failure. 2. CT abdominal angiography for aortic aneurysm. If all these reports are normal then no need to worry much. Sometimes, stress and anxiety can also cause throbbing type of sensations. So avoid stress and tension, be relaxed and calm. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.