### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
HI I AM ON BLOOD PRESSURE TABLET AND UNDER CONTROL BUT UP A LITLE AT MIN I ALS HAVE SCOLIOSIS AND A BAD NECK I HAVE MY HEART BEAT IN MY EAR SOME DAYS NOT CONSTANT I THOUGHT WHERE MY NECK BAD Hve you any ideas please i am going for bp check again next week

### output:

Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. You should not worry.I'll try to explain you something and give you some advises. My opinion as cardiologist is that this might be a rhythm issue. You may feel this heart beats for different reasons. It may be a simple sinus tachycardia. This mean that your heart beats over 100 beats for minute. Its normal range should be between 60-100beat for minute. It gives you the sensation like your heart is jumping and like all your body like your head and your ears is beating too. This may happen for different reasons to simple emotional stores to different pathologies like anemia, hyperthyroidism etc. If you feel that your hear is beating in a chaotic way it may be what we call atrial fibrillation. It may happen for same reasons as sinus tachycardia. You may all sow experience palpitations because of extrasistoles.These is electrical impulses that generates from different parts of the heart different from that of a normal sinus rhythm. This houses an ectopic heart beat that you feel like a skipped beat or like bumping in your heart and ears. My opinion is that your neck pain is not related with your heart beats irradiating to your ears.it's just your scoliosis and this are to different problems. The fact that you have a controlled blood pressure is a good thing. But you might have controlled blood pressure and steel experience arrhythmias. This is nothing to worry about. Only if this episode happens again you should refer it to your doctor to your next visit and make some simple examinations like a blood test, electrocardiogram and a holder monitoring for your rhythm. Whish I was helpful. Take good care. Best regards