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

### input:
I woke up in bed night before last and noticed that the pulse on my left wrist was throbbing. I have checked it on a few occasions since and it remains throbbing. My blood pulse when I took it was about 80 - normally it is about mid to upper 60s. The pulse throbbing remains visible. I am currently on a lot of medication for sciatica and wonder if this could be the cause. I am also continuing to have a lot of pain re the sciatica which an MRI scan has revealed to most likely be spinal stenosis - bone spurs pressing on the nerves at the base of my spine. Should I contact my Doctor about the pulse issue?

### output:

Hello, Your pulse rate as per your count is 80/Mt. Normal count rate is 72/Mt. Count rate can be enhanced in so many conditions - smoking, anemia, fever, stress, anxiety, worry and so many causes. Throbbing may be due to the increased volume by lowering peripheral resistance.Otherwise, 80/CT do not produce any symptoms. The problem in the spine is not a dangerous sign (slow progressive problems) and do not warrant for immediate surgery as you don't have the extension of pain to your lower limbs. A few changes in your life and work style and sleeping without pillows, some physiotherapy and medications will relieve the pain. I don't understand why too much of medications for your spine problem. Anyhow, whatever I have expressed is my opinion. You have to discuss with a Euro surgeon for the treatment of your spine problem. Regarding your throbbing pulse take an ECG and necessary blood test to evaluate your cardio vascular system and treat accordingly. I wish you a speedy recoveryWith warmest regards