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

### input:
About 8 hours ago, my 8 year old boy had dizziness, shortness of breath and complained of numbness in thighs. Extremely pale, lips were completely white. Improved after eating and seemed fine until about an hour after that episode complained of heart pain which he compared to heartburn--he d had a soda so we attributed it to that. It didn t last long. He has been fine the remainder of the day, but while laughing extremely hard his father noticed a lump shows in his jugular vein...only present when he laughs or we had him yell to see if it appeared then and it does. What do you think?

### output:

Dear, Thanks for the query to Chat Doctor. I studied your query and understood your health concerns. Remedy and cause-of your problem-In my opinion your boys-lump on jugular vein-indicates-Saccular jugular venous aneurysm mostly/ or could pharyngeal pouch or / laryngoscope. I would ask you to consult ER surgeon. I suggest you following -Treatment -a-Consult Er Surgeon / and CVTS Surgeonb-Tab-Nsaids andc-Tab-Alzolam x 5 days would advise -USG neck / Venous color Doppler study. Any doubts in diagnosis could be ruled out by CT angiography with DSA-Digital Subtraction Angiography.-Revert to your doctor on this advise-who would help you. This would help you to resolve your query. So act fast and investigate it. Welcome for any further query in this regard. Write review ASAP, with strong recommendations for Me and Chat Doctor to benefit old and new patients. Have a good day. With Chat Doctor. N.