If a person’s blood pressure is extremely high, there may be certain warning symptoms to look out for, including headaches, fatigue or confusion, chest pain, irregular heartbeat, blood in the urine or a pounding sensation felt in the neck, chest or ears.
If a person has a sensation of pulsing or pounding in their ears or in their chest when no exercise or exertion has been done, this could indicate an elevated blood pressure.
The pounding could also be many other reasons including drinking too much caffeine.
Anxiety can also have the same effect so its important for a person to monitor what they are drinking and how they are feeling.
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source: express.co.uk