Our expert says:
I very much doubt the pain in you neck has anything to do with your carotid arteries. Firstly, carotid disease is highly unlikely in a 28 year old woman. Secondly, carotid arteries very seldom cause pain - even if they are diseased. Pain like you describe has nothing to do with early stroke.
Much more likely is that the pain is related to some other structure in the neck, and is not necessarily due to "disease" of any kind. My advice would be to see your own doctor about the pain to try to establish a cause. If you are really concerned about your carotids he/she can always organize an ultrasound (Duplex Doppler) of the carotids, but my prediction is the test will show normal healthy arteries.
Cold hands and feet in young women as a general rule have nothing to do with "poor circulation" and are usually related to the nervous control of blood flow to the skin.
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