It is unclear what causes the condition, but young and middle-aged women who are overweight are most at risk. You'll find a wealth of information and suggestions in these related discussions and groups, Pulsatile tinnitus: https://connect.mayoclinic.org/discussion/pulsatile-tinnitus-1/ @kittyrushing. ^___ ^https://soundcloud.com/scoutmusicdottv/out-loud-like-a-drum. Your ears may pick up on this turbulent or irregular circulation, causing pulsatile tinnitus. The doctor will probably use a stethoscope to listen to your chest, neck, and skull. Sure hope someone has some helpful information for this, I don't and have suffered with this for months on end. Why not both ears?? Severe anemia or an overactive thyroid gland may also cause general increased blood flow in the body. It started about a week ago, I was walking my dog and suddenly I hear this rapid drumming sound in my right ear, twice, it doesn't match my heartbeat at all, the second time it happened I covered my right ear with a finger and it's gone. Connect with thousands of patients and caregivers for support, practical information, and answers. When I put an earplug in my left ear, I hear a light drumming noise as fast as someone could drum. But if I turned the program off, the thumping stops. Most people with pulsatile tinnitus hear the sound in one ear, though some hear it in both. The accumulation of fatty plaque inside the carotid arteries can create the kind of turbulent blood flow that resounds as pulsatile tinnitus. Most importantly, pulsatile tinnitus may be a symptom and your first warning that you have a serious medical condition. I feel heartbeat You feel heartbeat Keeping time Oh, yeah I feel your heart beat And it's true to this heart of mine Oh, yes it is With your. Heart failure: Could a low sodium diet sometimes do more harm than good? "My Heart Beats Like a Drum" was released after the peak success of "Around the World (La La La La La)". "My Heart Beats Like a Drum (Dum Dum Dum)", originally released and also known as "My Heart Beats Like a Drum (Dam Dam Dam)", is the second single by German Eurodance group ATC from their debut album Planet Pop. This may include large arteries or veins in your neck and at the base of your skulls, and smaller arteries in your ears. Sign up to get tips for living a healthy lifestyle, with ways to fight inflammation and improve cognitive health, plus the latest advances in preventative medicine, diet and exercise, pain relief, blood pressure and cholesterol management, andmore. We avoid using tertiary references. Is beating like a drum With the words, "I love you" rolling off my tongue No, never will I roam For I know my place is home Where the ocean meets the sky, I'll be sailing Photographs and kerosene Light up my darkness Light it up! In that case, your provider can still manage pulsatile tinnitus. Tinnitus and stress are often connected. Hofmann E, Behr R, Neumann-Haefelin T, Schwager K. National Organization for Rare Disorders. (2017, January 27). Many of the underlying causes of pulsatile tinnitus are treatable, but it is important to see a doctor for a proper diagnosis. Sometimes it is caused by problems with the ossicles (small bones involved in hearing). Later I lost 50% of my hearing and started to get dizzy again. Our providers specialize in head and neck surgery and oncology; facial plastic and reconstructive surgery; comprehensive otolaryngology; laryngology; otology, neurotology and lateral skull base disorders; pediatric otolaryngology; rhinology, sinus and skull base surgery; surgical sleep; dentistry and oral and maxillofacial surgery; and allied hearing, speech and balance services. https://connect.mayoclinic.org/discussion/pulsatile-tinnitus-1/, https://connect.mayoclinic.org/discussion/menieres-disease-2/, https://connect.mayoclinic.org/group/hearing-loss/. Energy-boosting coffee alternatives: What to know. Changes in the blood flow such as general increased blood flow, local increased blood flow or turbulent blood flow may be the cause. Anemia can be treated with medication or blood transfusions. 1998-2023 Mayo Foundation for Medical Education and Research. By accepting all cookies, you agree to our use of cookies to deliver and maintain our services and site, improve the quality of Reddit, personalize Reddit content and advertising, and measure the effectiveness of advertising. Sound therapy is the deliberate use of any sound to reduce a persons awareness of tinnitus. So steady When you stand. To any other guy? The scenes without the choreography show two of the singers walking on the ceilings (done via rotating the camera upside down), with the last minute of the video having all four band members dance upside down on the purple ceiling. When the thumping happens it feels like that ear is partially blocked like under water. I'm looking for a song, great for rollerblading. All Rights Reserved. The Best Diets for Cognitive Fitness, is yours absolutely FREE when you sign up to receive Health Alerts from Harvard Medical School. 2023 by The President and Fellows of Harvard College, Do not sell my personal information | Privacy Policy. These include: You may also be tested for high blood pressure and given a blood test to check for thyroid disease or anemia. I have had pulsatile tinnitus for more than four years . I'd be grateful if you could share the band name if you happen to know. Cognitive behavioral therapy for tinnitus: Evidence and efficacy. Statistics. A music video for the song was released on the same day as the audio release. This is usually caused by an infection orinflammationof the middle ear or the accumulation of fluid there. I went to my ear doctor where he ordered a series of MRIs and they all come back negative. Coming to a Cleveland Clinic location?Hillcrest Cancer Center check-in changesCole Eye entrance closingVisitation, mask requirements and COVID-19 information, Notice of Intelligent Business Solutions data eventLearn more. Just having pulsatile tinnitus doesnt mean you have these conditions. 108 Likes, TikTok video from alefomusic (@alefomusic): "Alefo - X My Heart Beat Like A Drum 2023 #privateremix #edm #musicproducer #fyp #bounce #sbw #sibu". Say my name like a scripture Keep my heart beating like a drum Legendary lovers, we could be legendary Legendary lovers, we should be legendary Go down in history Go down together, into infinity, forever You're Cleopatra You're blushing Juliet Anything for your love, a ride or die Never knew I could see something so clearly looking through my . Interested in more discussions like this? A problem with the tiny blood vessels that help connect your arteries to your veins, or capillaries, can cause pulsatile tinnitus. That must be frustrating having this thumping in your ear.", "I have been noticing a weird thumping/pulsating sound in my right ear. Mine just eventually stop but can go on for over an hour. The majority of tumors associated with pulsatile tinnitus are benign, meaning they are not cancerous. Narrowed neck arteries (carotid arteries) or veins (jugular veins) may also cause a change in blood flow to and from the head. You'll notice that I moved your message to this existing discussion about thumping or drumming in one ear. (2016, February 1). What caused it? Many times pulsatile tinnitus is a symptom of vascular disease diseases affecting your veins and arteries as well as malformations of vascular structures or atypical blood flow near your ear, and in some rare cases, tumors. Plus, get a FREE copy of the Best Diets for Cognitive Fitness. This involves playing background noise, such as soft music or white noise, to distract you from the tinnitus or change your brains sensitivity to the pitch of the tinnitus. What are the symptoms of pulsatile tinnitus? Best food forward: Are algae the future of sustainable nutrition? Hi @mackmoving. But even typing the lyrics, its not showing the correct song. Em Hey, read my lips, G A Em Cause all they say is kiss, kiss . Many years ago, I experienced the ringing in my ears. Some people who have tinnitus or pulsatile tinnitus develop depression or anxiety. A. And since then I've been having occasional rapid thumps (3-4 thumps) in . Cognitive behavioral therapy (CBT) aims to change the way people react to their tinnitus rather than remove the actual sounds. The best self-care for pulsatile tinnitus is to talk to your healthcare provider. Relaxation techniques, such as breathing exercises, mindfulness, and meditation, may also reduce the impact pulsatile tinnitus can have on everyday life. I guess I am fortunate that it has never stopped. When I cover or plug my ear it stops. Thanks for visiting. I was diagnosed with Meniere's disease in 2016 to my left ear. Some people are reporting symptoms of tinnitus (ringing in the ears) after developing COVID-19. Other causes of pulsing in the ear include earwax buildup or temporomandibular joint dysfunction disorder. Hofmann, E., Behr, R., Neumann-Haefelin, T., & Schwager, K. (2013, June). tinnitusjournal.com/articles/pulsatile-tinnitus-and-carotid-artery-atherosclerosis.pdf, ncbi.nlm.nih.gov/pmc/articles/PMC3719451/, mayoclinic.org/diseases-conditions/tinnitus/symptoms-causes/dxc-20180362. Get useful, helpful and relevant health + wellness information. It is a type of rhythmic thumping, pulsing, throbbing, or whooshing only you can hear that is often in time with the heartbeat. Healthline Media does not provide medical advice, diagnosis, or treatment. For example, if you have pulsatile tinnitus because you have atherosclerosis, your provider may use medication to manage your condition. I would also use a stethoscope to listen to the blood flow through the arteries in your neck. By rejecting non-essential cookies, Reddit may still use certain cookies to ensure the proper functionality of our platform. If you buy through links on this page, we may earn a small commission Heres our process. . People who have pulsatile tinnitus hear noise that may be loud or soft but often happens in time with their heartbeats. If it doesn't go away on its own after a few weeks or becomes really bothersome,talk with your doctor about it. It started about a week ago, I was walking my dog and suddenly I hear this rapid drumming sound in my right ear, twice, it doesnt match my heartbeat at all, the second time it happened I covered my right ear with a finger and its gone. Mix - ATC - My Heart Beat Like a Drum (HQ) Scooter, A Touch of Class, DJ Quicksilver, and more Alcazar - Crying At The Discoteque (Official Video) AlcazarVEVO 39M views 13 years ago ATC My. Can diet help improve depression symptoms? . A coordinator will follow up to see if Mayo Clinic is right for you. Five ways to make ringing stop after a concert, Tinnitus could be worsened by antidepressant use, 15 effective options for treating earache, Debra Rose Wilson, Ph.D., MSN, R.N., IBCLC, AHN-BC, CHT. In this video, I keep a steady back-beat with my hands, and play the sixteenth 6-note pattern (LLLRRL - left / left / left / right / right / left) with my feet, at 60bpm at first, and then a little bit faster, at 80bpm. The best self-care for pulsatile tinnitus is to talk to your healthcare provider. My heart beat like a drum, I had the sun in my face, I had the moon and the stars in my eyes to help me find my way. A conductive hearing loss also makes it easier to hear blood flowing through two large vessels that travel through each ear, the carotid artery and the jugular vein, which circulate blood to and from the brain. After that I got a steroid shot in my ear and waiting to see if the heart beat goes away. The nurse practitioner called and said that I am fine. Even though I did not have high blood pressure, the first cardiologist prescribed Metoprolol and Losartan and I have been on those two drugs for years and still have the unchanging, constant heartbeat. Over 200 medications are ototoxic and may cause or worsen tinnitus or hearing loss. Blood vessel disorders. Im currently experiencing slight dizziness due to bad postures from a few weeks ago, which leads to sore neck and shoulder, not sure if this could be related? Pulsatile tinnitus https://connect.mayoclinic.org/discussion/pulsatile-tinnitus-1/. It will go away when I cover my ear, and will also go away itself after a few thumps. beat the drum (for someone or something) To voice one's support for something. Blockage in your arteries caused by a buildup of cholesterol, fats, and waste materials can cause blood flow to be turbulent. In general, pulsatile tinnitus happens when certain conditions or abnormalities change the flow of blood in blood vessels near or around your ears. Tinnitus: Symptoms and causes. Hi @mackmoving, welcome to Mayo Clinic Connect. And since then Ive been having occasional rapid thumps (3-4 thumps) in the right ear, maybe once or twice a day or sometimes none in a day, no common trigger, just happens randomly during the day. Get instant explanation for any lyrics that hits you anywhere on the web! After that I got a steroid shot in my ear and waiting to see if the heart beat goes away. High blood pressure and vein and artery conditions can usually be treated with a combination of medications and lifestyle changes, including: If the cause relates to a specific problem in an artery or vein, surgery or a catheter procedure may be needed to treat the condition. Untreated pulsatile tinnitus can have a negative impact on a persons quality of life, but there are many different self-management approaches that can help reduce symptoms. life, my life I feel your heart beat, beat, beat Beating right next to me That keep, keep, keep I be feeling like I believe All the things, baby, that we. I encourage you to read through the past posts and ask questions. While not as successful as "Around the World (La La La La La)", it was still a Top 10 hit in several countries across Europe. Cleveland Clinic is a non-profit academic medical center. Allergies may contribute to the development of tinnitus by causing dysfunction of the tubes that connect your ears to your throat. While searching for the forum, I've found a discussion about pulsatile tinnitus that has similar symptoms of thumping/pulsating sounds like you described. Good luck to all of you with similar problems. Ear Abnormalities Proton-pump inhibitors: Should I still be taking this medication? Surgical options were discussed but that scared the hell out of me. Talk to your healthcare provider if you notice noise in your ears that keeps time with your pulse. What you describe sounds likepulsatile tinnitus(pronounced TIN-nih-tus or tin-NITE-us). So I want to thank you all. Like tinnitus, pulsatile tinnitus may interrupt your ability to concentrate, sleep or work. Learn how to counter the muffled ringing and prevent it from happening again. Create an account to follow your favorite communities and start taking part in conversations. Rhythm of My Heart Lyrics [Verse 1] Across the street, the river runs Down in the gutter, life is slipping away Let me still exist in another place Running under cover of a helicopter blade. In a sense, people who have pulsatile tinnitus hear their hearts beating. Your doctor may order some imaging tests as well. If I heard a bruit (BROO-ee) the unusual sound that blood makes when it rushes past an obstruction in one or both carotid arteries, I would suggest you have a test to look for a narrowing in the carotid arteries or other malformations. Not sure what to do about it. Press question mark to learn the rest of the keyboard shortcuts, https://soundcloud.com/scoutmusicdottv/out-loud-like-a-drum. Accessed 6/27/2022. Last edited on 10 February 2023, at 11:45, Learn how and when to remove this template message, "ATC Interview, My Heart Beats Like A Drum & Around The World Live @ Ringfest", ATC My Heart Beats Like a Drum (Dam Dam Dam)", https://en.wikipedia.org/w/index.php?title=My_Heart_Beats_Like_a_Drum_(Dum_Dum_Dum)&oldid=1138574450, "My Heart Beats Like a Drum (Dam Dam Dam)" (Radio Edit), "My Heart Beats Like a Drum (Dam Dam Dam)" (Extended Club Mix), "My Heart Beats Like a Drum" (Radio Edit), "My Heart Beats Like a Drum" (Extended Club Mix), "My Heart Beats Like a Drum" (Regsegger#wittwer Clubremix), "My Heart Beats Like a Drum" (Triple X Extended Remix), "My Heart Beats Like a Drum" (Regsegger#wittwer Frantic Remix), "My Heart Beats Like a Drum" (Triple X Dub Attack), This page was last edited on 10 February 2023, at 11:45. It was used as a TikTok song clip. Get the latest in health news delivered to your inbox! a constant beating of my heart in my left ear. Like non-pulsatile tinnitus, pulsatile tinnitus isnt a condition. Reddit and its partners use cookies and similar technologies to provide you with a better experience. The most common causes of pulsatile tinnitus include the following: Conductive hearing loss. earwax . Sign up now and get a FREE copy of theBest Diets for Cognitive Fitness. It is common to have tinnitus (or noises in the ear) on one side instead of both ears. In April 2021 I started to get loud ringing in my left ear and later a heart beat. It features the four original singers, Tracey, Joey, Sarah and Livio in a room with red, blue, green, walls, and windows, the latter of which has a zebra print on one side with a purple ceiling. [Chorus] I hear your heart beat to the beat of the drums Oh, what a shame that you came here with someone So while you're here in my arms Let's make the most of the night Like we're gonna die . Answer (1 of 11): His heart was beating like a drum. That must be frustrating having this thumping in your ear. Pulsatile tinnitus may be a symptom of any number of underlying medical conditions. During this time, I have heard many sounds described that others are hearing. Our website services, content, and products are for informational purposes only. It may start at any time and go on for an indetermined period of time and is constant. I'd be grateful if you could share the band name if you happen to know. And though I'm older now, my life still goes on. Sometimes, blood flow increases in just one or one group of vessels. Pulsatile tinnitus is caused by blood circulating in or near your ears. If caused by a specific blood vessel, doctors may or may not be able to repair it, depending on where the vessel is located. Ear Ringing or Buzzing Ear, Nose and Throat Disorders. (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3719451/). I am not sure if I can accept that answer. All Rights Reserved. Read more: Is it possible to reverse atherosclerosis? It was used as a TikTok song clip. . Go to the Ear, Nose & Throat (ENT) Support Group. Interested in more discussions like this? I hope you can find a physician to treat you. You can learn more about how we ensure our content is accurate and current by reading our. Em F# G Hey, it's because of you, A B The world is in a crazy, hazy hue. Here is Part 68 of the 'Foot Workouts' series! Read below for more information on causes and treatment options. This type ofhearing lossintensifies internal head noises sounds like breathing, chewing, and blood flowing through the ear. I did this so you can connect with @kerryf88 @kittyrushing @scottybach @morninglory @redhead63 @mikemcewen @akacha @cls91383 and others. Stroke. What Is Pulsatile Tinnitus? Thumping in right ear, only triggered by sound https://connect.mayoclinic.org/discussion/thumping-in-right-ear-only-triggered-by-sound/ Any use of this site constitutes your agreement to the Terms of Use and Privacy Policy and Conditions of Use linked below. It feels like pressure oscillations. Back to you @kerryf88 when you cover your ear with a finger does that get rid of the thumps or do they go away on their own? Its a symptom of conditions such as heart disease or diseases that affect your veins and arteries. Annoying as it may be, that soundtrack may save your life. Depending on your other symptoms, your provider may request different imaging tests. I've been trying to find the song with the lyrics below. Go to the Ear, Nose & Throat (ENT) Support Group. 1998-2023 Mayo Foundation for Medical Education and Research. Tony in Michigan. Here's what you. Female singers, lyrics like, Listen to my heart beat, let me feel a heart beat, to the real love, show me what you got. The Wilder Your Heart Beats (The Sweeter You Are), Wilder Your Heart Beats (The Sweeter Your Love). If they can find and treat the underlying cause, they may be able to eliminate the sounds from pulsatile tinnitus. The difference is tinnitus makes constant random noise. We avoid using tertiary references. Shift work can harm sleep and health: What helps? Sometimes, tests rule out all possible medical conditions. A coordinator will follow up to see if Mayo Clinic is right for you. To diagnose tinnitus, a doctor will ask questions such as whether the sound is continuous, if it affects one or both ears, and what kind of impact it is having on a persons everyday life. Kesha - Die Young (Lyrics) | I hear your heartbeat to the beat of the drums Follow Cakes \u0026 Eclairs on Spotify: http://bit.ly/CakesEclairs Don't forget to subscribe and turn on notifications!Follow Keshahttps://instagram.com/iiswhoiis/https://twitter.com/KeshaRosehttps://www.facebook.com/keshaDie Young Lyrics[Chorus]I hear your heart beat to the beat of the drumsOh, what a shame that you came here with someoneSo while you're here in my armsLet's make the most of the night, like we're gonna die youngWe're gonna die youngWe're gonna die youngLet's make the most of the night, like we're gonna die youngLet's make the most of the night, like we're gonna die young[Verse 1]Young hearts, out our mindsRunnin' 'til we outta timeWild childs, lookin' goodLivin' hard just like we shouldDon't care who's watchin' when we tearin' it up (You know)That magic that we got, nobody can touch (Fo' sho')[Pre-Chorus]Lookin' for some trouble tonight (Yeah)Take my hand, I'll show you the wild sideLike it's the last night of our lives (Uh-huh)We'll keep dancin' 'til we die[Chorus]I hear your heart beat to the beat of the drumsOh, what a shame that you came here with someoneSo while you're here in my armsLet's make the most of the night, like we're gonna die youngWe're gonna die youngWe're gonna die youngLet's make the most of the night, like we're gonna die youngLet's make the most of the night, like we're gonna die young[Verse 2]Young punks takin' shotsStrippin' down to dirty socksMusic up, gettin' hotKiss me, gimme all you gotIt's pretty obvious that you got a crush (You know)That magic in your pants, it's makin' me blush (Fo' sho')[Pre-Chorus]Lookin' for some trouble tonight (Yeah)Take my hand, I'll show you the wild sideLike it's the last night of our lives (Uh-huh)We'll keep dancin' 'til we die[Chorus]I hear your heart beat to the beat of the drumsOh, what a shame that you came here with someoneSo while you're here in my armsLet's make the most of the night, like we're gonna die youngI hear your heart beat to the beat of the drumsOh, what a shame that you came here with someoneSo while you're here in my armsLet's make the most of the night, like we're gonna die young[Outro]We're gonna die youngWe're gonna die youngLet's make the most of the night, like we're gonna die young#dieyoung iIhearyourheartbeattothebeatofthedrums #kesha #lyrics Hearing Loss group https://connect.mayoclinic.org/group/hearing-loss/, I am responding to Mayo Clinic Connect members. Please note the date of last review or update on all articles. You may also benefit from cognitive behavior therapy, a form of talk therapy designed to change the way you think about a problem in order to change your emotional reaction to it and the way you behave toward it. If someone is suffering from a condition causing conductive hearing loss, such as a perforated eardrum or secretory otitis media (glue ear), they tend to be more aware of sounds from inside their . The main symptom of pulsatile tinnitus is hearing a sound in your ears that seems to match your heartbeat or pulse. I keep your heartbeat beating like a drum, give you that good good feeling that you want, for everything youre needing you know im the one. When I take the ear plug out, there is no drumming noise, just the constant ringing noise. One characteristic sound is a ringing in the ears, which can describe buzzing, humming, grinding, hissing, or whistling. Unlike most types of tinnitus, pulsatile tinnitus has a physical source of sound that your ears pick up. Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional. of my life, my life I feel your heart beat, beat, beat Beating right next to me That keep, keep, keep I be feeling like I believe All the things, Heartbeat. Meniere's Disease: https://connect.mayoclinic.org/discussion/menieres-disease-2/ I have been to an internist, two cardiologists, two otolaryngologists. You are dealing with a lot and reducing your distress will help your health. Is this the sort of thing you were. I keep your heartbeat beating like a drum, give you that good good feeling that you want, for everything youre needing you know im the one Open Hi everyone, I've been trying to find the song with the lyrics below. Most of the conditions that cause pulsatile tinnitus can be treated with medication and lifestyle changes. I am very mentally sharp, business professional, and hate to think this is all brought on by stress, please share any news or solutions, the ringing in the left ear is driving me nutz! The outlook for pulsatile tinnitus depends on the underlying cause. A specialist will examine the eyes, head, and neck, and do a hearing test. It may seem simplistic to ask, but what are you doing to try and reduce your stress levels? I keep your heartbeat beating like a drum, give you that good good feeling that you want, for everything youre needing you know im the one Hi everyone, I've been trying to find the song with the lyrics below. These tests let providers see whats happening inside of your head and neck that may cause pulsatile tinnitus. rapid thumping sound in left ear: https://connect.mayoclinic.org/discussion/rapid-thumping-sound-in-left-ear/ High blood pressure. " My Heart Beats Like a Drum (Dum Dum Dum) ", originally released and also known as " My Heart Beats Like a Drum (Dam Dam Dam) ", is the second single by German Eurodance group ATC from their debut album Planet Pop. There are many possible causes of pulsatile tinnitus, but they all stem from circulation issues. Sometimes, changing blood flow is a sign of a serious medical condition. If there are no medical interventions, a person can try several self-management techniques, including: Sound therapy, also called sound enrichment, was originally developed as a form of distraction. One of the otolaryngologists did a scan or two but I was never able to speak to him after them or get any results. Create an account to follow your favorite communities and start taking part in conversations. The single was first released with the title "My Heart Beats Like a Drum (Dam Dam Dam)", but all future releases were dubbed "My Heart Beats Like a Drum (Dum Dum Dum)". Secretory otitis media may be treated with a tympanostomy tube, or grommet. Mayo Clinic Staff. We're doing our best to make sure our content is useful, accurate and safe.If by any chance you spot an inappropriate comment while navigating through our website please use this form to let us know, and we'll take care of it shortly. People can also experience a heightened sensitivity in their auditory pathways, meaning the brain is alerted to normal noises in the blood vessels that it would usually ignore. Last medically reviewed on April 26, 2017, Lipo-Flavonoid is a supplement made of several vitamins that some say can help with symptoms of tinnitus. Most people with pulsatile tinnitus hear the sound in one ear, though some hear it in both. Make an appointment with your doctor if you think youre experiencing pulsatile tinnitus. Healthline only shows you brands and products that we stand behind. They will also ask whether a person has experienced any other symptoms of hearing loss or has been taking medications that list tinnitus as a side effect. Tumors in the head and neck can lead to the development of abnormal blood vessels, which can result in pulsatile tinnitus. You can learn more about how we ensure our content is accurate and current by reading our. PLUS, the latest news on medical advances and breakthroughs from Harvard Medical School experts. My blood pressure seems to be about 10 points higher than it normally would be (maybe stress).