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Neurology (Expert Forum)
Bowel incontinence?
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Bowel incontinence?
by Dee Burt, Nov 17, 2004 12:00AM
The last couple of years I've had a problem with my bowel movements terminating improperly. After I have the bowel movement and "clean up", I have to go back about a half hour later and wash. It doesn't matter how throrough I am the first time, I have more to clean up. If I don't go back, I itch severely. This has been going on for at least 2 1/2 years. When I am finishing the movement, I don't feel the ability to close my rectum. I don't have a problem with leakage after that initial half hour following the movement.
For about a year, I've had a flat shaped stool. It always ranges from a football shaped cross section to pretty much flat. The stools aren't too hard or too soft. I had blood in a stool sample about 10 months ago but I think that was just because I bleed just a little from wiping so frequently.
Other symptoms that may or may not be related are: focal point atrophy in my left anterior thigh (last 3 1/2 years), atrophy in my left calf (last 3 1/2 years), weakness in my left leg, pain in left buttock (last 2 1/2 years), around 100 lipoma in limbs and trunk ranging from 1 to 4 cm (developing over last 3 1/2 years), pulmonary embolism 4 years ago. Difficulty swallowing. None of these have been determined to have a cause. Tests that came up negative: MRI of spine and lower abdoman, EMG twice, colonoscopy, upper endoscopy. Currently taking no medication (1 year)
Question: Could lipoma be causing the nuerological muscular disorders by pressing on a nerve (not detected by MRI). Symptoms are bothersome & increasing, but not dehabilitating. What to do?
For about a year, I've had a flat shaped stool. It always ranges from a football shaped cross section to pretty much flat. The stools aren't too hard or too soft. I had blood in a stool sample about 10 months ago but I think that was just because I bleed just a little from wiping so frequently.
Other symptoms that may or may not be related are: focal point atrophy in my left anterior thigh (last 3 1/2 years), atrophy in my left calf (last 3 1/2 years), weakness in my left leg, pain in left buttock (last 2 1/2 years), around 100 lipoma in limbs and trunk ranging from 1 to 4 cm (developing over last 3 1/2 years), pulmonary embolism 4 years ago. Difficulty swallowing. None of these have been determined to have a cause. Tests that came up negative: MRI of spine and lower abdoman, EMG twice, colonoscopy, upper endoscopy. Currently taking no medication (1 year)
Question: Could lipoma be causing the nuerological muscular disorders by pressing on a nerve (not detected by MRI). Symptoms are bothersome & increasing, but not dehabilitating. What to do?
Doctor's Answer
by CCF-Neuro-M.D.-CS, Nov 21, 2004 12:00AM
It would be reasonable to have another evaluation at a large academic center. Lipomas can cause neurologic symptoms related to compression of nerves or the spine. A MRI of the spine, abdomen, and possibly the thighs should be able to answer this question. If these are normal or negative then it is unlikely to be related to nerve compression from a lipoma. Without examining you and reviewing your tests it is diffcult to determine what additional testing may be helpful. Good luck.
