This Neurology & Neurosurgery forum is for questions and information regarding Rheumatoid Arthritis Neurology & Neurosurgery conditions and symptoms. All questions will receive a personal answer from a medical expert.
I have been diagnosed with neurogenic bladder (retention 150-200 cc and had urodynamics) and bowel dysfunction. I cannot feel the need to go, have chronic constipation and something about the "squeeze reflex" being absent (I had a manometry). I was sent to a neurosurgeon for evaluation and he said because of the lack of loss of pereaneal sensation, there is no way it can be a spinal cause. I feel as though my left leg is heavy and I did fall off a pony several years ago that left a huge bruise on my left hip. My pelvis was x-rayed at that time, but they said it was fine. A couple of years later, I had another x ray (may have been having hip pain) and the nurse called me over and showed me the xray and a line that looked like a fracture. Is it true that a lack of loss of perineal sensation means that the problem can't be in my spine? They kept telling me I may have MS and I have had several negative MRIs of the brain. Thank you for your help.
Many thanks for the post and allowing me to guide you.
Peri-anal sensations are not lost very easily. These should be some damage to the sacral nerves, which can lead to this.
Else MS or other form of inflammatory neural disease (like transverse myelitis / etc) can be a cause of it.
I would suggest you to go for MRI Lumbo-Sacral spine as already brain MRI is done.
Hence the need for the LS spine MRI is must as if any sacral nerve problem is present, it would be surely be identifies in that MRI (X-Ray can't really identify the nerve involvement).
Feel free to discuss further after the MRI.
My apologies, I forgot to mention that I had an MRI of the lumbar spine. It only showed a mild bulge at S4-S5. The neurologist's report said it clearly was not big enough to explain my bowel and bladder symptoms. What would you recommend next?
Copyright 1994-2016 MedHelp International. All rights reserved.
MedHelp is a division of Aptus Health.
This site complies with the HONcode standard for trustworthy health information.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.