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Cauda equina syndrome or MS relapse

Hello...I have a question. For 3 days now, I have been experiencing numbness in the inner thigh, part of the buttock, and right groin area, as well as difficulty with bowel movements (constipation). I have been having issues with my lumbar spine and sciatic area for weeks, with pain that sometimes radiates from my hip to my knee, as well as occasional pulling in the groin. I have read about cauda equina syndrome and I am very worried. I wanted to know if the symptoms of the syndrome are accompanied by severe back pain and bladder and bowel problems, or if they occur one after the other. However, I also have multiple sclerosis, and my last relapse was only 3 months ago. A year ago, I had an MRI of the lumbar spine which showed dorsomedial disc protrusion at the L5/S1 level between the roots without radicular impingement in the image. In the MRI of the thoracic spine 3 months ago, it stated...the discs largely close to the vertebral body edge. No definite prolapse. Thank you in advance for your response.

Dr. med. Frauke Gehring

Good evening,

A cauda equina syndrome does not necessarily have to be accompanied by severe back pain, so it is quite possible that the protrusion has turned into a prolapse, a herniation. You should seek urgent neurological consultation if the bowel problems are not only due to constipation, but also involve a "control problem" with bowel emptying, or if there are also problems with urination.
Please contact your treating neurologist immediately tomorrow! An MRI can show what the cause of your symptoms is.

I wish you all the best!

Warm regards, Dr. Höllering

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Experte für Neurology

Dr. med. Frauke Gehring

Dr. med. Frauke Gehring

Arnsberg

Staatsexamen 1984 in Kiel, seit 1992 in eigener Praxis niedergelassen. Onlineberatung seit 2001 bei Almeda, Focus (als ärztliche Leiterin), Onmeda, Bild der Frau. Moderatorin, Dozentin für medizinische Themen.

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