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Question
Hello doctor,
6 months ago, I had an accident, so my 5th and 6th cervical spinal cord was contusion, so it affected walking and hygiene, now it is better. However, since the accident until now, I have not been able to defecate and I have no symptoms of needing to defecate, every time I have to have someone to help me, so it is very inconvenient. I hope the doctor will tell you what to do when you lose the feeling of feeling sad to defecate after a cervical spinal cord injury? Thank you.
Bui Van Quang (1980)
Answer
Answered by Specialist Doctor II Nguyen Xuan Ninh - Emergency Resuscitation Department, Vinmec Central Park International General Hospital.
Hello,
With the question “What should I do if I lose the feeling of feeling sad to defecate after a cervical spinal cord injury? ”, the doctor would like to answer as follows:
Symptoms of vertebral and disc pain from C5-C6 can occur suddenly after an injury or increase gradually over a period of time. Often, the patient may feel a dull or sharp pain in the back of the neck. The patient's neck may have limited range of motion. A crackling sound can be heard when the neck is moved.
Compression of spinal nerves C5, C6 can cause other symptoms such as: Pain in the shoulder, arm, forearm, hand, thumb and index finger; Pain may increase with arm or neck movement. Sometimes, the pain can also radiate from the neck down the arm. Numbness on the outside of the forearm, thumb, and index finger. Weakness in the shoulders, elbows, and wrists, often affecting movement of these joints.
In addition, spinal cord injury at C5-C6 can cause pain, weakness, or paralysis in the arms and/or legs, which can cause bowel and bladder paralysis or breathing problems in some cases.
Currently, you can't defecate, there is no feeling of need to defecate, it is likely that you have complications of cervical spinal cord injury C5,6 causing intestinal paralysis, decreased bowel movements, possibly due to decreased bowel movements. autonomic and involuntary reflexes in excreting stools. However, the problem of paralytic ileus can also be caused by a number of other causes (eg, electrolyte disturbances, ...). You should see a specialist for an accurate diagnosis and treatment instructions.
If you still have questions about the loss of feeling of needing to defecate after cervical spinal cord injury, you can go to a hospital under Vinmec Health System for an examination. Thank you for trusting and sending questions to Vinmec. Wishing you lots of health.
Best regards!
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