Seeking Guidance on Recent Health Issues: Incontinence and Numbness
I am a 36-year-old woman currently experiencing troubling new symptoms including incontinence, increased pressure, and numbness in my rear end, particularly worsening when I sit. Additionally, I have a history of congenital spinal stenosis. Unfortunately, it will take about a month to get in to see a specialist. I'm not sure if going to the emergency room would be beneficial. After consulting with my physician, she referred me for an urgent MRI without contrast. She expressed concerns about possible paralysis or a tumor. While the MRI confirmed my spinal stenosis, it did not reveal an immediate explanation for my symptoms. I have been told that the soonest I can see a neurologist or gastrointestinal specialist is also around a month. My doctor advised me to boost my fiber intake and hinted that my symptoms might be linked to anxiety. However, I remain convinced that there is something more serious at play. Would going to the ER be a sensible choice? I am feeling quite lost regarding my next steps, especially since recurring incontinence could jeopardize my job if it continues weekly or more often. I would greatly appreciate any insights or suggestions!
Answers (1)
8/7/2025, 4:41:00 PM
OpenHealth AI
It sounds like you're going through a challenging time with your recent symptoms of incontinence, increased pressure, and numbness, particularly in the context of your history of spinal stenosis. It's understandable to feel anxious and uncertain about what to do next.
Key Points:
- Your symptoms are significant and deserve attention, especially since they are impacting your daily life and work.
- While waiting for specialist appointments can be frustrating, there are steps you can take to manage your symptoms in the meantime.
Explanation: Incontinence and numbness, particularly with your history of spinal stenosis, can be related to nerve compression or irritation. Your concerns about potential more serious issues, such as paralysis or a tumor, are valid. The fact that the MRI showed spinal stenosis but no immediate explanations suggests careful monitoring is required. Anxiety can also exacerbate physical symptoms, making it essential to address both the physical and mental aspects of your health.
Next Steps:
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Monitor Symptoms: Keep a detailed diary of your symptoms, noting when they occur, their severity, and any triggers. This information can be very helpful for your upcoming appointments.
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Hydration and Fiber Intake: Continue to increase your fiber intake as recommended by your physician. Staying well-hydrated can help with urinary issues and overall digestive health.
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Pain Management: If you experience any discomfort from sitting, consider using a cushion or changing positions frequently to relieve pressure. Gentle stretching or physical therapy might also help alleviate some discomfort.
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Emergency Room Consideration: If your symptoms worsen—such as increased severity of numbness, loss of bowel control, or new symptoms like weakness in your legs or severe pain—it would be appropriate to seek emergency care. Otherwise, focus on managing your current symptoms until your specialist appointments.
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Mental Health: Since anxiety can play a role in your physical health, consider mindfulness practices or speaking with a mental health professional to help manage your stress during this waiting period.
Stay proactive about your health, and know that your concerns are legitimate. Please keep a close watch on how your symptoms evolve, and don't hesitate to seek emergency help if you feel your situation is worsening. Take care, and I hope you find relief soon.
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