Bladder issues affecting lower limb numbness?
Hello Doctor: I have interstitial cystitis, and for the past few months, I have been experiencing numbness in my lower limbs (from the calves to the toes).
When I visited the hospital, I mentioned to the doctor whether this could be related to my interstitial cystitis, but the doctor disagreed and suggested that I see a neurologist.
However, I recently came across a report from a hospital in Taichung stating that "limb numbness and back pain may indicate prostate cancer." I understand that women do not get prostate cancer, but I would like to ask if the numbness in my lower limbs could potentially be related to my bladder condition.
If I want to seek further evaluation, should I visit a gynecologist (who specializes in bladder issues) or a urologist? What tests should be conducted (such as cystoscopy or ultrasound)? Thank you.
Xiao Ke, 20~29 year old female. Ask Date: 2004/04/19
Dr. Zhang Chengye reply Urology
Hello, Xiao Ke: Interstitial cystitis is difficult to diagnose and requires a urological cystoscopy to rule out other causes before a diagnosis can be made.
Lower limb numbness is generally unrelated to this condition.
Sincerely, Dr.
Chang Cheng-yeh, Attending Physician, Urology Department, Hsinchu Hospital, Department of Health, Executive Yuan.
Reply Date: 2004/04/19
More Info
Understanding leg numbness, especially in the context of interstitial cystitis (IC), can be quite complex. Interstitial cystitis is a chronic condition characterized by bladder pressure, bladder pain, and sometimes pelvic pain. While it primarily affects the bladder, the symptoms can sometimes extend beyond the pelvic region, leading to confusion about their origins.
Firstly, it’s important to clarify that numbness in the lower extremities, such as the calves and toes, is not a typical symptom of interstitial cystitis. The numbness you are experiencing could be related to a variety of other conditions, including nerve compression, peripheral neuropathy, or issues related to the spine, such as herniated discs or spinal stenosis. These conditions can lead to symptoms like tingling, numbness, or weakness in the legs.
Your physician's suggestion to consult a neurologist is appropriate, as they can perform a thorough evaluation to determine if there is a neurological cause for your leg numbness. This may include a physical examination, nerve conduction studies, or imaging studies like MRI or CT scans to assess the spine and nerves.
Regarding your concern about prostate cancer, it’s understandable to be worried about potential serious conditions. However, prostate cancer is specific to males, and since you mentioned being female, this would not apply to you. The mention of leg numbness in relation to prostate cancer in the report you read could be a reference to how certain cancers can cause referred pain or neurological symptoms, but it does not directly relate to your situation.
If you are considering further evaluation of your bladder condition, you would typically see a urologist rather than a gynecologist. Urologists specialize in urinary tract disorders and can perform tests such as cystoscopy (bladder scope) or bladder ultrasounds to assess the bladder's condition. They can also evaluate whether your interstitial cystitis is contributing to any other symptoms you may be experiencing.
In summary, while interstitial cystitis primarily affects the bladder, it is unlikely to be the direct cause of your leg numbness. Consulting a neurologist is a wise step to explore the neurological aspects of your symptoms. If you wish to investigate your bladder condition further, a urologist would be the appropriate specialist to consult. They can provide the necessary evaluations and help determine the best course of action for your symptoms.
It’s essential to keep track of all your symptoms and communicate them clearly to your healthcare providers, as this will aid in accurate diagnosis and treatment. Remember, managing chronic conditions often requires a multidisciplinary approach, so don’t hesitate to seek out the appropriate specialists for your concerns.
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