Sudden Stomach Discomfort and Constipation After Neck Injury: Is It Serious? - Neurosurgery

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Sudden stomach discomfort and constipation?


Hello Dr.
Ding, I injured my neck four months ago, and due to numbness and weakness in my arm, I underwent an MRI.
At that time, there was a slight herniation between the C5 and C6 vertebrae, but the doctor said it wasn't serious and that rehabilitation should help.
After about a month of therapy, one day, the numbness and weakness in my arm suddenly disappeared.
However, I then experienced two weeks of stomach discomfort and constipation, and after bowel movements, my sphincter felt strange.
I would like to ask if this situation could indicate that a large herniated disc is compressing my spinal cord?

Xiao Tu, 20~29 year old female. Ask Date: 2011/10/29

Dr. Ding Xianwei reply Neurosurgery


Due to incomplete information, we are unable to make a judgment.
We recommend that you bring your records to our outpatient clinic for further understanding.

Reply Date: 2011/10/29

More Info


It sounds like you are experiencing a concerning set of symptoms following your neck injury and subsequent diagnosis of a cervical disc herniation at the C5-C6 level. The sudden onset of stomach discomfort and constipation, especially after a history of neurological symptoms like arm weakness and numbness, warrants careful consideration.

Firstly, it is important to understand that cervical disc herniations can lead to a variety of neurological symptoms depending on the severity and location of the herniation. While your initial symptoms were primarily related to your arms, the cervical spine also plays a crucial role in controlling other bodily functions, including those related to the autonomic nervous system, which governs involuntary actions such as digestion.

The fact that you experienced a sudden resolution of your arm symptoms followed by gastrointestinal issues could suggest a few possibilities. One potential explanation is that the herniated disc may be exerting pressure on the spinal cord or nerve roots, which can lead to a cascade of neurological effects. In some cases, compression of the spinal cord can lead to dysfunction in the autonomic nervous system, which could manifest as gastrointestinal symptoms like stomach discomfort and constipation.

Constipation, in particular, can be linked to nerve dysfunction. The nerves that control bowel function originate from the lower part of the spinal cord, and if there is any disruption in the nerve pathways due to a cervical issue, it could potentially affect bowel motility. Additionally, the discomfort you are feeling in your stomach could be a result of altered bowel function or even referred pain from the cervical region.

It is also worth noting that stress and anxiety related to your injury and symptoms can exacerbate gastrointestinal issues. The body’s response to stress can lead to changes in gut motility, potentially resulting in constipation or discomfort.

Given your symptoms, it is crucial to consult with a healthcare professional who can perform a thorough evaluation. This may include imaging studies, such as an MRI of the cervical spine, to assess whether there has been any progression in the herniation or if there are any new developments that could be contributing to your symptoms. Additionally, a referral to a neurologist or a specialist in spinal disorders may be beneficial to determine the best course of action.

In the meantime, consider implementing some lifestyle changes that may help alleviate your gastrointestinal discomfort. Increasing your fiber intake, staying well-hydrated, and engaging in regular physical activity can promote bowel health. If you are experiencing significant discomfort or if your symptoms worsen, do not hesitate to seek immediate medical attention.

In summary, while your cervical disc herniation may not have initially seemed severe, the emergence of gastrointestinal symptoms could indicate a more complex interplay between your neck injury and your overall health. A thorough evaluation by a medical professional is essential to rule out any serious complications and to guide you toward appropriate treatment options.

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