[27F] With worsening lower back pain and associated symptoms
Patient Description
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Arora's Assessment
What might be happening
Based on your symptoms, there are a few possibilities to consider:
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Cauda Equina Syndrome: This is a serious condition where the bundle of nerves at the end of the spinal cord is compressed. Symptoms can include severe lower back pain, numbness or tingling in the legs, urinary retention, and difficulty with sexual function. This requires immediate medical attention to prevent permanent damage.
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Herniated Disc: A disc in your spine may be pressing on nerves, causing pain that radiates down your legs and affects your knee. This can also lead to numbness and tingling.
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Sciatica: This occurs when the sciatic nerve is irritated, often due to a herniated disc or spinal stenosis, leading to pain that radiates from the lower back down the legs.
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Medication Side Effects: Lexapro can sometimes affect sexual function, which might explain the difficulty in reaching orgasm.
What you can do
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Seek Immediate Medical Attention: Given the possibility of cauda equina syndrome, it's crucial to see a healthcare provider or visit an emergency room as soon as possible. This condition can lead to permanent nerve damage if not treated promptly.
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Avoid Strain: Try to avoid activities that worsen your pain, and consider taking breaks during long work hours to stretch and move around.
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Document Symptoms: Keep a record of your symptoms, including when they occur and their severity, to help healthcare providers with diagnosis and treatment.
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Discuss Medications: Talk to your doctor about the side effects of Lexapro, especially if it's affecting your quality of life.
Please remember, this information is not a substitute for professional medical advice. It's important to consult with a healthcare provider for a proper diagnosis and treatment plan. If your symptoms worsen or you experience new symptoms, seek medical help immediately.
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6 mo ago