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Doctor insights on: L5 S1 Nerve

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Nerve (Definition)

The brain and spinal cord communicates with what is occurring in the internal organs and limbs by nerve fibers where are like electrical wires with insulation (myelin) and the "copper" (axon). Within brain and spinal cord these nerves connect to other nerves via synapses on both axons and dendrites. A nerve can carry information regarding sensations, and ...Read more


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Can a pinched nerve of the L4, L5, S1, or S2 (racepinephrine) cause difficulty passing stool, i.e., rectum/sphincter won't relax/function properly?

Can a pinched nerve of the L4, L5, S1, or S2 (racepinephrine) cause difficulty passing stool, i.e., rectum/sphincter won't relax/function properly?

?cauda equina syndr.: If you possess a large ruptured disk in the lower back which compresses multiple nerve roots, or if you have lumbar stenosis, this could affect both bowel and bladder, but a localized pinched nerve at the root level otherwise will have not influence on bowel dysfnctn. ...Read more

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65 yo f. 4 mo. Occ. Violent cough, low grade fever, malaise, and occ. Ant. Ha 4/10 . Lives in desert. Neg cocci, ppd, & pertussis. Ebv+age 15. Thanks.

65 yo f. 4 mo. Occ. Violent cough, low grade fever, malaise, and occ. Ant. Ha 4/10 . Lives in desert. Neg cocci, ppd, & pertussis. Ebv+age 15. Thanks.

Complex issue: Chronic cough has many causes. Ask you doctor if reflux could be the cause, and if so, would it be appropriate to do a 48 hour wireless pH study (Bravo device) off medication to see if the cough coreates to reflux episodes. Hope this helps! ...Read more

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20 yo f. Pars defect @ L5 and facet arthritis in l2-l5. Chronic since March. PT, and injections help very little. Bracing doesnt help either. Options?

20 yo f. Pars defect @ L5 and facet arthritis in l2-l5. Chronic since March. PT, and injections help very little. Bracing doesnt help either. Options?

See spine surgeon: A pain doctor can determine if the pars defect is the cause of,pain. If so, then surgery is an option, spinal cord stimulation, and various pain meds can help,this situation. ...Read more

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Sacral herpes - just as contagious ?

Sacral herpes  - just as contagious ?

YES: If the person takes 1 valacyclovir or acyclovir a day she will be less cantagious but not complete protection. This med can also be used at onset of any attack to make it less severe. Herpes virus will be present on the skin sometimes when there are no symptoms. ...Read more

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Results: Hep C quant. : 2,802,680 HCV log10: 6.448. Reflex to genotype was unable to determine genotype even though there was sufficient HCV RNA?

Results: Hep C quant. : 2,802,680 
HCV log10: 6.448. Reflex to genotype was unable to determine genotype even though there was sufficient HCV RNA?

Hepatitis C virus: Sometimes it's not possible to determine the genotype of this virus, which thus makes the expected response to treatment more uncertain. This is a 'slippery virus' -there are 11 major genotypes (designated 1-11), and many subtypes (a, b, c, etc.) A hepatologist (GI subspecialist) or an ID doctor who works with Hep C patients can help you. You'll need an established relationship for treatment... ...Read more

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X-ray results showed- advanced L5-S1 degenerative disc disease, moderate facet in lower lumbar spine, L5-S1 4mm retrolistnesis and moderate sclerosis ?

X-ray results showed- advanced L5-S1 degenerative disc disease, moderate facet in lower lumbar spine, L5-S1 4mm retrolistnesis and moderate sclerosis ?

Worn down: L5-S1 is the lowest motion segment in the spine. The MRI shows that level has become "worn down" leading to degeneration of the disc and the facet joints, sclerosis, and a slight slippage (retro listless) of one vertebrae on the other. Don't hesitate to be seen. Many good treatment options available. ...Read more

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Doctor said that i'm immune to hepatitis b, which is good. This is obviously from being vaccinated? (twinrix 3 injections). Am i 100% safe from hep b?

Doctor said that i'm immune to hepatitis b, which is good. This is obviously from being vaccinated? (twinrix 3 injections). Am i 100% safe from hep b?

Likely: You are nearly 100% immune but there is always a possiblity of losing the immunity. If the doctor thinks that you are immune to hepatitis b is because you were tested for the hb surface antibody and it was present indicating that you are still immune. Precautions should still be taken as necessary and necessitated. ...Read more

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I'm 22, female, type 1 diabetic 20 years & graves disease. Had baby 12/2 & sick for month. Angina, irregular heartrate, syncope, short of breath. Help?

I'm 22, female, type 1 diabetic 20 years & graves disease. Had baby 12/2 & sick for month. Angina, irregular heartrate, syncope, short of breath. Help?

PCP visit: I would suggest having your thyroid function tests obtained, and an evaluation for autoimmune disease. The other test that you should have while you are at the PCP, is an EKG. ...Read more

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I'm 10w pregnant & I've allergy that keeps getting worse sneezing itching ears & throat congestion & the PA told me i can take allegra (fexofenadine) ! Is it safe?

I'm 10w pregnant & I've allergy that keeps getting worse sneezing itching ears & throat congestion & the PA told me i can take allegra (fexofenadine) ! Is it safe?

No Allegra (fexofenadine): Claritin (loratadine) and Zyrtec (cetirizine) are pregnancy category B medications which means that animal reproduction studies have failed to demonstrate a risk to the fetus. I frequently use these medications with my pregnant patients. Allegra (fexofenadine) is category C so I would avoid this medication and stick with the ones listed above. If concerned, talk to OB/GYN about specific medications. ...Read more

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What to do if I have pain around rectal area I was wondering if L5 s1 nerve's travel's to rectal area ?

What to do if I have pain around rectal area I was wondering if L5 s1 nerve's travel's to rectal area ?

See your doctor for: an examination, lots of things can cause this. The rectal area involves the S1 to the S5. Much closer to your anus involves the S4 and S5 nerve. With the coccygeal nerve supplying sensation to the skin on top of the coccyx.Your symptoms maybe unrelated to your spine. If you have changes in your bowel/bladder function, or numbness over your anus/buttock area, then go seek care right away. ...Read more

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Is it normal for me to be having pain around rectal area? I was wondering if L5 s1 nerve's travel's to rectal area ?

Is it normal for me to be having pain around rectal area? I was wondering if L5 s1 nerve's travel's to rectal area ?

Nerve: The l6 and s1 nerves innervates the lower part of the leg and not the rectum. The lower sacral nerves are responsible for the rectum. ...Read more

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What to do if I have been suffuring with lumbar (ddd) pain and what to do if I have been feeling pain around rectal area i was wondering if L5 s1 nerve's travel's to rectal area ?

What to do if I have been suffuring with lumbar (ddd) pain and what to do if I have been feeling pain around rectal area i was wondering if L5 s1 nerve's travel's to rectal area ?

Low back pain: The nerves of the lumbar and sacral spine do travel to the rectal area, Tailbone pain is common with degenerative disc disease (DDD) of the lumbar spine. The collapse and dehydration of the discs leads to a lack of cushioning of the vertebral bodies which leads to pain that transmits into the tailbone. See a spine specialist for relief of the pain. ...Read more