Doctor insights on:
Tests For Neurogenic Shock
Neurogenic shock: The main way to treat neurogenic shock arising from spinal cord injury is IV fluid replacement and a drug called neosynephrine (phenylephrine) (yes, same as the nose spray). IV neo causes the peripheral blood vessels to constrict and can improve blood pressure. Stabilizing the spine is also important. ...Read more
Shock is a condition in which a person cannot circulate enough blood (carrying oxygen & nutrients) to the vital organs in the body. If shock persists, various parts of the body will stop working, and the person will die. Causes of shock include injuries, excessive bleeding, heart failure, infections, chemical imbalances, ...Read more
What is a typical timeline from injury to neurogenic shock to death? Do shock symptoms ever present and then go away until multiple organ failure?
Timeline from: Insult or injury to shock and death or recovery depends on various factors including the physical condition of the individual and contributing factors - presence or absence of hypertension, diabetes , kidney / heart problems etc. It may be from hours to days. Recovery is possible if the body responds to treatment. God bless u! ...Read more
Urodynamics: Urodynamics refers to the process of testing the bladder for its ability to accommodate filling, the pressure at which it does so, symptoms that filling may cause as well as evaluating flow rate and leakage, if any. This can be done in a relatively simple fashion in the office, or in a more sophisticated clinic setting with video and fluoroscopic information added to the basic information above. ...Read more
After a urodynamics test my doctor said I was not feeling the bladder contractions while it was being filled. Is this called a neurogenic bladder?
Wrong dx? Having UTI sx, urgent care tried u/a, but pyridium (phenazopyridine) caused test inconclusive. Culture shown neg for uti.3 blown lumbar discs. Neurogenic?
See a urologist: It is possible that you have a neurologic issues affecting your bladder function as a result of the herniated discs. You need to see a urologist so that the appropriate tets may be done. These tests may include further urine tetsing as well as a sonogram of the kidneys and bladder. Ultimately, you may need urodynamics testing to determine your bladder function. This may also help direct therapy. ...Read moreSee 1 more doctor answer
Managed yes: Nb is a permanent condition. Tempoary neurogenic-like symptoms can be present with bruising or compression of spinal cord, spinal meningitis or multiple sclerosis. A chinese physician has reported some success in curing some cases of nb by splicing normal nerves to bladder nerves. Otherwise considered not curable and treated by intermittent catheterization, artificial urinary sphincter implant etc. ...Read more
Essentially no.: Bruising of spinal cord can cause temporary neurogenic bladder which resolves spontaneously. Occasional cure has been reported by nerve transfer and anastomosis and is a possible hope for the future. Urinary incontinence can be managed in most cases by intermittent catheterization, with or without medication, artificial urinary sphincters, bladder augmentation or urinary diversions etc. ...Read more
It is treatable: The first line agents to manage neurogenic bladder, or more specifically, detrusor overactivity, are anticholinergic medications such as oxybutinin or tolterodine. Ultimately, if no benefit is gained from these medications, a trial of onabotulinumtoxina (botox) injections in the bladder wall may be tried and has been found to control the symptoms of incontinence for up to a year. ...Read moreSee 2 more doctor answers
Possibly: If the onset is very recent and is due to nerve compression that can be reversed it may be curable with surgery. An example is an acute lumbar disc herniation that causes neurogenic bladder. If the condition is chronic it is less likely to respond to treatment though it still may. In chronic cases treatment usually focuses on managing the problem and may include self catheterization. ...Read moreSee 1 more doctor answer
- Talk to a doctor live online for free
- Neurogenic shock causes
- Treatment for neurogenic shock
- Neurogenic shock emedicine
- Ask a doctor a question free online
- Neurogenic shock signs and symptoms
- Tests for anaphylactic shock
- Neurogenic diet
- Neurogenic cyst
- Spinal shock vs neurogenic shock