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Warning-sign checks

Spinal cord abscess: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Seek emergency medical care for new or rapidly worsening:

    • Arm or leg weakness
    • Trouble standing or walking
    • Numbness around the genitals, buttocks, or inner thighs
    • Loss of bladder or bowel control
    • Inability to urinate
    • Severe back or neck pain with fever or marked illness

    These symptoms do not always mean there is a spinal abscess, but they can indicate pressure or infection affecting the spinal cord.

    New weakness or bladder or bowel changes require emergency assessment rather than waiting for a routine appointment.

    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Prompt assessment is important.

    If you are already being treated for a spinal abscess, seek urgent advice for returning fever, worsening pain, drainage from a surgical wound, or new tingling or numbness.

Every sign above is quoted from the sofidex article on Spinal cord abscess. If you are not sure, err upward — it is always reasonable to be checked.