Lumbar disc herniation causing nausea and vomiting

Lumbar disc herniation will not cause nausea and vomiting, but the symptoms caused by lumbar disc herniation are more serious than nausea and vomiting. First, it will cause lumbar deformation and affect the patient's mobility. At the same time, it will often be accompanied by lumbar pain, numbness and swelling, and it may even be difficult to have normal activities, so it will affect life and work.

Symptoms and signs

1. Clinical symptoms of lumbar disc herniation The clinical symptoms can vary greatly depending on the location and size of the nucleus pulposus herniation, the sagittal diameter of the spinal canal, pathological characteristics, body condition and individual sensitivity. Therefore, the recognition and judgment of the symptoms of this disease must be fully understood and inferred from the perspective of its pathophysiology and pathological anatomy. The common symptoms of this disease are described below.

(1) Low back pain: More than 95% of patients with lumbar disc herniation have this symptom, including those with vertebral disc herniation.

① Mechanism: It is mainly due to the degenerated nucleus pulposus entering the vertebral body or the posterior longitudinal ligament, causing mechanical stimulation and compression to the adjacent tissues (mainly nerve roots and sinus-vertebral nerves), or due to the overflow of glycoproteins and β-proteins in the nucleus pulposus and the release of histamine (H substance), which stimulates the adjacent spinal nerve roots or sinus-vertebral nerves and causes chemical and/or mechanical radiculitis.

②Manifestations : Clinically, persistent dull pain in the lower back and back is the most common, which is relieved in the supine position and aggravated when standing. It is generally tolerable and allows moderate waist movement and slow walking. It is mainly caused by mechanical compression. The duration can be as short as 2 weeks or as long as several months or even years. Another type of pain is a spasmodic pain in the waist, which not only occurs suddenly,

And many of them are unbearable and require bed rest. This is mainly due to ischemic radiculitis, that is, the nucleus pulposus suddenly protrudes and compresses the nerve roots, causing the blood vessels at the roots to be compressed at the same time, resulting in a series of changes such as ischemia, congestion, hypoxia and edema, which can last for several days to several weeks (this symptom may also occur in people with spinal stenosis, but the duration is very short, only a few minutes). Lying on a plank bed, blockade therapy and various dehydrating agents can help relieve the symptoms early.

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