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Dr. Andrew Rynne

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Constant Headache After Getting An ESI In Spine. Abdominal Bloating. Any Solution?

I had an ESI ( L5-S1 area) one week ago. I have been experiencing a constant headache non-stop for 5 or 6 days now. I shared this with my physician; she did not have much to say other than it will go away. Advil / Tylenol are not helping. I am also feeling abdominal bloating. I feel full even when I am hungry. My gut is distended.
1. Should be be seriously concerned with the headache and bloating?
2. Is there something I can do to resolve these issues?

Thank you,
Steven
Tue, 16 Apr 2013
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Neurologist,  's  Response
Hi,



Thank you for posting your query.

There is a possibility of dural tear while doing the ESI (epidural injection), which leads to leakage of cerebrospinal fluid (CSF). This in turn leads to low pressure headache. Most likely, you are suffering from this condition. Typically, this headache is worse on sitting or standing and is less severe on lying down. It is a self-limiting condition and subsides in a week or so. Adequate hydration (drinking plenty of fluids and juices) are helpful.

There is no need to worry at present.

Please get back if you require any additional information.



Best wishes,



Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)

Senior Consultant Neurologist

Apollo Hospitals, Hyderabad,

My personal URL on this website: http://bit.ly/Dr-Sudhir-kumar

My email: drsudhirkumar@yahoo.com
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Constant Headache After Getting An ESI In Spine. Abdominal Bloating. Any Solution?

Hi, Thank you for posting your query. There is a possibility of dural tear while doing the ESI (epidural injection), which leads to leakage of cerebrospinal fluid (CSF). This in turn leads to low pressure headache. Most likely, you are suffering from this condition. Typically, this headache is worse on sitting or standing and is less severe on lying down. It is a self-limiting condition and subsides in a week or so. Adequate hydration (drinking plenty of fluids and juices) are helpful. There is no need to worry at present. Please get back if you require any additional information. Best wishes, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad, My personal URL on this website: http://bit.ly/Dr-Sudhir-kumar My email: drsudhirkumar@yahoo.com