If i have a spinal headche, do i need to get the blood patch? what if i don't get it? what can i do?

If the: Headache is a true spinal headache you will want a blood patch ASAP. If not severe. You can wait it out. But true spinal headache is very uncomfortable

Spinal headaches: will usually resolve in time, but can be VERY severe at times. If the leak does not seal on its own, it can lead to complications. I would take recommendations of doctor about whether to get the blood patch. Also if the headache is worse after first 2 - 3 days, instead of better with rest and fluids, I would strongly consider the blood patch. When done correctly the relief is almost immediate.

Increase fluids: Also try to lay still for a few hours to allow for the hole to close. The blood patch is an option. Call ahead to let the hospital know if you are coming in for this.

If: You have associated visual or auditory symptoms you should be examined and probably have a blood patch. Otherwise the headache is self limited and can be treated with analgesics and supine position. But blood patch is very effective with limited risks. You should be able to find an anesthesiologist to do the blood patch.