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Doctor insights on: Blood In Spinal Tap Fluid

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What to do if I have a question involving a spinal tap blood patch?

What to do if I have a question involving a spinal tap blood patch?

Always ask doctor!: Never consent to any procedure unless all your questions have been answered. A blood patch is usually done to treat headache caused by a spinal tap, or occasionally by an epidural. The blood patch stops the leak of spinal fluid that causes the headache. Usually, this is done by a physician anesthesiologist who will be happy to answer any questions about it. ...Read more

Dr. Dariush Saghafi
387 Doctors shared insights

Lumbar Puncture (Definition)

To test for meningitis or multiple sclerosis or a variety of problems, a small needle is inserted into the lumbosacral cistern to obtain spinal fluid for testing ...Read more


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Spinal tap headache. What's a blood patch?

Spinal tap headache. What's a blood patch?

And: Many patients get immediate relief during the injection. We think this might be by compressing the dural sac. It merely a matter of pressure gradients. Make the pressure greater outside the leak and the leak slow down or stops. As long as your brain is making more CSF than lost, the headache stays away. For technically challenging patient anatomy, sometime fluroscopy is used to guide the procedure. ...Read more

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Very ill after normal spinal tap and and follow up epidural blood patch. What could it be?

Very ill after normal spinal tap and and follow up epidural blood patch. What could it be?

Postdural puncture: This sounds like you had a postdural puncture headache, which is a headache that improves after lying down. Bed rest, fluids and caffeine usually resolve the problem after several days, but sometimes a blood patch is needed to fix the issue. ...Read more

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I just had a spinal tap for ms. I also had blood drawn at the same time. What are the looking when comparing the spinal tap and blood?

I just had a spinal tap for ms. I also had blood drawn at the same time. What are the looking when comparing the spinal tap and blood?

Oligoclonal bands: The number of bands present within the spinal fluid is compared to those in the blood, and a substantial difference may be confirmatory of MS ...Read more

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Spinal headache due to spinal tap, a blood patch was given. The headache was gone and is now returning. What should be done?

Spinal headache due to spinal tap, a blood patch was given. The headache was gone and is now returning. What should be done?

Spinal headache: After a spinal tap or lumbar puncture, patients can suffer low pressure or spinal headaches due to persistent leakage of spinal fluid through the puncture site. The usual treatment is to lay flat and drink fluids. Occasionally a blood patch is required to stop the headaches. Rarely, a second blood patch is required. Check with the physician to determine if the headaches are spinal in origin. ...Read more

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I continually feel flu symptoms, spinal tap and all blood panels normal. Dr suspects fibromyalgia. Any other tests I should ask for?

I continually feel flu symptoms, spinal tap and all blood panels normal. Dr suspects fibromyalgia. Any other tests I should ask for?

Vits and harmonies: Check your bit B, Vit D levels. Check Iron levels and also check a full thyroid panel as well as your hormones ...Read more

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I had a spinal tap about 15 days ago. Then a blood patch 13 days ago. Since the patch, my symptoms have gotten worse. Headache, pain in neck.

I had a spinal tap about 15 days ago. Then a blood patch 13 days ago. Since the patch, my symptoms have gotten worse. Headache, pain in neck.

See a Neurologist: Post spinal HA should not persisted that long and usually responded well with a patch. Make sure you are not dehydrated and drink>3 liters of water daily. Also try drinking coffee few times a day. You also should follow up with neurologist to rule out rare condition like slow meningeal leak or increase intracranial pressure. ...Read more

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Constant flu symptoms but normal blood work, could a recent spinal tap have triggered fibromyalgia or something else?

Constant flu symptoms but normal blood work, could a recent spinal tap have triggered fibromyalgia or something else?

Doubtful: I don't think a spinal tap would trigger these symptoms. Did you have the spinal because you were having headaches or other neurological symptoms? If so then I would attribute the flu-like symptoms to the illness and not the tap. Have you had your bloodwork checked? First place to start trying to feel better is your diet - cut out all "white" or processed foods; eat 5-6 small meals a day. ...Read more

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Can a progressive case of dementia be determined by a spinal tap, blood testing, or an MRI during very early onset or at all?

Can a progressive case of dementia be determined by a spinal tap, blood testing, or an MRI during very early onset or at all?

Assessment: There should be an extensive workup for patients who exhibit signs of dementia, which includes a number of different diagnostic tests, which may include a lumbar puncture, blood tests and imaging. A neurologist would be appropriate to consult if this is a question. ...Read more

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5 months after spinal tap & blood patch. They had to stick me several times. I'm still having severe back, neck pain and migranes. What should I do?

Be reevaluated: I would certainly be reevaluated. What it would really come down to is the specific cause of your problem; which may be why they did the spinal tap in the first place. Don't hesitate to seek a second opinion, if they seen to have trouble getting a specific diagnosis. Sometimes a fresh set of eyes can be very helpful. ...Read more

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Had spinal tap. O bands were found in CSF and not blood sample. IgG Index, CSF was 1.20. Does this tell how many bands? Says MS or another disease?

Had spinal tap. O bands were found in CSF and not blood sample. IgG Index, CSF was 1.20. Does this tell how many bands? Says MS or another disease?

Get diagnosed: The spinal fluid may well be consistent with an immune mediated disorder, but MS is a clinical diagnosis based on history, exam, and MRI patterns. Your neurologist should readily be able to sort out these findings. And no, you do not list the number of oligoclonal bands. ...Read more

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Had spinal tap plus two blood patch. I'm still having bad headaches along with pain in my neck & along a back. Its been going on for a week. I need he?

Seek medical help.: You should go to the emergency room the a major medical center if these problems are still occurring. ...Read more

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I had a spinal tap and a blood patch and am now running a fever and having severe pain in my hips?

I had a spinal tap and a blood patch and am now running a fever and having severe pain in my hips?

ER: I do not know what time frame is but you should go to the ER and be evaluated. Your back plus a thorough neurological exam should be done, along with blood work. ...Read more

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I had a spinal tap done and the red blood cell count in CSF was 2000+ marked as elevated. What does this mean? It should be 0 accordinh to sheat

I had a spinal tap done and the red blood cell count in CSF was 2000+ marked as elevated. What does this mean? It should be 0 accordinh to sheat

Bloody tap or bleed: Since you're able to type this question coherently, I gather that your health didn't suffer after the lumbar puncture, so that would probably rule out a cerebral bleed (hemorrhage) as a cause of the blood cells in CSF. Most likely the RBCs came from a "bloody tap" - trauma to blood vessels of the back from the needle. Normally, no vessels are damaged, but doctors are not perfect! Hope all is well. ...Read more

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Spinal tap 5 days ago. Laid flat for 48 hrs. Drank caffeine. Headache even lying down, dizzy standing. Will go away on own or need blood patch & when?

Not typical: To have a headache even lying down if its due to CSF leak. Why did you get the tap? You need to be evaluated though to make the correct diagnosis. ...Read more

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Would an IgG blood test for toxoplasmosis be useful for diagnosing spinal toxoplasmosis, or would spinal fluid from lumbar puncture be needed?

Would an IgG blood test for toxoplasmosis be useful for diagnosing spinal toxoplasmosis, or would spinal fluid from lumbar puncture be needed?

Spinal fluid.: A serum igg test that was positive would show that you had been exposed to toxoplasmosis sometime in your life - not necessarily current infection. A culture of spinal fluid would be definitive. ...Read more

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How high does a fever have to be to take a 3 month old back to the emergency room? Just left the emergency room at 10pm last night they done a spinal tap and blood work and urine test. He is only three months old I can not give any tylenol fever is 99.9

How high does a fever have to be to take a 3 month old back to the emergency room? Just left the emergency room at 10pm last night they done a spinal tap and blood work and urine test. He is only three months old I can not give any tylenol fever is 99.9

Assuming: Assuming the er physician felt your infants fever was due to a viral illness, you can observe at home if your infant is alert, eating well, having his usual number of wet diapers every few hours, no breathing difficulty and not fussy or irritable. 99.9 is not considered a fever. No need to give tylenol (acetaminophen) for 99. Always call your regular physician to see if a trip to the er is needed. ...Read more

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Chronic high white blood cell count for 2 years, from 11k to 32k, have had many blood test, IV pic, bone marrow test, spinal tap, all negative?

Chronic high white blood cell count for 2 years, from 11k to 32k, have had many blood test, IV pic, bone marrow test, spinal tap, all negative?

Test: Iif there is other symptom related (unintentional weight loss, bleeding, abdominal pain etc). - consider to get imaging- ct scans. Also cancer screening- colonoscopy, papsmear, mammogram etc
if you smoke- please quit smoking. Also sometimes medication can increase WBC - although usually not more than 15k.
What is the WBC differential? ...Read more

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Feel constant flu symptoms. Had normal spinal tap, normal blood panels, vit b, vit d, thyroid, and hormones. What doctor to see next to check further?

Feel constant flu symptoms. Had normal spinal tap, normal blood panels, vit b, vit d, thyroid, and hormones. What doctor to see next to check further?

Flu symptoms: You need to specify what symptoms you are referring to and to detail the results of the lab tests and what has been found on your physical exams. See a good family practitioner, general internist or infectious disease specialist. Write down all prior symptoms and findings and bring it with you. Good luck. ...Read more

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Dr said viral meningitis poss diagnosis. I asked to get blood counts instead of spinal tap. Now I have rash but blood tests are normal. Can it still be bacterial? Results att. Files. Do I really need a spinal tap? Still as ill but meds help nerve pain

Dr said viral meningitis poss diagnosis. I asked to get blood counts instead of spinal tap. Now I have rash but blood tests are normal. Can it still be bacterial? Results att. Files. Do I really need a spinal tap? Still as ill but meds help nerve pain

? Meningitis: The diagnosis of Meningitis is made based on symptoms (Headaches, mental changes, Neck stiffness) associated with changes in the spinal fluid reflecting inflammation of the meninges. If you have the above symptoms, then a spinal tap is recommended.
Where is your pain (? nerve pain?) located? ...Read more

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Regular body aches and flu symptoms. Neg spinal tap, neg thyroid tests, neg blood panels, some low platelets, always feel sick and no idea what to do?

Regular body aches and flu symptoms. Neg spinal tap, neg thyroid tests, neg blood panels, some low platelets, always feel sick and no idea what to do?

You need a good Doct: You need a complete History and physical examination done by an internist (have you consulted one yet?). Send us the actual reports of any abnormal blood tests, like platelets which you are concerned about. If your appetite and weight are normal, you are likely to have no serious disease. Sometimes you have to just ignore minor aches & pains and do daily exercise. That in my book is the best medici ...Read more

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Is it possible to have seizures as the result of taking Micardis (telmisartan) & norvasc? Have had extensive work up : ecg's, mri, mra, spinal tap, blood work, etc. All negative

Is it possible to have seizures as the result of taking Micardis (telmisartan) & norvasc? Have had extensive work up : ecg's, mri, mra, spinal tap, blood work, etc. All negative

Micardis (telmisartan): Micardis (telmisartan) and Norvasc (amlodipine) are medications used to reduce blood pressure. It would be unusual for them to cause seizures. Both medications can cause dizziness and fainting, and fainting (or syncope) is sometimes associated with convulsion ("convulsive syncope"). ...Read more