Doctor insights on:
What Happens If A Lumbar Puncture Is Done Too High
If Steroid: Was gonna be used for the injection, your blood pressure becomes an issue. Steroid medication can raise your blood pressure, so if its too high already than you may be at risk for a stroke due to raising the blood pressure even more. If you are not optimized on your blood pressure medication, talk with your PCP about how to fix this. Once controlled you should be able to get the injection. ...Read moreSee 3 more doctor answers
What is success.On a spinal fusion rather then replacement is the procedure same amount risky? I'm scared by I do need one
Insulin: If you manage your diabetes with insulin, then you should have a fast-acting (like regular) and instructions on how many units to inject for a given sugar level. If not, and otherwise healthy, lots of clear liquids (sugar-free only please!) can also lower your sugar via washout in urine. It won't go too low, as kidneys only "spill" sugar if >200 or so. ...Read more
Is a hysterectomy necessary due to a low laying placenta. Am only 26, what can be done to avoid that procedure...
??? not enough info: If u have not had a csection then u would need a csection if the placenta is over the opening or within 2 cms of it, if u have had a previous csection then if the placenta stays there u may need a csection hysterectomy if u have what is called a placenta acrreta please discuss with your OB sometimes other procedures can be done to avoid the hysterectomy, like uterine artery embolization. ...Read more
I am having a thoracic epidural done this next week. Are these types of epidurals safe esp if a person is already falling a lot&if the hernia is bad?
Steroid: Thoracic epidural (steroid) is technically more difficult than lumbar but still safe in experienced hands. Image guidance, like fluoroscopy, makes the procedure easier. You may want to get a spine surgery opinion if you are having weakness or poor control of your bowel or bladder (especially with a severe disk herniation). Good luck. ...Read moreSee 1 more doctor answer
In typical blood work results what would be too high or too low if ive been exposed to toxic mold? What does it mean when chloride is high?
Best test for: any type of Mold exposure is a RAST Respiratory Allergy panel with IGE. It's a blood test your doctor can order. ...Read more
How do I know if it is a bone spur or if it is a bulging disc that is impinging a nerve root? I have both with moderate foraminal stenosis in C6/7
The CT/MRI CAN TELL: A compression of a nerve root in the neck can be caused by different problems; generally the imaging studies can determine the specific reason. The CT is better at defining bony contours and can generally tell if a spur is compressing a nerve (or not). The MRI is better at defining soft tissue contours and would be able to determine if a disc (soft tissue) is compressing a nerve. ...Read moreSee 1 more doctor answer
You can bleed more: Not as much as getting a major blood vessel but the thyroid is a very vascular organ and near a lot of other important structures. The type of injury would dictate the consequences but in any case need to be dealt with emergently. ...Read more
Low risk if experien: Lumbar punctures are extremely common procedures and when performed by an experienced individual have a very low risk of complications and the benefits generally far outweigh the risks. Nevertheless, there are serious potential complications. ...Read moreSee 2 more doctor answers
Typically...: The platelet count is typically between 150, 000 and 400, 000 per cmm depending upon the lab. Low platelet counts of 50, 000 and below can result in spontaneous development of petechiae (appearance of flat, painless, small red spots on the skin). Platelets are an essential component early in the clotting cascade to aid in the prevention of excessive bleeding. ...Read more
What can be done for a pinched nerve in the neck? Is a epidural injection helpful? If so how does it help? Please help
Yes: It is an injection of steroid medication into your back or neck to help reduce inflammation around nerves to reduce pain. Yes it is used to relieve neck pain. Many times people will get significant relief when 2 injections are scheduled about 3-4 weeks apart. ...Read moreSee 2 more doctor answers
I've had a creatinine level of 1.8 and 1.9. Is this considered high? If so, what needs to be done to bring it down?
A bit elevated: An elevated creatinine can mean that the kidneys are working less efficiently to eliminate waste products from your body. This can be especially important if you have diabetes or high blood pressure - the two leading causes of kidney disease. If you have either of these underlying conditions, get them under control asap. Ask your doctor about your "egfr" result - another kidney blood test. ...Read moreSee 2 more doctor answers
As often as needed: To diagnose or treat a patient illeness. ...Read more
Can make it worse: Study of 30 patients with raised intracranial pressure whose condition worsened after lumbar puncture emphasizes the danger of carrying this out in the presence of raised intracranial pressure. In half the cases deterioration was immediate and dramatic, and in the other half it occurred within 12 hours. ...Read more
They are unrelated: Your blood creatinine is a measure of kidney function. The creatinine in urine is a completely different issue, and really is a measure of the concentration of that urine, not a measure of your kidney function. The two are really not related. Normal urine has a creatinine of between 100-400, and values under 20-30 indicate a very dilute urine, usually because of high water intake to beat test. ...Read more
As often as needed: To diagnose or treat a patient illeness. ...Read more
After spinal tap (lumbar puncture) done in january 2013, my back is still in a great amount of pain. What could this be?
Not the tap: It would be unusual for a spinal tap to cause lasting symptoms. Your pain may be related to the condition that warranted the spinal tap in the first place. ...Read more
I've been diagnosed with papilledima taking Acetazolamide and have done the lumbar puncture once. I'm afraid of losing my eyesight. will tat happen?
Not likely: With aggressive treatment it is unlikely that you will loose your eyesight but it may not return to baseline prior to the attack. ...Read more
Usually inflammation: I have had a number of individuals develop lumbosacral plexopathy symptoms throughout the years, I have put them all on a course of steroids and they all improved. I don't think it's traumatic, I think it's inflammatory, perhaps due to some blood in the region irritating the nerve trunk, roots and plexi. ...Read more
Had lumbar puncture done yester now having some chest pain is this related or should I be concerned?
Low back: Most often in the lower back (between L4 and L5 or between L5 and s1). ...Read more
In the canal: A lumbar puncture is typically used to get cerebrospinal fluid from the spinal canal. It includes a needle inserted in the back between the spinous processes and lamina of the spine and then through the dura - which is the blood brain barrier around the nerves. Generally, the puncture is performed around the l4-5 levels. ...Read moreSee 1 more doctor answer
Please advise on prolonged headaches for days at a time. Had an MRI and lumbar puncture done, tests came out normal. Headaches are unbearable.
?Migraines: I would urged consultation with a neurologist to determine whether the headaches are actually migraines or other types such as cluster headaches. ...Read more
I had a lumbar puncture done 3 days ago. Starting the next day I am having headaches that are light but not very bad. Do I have to get a blood patch?
Hi. I have been having prolonged headaches. Previously had an MRI and Lumbar Puncture done, test came out normal. Headaches are unbearable. Please advise.
Headaches: Please go to a headache clinic at your local hospital. Also consider seeing a nutritionist who can test for food sensitivities. Look into biofeedback or clinical hypnosis (www.asch.net). I know it takes work and time to do this research but it can pay off when you find the solution. Peace and good health. ...Read more
Can they take out cfs from a VP shunts valve and measure the pressure to see how high it is instead of needing a lumbar puncture?
Tap: The safest and best route of having CSF removed in anyone, with/without shunt, is via lumbar puncture/spinal tap. An alternative route is a cervical tap, which is higher risk and more painful in general. In the right hands, an LP is minimally painful. I sometimes recommend a relaxing medication prior to having one & request the performing provider use sufficient numbing medication. ...Read more
Does mild Papilledema mean my VP shunt isn’t working properly? I had high csf pressure a few months ago but a lumbar puncture drained it out
Neurosurgeon: Papilledema generally means increased intracranial pressure. Your neurosurgeon is best qualified to evaluate,advise and treat you for increased intracranial pressure, if treatment is needed according to his/her judgement. ...Read more
Hi. Please advise on constant headaches. I had an MRI and lumbar puncture done, tests came out normal. Pain is unbearable at times. Thank you?
Depends on cause: The tests you've done have not found the cause but many causes won't show up on these tests. Possible causes include food allergies (like gluten), heavy metal toxicity, chronic viral infections, depression, nutrient deficiencies etc. See a good integrative Dr. who can assess for these. Relaxation techniques like mindfulness mediation may help, as can acupuncture and constitutional homeopathy. ...Read more
I was injected with steroids which have been identified as coming from a contaminated batch.
Where is a lumbar puncture done - what part of body?
Does lumbar puncture go into muscle and/or near discs? One year later and still back pain that did not have before. Wonder if procedure was done right
Unusual: The pain you are experiencing is not usually associated with a lumbar puncture. It is usually limited to a couple days to a week or so. A routine lumbar puncture should not damage muscle or a disc as the needle only penetrates the midline lumbar spine deep enough to obtain a small sample of the fluid. I suggest seeing your doctor, he or she can help pinpoint the cause of your pain. ...Read more
I am getting a lumbar puncture done tomorrow, what can I expect? And why is a radiologist doing it instead of my neurologist?
Don't worry: A lumbar puncture is a common diagnostic test. In your case, it appears that the radiologist has been consulted to perform the study using fluoroscopy ( x-ray guidance ) which should allow it to go smoothly by visualizing the anatomy and guiding the placement of the needle. Check out spine-health.Com. ...Read more
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