pounding headache,

[drparthi]

My brother who is 2yrs post c6 incomplete has pounding headache since yesterday. Before 2 days he developed trauma on intermittent cath.he has excessive sweeting over his head and face. I think it is a sign of autonomic dysreflexia. So can he continue with his ruotine cath or should he stop it.He is on tab.detrusitol. So is there is any particular medicine for severe headache due to autonomic dysreflexia. Pease do guide me in this regard.

[cheesecake]

Here is a handguide on AD, read it and get care ASAP.

[cheesecake]

So SCI Nurse can advise you further.

[rfbdorf]

The PVA publication is very helpful, do download and read it.
Did the catheterization produce urine?
Have you checked blood pressure?
- Richard

[TheRainman]

You need to get him some medical attention.

[drparthi]

After his episode of pounding headache, i did an immediate cathetorization and there was less than 100ml urine. So will 50-100 ml residual urine cause AD and pounding headache or is it because of track injury i mentioned before. Is there is any specific medicine for this kind of headache. His blood pressure was normal .we did an ultrasound and there was bladder wall thickening with renal dilatation.Please give your valuable opinion.

[bob clark]

Originally Posted by drparthi

After his episode of pounding headache, i did an immediate cathetorization and there was less than 100ml urine. So will 50-100 ml residual urine cause AD and pounding headache or is it because of track injury i mentioned before. Is there is any specific medicine for this kind of headache. His blood pressure was normal .we did an ultrasound and there was bladder wall thickening with renal dilatation.Please give your valuable opinion.

Hi Drparthi,

If he has a severe bacterial colonization or Urinary Tract Infection (UTI), that can cause his bladder to spasm and even cause AD with residual amounts as low as 50-100mls of urine.

He should have a urinalysis done and if it's "positive" should be put on a broad spectrum antibiotic until his "Culture and Sensitivity" (C&S) test comes back in 3-5 days. At that time they may prescribe him another antibiotic, one that is more effective at killing whatever bacteria or different types or strains of bacteria that he's infected with.

Sometimes you need to request that a C&S test be performed. Don't be shy.

My bladder can easily hold 1000mls when I'm not bacterially colonized or have a UTI, but when I am bacterially colonized and especially if I have a bad UTI I get symptoms of AD and need to catheterize when I have as little as 100mls of urine in me.

Try to have a good day.

[SCI-Nurse]

If you haven't gotten him medical attention, do so NOW! Yes, a small amount of urine can cause AD if there are other things going on. So the problem with cathing may have caused the increased sensitivity.

CKF