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The nose packaging could have led to a leak of the cerebrospinal fluid

The nose packaging could have led to a leak of the cerebrospinal fluid

by

Dr. Roach
| To their health

Dear Dr. Roach: Dear Dr. Roach: In my son, a leak of the Cerebrospinal fluid (CSF) was diagnosed. I had never heard of it. He was told that his brain pressure is lower than normal. This led to he had severe headaches and he says that his ears have the feeling of exploding. He can only be on about 2-4 hours, then he has to lie down again. Next, it is planned for a blood surface.

It all started after a few weeks in which a nosebleed and emergency room had gone. A technology in the emergency room put the nose pack very hard in the nose without searching the object before using it. His doctors tell him that they cannot prove that this leak was caused by the nose packaging.

What is the cause? Nobody else has ever heard of this problem. My son is a healthy 51-year-old man who has no medication. Please explain that to me.

– World Cup

Dear World Cup: CSF surrounds and supports the brain and the spinal cord. The meninges usually form a fluid -proof barrier, but if the outer layer of the meninges (the dura mater) is damaged, CSF can expire.

Trauma is the most common cause of a CSF leak. This can be in the form of a skull fracture, be it on the base of the skull, the sinuses or in other places. The trauma does not have to be a fracture. I found absolutely reports about CSF leaks after packing the nose for a nosebleed. In view of the fact that his symptoms began after the nasal packaging material was placed, it is almost certain that this caused its CSF leak, even though there was a different reason from afar.

In the four cases that I found in the literature, the leak spontaneously stopped in three of these cases, but in the fourth time an operation was necessary after one of the sensitive sinus bones was found and repaired.

Treatment is a “blood stain” that uses the patient's own blood and injected it into the CSF, so that a clot can form the hole in the Dura Mater until the body repairs the hole. I saw this in people with liquid drainage after a spine or an epidural injection.

Dear Dr. Roach: Dear Dr. Roach: Why don't we eat egg shells? Are you not full of calcium?

– CS

Dear CS: We can eat eggshells, but I don't recommend it unless you are ready to prepare to make the egg shells safe. Egg shells consist of calcium carbonate, which is a usual calcium supplement that you can buy (and is much easier than the process I want to explain to you).

There are also traces of protein and some other minerals. Unfortunately there are also bacteria in and on eggs, and they really cannot wash them off. The egg shells have to be cooked to kill the bacteria. These include salmonella, Campylobacter and other pathogenic bacteria that they really don't want to eat.

Second, the egg shells are sharp and not pleasant at all if you have your mouth, your throat, the esophagus and other places cut into the intestine in your intestinal tract. In addition to cooking the egg shells, you also have to grind them into a fine powder – for example with mortar and pestle.

The dosage of calcium carbonate is important because too much calcium can cause kidney stones. There remains a debate about calcium preparations (regardless of whether they are bought or made from egg shells) that increase the risk of disease of coronary arteries. Half an eggshell is a calcium worth about a day for most people. Readers can send questions by e -mail to ToyourgoodoThealth@med.cornell.edu.

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