Post-Surgery Head Pain and High Eye Pressure: When to Seek Medical Advice? - Surgery

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Post-fistula surgery


After undergoing a 1.8/5 shunt surgery, today is 8/8.
Since the surgery, I have been experiencing severe headaches, elevated intraocular pressure, and my head starts to hurt after walking for about 10 minutes.
It also hurts when sitting, but lying down provides some relief.
Is this normal? Can I take Tylenol for relief, or do I need to return to the doctor for an evaluation?

Miss Hsu, 10~19 year old female. Ask Date: 2022/08/08

Dr. Zhang Shuhao reply Surgery


If spinal anesthesia was used initially, there is a possibility of experiencing spinal headache, which can be alleviated by increasing fluid intake and resting more.
Generally, fistula surgeries do not directly cause headaches.

Reply Date: 2022/08/08

More Info


After undergoing a surgical procedure such as a shunt surgery, experiencing head pain and elevated eye pressure can be concerning. It is essential to understand the implications of these symptoms and when to seek further medical advice.

Firstly, it is not uncommon to experience some degree of discomfort or pain following surgery. However, if the pain is severe and persistent, as you described, it is crucial to consider the possibility of complications. The fact that your head pain intensifies with activity, such as walking or sitting, and is alleviated by lying down, suggests that it could be related to increased intracranial pressure or other post-operative issues.
Elevated eye pressure after surgery can also be a cause for concern. While some fluctuation in eye pressure can occur post-operatively, significant increases may indicate complications such as inflammation, fluid retention, or even a reaction to the surgical procedure itself. It is important to monitor these symptoms closely.

Regarding the use of over-the-counter pain relief, such as acetaminophen (Tylenol), it can be appropriate for mild to moderate pain relief. However, if the pain persists or worsens, relying solely on medication without consulting a healthcare professional is not advisable. Pain that does not respond to medication or is accompanied by other symptoms, such as nausea or visual disturbances, warrants immediate medical evaluation.

In your case, since you are experiencing significant head pain and elevated eye pressure, it is advisable to contact your healthcare provider as soon as possible. They may want to assess your eye pressure and conduct a thorough examination to rule out any complications related to the surgery. This could include checking for signs of infection, inflammation, or other issues that may require intervention.

Additionally, if you notice any new symptoms, such as changes in vision, increased sensitivity to light, or any other unusual sensations, these should be reported to your doctor immediately. It is always better to err on the side of caution when it comes to post-operative symptoms, especially concerning the eyes and head.

In summary, while some discomfort can be expected after surgery, the severity and persistence of your symptoms suggest that further evaluation is necessary. Do not hesitate to reach out to your healthcare provider for guidance and to ensure that any potential complications are addressed promptly. Your health and well-being should always be the priority, and timely medical advice can help prevent more serious issues from developing.

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