<s>[INST] Hi there. I had 2 sterois injections on my back on July. On the same day started having a hell of headache,nausea,dizzyness. Two weeks after the anethesist performed a blood patch. Still I m not ok,Mri shows no leakeage on spine cord but a (head mri) smooth dural enhancement . One of the components od the injection was kenalog 40. I been very ill for the last 4 months. My headache is killing me and I can t go out because a feel so sick and dizzy..Treatment for middle ear didn t improve at all. Thank you very much [/INST] Hello . I can see you are feeling the effects of dizziness which is nausea and headaches too . I am not sure what the indication for the injection in the back was ! The fact that a  blood patch done indicates an intrathecal injection . In that case the side effects of the Kenalog could be causing all the symptoms you are having . I would suggest a symptomatic remedy with betahistine along with a pain killer for the headache ,the safest being a paracetamol . A visit to an ENT who specializes in Vertigo should also help . I would think that the symptoms should start receding soon. In case of this persisting , I think a thorough check up with a neurologist would become essential Hope I have helped you with this </s>