Doctor insights on:
Since peritonitis, sepsis, blood transfusion coma etc in 2003 im extremely fatigued 24/7. Iron, caffeine nothing helps. Opposite of how I used 2b. Why?
Complex problem.: After a life-threatening bout of peritonitis and sepsis, there can be many potential problems which could be causing your fatigue. If you have not already, I would recommend going to a primary care doctor for a complete check up and laboratory evaluation, including having your liver and your thyroid checked. If all is normal, further testing may be necessary. Good luck. ...Read more
In messive barin hemrraige can upper brain stem recover with time passing? Age 73 person is in coma blood desolving
Pressure effects: Bleeding into the brain produces severe pressure effects that can damage the brainstem. The blood itself can dissolve and go away, but the brain damage remains. Some recovery may occur, independent of what happens to the blood. Recovery from coma may be very slow and hard to predict. The primary doctor should be able to help you understand the prognosis. ...Read more
Difficult: BP change on talking to the comatose patient means his autonomic system is responding to some stimuli not necessarily speaking. I am not aware of study that has answered to this parameter for prognosis. ...Read more
Circulatory pump: Mechanical circulatory devices are used for temporary support of certain patients w/ severe heart problems; some machines which pump and oxygenate the blood may be used for treating severe lung diseases as well. Patients whose hearts and lungs are ok but who are deeply sedated may be supported with a mechanical ventilator to move air in & out of the lungs but would not generally need a heart pump. ...Read more
When does low blood oxygen levels result in a coma? (I know it is under 74 because I was still sort of awake then although I suspect not much under.)
Well this varies:
This varies a bit from person to person, so there is not really a number. It sounds like you are talking about the pulse oximetry reading, right? This is not used to generate concern about a coma. The pulse ox reading varies and is somewhat inaccurate.
For most people, having insufficient oxygen for over 5 minutes results in brain damage, which may cause a coma. ...Read more
Hypoglycemia: Low blood sugar, or hypoglycemia can lead to coma because the brain relies on sugar as its energy source. If the blood sugar is low, then the brain doesn't function properly. A person may be agitated at first and then sleepy. They can have seizures and then be in a coma if blood sugar is low enough and remains low. ...Read more
Below 60: Alteration in thinking eventually leading to a coma can be a result of very low blood sugar, but can also be a result of high blood sugar with ketoacidosis (excess of byproducts of abnormal sugar use) in the blood, or due to very high blood sugars and dehydration. Because development of ketoacidosis and dehydration require other factors, it is difficult to state an absolute upper limit of sugar. ...Read more
If a person's blood sugar is really high and they go into a coma. Doctors would try to bring the blood sugar down, correct?
Yes. Slowly.: Yes but it needs to be done slowly and carefully to prevent brain swelling. It is not all about the blood sugar or glucose. The sodium and other electrolytes are very important. It's a very delicate process that must be carefully monitored. And each patient is different. Adults are treated different than children and children must be even more carefully corrected. ...Read more
Not all blood sugar: A coma does not result as much from the sugar, as the other metabolic changes. With typical type 1, lack of Insulin gives ketoacidosis. Coma is from acidosis, dehydration, etc and the glu may not be extreme (eg 400). A type 2 may get hyperosmolar coma, where glu is very high, but dehydration and electrolyte abnormality is the biggest problem. ...Read more
Many factors involved with "diabetic coma". Dehydration, as well as overall health are important factors.
In the type ii person with diabetes, it is usually in the 1, 000 range; for the person with type I diabetes it is dependant more on the level of blood ph. The more acidotic the blood, the higher the likelihoodd of complications including coma. Hypoglemia may cause coma as well. ...Read more
Everyone is differen: It depends on that individual person. There is no hard number, say 77 or 88, that is for everyone. ...Read more
Blood glucose over 1300. In ketoacidotic coma. Cardiovascular event -- undiagnosed. Alone for 24+ hours before discovery. Prognosis?
Don't despair: Coma outcomes are often very unpredictable, and after several days of hospital care, survival is often very likely. However, do have concerns for eventual preservation of cognitive function, and this may be permanently damaged. But, hang in there, have family conferences daily with the doctors, and ask as many questions as you need answered. Outcomes vary sharply. ...Read more
Yes, but uncommon.: If BP is too low, one can faint (loss of consciousness) until ones head is level with ones feet (usually, if one falls due to fainting, consciousness returns soon after one falls to the ground). Unconsciousness when one faints is, in some sense, a transient comatose state. If low BP causes fainting, upon awakening, if one does not drink or get IV fluids, fainting can recur upon sitting up. ...Read more
Is having high Blood Pressure 158/90 and down to 89/41 BP in a five day period abnormal for a 29yr old? How low can a BP go before coma or death?
It is too low:
If your blood pressure drops suddenly or causes symptoms like dizziness or fainting, it is too low. Inadequate medication intake is frequent reason for low blood pressure.
I think you should call your prescribing physician to identify the cause and adjust medications accordingly. ...Read more
What if I were to let my blood sugar run high, would I have a seizure or go straight into a coma?
Maybe: Birth control pills and spironolactone are medications that may help lighten or decrease facial hair. The goal would be to have the hair go away completely but that doesn't always happen. Hair grows in cycles, so it may take several months to see real improvement. These medications do have side effects that you should discuss with your physician before starting them. ...Read more
Could you tell me if I were to let my blood sugar run high, would I have a seizure or go straight into a coma?
You would just: Develop symptoms of frequent urination, thirst, visual blurring, etc. It takes a very high sugar to cause a coma. Seizures are less common. I don't recommend doing it just to see what happens. Its' better to stay healthy and keep your sugar normal. Do you need to see a psychiatrist? ...Read more
My friend was in France and was hit by a lorry and is in a coma. The doctors have noticed a blood clot in his brain, I am just wondering what the chance of his survival is and if he will be brain damaged.
I'm so sorry:
That is very sad. His survival chances and long term outcome depends on where the blood clot is, how much of his brain is effected, which part of the brain, and many other factors.
It is important that he is in a hospital that routinely tKe care of patients with head trauma and have neurosurgeons on staff taking care of him.
I so hope he improves ...Read more
Elderly lady had stroke due to blood clot. Has brain swelling. In a coma. Stroke induced. Chances of survival?
Hard to say: The pre-illness health, speed of recognition and early care all play into this status. The physicians at the bedside have a better access to the information needed to answer this question. ...Read more
5 hrs sleep= easy to wake but not refreshed. 7+= headaches, oversleeping, coma like. Worse with Trileptal (for bipolar). Blood sugar crashing @ night?
Blood sugar: Possible. One quick way to tell - don't eat any refined carbs (bread, regular potatoes, etc.) for dinner. At bedtime, have a snack of some celery and peanut butter. The peanut butter "burns slowly" in your body. If you feel better in the A.M. - that was it! You should also have a fasting Insulin checked in the A.M. To see if you are "hyperinsulinemic." that could mimic what you describe. ...Read more
Redirection of blood: Even though there is a dramatic increase in blood flow to the stomach and intestines after a meal (proven by ultrasounds) it is thought that it is the increased parasympathetic nervous system activity (opposite of the fight or flight sympathetic activity) which causes the feeling of lethargy. ...Read more
No: In true coma there is no recognition of anything in the environment. Sometimes people who have been in a coma remember conversations, but many times these never occurred. Dreams and other neurologic functions can cause false memories. However, it's a good idea to always act as if the person can hear what you say. When coming out of a coma some conversations may be remembered. ...Read more
Multiple sclerosis: Ms affects the brain and spinal cord. Early symptoms include weakness, tingling, numbness, and blurred vision. Others are muscle stiffness, thinking problems, and urinary problems. The diagnosis is made by history of symptoms and neurological exam, often with an mri, spinal tap and other tests. Coma is a condition in which conscious cognitive function has ceased and can be caused by ms. ...Read more
Scottish head trauma: A major hospital in glascow scotland published levels of coma in head trauma patients. It has now become the standard throughout the world. It is a number from 1 to 15 that can describe the neurological condition of the patient. There are five categories each of which can get a number 1, 2, or 3. A fully conscious and responsive patient will get a 15 with serious injury usually below 7. ...Read more