Doctor insights on:
Coma Critical Condition
Support: I am guessing the friend is already in the icu. While most of the time in the ICU is not remembered, some is. Patients may still respond and communicate even if sedated since goal is comfort, not amnesia. Give them support, as well as their family and friends. Critical illness is stressful for more than just the patient and good social support and communication helps the people caring for them. ...Read moreSee 1 more doctor answer
Multifactorial: Coma means unarousable unresponsiveness. It is caused by injury to both cerebral hemispheres or the central brain stem or both. The cause is either traumatic or non traumatic . Non traumatic causes are many - anoxic/ischemic, metabolic, endocrine, infectious, degenerative, etc. It is a clinical term with many disease types as cause. ...Read moreSee 1 more doctor answer
I had bacterial meningitis as a child, was in a coma for a few days. What are long term complications of this disease?
Should be apparent : Bacterial meningitis has the nasty tendency to produce a specific set of problems depending on how soon it was detected & how effective it was treated. Hearing loss was common, brain abscesses can lead to seizures & or movement problems (cp), learning disabilities & the like. As an adult, you either have some of these issues or not. They would have been apparent by school age at the latest. ...Read more
I had bacterial meningitis at the age of 3, was in coma for months.are there long term side effects from this disease?
Hello, I had serious kidney surgery in 2007. I was septic and in a coma and my left kidney was lacerated and infected. My surgeon saved my life but I'm plagued with anxiety about the condition of my kidneys and how they're functioning. My question is thi
Coma : Think of the brain as having a wake and sleep center. When something bad happens to the wake center of the brain, it can no longer do its job to keep the brain awake in the spectrum of maintaining cousiousess. This can be from an anatomic/structural and/or physiological problem. Some of these are reversible and some are unfortunately not. ...Read moreSee 1 more doctor answer
Brain injury: Deep centers of the brain control the ability to react to our environment and control our basic needs. When these deep centers are damaged we lose the ability to react and control. This is described as a state of coma. Brain swelling, brain infection, brain hemorrhage, stroke, trauma, all can result in a state of coma. Recovery depends on the degree of initial damage. ...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 moreSee 1 more doctor answer
Difficult question: It depends if the underlying reason that caused the coma is reversible or correctable. Even then it is difficult as it depends if there was too much insult to the brain or not. Recovery from coma is such a variable thing that it is difficult to answer without knowing about the specific situation. I wish i could be of more help on this, its just such a complicated thing. ...Read more
Resolution: Coma affects the base of the brain, brainstem, the same area responsible for concussion outcomes. As a disorder heals, and inflammation or swelling decreases, gradually the reticular activating system switches back on, and responses resume. However, on occasion this can be a lengthy restoration, maybe even months and very rarely yrs. ...Read more
Please clarify: Are you asking, "When people in comas die, what do they die of?" Or do you mean, "I don't understand why people in comas die instead of everyone getting better, waking up, shaking their doctor's hand, waving to the nurses, and going home."? Please repost your question so that it can be understood. ...Read more
Unsure: Hard to say. I frequently take care of patients in medically-induced (medication) comas and comas from trauma/strokes. I have never had a patient wake up and give me an assessment. Those that do wake up, do not recall the events. ...Read more
Coma: People emerge from coma in varied fashions and to different extents. For example, people who are in medically-induced comas may emerge from this as medication is allowed to wear off. Alternatively, a person in a coma from a disease state may emerge from coma as the disease state improves. This can be rapid (hours to days) or slow (weeks or months). Some people fully recover. Others may not. ...Read more
Coma: The general broad categories of coma include (but not limited to): 1. structural: such as tumor, stroke, bleeding...etc 2. Metabolic/toxic: such as inborn errors of metabolism in children, hepatic encephalopathy, and drug/toxin ingestion/overdose 3. infectious: due to viral encephalitis, bacterial meningitis.. etc ...Read more
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