Hepatic Coma

Hepatic coma is a disease when the patient suffers from the loss of consciousness. This happen when the liver is damaged because the liver tissue has been badly destroyed and due to chronic or acute liver disease. In this condition poison and other toxic reaches to the brain and brain stops, its’ proper functioning.  The patient’s liver fails to remove toxic substances from the blood, which causes unconsciousness. This disease is very dangerous; there are some other causes which leads to this disease are mentioned under :

  • Kidney disease
  • Uncontrolled diabetes mellitus
  • Liver disease
  • Neurologic conditions
  • Dehydration
  • Bleeding from the intestine
  • Low oxygen level in the body
  • Use of drugs like cocaine
  • Drinking alcohol

The above mentioned declares the other cause of this disease. Hepatic coma can be diagnosed by the points, which are given beneath :

  • Change in sleep pattern
  • Confusion
  • Absentmindedness
  • Poor attentiveness
  • Mood changes
  • Poor decision
  • Shaking of hands
  • Agitation, excitement
  • Drowsiness
  • Sluggish movement
  • Yellow skin and eyes


If you observe that, any person has these above symptoms then in this situation, the person is suffering from hepatic coma and must advise that person to contact his/her doctor to start its ‘treatment. In its starting stage, the disease is not painful but when it comes to its last stage it become dangerous for the sufferer.

Doctor must advise these underneath tests to the patient so that they can diagnose it properly for better treatment :

  • CT scan of the head
  • Liver function tests
  • Prothrombin time
  • EEG
  • Complete blood count
  • Serum ammonium levels
  • BUN and creatinine
  • Potassium level in blood

After having these tests a doctor can give best medicines and make its best treatment to save the patient. There are some important complications, which can arise like :

  • Brain swelling
  • Brain herniation
  • Increased risk of – kidney failure, respiratory failure, sepsis, cardiovascular collapse
  • Irreversible coma
  • Side effects of medications
  • Nervous system damages

Therefore, by considering all above points one must be careful while suffering from this disease one must control on its diet and have diet, which is advised by the doctor. After reading above points, one must be aware of this disease, now its time for the doctor who can provide best treatment to eradicate this disease from the root. In the treatment of hepatic coma, meant to remove the toxic acids and poison from the blood. The percentage of ammonia will be decreased by the medicines and in the condition of severe liver disease, liver transplantation is compulsory.

Hepatic coma is the last stage of progressive brain destruction. It can be denoted by stage IV or grade IV; this means this is the very crucial stage of the patient in which the patient can die also. So one must not drink and do not use drugs to save their precious life.




Hepatic Coma
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