Coma

A medical emergency where a person is in a prolonged unconscious state is called a coma. Stroke, brain tumor, traumatic head injury, drug overdose, alcohol intoxication, brain infection, lack of oxygen to the brain, and various other causes can result in a coma. Some of the signs and symptoms of a coma are unresponsive pupils, irregular breathing, and closed eyes.

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Can you go through the reports of my relative's daughter and suggest a treatment plan?

Query: Hello doctor, My relative's daughter, who is 16 years old, met with a car accident. She is admitted to the hospital. Please give your suggestions on her case. She is currently undergoing surgery. The below extract was of her case study. The doctors say that the body below her neck is not moving. ...  Read Full »


Dr. Rajyaguru

Answer: Hi, Welcome to icliniq.com. I understand the case scenario. The reason behind her low blood pressure and inability to move all four limbs is actually the cervical spinal cord injury. Surgery is risky because of low blood pressure, but it is possible to operate if the anesthetic team is able to manag...  Read Full »

How to cure the severe leg pain for the last six months?

Query: Hi doctor, My father has hypoxic ischemic encephalopathy due to a heart attack. Tracheostomy has been done. He is in a coma. What are the options available now?  Read Full »


Dr. Hitesh Kumar

Answer: Hello, Welcome to icliniq.com. In hypoxic ischemic encephalopathy, there is some permanent brain cell damage due to transient decreased blood flow in the brain. To be frank, there is no specific treatment available for it on a long-term basis. If the episode been few days prior, few neuroprotective ...  Read Full »

My father is in coma.Tracheostomy has been done.Is it safe to remove tracheostomy at this stage?

Query: Hello doctor, My father is in coma. Tracheostomy has been done. He is off the ventilator, but has coughing problems. His GCS is 7. Is it safe to remove tracheostomy at this stage?    Read Full »


Dr. Divakara P

Answer: Hi, Welcome to icliniq.com. If his breathing pattern is normal and he is maintaining oxygen saturation in normal limits, he can be considered for tracheostomy closure.  But if there is no significant improvement in GCS (Glasgow Coma Scale) or if not expected to improve, then better remove the trach...  Read Full »

I want to know about my father's prognosis, who is in a coma after a road accident.

Query: Hi doctor, I need some help with the prognosis of my friend's father, who is in a coma due to a road accident, while he was on a bike. He is 76 years old, and his heart stopped, which was resuscitated after some time. His coma score is minimal, and he is in this state from the past 13 days, with...  Read Full »


Dr. Vivek Chail

Answer: Hi, Welcome to icliniq.com. I have seen all the attached reports (attachment removed to protect patient identity). The MRI scan is the most important set of images. It shows changes in the hippocampus and thalamus on both sides. This can be due to a condition called as hypoxic encephalopathy, and it...  Read Full »

What are the chances of recovery and regaining consciousness after a coma?

Query: Hi doctor,I have attached a radiograph of a patient who has been in a coma for the past five days. Kindly assess the report and help us know better. Does this radiology report indicate a massive stroke? Any recommendations?Please help.   Read Full »


Dr. Seyedaidin Sajedi

Answer: Hello, Welcome to icliniq.com. I read the attached brain CT (computed tomography) scan report (attachments removed to protect the patient’s identity). Unfortunately, the report indicates a bilateral stroke in the occipital area (in the back of the brain). And the strokes have moderate si...  Read Full »

My mother is unconscious with high BP and sugar. Is it possible to do MRI now?

Query: Hi doctor, My mother is 65 years old. She is suffering from high blood pressure and high sugar levels. As a result of this, she fell unconscious and her brain has some small blockages and damages. Please help.  Read Full »


Dr. Lalit Bansal

Answer: Hi, Welcome to icliniq.com. I examined the CT scan report (attachment removed to protect patient identity) and clinical assessment. My findings are: On CT scan, I noticed that your mother had 5x4 cm infarct (stroke). The reason for her to fall unconscious might be because of nonconvulsive status epi...  Read Full »

After a cardiac arrest, my aunt became unconscious. How to proceed further?

Query: Hi doctor, My aunt had cardiac arrest 10 days ago. After a gap of 5 to 10 minutes, she has become unconscious. They put her on a ventilator. Till date, she is on a ventilator, and there is no recovery registered. Previously, she had two stents for breathing issues. Her MRI report is attached herewit...  Read Full »


Dr. Rajyaguru

Answer: Hi, Welcome to icliniq.com. I understand the situation. At times, during cardiac arrest, if the brain does not get enough blood for a few minutes, then the brain gets damaged. Once damaged, then brain recovers only minimally. That is the reason why your doctors said no hope. I would like to know a...  Read Full »

A 55-year-old female is in coma with good vital status but eyes are still shut. Please help.

Query: Hello doctor,A 55-year-old female is in coma. Her vital status are fine, but her eyes still shut, and head surgery completed 11 days back. Please help.  Read Full »


Dr. Prakashkumar P Bhatt

Answer: Hello, Welcome to icliniq.com. She has significant brain insult in the form of left-sided brain infarct and left-sided brain blood clot or bleeding. She may need surgery to remove one part of the skull and preserve in the abdomen for future reimplantation. Consult a neurosurgeon for a decision ab...  Read Full »

My two month old baby is in coma, but could not find the cause for it. Please help.

Query: Hello doctor,I know this may be too extreme for this site, but I am seeking all the advice I can get. My two months old baby was normal, healthy, happy, smiling. One fine day morning, I walked over to get him and noticed abnormal breathing inhaling but not exhaling. His body was solid gray and unres...  Read Full »


Dr. Sirisha

Answer: Hello, Welcome to icliniq.com. With the information you have given, I would try to analyze his condition. First, turning gray or blue means the oxygen levels in his body are low. Reasons could be many. From what you mentioned. He seems to be bleeding in the brain, that is why his red blood cells a...  Read Full »

My brother is in coma with fungal meningitis. Will he recover?

Query: Hi doctor, My brother has fungal meningitis and is in a coma. Initially, he responded to the commands, but after him having a tracheostomy and a feeding tube put in him; he is not responding to our words. What do you think? Is there a possibility of recovery? Will he wake up?  Read Full »


Dr. Hitesh Kumar

Answer: Hello, Welcome to icliniq.com. Fungal meningitis has poor outcome compared to viral or bacterial meningitis. Such fungal infection usually occurs when body immunity is low due to any reason. Sometimes, there may be some permanent cellular level damage to brain cells by such infection. But, do not lo...  Read Full »

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