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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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 »
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 stat... Read Full »
What is the treatment for head injury with a blood clot?
Query: Hello doctor, My cousin suffered a massive blow to his head, which resulted in a terrible injury above his ears which extends to the back of his head. He is not responding, but he can breathe on his own, and his body is responding to commands. The doctors said that there is a blood clot in the injur... Read Full »
Answer: Hello, Welcome to icliniq.com. I can give a better opinion after I take a look at your cousin's CT scan.Due to the injury, there is probably a hemorrhage in the brain, leading to damage of the brain, this is giving rise to all his symptoms.Treatment is evacuation and removal of blood from the brain ... 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. Hardik Nareshbhai 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... Read Full »
When will my grandmother come out of coma?
Query: Hi doctor, My 82 year old grandmother is in a coma from the past 15 days. The doctors are suspecting a brain stroke. I am attaching all her reports. When will she come out of the coma? Read Full »
Answer: Hello, Welcome to icliniq.com. I have seen all the attached reports (attachment removed to protect patient identity). Your grandmother has posterior circulation stroke, which has involved very compact structures of the brain (pons, midbrain, and thalamus). These structures of the brain have very... 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 »
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, an... 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 »
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 size, but ... 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 »
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 trac... Read Full »
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. Hardik Nareshbhai 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 ... 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 »
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... Read Full »
Query: Hi doctor,My dad is 73 years old. He has hypertension and types 2 diabetes, but he is always under control (he is a very healthy person and does not suffer from obesity), always doing a very detailed check, and it was fine. He started vomiting blood and was admitted to the hospital immediately. They... Read Full »
Answer: Hi, Welcome to icliniq.com. I am not sure if you explained what is going on with your dad. From the reports you shared, it seems like he had bleeding in his brain. It is severe enough to put him in a coma. The question I have is why? It could be diabetes or hypertension, but the fact that he was v... Read Full »