What is hepatic coma?
Oct 12, 2022
Source: Cainiu Health
Dr. Xie Zixing
Introduction
Hepatic coma is usually caused by chronic liver damage leading to liver dysfunction, which affects brain energy metabolism and results in impaired consciousness. Patients with liver damage often exhibit elevated levels of transaminases in the body, especially in cases of viral hepatitis. When transaminase levels rise, patients may experience discomfort symptoms such as insomnia, vivid dreams, fatigue, nausea, vomiting, abdominal pain, and diarrhea.
Hepatic coma is usually caused by chronic liver damage leading to liver dysfunction, which affects brain energy metabolism and results in impaired consciousness.
Patients with liver damage often experience elevated levels of transaminases, especially in cases of viral hepatitis. When transaminase levels rise, patients may suffer from symptoms such as insomnia, vivid dreams, fatigue, nausea, vomiting, abdominal pain, and diarrhea. In severe cases, symptoms like coma and excessive sleepiness may occur. Additionally, if liver damage is caused by a liver tumor, the malignant tumor may metastasize if not treated promptly. If cancer cells spread to the brain, they can cause brain damage, resulting in coma.
When hepatic coma occurs, it is recommended to seek immediate medical attention. Under a doctor's guidance, medications for treating hepatic encephalopathy—such as ornithine aspartate and compound glycyrrhizin—should be administered. Enemas using vinegar may also be used to improve the intestinal environment. During treatment, it is advisable to consume more protein-rich foods such as lean meat and eggs, which may help promote recovery.
