Patients in hepatic coma may be awake or in a permanent coma, depending on the severity of the condition.
Hepatic coma is generally referred to as hepatic encephalopathy and is mostly caused by cirrhosis or acute liver failure. When blood ammonia is elevated in the patient’s body, it can lead to impaired consciousness or even hepatic coma.
If early hepatic coma is detected in time, after removing the triggers in time, active treatment, including lactulose enema treatment, branched-chain amino acid treatment, etc., it is possible to make the patient awake. Among them, lactulose can not only acidify the intestinal tract and reduce ammonia absorption, but also inhibit bacterial reproduction and reduce ammonia production, which is more effective.
However, if the patient’s liver damage is more serious, the patient may not be able to wake up even if the triggers are removed and actively treated in time. Therefore, patients with hepatic encephalopathy should be diagnosed and treated early. Pay attention to diet, reduce protein intake, and if necessary, timely liver transplantation. Specific treatment can be consulted with specialized physicians.