Coma

A coma is a state of prolonged unconsciousness that can be caused by a variety of problems; traumatic head injury, stroke, brain tumor, drug or alcohol intoxication, or even an underlying illness, such as diabetes or an infection.

Comais different from sleep because the person is unable to wake up.
Moreover, It is not the same as brain death. The person is alive, but they cannot respond in the normal way to their environment.
Whether or not they are conscious, or how many people are conscious during a coma, or the level of consciousness, is a question that scientists are currently investigating.
Levels of consciousness also responsiveness will depend on how much of the brain is functioning.
A coma often lasts for a few days or weeks. occasionally, it can last for several years.

Medical Emergency

In general, If a person enters a coma, this is a medical emergency.
Rapid action may be needed to preserve life also brain function.
They do not respond to pain, either light, or sound in the usual way, and they do not make voluntary actions.
Although they do not wake up, their body follows normal sleep patterns.
Automatic functions, for example, breathing and circulation, normally continue to function, but the person’s thinking ability is suppressed.
According to the National Institutes of Neurological Disorders and Stroke (in other words, NINDS), the person may sometimes grimace, laugh, or cry as a reflex.

Many types of problems can cause coma. Some examples are:

Traumatic brain injuries:

Road traffic accidents, sports injuries, also violent attacks that involve a blow to the head can cause coma.
When the brain swells as a result of trauma, the fluid pushes up against the skull.
The swelling may eventually cause the brain to push down on the brain stem, which can damage the RAS (Reticular Activating System) a part of the brain that’s responsible for arousal and awareness.

Stroke:

Reduced or interrupted blood supply to the brain (i.e. stroke), which may be caused by blocked arteries or a burst blood vessel, can result in a coma.

Tumors:

Tumors either in the brain or brain stem can cause a coma.

Diabetes:

In people with diabetes, blood sugar levels that become too high (hyperglycemia) or too low (hypoglycemia) can cause a coma.
This type of coma is usually reversible once the blood sugar is corrected.

Lack of oxygen:

Oxygen is essential for brain function.
Cardiac arrest causes a sudden cut off of blood flow and oxygen to the brain, called hypoxia or anoxia.
After cardiopulmonary resuscitation (in other words, CPR), survivors of cardiac arrest are often in comas.
Oxygen deprivation can also occur with drowning or choking.

Infections:

Infections such as encephalitis and meningitis cause swelling (in other words, inflammation) of the brain, spinal cord or the tissues that surround the brain.
Severe cases of these infections can result in either brain damage or a coma.

Bleeding:

Bleeding in the layers of the brain may cause coma due to swelling and compression on the injured side of the brain.
This compression causes the brain to shift, causing damage to the brain stem also the RAS.
High blood pressure, cerebral aneurysms, also tumors are non-traumatic causes of bleeding in the brain.

Seizures:

A single seizure rarely produces coma. But continuous seizures called status epilepticus can produce coma.
Repeated seizures can prevent the brain from recovering in between seizures.
This will cause prolonged unconsciousness also coma.

Toxins:

Substances that are normally found in the body can accumulate to toxic levels if the body fails to dispose of them correctly.
As an example, ammonia due to liver disease, carbon dioxide from a severe asthma attack, or urea from kidney failure can accumulate to toxic levels in the body.

Drugs and alcohol:

Drugs and alcohol in large quantities can also disrupt neuron functioning in the brain.

Types of coma can include:

Toxic-metabolic encephalopathy- This is an acute condition of brain dysfunction with symptoms of confusion and/or delirium. The condition is usually reversible. The causes of toxic-metabolic encephalopathy are varied. They include systemic illness, infection, organ failure, and other conditions.
Persistent vegetative state- This is a state of severe unconsciousness. The person is unaware of their surroundings and incapable of voluntary movement. With a persistent vegetative state, someone may progress to wakefulness but with no higher brain function. With persistent vegetative state, there is breathing, circulation, and sleep-wake cycles.
Medically induced: This type of temporary coma, or deep state of unconsciousness, is used to protect the brain from swelling after an injury – and allow the body to heal. The patient receives a controlled dose of an anesthetic, which causes lack of feeling or awareness. Doctors then closely watch the person’s vitals. This happens only in hospital intensive care units.

Closed eyes
Depressed brain stem reflexes, such as pupils not responding to light
Furthermore, No responses of limbs, except for reflex movements
Besides this, No response to painful stimuli, except for reflex movements
Irregular breathing

Before entering a coma, a person with worsening hypoglycemia (low blood sugar), or hypercapnia (higher blood CO2 levels), for example, will first experience mild agitation.

Without treatment, their ability to think clearly will gradually decrease.

Finally, they will lose consciousness.

If you’re referring to “coma” in a medical sense, it’s important to clarify that in a coma, a person is typically unable to eat or drink on their own. Medical professionals usually provide nutrition through tubes or IV fluids. For people recovering from a coma, diet is typically introduced gradually, starting with clear liquids, then progressing to soft foods, and eventually to a regular diet, depending on the person’s recovery progress. Foods might include broths, pureed fruits, vegetables, protein shakes, and soft cereals. Always follow medical advice for a proper diet plan after a coma.

Eat modest portions. Eating large portions is linked to sleepiness, so keep portions moderate and be mindful of your fullness levels.
Choose balanced meals.
Limit alcohol intake.
Stay hydrated.
Get a good night’s sleep.
Use bright light.
Take a nap.
Drink water and non-caffeinated tea.
Do some aerobic exercise.
Eat smaller meals for the rest of the day.
Also eat some probiotics.
Eat carbs that are low on the glycemic index.

Homeopathic remedies for coma due to acute head injury:

Generally, Immediately after a severe head injury, the focus should be on life-saving emergency care.
Even at this time homeopathic medicines are important in stimulating recovery.
The sooner these medicines are given the better.
Then, depending on response I will change remedy or potency or frequency of repetition.
Generally, Aconite is indicated within the first few minutes or hours after injury, where the person is restless and terrified, even panic-stricken, by the fear of imminent death.
Those needing Arnica generally, deny that they need any help, saying that they feel quite well. Additionally, they may be severely bruised.
Besides this, Opium is valuable for someone who is in a daze or even a coma after the head injury, with a flushed and bloated-looking face. Lastly, They may have severe injuries elsewhere, yet not complain of pain.

Homeopathic remedies for coma due to chronic head injury:

The following remedies can be valuable in many of those suffering from the long-term consequences of head injuries.

Natrum sulphuricum:

It will be in indicated in those with persistent emotional and personality changes, in particular irritability also depression.
These may be so severe that the person feels suicidal.
There may be ringing in the ears, as well as vertigo.
All the symptoms will be worse in damp, wet weather.

Natrum muriaticum:

This may be valuable in those who after a head injury become sad also withdrawn.
They may also have chronic headaches that are worse in direct sunlight and develop a marked craving for or dislike of salt.
When they are at the seaside the symptoms may change, becoming dramatically worse or better.

Hyoscymus Niger:

It is helpful when there is a change in behaviour, with the person becoming more talkative and excitable.
Signs of dis inhibition such as laughing inappropriately or handling their genitals may be present.
Epilepsy, twitches, muscle spasms, hiccoughs, and unusual repetitive gestures, such as picking at their clothes, may also be a problem.

Helleborus:

This should be thought of when the person seems more dull or slowed since the head injury.
The person almost seems shut off from the world, with eyes “that do not see” and ears “that do not hear”.
They may seem almost indifferent to either pain or pleasure.

Hypericum:

It is indicated when the person has convulsions soon after the injury.
There may also be spinal injury.
Later on the person may complain of nerve pain or pins also needles.

What is coma ?

Homeopathic medicines used by Homeopathic Doctors in treatment of Coma

Aconite
Arnica
Opium
Natrum sulph
Natrum mur
Hyoscyamus
Helleborus
Hypericum

What are the symptoms of coma?

Closed eyes
Depressed brain stem reflexes
No responses of limbs
No response to painful stimuli
Irregular breathing
Hypoglycemia
Hypercapnia
Mild agitation
Ability to think decrease
Lose consciousness

What are the causes of coma?

Traumatic brain injuries
Stroke
Tumors
Diabetes
Lack of oxygen
Infections
Bleeding
Seizures
Toxins
Drugs also alcohol

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