Tattarattat
Well-Known Member
- Joined
- Mar 27, 2020
- Messages
- 62
- Reaction score
- 567
This case really bothers me. Folks with liver damage or disease that distend the abdomen is indicative of fluid in the abdomen(ascites) and a sign of a progressed level of disease. The notation of “slight dementia/confusion” is possibly due to waxing and waning levels of toxins affecting cognitive function, hepatic encephalopathy. It can result in confusion, including mania or other agitation, with reports including combativeness and bursts of physical strength and stamina they don’t typically possess. So, she could have theoretically managed to get to her car and independently drive away if in a state such as that. However, prolonged hepatic encephalopathy can be deadly, graded on a scale from 0 to 4, with grade 4 as comatose state. It requires medical attention to resolve in the early stages, and certainly as it becomes more frequent. Seizures as well? Could be asterixis, the seizure appearing flapping of hands during HE episode when arms are held outstretched. or true seizures, which is another huge safety concern.
The above is my opinion backed with much research and much experience with a loved one in a very similar medical situation. In my personal experience, GI bleeds often resulted in the onset of HE symptoms, which is a safety issue, too, and I hope wherever, and maybe if with someone, that Mrs. Annie could obtain appropriate care. To have found no trace of her or her vehicle is very concerning. I’m not certain if I’d prefer she left with someone or alone.
Hepatic Encephalopathy - Liver and Gallbladder Disorders - Merck Manuals Consumer Version
The above is my opinion backed with much research and much experience with a loved one in a very similar medical situation. In my personal experience, GI bleeds often resulted in the onset of HE symptoms, which is a safety issue, too, and I hope wherever, and maybe if with someone, that Mrs. Annie could obtain appropriate care. To have found no trace of her or her vehicle is very concerning. I’m not certain if I’d prefer she left with someone or alone.
Hepatic Encephalopathy - Liver and Gallbladder Disorders - Merck Manuals Consumer Version