Hello Sir My father is facing unconsciousness since last 4 days. He is bedridden from last 19 to 20 years due to paralysis. before 2 weeks he get loose motion and vomiting but this all was stopped before 4 days and he were talking strangely. We admitted him in hospital but he is still drowsy and unconscious and now he is not saying anything and can t recognize any relative. He has excess nitrite in urine and heumoglobin I am very upset please tell me if he is fine or something is there to be worried? Thanks
Hi there. I hope to help you with the following information. Be Chat Doctor.  Increased Nitrites in urine are usually suggestive of that. Also, when there is a bad Urinary Infection, it can spill over to the blood - called Urosepsis and when this happens it affects the mental status also either due to fever or due to a number of other causes. With age, the brain starts to shrink and on top of this when they have another problem like an infection, they go into altered consciousness or even unconscious state. One other problem commonly seen which can cause similar symptoms is Low Sodium content, Hyponatremia. Especially more common in the elderly, kidney disease and those with another co-existing disease. So Serum Sodium levels also need to be checked into and corrected if necessary. A CT scan or an MRI of the brain will tell us if he has had a Stroke or a bleed. So these are the few things you need to look for as a possible cause for your fathers current condition. Wishing him a speedy recovery. Take care.