when patients have chronic liver conditions they don't have much reserve so any time of illness, be it bleeding, dehydration, etc, can get the best of them as they will not be able to compensate.
if patients are in hepatic coma its unlikely that they would be able to understand or hear what is going on around them. I am sorry for your loss.
Thank you for responding back Sir, ok what if they got out of the coma and started doing much better within days, and after three days their ammonia levels started rising, I noticed that she could understand what we were saying but couldn't respond back, did she know what we were saying, I mean, we would ask her questions and she would smile?
in the scenario that you describe, the patient could definitely have understood and comprehended what was going on.
If she had internal bleeding, could she have been saved, everything was going bad, ammonia levels really high, blood pressure up and down, liver bad, diabetis and had just gotten out of coma?