Decreased Responsiveness
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Try one of these related symptoms.
Becoming listless and unenergetic
Delayed reaction
Feeling little to no interest in anything ans experiencing a cough and eyes discharge
Becoming less expressive
The reaction is getting weak
Not responding so much nowadays
Responses getting slow
Unusual eye discharge, cough, and lack of energy
Becoming less responsive
Reactions gradually disappeared
Eye discharge with coughing and listlessness
No reaction to being called
Possible Causes
Generally, Decreased responsiveness can be related to:
- Shaken Baby Syndrome
Shaken baby syndrome (SBS) is a brain injury that occurs when a baby or toddler is violently shaken. It destroys the child's brain cells and prevents the brain from getting enough oxygen. It causes bruising, swelling and bleeding in the skull.
- Fatty Acid Metabolism Disorder
Fatty acid metabolism disorders are genetic disorders that result from the body's inability to produce or use an enzyme or protein needed to oxidize fatty acids. This leaves the body unable to produce energy in the liver and muscles from fatty acid sources when all the glucose in the body has been used up.
- Diffuse Axon Injury
Diffuse axonal injury (DAI) is a type of damage that occurs to nerve cells as a result of traumatic brain injury (TBI). TBI is most often caused by blunt head trauma. DAI is sometimes accompanied by severe alterations in someone's level of consciousness, such as lethargy or coma.
Herpes Simplex Encephalitis (HSE)
Related Serious Diseases
Sometimes, Decreased responsiveness may be related to these serious diseases:
- Asphyxiation
Suffocation (asphyxiation) occurs when the body doesn't receive enough oxygen. The most common causes are allergic reactions (throat closes up from swelling), drowning and foreign objects caught in the airway. Without quick intervention, it can result in loss of consciousness, brain damage, or death.
- Meningitis
- Epilepsy
- Sepsis
- Hypothermia
- Hypernatremia
Doctor's Diagnostic Questions
Your doctor may ask these questions to check for this symptom:
- Have you seemed less responsive or shown fewer facial expressions lately?
- Are your responses gradually weakening?
- Do you have cough, eye discharge, and are lacking energy?
- How long have you had slow response, lack of facial expression, or feeling unwell?
- Do you have occasional poor responses and decreased facial expressions despite having normal energy?
Reviewed By:
Benjamin Kummer, MD (Neurology)
Dr Kummer is Assistant Professor of Neurology at the Icahn School of Medicine at Mount Sinai (ISMMS), with joint appointment in Digital and Technology Partners (DTP) at the Mount Sinai Health System (MSHS) as Director of Clinical Informatics in Neurology. As a triple-board certified practicing stroke neurologist and informaticist, he has successfully improved clinical operations at the point of care by acting as a central liaison between clinical neurology faculty and DTP teams to implement targeted EHR configuration changes and workflows, as well as providing subject matter expertise on health information technology projects across MSHS. | Dr Kummer also has several years’ experience building and implementing several informatics tools, presenting scientific posters, and generating a body of peer-reviewed work in “clinical neuro-informatics” – i.e., the intersection of clinical neurology, digital health, and informatics – much of which is centered on digital/tele-health, artificial intelligence, and machine learning. He has spearheaded the Clinical Neuro-Informatics Center in the Department of Neurology at ISMMS, a new research institute that seeks to establish the field of clinical neuro-informatics and disseminate knowledge to the neurological community on the effects and benefits of clinical informatics tools at the point of care.
Yoshinori Abe, MD (Internal Medicine)
Dr. Abe graduated from The University of Tokyo School of Medicine in 2015. He completed his residency at the Tokyo Metropolitan Health and Longevity Medical Center. He co-founded Ubie, Inc. in May 2017, where he currently serves as CEO & product owner at Ubie. Since December 2019, he has been a member of the Special Committee for Activation of Research in Emergency AI of the Japanese Association for Acute Medicine. | | Dr. Abe has been elected in the 2020 Forbes 30 Under 30 Asia Healthcare & Science category.
Content updated on Feb 6, 2025
Following the Medical Content Editorial Policy
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- Occasionally decreased facial expression
- Runny eyes, cough and little or no interest in anything
- Occasional slow response
- Reactions gradually weakened
- Occasional poor response
- Eye discharge with a cough and listlessness
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Link to full study:
https://www.medrxiv.org/content/10.1101/2024.08.29.24312810v1References
Berger JR, Price R. Stupor and coma. In: Jankovic J, Mazziotta JC, Pomeroy SL, Newman NJ, eds. Bradley and Daroff's Neurology in Clinical Practice. 8th ed. Philadelphia, PA: Elsevier; 2022:chap 5.
Lei C, Smith C. Depressed consciousness and coma. In: Walls RM, ed. Rosen's Emergency Medicine: Concepts and Clinical Practice. 10th ed. Philadelphia, PA: Elsevier; 2023:chap 12.