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It is always best to consult with her doctor to see what's the best course of action is for her. However, medications such as oxybutynin, tolterodine, and solifenacin may be effective in treating urinary incontinence. Additionally, physical therapy and pelvic floor exercises may help improve her walking and bladder control.

I cannot provide personalized medical advice or diagnose online. If you are concerned about your son's health and whether he needs shunt surgery, consult with a professional pediatrician or a neurosurgeon. Shunt surgery is recommended for individuals with hydrocephalus or other conditions that cause an abnormal accumulation of cerebrospinal fluid (CSF) in the brain, leading to increased pressure and damage to brain tissue.

Hepatic encephalopathy, which is the cause of her coma, can result in some temporary changes in personality and slow thinking. This is because the liver is not functioning properly and the toxins are building up in the brain. However, these effects might be lessened with treatment and time.