Question 1

has anyone survived hepatic encephalopathy?

Accepted Answer

Yes: The prognosis of hepatic encephalopathy really is dependent on how far advanced the liver disease is. If the liver function is still enough to be compatible with life, treatment of underlying infections, drugs to lower the ammonia level etc usually will improve the encephalopathy.

Question 2

what are the symptoms of hepatic encephalopathy?

Accepted Answer

Encephalopathy: Symptoms of hepatic encephalopathy may be mild at first then become severe. Mild symptoms may include mood changes, mild confusion, forgetfulness, and changes in sleep, while more severe symptoms may include agitation, disorientation or severe confusion, abnormal movements, sleepiness, and slurred speech. Patients may progress to coma and death in the most severe cases.

Question 3

what is hepatic encephalopathy and how bad is it?

Accepted Answer

HEPATIC ENCEPHALPATH: Hepatic encephalopathy is another description of hepatic coma and it is very very serious condition and can be fatal.It is caused by liver failure due to chronic liver disease, commonest of that is alcoholic cirrhosis.

Question 4

diet for hepatic encephalopathy with diabetes?

Accepted Answer

Difficult: Low protein, low simple carb is the simplest answer but you really need to get training from a specialized dietician.

Question 5

can bloodletting help someone with hepatic encephalopathy?

Accepted Answer

No. (?): "Bloodletting" refers to the ancient and long-discredited practice of bleeding someone to remove "evil humors" (another long-outdated concept). "Therapeutic phlebotomy" is used to treat diseases that cause overproduction of red blood cells or their constituents eg hemochromatosis, polycythemia vera, porphyria cutanea tarda. It is NOT indicated for hepatic encephalopathy.

Question 6

what is the difference between uremia and hepatic encephalopathy?

Accepted Answer

See below: Both can cause Metabolic Encephalopathies, or brain dysfunction.  Uremia due to kidney failure, hepatitis due to liver failure.  The pathways and toxicity are respectively different but the net effect on brain may be very similar.  Clinicians can easily distinguish the two entities.

Question 7

hospitalised with hepatic encephalopathy and now at home..can we still take warafin?

Accepted Answer

See hepatologist: If you have hepatic encephalopathy, it would suggest that there is significant liver damage.  Since the liver is the source of proteins that allow you to stop bleeding, and Coumadin (warfarin) is used to block the production of these proteins too, the combination is very risky to adjust.  Make sure that someone with expertise in managing anticoagulation is aware of cirrhosis and monitors closely.

Question 8

whats the difference between hepatic encephalopathy and portosystemic encephalopathy?

Accepted Answer

Hepatic encephalop: These are essentially the same. Portosystemic encephalopathy may occur in fulminant hepatitis caused by viruses, drugs, or toxins, but it more commonly occurs in cirrhosis or other chronic disorders when extensive portosystemic collaterals have developed as a result of portal hypertension due to the changes in the liver structure. It may also occur after portocaval shunts.

Question 9

what is the treatment for hepatic encephalopathy?

Accepted Answer

Underlying cause: The treatment of hepatic encephalopathy is three fold:
1) treat underlying cause of liver injury if possible ( so stop liver toxic drugs, steroids for autoimmune liver disease)
2) in patients with chronic liver disease, treat problems that can worsen the situation and cause encephalopathy such as infections, etc.
3) drugs to lower the ammonia levels, ammonia being too high in this condition.

Question 10

what is hepatic encephalopathy?

Accepted Answer

Will worsen situatio: Hepatic encephalopathy is a serious symptom of liver failure and needs to be treated very seriously.  Patients with this condition have a disturbance in their mental status which causes confusion, agitation, or severe depression. Continuing to consume alcohol or other liver-toxic substances will worsen the situation and ultimately lead to decompensated liver failure and death.

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Doctor answers about:

Hepatic encephalopathy xifaxan

A member asked:

Has anyone survived hepatic encephalopathy?

A member asked:

What are the symptoms of hepatic encephalopathy?

A member asked:

What is hepatic encephalopathy and how bad is it?

A member asked:

Diet for hepatic encephalopathy with diabetes?

A member asked:

Can bloodletting help someone with hepatic encephalopathy?

A member asked:

What is the difference between uremia and hepatic encephalopathy?

A member asked:

Hospitalised with hepatic encephalopathy and now at home..can we still take warafin?

A member asked:

Whats the difference between hepatic encephalopathy and portosystemic encephalopathy?

A member asked:

What is the treatment for hepatic encephalopathy?

A member asked:

What is hepatic encephalopathy?

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