A member asked:

Are there different levels of hepatic encephalopathy? is the condition reversible if liver transplant is ruled out?

7 doctors weighed in across 3 answers

Yes: There are 5 stages of hepatic encephalopqthy. It is treatable even if transplant not an option. Ask the transplant hepatolgist (the liver doc) to help with this problem.

Answered 12/20/2012

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Yes: Encephalopathy is graded from 1 to 4. Reversible causes include infection, bleeding and meds. Encephalopathy related to liver failure requires medication, especially if transplant is not on option. Common treatments include lactulose and rifaximin.

Answered 3/10/2015

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Dr. ASHRAF MALEK answered

Specializes in Hepatology

Yes, can be: Encephalopathy has 4 stages, diagnosed clinically. There is one more non-clinical stage, which needs special testing. Encephalopathy can be reversible with transplantation. In some cases, it may take time. Rarely, encephlopathy can occur without liver diseses. In that situation, transplantation may not be always the option. Correcting the problem can reverse encephalopathy.

Answered 4/24/2015

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