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Doctor insights on: Hepatic Encephalopathy

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Dr. Robert Rahimi
55 doctors shared insights

Hepatic Encephalopathy (Overview)

Disturbance of consciousness from confusion to coma as a result of liver failure usually due to high levels of serum ammonia.


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What is hepatic encephalopathy and how bad is it?

What is hepatic encephalopathy and how bad is it?

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. ...Read more

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Dr. Robert Rahimi
55 doctors shared insights

Hepatic Encephalopathy (Overview)

Disturbance of consciousness from confusion to coma as a result of liver failure usually due to high levels of serum ammonia.


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What are the symptoms of hepatic encephalopathy?

What are the symptoms of hepatic encephalopathy?

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. ...Read more

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Is there anyway to get my husband who is deteriorating from cirrhosis & showing signs of hepatic encephalopathy to go the er, he refuses to go.

911 will help you: Please call 911 if your husband is abusive, violent, confused, incoherent, hallucinating, etc. An ambulance will come, do an initial quick review and from your description, should transport him to the er for further assessment and triage. He may need admission to hospital -- possibly will need a medical-psychiatric unit that can handle both his encephalopathy and his other behavioral issues. ...Read more

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How long does a person have to live when diagnosed with severe liver failure and hepatic encephalopathy?

How long does a person have to live when diagnosed with severe liver failure and hepatic encephalopathy?

Depends: If they can tolerate and respond to supportive treatment, then can be months. Often those two diagnoses will qualify for hospice care, as not all respond, and most have other health issues complicating management. Untreated or no response to tx usually less than 1 month. ...Read more

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Can anything else mimic hepatic encephalopathy? liver tests came back with no cirrhosis? former drinker, quit a month ago

Can anything else mimic hepatic encephalopathy? liver tests came back with no cirrhosis? former drinker, quit a month ago

Mimics: Hepatic encepahlopathy can be mimicked by drug side effects, infections, very low or high blood sugar, thryoid disorders, changes in kidney function (very high BUN), and changes in sodium, calcium, and potassium, to consider a few causes. ...Read more

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What may be the cause for hepatic encephalopathy in women?

What may be the cause for hepatic encephalopathy in women?

Liver disease: Hepatic encephalopathy is always caused by severe liver malfunction. There are a large number of causes, including liver damage from viruses ( hepatitis) toxins, tylenol (acetaminophen) overdose, alcohol abuse, and even autoimmune diseases. There are other less common causes of liver injury as well. ...Read more

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What does hepatic encephalopathy grade2 mean and what are the consequences?

What does hepatic encephalopathy grade2 mean and what are the consequences?

Variable: Hepatic encephalopathy (he) grade 2 usually infers lethargy or apathy; minimal disorientation for time or place; subtle personality change; inappropriate behavior. However, many things can change that, making it worse or better. Medications, such as lactulose or rifaximin, are used to treat he, and dietary indiscretion as well as infection or worsening liver function will make he worse. ...Read more

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What is the treatment for hepatic encephalopathy?

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. ...Read more

Dr. Michael DePietro
136 doctors shared insights

Encephalopathy (Definition)

Encephalon means brain, pathy means abnormal, so the full term means abnormal brain. I see the statement used by many of my colleagues, but it is not a diagnosis, ...Read more


Hepatic (Definition)

Hepatic refers to something that is ...Read more