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Doctor insights on: Number Connection Test Hepatic Encephalopathy

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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

Dr. Michael DePietro
139 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


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What is hepatic encephalopathy?

What is hepatic encephalopathy?

Hepatic encephalopat: Hepatic encephalopathy is a condition of confusion or altered alertness due to inhibition of brain function. It is believed that this is related to insufficient metabolism of the liver and build up of chemicals that can be transmitted to the brain by the blood stream. In some cases, an elevated blood ammonia level correlates with this condition, but not always, and the role of ammonia is debated. ...Read more

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Has anyone survived hepatic encephalopathy?

Sure!: The encephalopathy can be treated by the treatment of liver failure and depeding on the cause and the state of the disorder can be reversed. ...Read more

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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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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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What is the rationale for hepatic encephalopathy?

Liver failure: Liver failure in metabolism of toxic chemicals in particular ammonia and the effect of these substances in the brain cause disturbance of brain function (encephalopathy). ...Read more

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How long can a person live with hepatic encephalopathy?

How long can a person live with hepatic encephalopathy?

Hepatic enceph: Treatment of the cause of hepatic encephlopathy and symptomatic managemenr of the encephalopathy will help. Please call your hepatologist for specific qquestions. ...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 is the definition or description of: hepatic encephalopathy?

Altered mental statu: Disturbance of consciousness from confusion to coma as a result of liver failure usually due to high levels of serum ammonia. ...Read more

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I think my husband may have hepatic encephalopathy. What can they do?

I think my husband may have hepatic encephalopathy. What can they do?

Treat liver: Treatment involves treating the underlying liver disease, treat other problems that can make the problem worse such as infection, and medications to lower ammonia levels, ammonia being one the the toxins the damaged liver does not handle well. ...Read more

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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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Has anyone been around a person with hepatic encephalopathy? How bad are they?

Has anyone been around a person with hepatic encephalopathy? How bad are they?

Mild to severe: Encephalopathy is a generalized description of an altered mental state that is caused by a medical condition. This is seen as confusion, agitation, lethargy, and/or severe somnolence. It is commonly seen in patients with cirrhosis (hepatic encephalopathy). The severity can range from very mild, almost unnoticeable, to complete unconsciousness. ...Read more

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What is the pathophysiology of hepatic encephalopathy?

Toxins in bloodstrea: Bacteria in the colon release toxins as part of their normal digestion of nutrients. Typically a normal functioning liver can handle that. When someone has cirrhosis and the liver doesn't work normally those toxins can build up and get into the brain to cause the sleepiness/confusion of hepatic encephalopathy. That is why we use drugs like lactulose for diarrhea to clear the colon. ...Read more

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What are the roles of herbs in the treatment of hepatic encephalopathy?

None!: I do not know of any good herbs that can help you. It is a serious problem and only a liver specialist (hepatologist) can help you with this problem. ...Read more

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Diet for hepatic encephalopathy with diabetes?

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

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Can bloodletting help someone with hepatic encephalopathy?

Can bloodletting help someone with hepatic encephalopathy?

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. ...Read more

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What is the difference between uremia and hepatic encephalopathy?

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. ...Read more

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

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. ...Read more

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What's the difference between hepatic encephalopathy and portosystemic encephalopathy?

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. ...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

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What is best anticonvulsant in ptn. With hepatic encephalopathy?

?? PTN: I don't know what you mean by ptn. However, hepatic encephalopathy generally refers to the confusion that patients with cirrhosis develop. The sick liver is unable to clear toxins which then affect the brain. The patient will experience memory difficulties, difficulty with sleep, alterations in personality, and at its worse, it can cause coma. ...Read more

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What happens if you have hepatic encephalopathy and do not have transplant?

What happens if you have hepatic encephalopathy and do not have transplant?

Depends: The symptoms of hepatic encephalopathy can be treated with medicine. Lactulose or rifaximen are commonly used. As liver failure progresses however the medical treatments are less effective and encephalopathy can lead to a hepatic coma. In the absence on liver transplant, advanced liver failure can unfortunately lead to death. ...Read more

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If you have hepatic encephalopathy, are you still able to smoke weed?

If you have hepatic encephalopathy, are you still able to smoke weed?

Not a good idea: The brain takes a long time to recover from any injury or illness. It is a very finely-tuned and delicate instrument. Adding a chemical that disrupts its normal functioning, even if pleasurable, is not a good idea. ...Read more

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What is the life expectancy of an 80 year old lady with hepatic encephalopathy?

Poor prognosis: Generally speaking hepatic encephalopathy occurs with advanced liver disease. Hepatic encephalopathy is associated with short survival in cirrhotic patients. Although these patients can be classified into several groups with a different prognosis, the survival probability in every group is lower than that currently expected after liver transplantation.http://www. Ncbi. Nlm. Nih. Gov/m/pubmed/10365817/. ...Read more

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I'm not sure but is hepatic encephalopathy reversible if I get my ammonia levels down?

Encephalopathy: Ammonia level is a measurement that is helpful in hepatic encephalopathy. However, the underlying condition is cirrhosis which is fully reversible only with liver transplant. Here are some explanation on what treatment options are available for cirrhosis: http://www. Laendo. Net/english/cirrhosis-58020983. ...Read more

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Can Hepatic Encephalopathy cause someone to have spontaneous movements and be unresponsive?

Yes: Those movements may have been myoclonus. If their liver disease is treated successfully, they can have a good recovery. Hope that helps! ...Read more

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What precaution to take when having decompenasted cirohsis with a grade 2 hepatic encephalopathy?

Concerted effort: This has to be a treatment that involves your regular md, your GI specialist and your nutritionist as type of food, activities, and precautions and things to watch out for should all be addressed. Risks of recurrence, bleeding, nutritional status and medications and immune system and infections have to be discussed. ...Read more

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If you have hepatic encephalopathy can you still drink alcohol?

If you have hepatic encephalopathy can you still drink alcohol?

Will worsen situatio: Alcohol is usually one of the major contributors to liver damage. Hepatic encephalopathy is a serious symptom of liver failure and needs to be treated very seriously. Continuing to consume alcohol or other liver-toxic substances will worsen the situation and ultimately lead to decompensated liver failure and death. ...Read more

Dr. Robert Rahimi
56 Doctors shared insights

Hepatic Encephalopathy (Definition)

Disturbance of consciousness from confusion to coma as a result of liver failure usually due to high ...Read more


Hepatic (Definition)

Hepatic refers to something that is ...Read more


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