Doctor insights on:
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 moreSee 1 more doctor answer
My father is 67 years old has alcoholic cirrhosis. Has been hospitalized twice with severe hepatic encephalopathy. What is his likely life expectancy ?
Not too long: but nobody really knowsGet a more detailed answer ›
My husband had a liver transplant last year in Jan 2015 but it did not rid him of hepatic encephalopathy his is bad his memory is horrible?
May not be hepatic?: There R many possible causes of bad memory. If your husband had hepatic encephalopathy, & now has a normal functioning liver, other causes of brain dysfunction have to be considered. In other words, if the new liver is functioning normally, it is unreasonable to assume that hepatic encephalopathy is causing the current memory problem. Dr. Mike ...Read more
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 moreSee 1 more doctor 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. ...Read more
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
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 moreSee 1 more doctor answer
??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
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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