How do I know if I have Hepatic Encephalopathy?

What signs or symptoms may make you suspect you may have Hepatic Encephalopathy. People who have experience in Hepatic Encephalopathy offer advice of what things may make you suspicious and which doctor you should go to to receive treatment


Hepatic encephalopathy is a condition that affects the brain and nervous system, typically as a result of liver dysfunction or liver disease. It occurs when the liver is unable to properly filter toxins from the blood, leading to a buildup of harmful substances in the body.



Recognizing the symptoms of hepatic encephalopathy is crucial for early diagnosis and treatment. The signs can vary in severity and may develop gradually or suddenly. Here are some common indicators to watch out for:




  • Changes in mental state: One of the primary symptoms of hepatic encephalopathy is altered mental function. This can manifest as confusion, forgetfulness, difficulty concentrating, personality changes, or even coma in severe cases.

  • Impaired coordination: People with hepatic encephalopathy may experience problems with coordination and balance. They may have difficulty walking, tremors, or jerky movements.

  • Slurred speech: Speech may become slurred or slowed down, making it challenging to communicate effectively.

  • Personality and mood changes: Mood swings, irritability, anxiety, depression, or a generally altered personality can be observed.

  • Sleep disturbances: Insomnia or excessive daytime sleepiness may occur, disrupting normal sleep patterns.

  • Jaundice: Hepatic encephalopathy can be accompanied by yellowing of the skin and eyes, known as jaundice. This occurs due to the liver's inability to process bilirubin, a yellow pigment produced during the breakdown of red blood cells.

  • Hand tremors: Uncontrollable shaking of the hands, known as asterixis, can be a sign of hepatic encephalopathy.



If you are experiencing any of these symptoms, it is important to seek medical attention promptly. A healthcare professional will evaluate your medical history, perform a physical examination, and may order blood tests or imaging studies to assess liver function and rule out other potential causes.



Early diagnosis and treatment of hepatic encephalopathy are crucial to prevent further complications. Treatment options may include medications to reduce ammonia levels in the blood, dietary modifications to limit protein intake, and management of underlying liver disease. In severe cases, hospitalization may be necessary for close monitoring and specialized care.



Remember, only a qualified healthcare provider can diagnose hepatic encephalopathy. If you suspect you may have this condition, it is essential to consult with a medical professional for an accurate evaluation and appropriate treatment.


by Diseasemaps

Most primary care physicians are grossly under educated when it comes to HE. Your GI or Hepatologist will probly diagnose you. If you have cirrhosis, you should discuss any feeling of being foggy headed, confused or if you have trouble completing thoughts or sentances. Your doctor will probably order an ammonia blood test. Some people are highly sensitive to the ammonia level in their blood and show signs and symptoms even when their ammonia levels are normal. Others like myself can tolerate higher levels of ammonia without showing signs.

2/12/18 by Wendy M 2410

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