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Hepatic Encephalopathy

The individuals working in the GastroDoxs clinic in Houston specializes in the diagnosis and treatment of hepatic encephalopathy, and in offering individualized care and advanced treatment to the patients diagnosed with the condition at the beginning of the disease up to the time of complete restoration of the mental capabilities and quality of life among patients of greater Houston and the surrounding communities.

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Bharat Pothuri
Symptoms

What Is Hepatic Encephalopathy?

Hepatic Encephalopathy (ICD-10: K72.90) is a disorder of the brain that develops due to the failure of the sick liver to eliminate the toxins, especially ammonia, in the blood. These wastes build up and they are toxic to the brain, which negatively influences its functions and causes a variety of cognitive and motor alternations.

Common Symptoms

The symptoms are mild mental manifestations and extreme neurological manifestations. You may experience:

  • Abnormalities in forgetting or remembering
  • Disillusionment oruck
  • Mood volatility, irritability/apathy
  • Sleep disorders (night-day reversal)
  • Slurred or slowed speech
  • Tremors of the hands (asterixis)
  • Difficult walking or lack of co-ordination

Causes

The toxins enter the brain due to the fact that the liver is weak and certain triggers. Major causes include:

  • Cirrhosis (scarring of liver permanently)
  • Acute liver failure
  • Blood in the intestines during surgery
  • Although they do not have to be pointed out, dehydration or systemic infections could take place as well
  • Rich food in proteins which hastens ammonia formation
  • Other medications, which affect liver condition
Treatment

Treatment Options for Hepatic Encephalopathy in Houston

The treatment includes several interventions like medicinal, dieting and observation:

  • Lactulose: It is an unabsorbable sugar and plays the role of trapping and removing the excess ammonia in the body.
  • Rifaximin: This is the antibiotic that is employed to fight the bad bacteria that are found in the gut so as to produce less ammonia.
  • Fluids and electrolyte replacement: Helps to preserve the hydration level and mineral balance to improve the liver and brain activity.
  • Assistance in low-protein diet: Planning of individual meals will help to avoid the overload of ammonia and still maintain the balance of nutrition.
  • Ammonia level monitoring: The regular review of the blood tests is conducted to monitor the response of the treatment to the therapy and adjustment of the therapies to thereby achieve the best benefits.

Why Choose GastroDoxs?

GastroDoxs is a facility in Houston dealing with patient-centered care of hepatic encephalopathy. Be it the quick examination of ammonia and special lactulose, or the treatment of rifaximin, or constant check-ups of liver functions and nutrition guidelines our team of experts will accompany you in the process. Wait Get your appointment today? and possess your own brain and your liver with GastroDoxs.

322

Patients Treated

We've successfully treated more than 322 patients, helping individuals improve their digestive health and overall well-being through expert, personalized care.

20Y

Years of Experience

With over 20 years of experience, GastroDoxs has been a trusted provider of gastroenterology care, focusing on delivering the best outcomes for patients

Bharat Pothuri

About the Author

Dr. Bharat Pothuri is a Board-Certified Gastroenterologist and Hepatologist. With extensive experience in digestive health, he specializes in advanced endoscopic procedures, chronic GI disorder management, and preventive care. Dr. Pothuri is dedicated to providing expert, patient-focused insights to help improve gut health and overall well-being.

Frequently Asked Questions

Hepatic Encephalopathy? code ICD-10?

The code of Hepatic Encephalopathy in ICD-10 is K72.90 that means liver failure and complementary symptoms in the brain.

Why do I know that I have a lot of ammonia in my body?

The amount of ammonia is identified using a simple blood test. Your doctor will interpret the results and prescribe treatment.

And will lactulose equalize Hepatic Encephalopathy?

No lactulose fails to treat the condition but aids in the withdrawal of excretions of toxins to lower the amounts of ammonia and manage the symptoms.

Is there period-effect interaction of rifaximin?

Yes. Rifaximin is mostly safe as long as one uses it in the long-term provided that it is administered under the condition of the doctor and it helps in getting rid of the bad gut bacteria that produce ammonia.

What is the difference between acute and chronic Encephalopathy Hepatic?

Acute Hepatic Encephalopathy is a sudden development that is normally preceded by an already existing occurrence. Chronic Hepatic Encephalopathy is an ailment that progresses with time with periodic recurrent attacks.

Does it require there to be special diet?

Yes. A low-protein diet can be used to minimize the production of ammonia. The GastroDoxs care team will develop a nutrition program that will help you meet your nutritional needs and manage the symptoms.

When in the time will I seek medical assistance?

And when in doubt, you better be in a state of trembling, having little coordination or any critical event of sleep pattern, call a doctor right away.

Should a liver transplant be useful in Hepatic Encephalopathy?

Yes. One case of liver transplant will be put in a case of severe or refractory cases of the condition where medical treatments cannot help in controlling the symptoms.

How often do I need to monitor my ammonia level?

Your physician will prescribe a schedule based on your status normally every month or more frequently in the event of change of symptom or change in the treatment.

Will lifestyle change help in treating Hepatic Encephalopathy?

Absolutely. Limit alcohol intake, maintain a healthy diet, drink lots of water, take drugs, and cure infections can help maintain a healthy liver and prevent the risk of developing symptoms.

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