Hepatic Encephalopathy (ICD-10: K72.90) is a brain disorder that develops when a diseased liver can't clear toxins-especially ammonia-from the bloodstream. These waste products build up, impairing brain function and causing a spectrum of cognitive and motor changes.
Symptoms range from subtle mental changes to severe neurological signs. You may experience:
A weakened liver and certain triggers allow toxins to reach the brain. Major causes include:
At GastroDoxs in Houston, we specialize in patient-centered care for hepatic encephalopathy. From rapid ammonia testing and tailored lactulose or rifaximin therapy to ongoing liver-function monitoring and dietary guidance, our expert team supports you every step of the way. Don't wait-book your appointment today and take control of your brain and liver health with GastroDoxs.
We've successfully treated more than 322 patients, helping individuals improve their digestive health and overall well-being through expert, personalized care.
With over 20 years of experience, GastroDoxs has been a trusted provider of gastroenterology care, focusing on delivering the best outcomes for patients
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.
The ICD-10 code for Hepatic Encephalopathy is K72.90, which denotes liver failure with associated brain symptoms.
A simple blood test measures ammonia levels. Your doctor will interpret the results and advise treatment accordingly.
No, lactulose does not cure the condition but it helps lower ammonia levels and control symptoms by promoting toxin excretion.
Yes. Rifaximin is generally safe for long-term use under physician supervision and helps reduce harmful gut bacteria that produce ammonia.
Acute Hepatic Encephalopathy develops suddenly, often after a triggering event. Chronic Hepatic Encephalopathy progresses gradually over time with recurrent episodes.
Yes. A low-protein diet can help reduce ammonia production. Your care team at GastroDoxs will design a meal plan to meet your nutritional needs while managing symptoms.
Contact a doctor immediately if you experience new or worsening confusion, tremors, poor coordination, or significant changes in sleep patterns.
Yes. In severe or refractory cases where medical therapies no longer control symptoms, a liver transplant may be considered.
Your physician will recommend a schedule based on your condition-typically every month or more frequently if symptoms change or treatment is adjusted.
Absolutely. Avoiding alcohol, maintaining good nutrition, staying hydrated, adhering to medications, and managing infections all support liver health and reduce symptom risk.
