1.9K Reviews    |    4.7 Star Rating    |    20+ years of experience    |    72k+ Patients Treated

Hepatic Encephalopathy

Hepatic encephalopathy, a brain dysfunction from liver disease, can cause confusion, memory issues and fatigue. At GastroDoxs in Houston, Dr. Bharat Pothuri offers diagnosis and personalized treatments-combining medication, diet adjustments and procedures-to restore cognitive function and enhance quality of life.

Call Us 832-632-4070 Schedule Now Click Here Text Us 832-632-4070 Learn More Click Here
Texas Medical Board
Harris County Medical Society
American College of Gastroenterology
American Society for Gastrointestinal Endoscopy
Memorial hermann
Houston Methodist leading Medicine
HCA Houston Healthcare
Bharat Pothuri

About the Expert

Dr. Bharat Pothuri is a board-certified gastroenterologist and the founder of GastroDoxs. 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.

Common Causes and Risk Factors

  • Cirrhosis (scarring of the liver)
  • Acute liver failure
  • Gastrointestinal bleeding
  • Electrolyte imbalances (low sodium or potassium)
  • Elevated blood ammonia levels
  • Heavy alcohol use

Signs and Symptoms

  • Confusion or memory problems
  • Mood swings or disorientation
  • Difficulty speaking or concentrating
  • Hand tremors or asterixis (-flapping- hands)
  • Excessive sleepiness or lethargy
  • In severe cases, coma

Expert Treatment for Hepatic Encephalopathy by Dr. Bharat Pothuri

Dr. Pothuri uses a step-by-step approach:

Medical History and Physical Exam

He reviews your symptoms (confusion, mood changes, tremors, sleepiness), past liver disease or alcohol use, medications, and other risk factors.

Blood Tests

We check ammonia levels, liver function tests (AST, ALT, bilirubin), electrolytes and look for nutritional or chemical imbalances.

Imaging Studies

  • Brain CT or MRI to rule out stroke, bleeding or other neurological causes.
  • Abdominal ultrasound or CT scan to evaluate cirrhosis, portal hypertension and structural liver changes.

Neurocognitive Testing & Additional Evaluations

Simple thinking and memory tests gauge the severity of encephalopathy. An endoscopy may be performed to check for GI bleeding. For documentation and billing, ICD-10 code K72.90 is applied.

Bharat Pothuri
Treatment

Our Team offers a full range of care for hepatic encephalopathy.

1. Lifestyle and Diet Changes

  • Eating less meat and more plant-based foods
  • Eating smaller meals more often
  • Drinking plenty of water
  • Avoiding alcohol and certain medications

2. Medications

  • Lactulose to help the body eliminate toxins and lower ammonia levels
  • Rifaximin to reduce harmful gut bacteria
  • Additional medications as needed to correct nutritional or chemical imbalances

3. Other Treatment Options

  • Endoscopy to control bleeding in the stomach or esophagus
  • TIPS procedure to reduce portal hypertension and protect the brain
  • Regular follow-up visits to monitor progress and adjust your care plan
322

Patients Treated

Dr. Pothuri has 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

What is the ICD-10 code for this condition?

The ICD-10 code for hepatic encephalopathy is K72.90.

How long does lactulose take to work?

Many people start feeling better in one to two days.

Can this condition be reversed?

Yes. With proper care and lifestyle changes, symptoms can go away.

Do I have to stay in the hospital?

Not always. Mild cases can be treated at home. More serious cases may need short hospital stays.

Do you offer diet plans?

Yes. We help patients follow liver-friendly meal plans.

Can alcohol cause this problem?

Yes. Alcohol is a major cause of liver damage and can lead to this condition.

How often should I see the doctor?

In the beginning, visits may be once a month. After improvement, visits are usually every few months.

Related Blogs
Abdominal Pain

Painless Banding: A Guide to Minimally Invasive Hemorrhoid Relief

Read More
Abdominal Pain

When Is Abdominal Pain a Sign of Ulcerative Colitis?

Read More
Abdominal Pain

The Importance of Screening for Prevention

Read More