How Dr. Nghia Nguyen Diagnoses It
Dr. Nguyen begins by reviewing your medical history. He checks your symptoms and performs a physical exam.
He may order blood tests to check liver function and ammonia levels. Imaging like an ultrasound or MRI may show liver damage.
Simple mental tests help assess how your brain is working.
He also uses the ICD-10 code K72.90 to record your diagnosis for medical tracking and insurance coverage.
Frequently Asked Questions
What is hepatic encephalopathy?
Hepatic encephalopathy is a decline in brain function caused by severe liver disease. The liver can�t remove toxins from the blood, which then build up and affect the brain.
What are the symptoms?
Symptoms range from mild confusion, mood changes, and forgetfulness to severe disorientation, sleepiness, tremors, and even coma in advanced stages.
What causes hepatic encephalopathy?
It�s often triggered by liver failure, gastrointestinal bleeding, infection, dehydration, constipation, or certain medications in people with chronic liver disease or cirrhosis.
Can hepatic encephalopathy be reversed?
Yes. With prompt treatment, many patients recover from episodes. However, it may recur if the underlying liver condition isn�t managed.
How is it treated?
Treatment includes lactulose (a laxative that removes toxins), antibiotics like rifaximin, and managing underlying triggers. A low-protein diet may be advised in some cases.
Is hospitalization required?
Moderate to severe cases often require hospital care to stabilize symptoms, identify triggers, and prevent complications.
How can I prevent future episodes?
Prevention includes taking medications as prescribed, avoiding alcohol, maintaining regular bowel movements, eating a liver-friendly diet, and attending regular follow-ups.
