Dr. Rishi Chadha, MD is a board‑certified gastroenterologist who specializes in preventive gastroenterology, colorectal cancer screening, and minimally invasive endoscopic procedures. He completed his fellowship at Sunrise Health GME in Las Vegas and previously trained in internal medicine at St. Vincent’s Medical Center in Connecticut.
Hepatic encephalopathy is a brain dysfunction that occurs when a damaged liver cannot clear toxins from the blood. As toxins build up, they interfere with normal brain activity, leading to symptoms that range from mild confusion and sleep disturbances to severe personality changes, tremors, or even coma. Though serious, this condition is often treatable with timely intervention.
Dr. Chadha asks about changes in thinking, mood or sleep, reviews your history of liver disease, alcohol use and other risk factors.
Labs check liver enzymes, ammonia levels and rule out other causes of altered mental status.
Simple bedside tests evaluate attention, coordination and reflexes to gauge brain function.
The ICD-10 code K72.90 (liver failure without coma) is documented for your records and insurance.
Dr. Rishi Chadha, MD is a board‑certified gastroenterologist who specializes in preventive gastroenterology, colorectal cancer screening, and minimally invasive endoscopic procedures. He completed his fellowship at Sunrise Health GME in Las Vegas and previously trained in internal medicine at St. Vincent’s Medical Center in Connecticut.
Severe confusion, shaky hands (asterixis), passing out, or coma are the most serious signs.
Hepatic encephalopathy can be managed and often reversed with proper treatment.
Episodes can be triggered by infection, gastrointestinal bleeding, eating too much protein, or dehydration.
Symptoms may appear within a few hours to a few days.
Yes, if symptoms are serious. Mild cases may be managed at home under a doctor's guidance.
The code for hepatic encephalopathy related to liver failure without coma is K72.90.
Through blood tests (liver function and ammonia levels), simple brain function checks, and imaging (ultrasound or MRI).
Avoid red meat, alcohol, and processed foods; focus on plant-based protein and balanced nutrition.
Many patients require ongoing care, including medications and dietary adjustments, to prevent new episodes.
Seek medical attention at the first sign of confusion, memory problems, or changes in sleep patterns.
