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Hepatic Encephalopathy
Discover care for hepatic encephalopathy at GastroDoxs in Houston. Led by Dr. Scott, our clinic excels in diagnosing liver-related brain disorders with testing and personalized treatment plans. From dietary guidance to medication and procedures, we support your journey to clarity.
Dr. Scott Liu, MD, is a board-certified gastroenterologist with over six years of experience and a background in military medicine. He earned his medical degree from the University of Maryland, Baltimore, completed his Internal Medicine residency at Naval Medical Center Portsmouth, and finished his Gastroenterology fellowship through the National Capital Consortium. Dr. Liu provides comprehensive care for a broad range of digestive conditions, including abdominal pain, acid reflux, liver disease, chronic diarrhea, and colon cancer screening. He is a member of the American College of Gastroenterology and is known for his disciplined, patient-focused approach and clear communication.
Common Causes and Risk Factors
Long-term liver damage such as cirrhosis
Chronic hepatitis B or C infection
Alcohol-related liver injury
Bleeding in the digestive tract
Serious infections stressing the liver
Kidney dysfunction leading to toxin buildup
Signs and Symptoms
Forgetting things or feeling confused
Mood swings, irritability or apathy
Trouble concentrating or finding words
Sleeping more during the day, restlessness at night
Hand tremor or asterixis (“flapping” motion)
Severe disorientation, stupor or coma if untreated
How Dr. Scott Diagnoses It
Dr. Scott starts with a full medical history and physical exam to understand your symptoms and bowel habits:
Medical History and Physical Exam
He asks detailed questions about your symptoms and bowel movements.
Anoscopy or Flexible Sigmoidoscopy
These procedures can be performed in the office to examine the lower colon and rectum.
Colonoscopy
If further investigation is needed, a colonoscopy is done to view the entire colon.
Blood Tests
Tests are used to check for anemia or signs of inflammation in your body.
Advanced Testing
All testing is conducted at our Houston clinic using the latest technology for accurate diagnosis.
Treatment
Our Team offers a full range of care for hepatic encephalopathy.
1. Lifestyle and Diet Changes
Special low-protein meal plans to limit toxin buildup
Small, frequent meals for easier digestion
Guidance on reducing sodium and fluid intake to manage swelling
Support for avoiding alcohol and non-prescribed medications
2. Medications
Lactulose to help remove toxins from the gut
Rifaximin to reduce ammonia-producing bacteria
Additional supplements or therapies to support nutrition and overall health
3. Minimally Invasive or Advanced Procedures
TIPS (transjugular intrahepatic portosystemic shunt) to lower portal pressure
Endoscopic treatments to control or stop gastrointestinal bleeding
Coordination with top Houston transplant centers for liver transplant evaluation
Dr. Scott Liu, MD, is a board-certified gastroenterologist with over six years of experience and a background in military medicine. He earned his medical degree from the University of Maryland, Baltimore, completed his Internal Medicine residency at Naval Medical Center Portsmouth, and finished his Gastroenterology fellowship through the National Capital Consortium. Dr. Liu provides comprehensive care for a broad range of digestive conditions, including abdominal pain, acid reflux, liver disease, chronic diarrhea, and colon cancer screening. He is a member of the American College of Gastroenterology and is known for his disciplined, patient-focused approach and clear communication.
Frequently Asked Questions
What is the ICD-10 code for hepatic encephalopathy?
The most common code is K72.90 for liver failure with no other detail. Dr. Scott's team selects the precise code to match your diagnosis and medical record.
How quickly do lactulose or rifaximin start working?
Many patients notice improvement within one to two days of starting lactulose. Rifaximin usually takes about one to two weeks to achieve its full effect.
Can diet alone control hepatic encephalopathy?
A tailored low-protein diet helps a great deal, but most people also need medications like lactulose or rifaximin to prevent toxin buildup.
Is the TIPS procedure risky?
TIPS (transjugular intrahepatic portosystemic shunt) can relieve portal hypertension but carries risks like bleeding or encephalopathy. Dr. Scott will discuss benefits and potential complications with you.
When should I go to the ER for confusion?
If you suddenly become very confused, excessively sleepy, or vomit blood, seek emergency care immediately-then follow up with Dr. Scott for ongoing management.
Where can I learn more about hepatic encephalopathy?
For in-depth information, visit the American Liver Foundation at liverfoundation.org or ask Dr. Scott for additional educational resources.
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