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Hepatic Encephalopathy

At GastroDoxs in Jersey Village, our hepatology specialists offer comprehensive diagnosis and personalized treatment for hepatic encephalopathy, helping patients manage cognitive changes and improve overall liver health locally with cutting-edge therapies and compassionate care tailored to the community's unique needs.

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Bharat Pothuri
Symptoms

What is Hepatic Encephalopathy?

Hepatic encephalopathy is a brain disorder that develops when a weakened liver can no longer remove toxins from the blood. Those toxins, especially ammonia, build up and travel to the brain, causing mental and motor function impairment. In advanced stages, it can even lead to coma. This condition is captured in medical records under ICD-10 code K72.90.

Common Symptoms

You may experience one or more of the following warning signs:

  • Confusion or difficulty thinking clearly
  • Memory lapses or forgetfulness
  • Irritability, mood swings or personality changes
  • Daytime sleepiness and nighttime restlessness
  • Hand tremors or shakiness (asterixis)
  • Slurred or slowed speech
  • Difficulty with fine motor tasks, such as writing

Causes

This condition arises when factors lead to an accumulation of toxins in the bloodstream, most notably ammonia:

  • Chronic liver disease, such as cirrhosis
  • Bleeding in the gastrointestinal tract
  • Infections anywhere in the body
  • Diets extremely high in protein
  • Kidney dysfunction reducing toxin clearance
  • Dehydration
  • Certain medications that affect liver or brain function
Treatment

Treatment Options for Hepatic Encephalopathy in Jersey Village

Treatment includes medications, dietary adjustments, and supportive care:

  • Lactulose: A liquid laxative that traps and expels ammonia in the stool, lowering blood toxin levels.
  • Rifaximin: An antibiotic that reduces ammonia-producing gut bacteria.
  • Fluid management: Adequate hydration and electrolyte balance to prevent dehydration and support liver function.
  • Protein-adjusted diet: Limiting high-protein foods, emphasizing plant-based proteins and small, frequent meals to reduce ammonia production.
  • Ammonia and liver function monitoring: Regular blood tests (including ammonia, ALT, AST) to assess treatment response and adjust your plan.
  • Hospital or inpatient care: For severe episodes-close monitoring, management of underlying triggers (bleeding, infection) and supportive ICU care if needed.

Book Your Appointment Today

Don't wait-early intervention is key to managing hepatic fibrosis. At GastroDoxs in Jersey Village, our expert team offers personalized treatment plans, modern non-invasive diagnostics, and ongoing support to help you protect and restore your liver health. Call us at 832-632-4070 or book online now to schedule your consultation. We look forward to partnering with you on your journey to better health.

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Patients Treated

We've successfully treated more than 2.7K patients, helping individuals improve their digestive health and overall well-being through expert, personalized care.

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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 Hepatic Encephalopathy?

The ICD-10 code for Hepatic Encephalopathy is K72.90. This code is used by healthcare providers to accurately document and track the condition in medical records.

What ammonia level is considered too high?

An ammonia level over 50 mol/L is often viewed as elevated and may indicate hepatic encephalopathy. Your doctor will interpret this value in the context of your overall health.

Can people live with Hepatic Encephalopathy?

Yes. With timely diagnosis, proper treatment, and ongoing care, many patients manage symptoms effectively and maintain a good quality of life for years.

Which medicines help treat Hepatic Encephalopathy?

Lactulose and rifaximin are the most commonly prescribed medications. Lactulose reduces toxin absorption in the gut, while rifaximin targets bacteria that produce harmful compounds.

How does rifaximin work?

Rifaximin is a non-absorbed antibiotic that decreases the population of gut bacteria responsible for creating ammonia and other neurotoxins, helping to lower toxin levels in the blood.

What triggers or worsens Hepatic Encephalopathy?

Hepatic Encephalopathy can be triggered by factors that increase blood ammonia or reduce liver clearance, such as bleeding in the digestive tract, infections, dehydration, high-protein meals, or certain medications.

How can I lower my ammonia levels?

Your doctor may prescribe lactulose to trap ammonia in the colon for removal, alongside dietary changes like reducing protein intake to limit ammonia production in the gut.

Is diet important in managing Hepatic Encephalopathy?

Yes. A tailored diet with controlled protein levels helps minimize ammonia generation. Nutrition specialists often work with patients to balance protein needs while preventing toxin buildup.

Can Hepatic Encephalopathy be cured?

Hepatic Encephalopathy itself isn't curable, but its symptoms can be managed effectively with medication, dietary adjustments, and treatment of underlying liver disease.

Where can I get help near Jersey Village?

If you suspect Hepatic Encephalopathy or experience related symptoms, call GastroDoxs in Jersey Village. Our team offers prompt evaluation, personalized treatment plans, and ongoing support.

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