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Hepatic Encephalopathy

Our hepatology experts at GastroDoxs in Jersey Village provide full diagnosis and individual care of hepatic encephalopathy to ensure that the patients cope with cognitive dysfunction and can ameliorate the liver throughout with the latest treatment and caring care in consideration to the needs of the community.

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Bharat Pothuri
Symptoms

What is Hepatic Encephalopathy?

Hepatic encephalopathy is a brain disorder developing due to the inability of the already weak liver to eliminate toxins in the blood. Such toxins, particularly ammonia accumulate and move to the brain leading to impairment of mental and motor functions. In the later stages it may even become coma. This disease is enshrined in the medical records in the ICD-10-CM code of 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 removes ammonia in the stool, reducing toxin levels in the blood.
  • Rifaximin: An antibiotic that inhibits gut bacteria which produce ammonia.
  • Fluid management: Maintain proper hydration and electrolyte levels to prevent dehydration and support liver function.
  • Protein-modified diet: Reduce intake of high-protein foods, focusing on plant-based proteins and small, frequent meals to lower ammonia production.
  • Ammonia and liver monitoring: Regularly check ammonia, ALT, and AST levels to assess treatment response and adjust plans accordingly.
  • Hospital/inpatient treatment: In severe cases, monitor closely, manage underlying triggers (bleeding, infection), and provide supportive care in the ICU if necessary.

Book Your Appointment Today

Wait-early intervention is the key to the hepatic fibrosis management. Our professional team at GastroDoxs in Jersey Village will provide individual treatment plans, non-invasive state-of-the-art diagnostics, and continuous monitoring that will assist you in safeguarding and reinstating the health of your liver. Book online to now or request us to call 832-476-1649 to make your consultation. We weep to work with you on your way to a healthier you.

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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

Heptic Encephalopathy: What is the ICD-10 coding?

Hepatic Encephalopathy can be coded as K72.90 under ICD-10. Healthcare providers use this code to properly record and track the condition in medical records.

At what point is the amount of ammonia in the blood too high?

A level above 50 µmol/L of ammonia is considered high and may indicate hepatic encephalopathy. Your doctor will interpret this value alongside your overall health.

Is it possible to survive with Hepatic Encephalopathy?

Yes. With early diagnosis, effective treatment, and continuous care, many patients can manage symptoms and live well with the condition for years.

What are some of the medicines used to treat Hepatic Encephalopathy?

The most frequently prescribed drugs are lactulose and rifaximin. Lactulose reduces absorption of toxins in the gut, while rifaximin suppresses bacteria that produce harmful substances.

How does rifaximin work?

Rifaximin is a non-absorbed antibiotic that decreases gut bacteria producing ammonia and other neurotoxins, helping to reduce toxin levels in the blood.

What causes or aggravates Hepatic Encephalopathy?

Hepatic Encephalopathy may result from elevated blood ammonia or reduced liver clearance, caused by factors such as digestive tract bleeding, infections, dehydration, high-protein diets, or certain medications.

What can I do to reduce my ammonia levels?

Your physician may recommend lactulose to trap ammonia in the colon for elimination, along with dietary modifications such as reducing protein intake to lower ammonia production.

Is nutrition relevant in the treatment of Hepatic Encephalopathy?

Yes. A carefully managed diet helps reduce ammonia production. Nutrition specialists work with patients to balance protein intake and prevent toxin buildup.

Is there any cure for Hepatic Encephalopathy?

Hepatic Encephalopathy is not curable, but symptoms can be managed effectively with medication, dietary changes, and treatment of underlying liver disease.

What are the local resources in Jersey Village?

GastroDoxs in Jersey Village provides timely assessments, personalized treatment plans, and ongoing guidance for patients experiencing symptoms of Hepatic Encephalopathy.

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