Hepatic encephalopathy is a brain disorder that develops when a failing liver can't clear toxins-especially ammonia-from the blood. Those toxins build up, cross into the brain, and disrupt mental function. The condition can range from mild confusion to deep coma, but early diagnosis and treatment often reverse its effects.
Symptoms vary by stage but often include:
Hepatic encephalopathy usually arises from advanced liver disease and is often triggered by:
At GastroDoxs in Katy, we specialize in hepatic encephalopathy care with a patient-centered approach. Our team offers clear explanations, individualized treatment plans, and evidence-based therapies-like lactulose and rifaximin-alongside tailored nutrition guidance. From accurate diagnosis coding to ongoing progress tracking, we're with you every step of the way. Don't let confusion or fatigue slow you down: book your appointment today and take control of your liver health.
We've successfully treated more than 322 patients, helping individuals improve their digestive health and overall well-being through expert, personalized care.
With over 20 years of experience, GastroDoxs has been a trusted provider of gastroenterology care, focusing on delivering the best outcomes for patients
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.
The ICD-10 code for hepatic encephalopathy is K72.90 for cases without coma and K72.91 for cases with coma, ensuring accurate medical billing and tracking.
Yes, hepatic encephalopathy can improve or resolve with early diagnosis, proper medical treatment, and management of the underlying liver condition.
Confusion is caused by toxins, such as ammonia, that accumulate in the bloodstream when the liver fails to filter them, affecting brain function.
Treatment at home is possible under your doctor's guidance by taking prescribed medications, following a liver-friendly diet, and monitoring symptoms closely.
Lactulose and rifaximin are most commonly prescribed; lactulose helps remove toxins via the stool, while rifaximin reduces harmful gut bacteria.
Stage 4 is the most severe form, characterized by deep coma and the highest risk of life-threatening complications, requiring urgent medical care.
Yes, a balanced diet with controlled protein intake and liver-safe nutritional supplements can help reduce toxin production and support liver function.
When the liver can't properly filter toxins from the blood, these substances build up and travel to the brain, causing cognitive and neurological symptoms.
Yes, infections such as urinary tract infections or pneumonia can trigger or worsen hepatic encephalopathy by increasing toxin production and inflammation.
Start treatment by scheduling an appointment with a liver specialist like GastroDoxs in Katy, who will diagnose, create a personalized care plan, and guide your therapy.
