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Types of hepatic encephalopathy Stage 0: Minimal HE. Slight changes in memory and concentration. Stage 1: Mild HE. Mood changes and sleep problems. Stage 2: Moderate HE. Inappropriate behavior, slurred speech, trouble doing basic math. Stage 3: Severe HE. Disorientation, extreme sleepiness, or anxiety. Stage 4: Coma.
Hepatic encephalopathy (HE) impacts on survival and could be an ominous event in critically ill cirrhotic patients. The first epidemiological studies performed in cirrhotic patients with HE showed survival probabilities at 1 and 3 years of 42% and 23% respectively.
It can get better with treatment, but it can be life-threatening without. Hepatic encephalopathy is caused by neurotoxins in your blood substances that are toxic to your brain and nervous system. Normally, your liver filters these toxins from your blood.
Help your loved one follow diet changes or recommendations. Ensure that your loved one has the transportation and support needed to get to doctor appointments. Monitor your loved one to help avoid greater harm, including the risk of falling.
Cirrhotic patients are at increased risk of acquiring food-borne infections; we recommend that all foods that you eat from animal organs should be fully cooked. This is especially true for seafood and poultry. Raw seafood, especially shellfish, should not be eaten. Only pasteurized milk and juices should be consumed.
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People also ask

Liver problems Yellowing of the skin and the whites of the eyes, called jaundice. Yellowing of the skin might be harder to see on Black or brown skin. Belly pain and swelling. Swelling in the legs and ankles. Itchy skin. Dark urine. Pale stool. Constant tiredness. Nausea or vomiting.
Hepatic encephalopathy is a complex disorder that encompasses a spectrum or continuum of disease that ranges from a subtle condition with no outward signs or symptoms to a severe form that can cause serious, life-threatening complications.
Signs and symptoms of acute liver failure may include: Yellowing of your skin and eyeballs (jaundice) Pain in your upper right abdomen. A swollen belly (ascites) Nausea. Vomiting. A general sense of feeling unwell (malaise) Disorientation or confusion. Sleepiness.

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