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Hepatic Encephalopathy

Neurological condition from liver failure where toxins (especially ammonia) accumulate in the bloodstream.

Key Facts

  • Most commonly caused by portosystemic shunt
  • Signs: unusual behavior, wobbliness, seizures, blindness, coma
  • Signs often worse after eating (ammonia from GI tract)
  • Lactulose prevents ammonia absorption from GI tract
  • Low protein diet may help reduce ammonia production
  • Brain swelling can occur in severe cases
  • Mild cases treated quickly usually recover

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