... labs are good. I have no other illness. I don't understand. I thought this happened in late stage cirrhosis or with elevated amonia
If you have been diagnosed with Hepatic Encephalopathy you need to know it can be caused by other than elevated ammonia levels or cirrhosis. Below I am providing some info that I found online. There are three types that have been identified and researched. You may want to get another opinion, or ask your doctor which type you have. Hope this helps
Type A (=acute) describes hepatic encephalopathy associated with acute liver failure
Type B (=bypass) is caused by portal-systemic shunting without associated intrinsic liver disease
Type C (=cirrhosis) occurs in patients with cirrhosis - this type is subdivided in episodic, persistent and minimal encephalopathy
The term minimal encephalopathy (MHE) is defined as encephalopathy that does not lead to clinically-overt cognitive dysfunction, but can be demonstrated with neuropsychological studies.This is still an important finding, as minimal encephalopathy has been demonstrated to impair quality of life and increase the risk of involvement in road traffic accidents.
My husband has cirrhosis of his new liver (transplanted in 2007). He has begun to suffer from bouts of hepatic encephalopathy despite oddly good lab numbers. He has had three minor car accidents in two years. When his head is clear, he seems to be in excellent health, is able to drive safely, perform cognitively complex tasks and jog two miles. But I have to be vigilant because he doesn't recognize it when it begins. We are now looking at other issues such as medication, dehydration and diet as possible places to improve.
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