Sign-in to Ask A Doctor - 24x7
OR
Sign in with GoogleGet your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
How Can Confusion And Aggressive Behaviour Be Managed While Suffering From Liver Cirrhosis?
My husband is in hospital now he has cirrhosis and he . He had a hip replacement and potassium got really high and blood sugar. Now he doesn t know where he is and gets mad .He has been in the hospital since Jan off and on. He is very confused he has had liver problems for twenty five years does not drink
Sat, 20 Oct 2018
Hi,
He may be suffering from cirrhosis with hepatic encephalopathy probably stage 1.
He may be treated with:
1. Lactulose is a standard treatment for hepatic encephalopathy.
2. Ammonia testing may be helpful diagnostically or trending levels.
3. There should always be a consideration to other causes of altered mental status in these patients, as they are at high risk for comorbidities including bleeding, infection, drug interactions, and electrolyte disturbances.
If symptoms not improved please consult your gastroenterologist he will examine and treat you accordingly.
Regards,
Dr. Penchila Prasad Kandikattu,
Internal Medicine Specialist
He may be suffering from cirrhosis with hepatic encephalopathy probably stage 1.
He may be treated with:
1. Lactulose is a standard treatment for hepatic encephalopathy.
2. Ammonia testing may be helpful diagnostically or trending levels.
3. There should always be a consideration to other causes of altered mental status in these patients, as they are at high risk for comorbidities including bleeding, infection, drug interactions, and electrolyte disturbances.
If symptoms not improved please consult your gastroenterologist he will examine and treat you accordingly.
Regards,
Dr. Penchila Prasad Kandikattu,
Internal Medicine Specialist
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer.
For a more detailed, immediate answer, try our premium service
[Sample answer]
Related questions you may be interested in
Loading Online Doctors....