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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Normal Progression Of Hepatic ENC ?

I HAVE HEPATIC ENC (CAN'T SPELL) I HAVE HAD CIRH CAN'T SPELL THAT EITHER FOR 2 YEARS. I HAVE ALL THE SYMPTOMS OF HEPATIC ENC EXCEPT FOR GOING IN A COMA. I TRY TO TAKE GENERALAC EVERY DAY (1/4 CUP) EVERY DAY. I SKIP SOME DAYS IF I HAVE TO GO TO THE DR OR DENTIST. WILL THIS CONDITION GET WORSE OR WILL IT STABLIZE. I WAS AN HONOR STUDENT IN SCHOOL, WORKED FOR THE LAST 15 YEARS IN BANKING BUT HAD TO TAKE DISABILITY, UNABLE TO WORK BECAUSE OF HEPATIC ENC. I HAVE AN ENDOSCOPE ONE A YEAR AND ASCITES ARE VERY SMALL. THE DR HAS ASKED ME IF I WANT TO CONSIDER A LIVER TRANSPLANT IN THE FUTURE....NOT SOON BUT GET ON THE LONG LIST. I DONT THINK I WANT TO BUT MY KIDS ARE UPSET WITH ME. I KNOW YOU DON'T HAVE A CRYSTAL BALL BUT WHAT IS A NORMAL PROGRESSION OF THIS DISEASE?
Wed, 27 Nov 2013
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General & Family Physician,  's  Response
Hello there!
Thank you for asking, Hepatic encephalopathy is due to increase ammonia levels as they are not detoxified by liver any more as they are cirrhotic. SO This Adds to the group f chronic liver disease. I am sorry to tell you but this disease progressess and there is no cure but management only. So if you want to increase your life span. Take regular medications, they are life long.
here is what you need to do
Avoid excess protein
Avoid and treat early the infections, and constipation,
Avoid opiates, benzodiazepines, antidepressants, and antipsychotic agents.
keep tracing your potassium levels. Dont let them fall.

If any problem persists or worsens see the gastro enterologists.
You need alot of care and monitoring,.

Regards
S Khan
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What Is The Normal Progression Of Hepatic ENC ?

Hello there! Thank you for asking, Hepatic encephalopathy is due to increase ammonia levels as they are not detoxified by liver any more as they are cirrhotic. SO This Adds to the group f chronic liver disease. I am sorry to tell you but this disease progressess and there is no cure but management only. So if you want to increase your life span. Take regular medications, they are life long. here is what you need to do Avoid excess protein Avoid and treat early the infections, and constipation, Avoid opiates, benzodiazepines, antidepressants, and antipsychotic agents. keep tracing your potassium levels. Dont let them fall. If any problem persists or worsens see the gastro enterologists. You need alot of care and monitoring,. Regards S Khan