liver and gallbladder disorders
Hepatic Encephalopathy
Treatment of Hepatic Encephalopathy
Elimination of triggers Elimination of toxic substances from the intestine Doctors try to eliminate any triggers for the encephalopathy, such as an infection or a drug. Doctors also try to eliminate toxic substances from the intestine because these substances can contribute to encephalopathy. They may use one or more of the following measures: Lactulose:Lactulose, a synthetic sugar taken by mouth, acts as a laxative, speeding up the passage of food. Because of this and other effects, it decreases the amount of ammonia that is absorbed by the body. Antibiotics:Doctors may prescribe antibiotics (such asrifaximin) that are taken by mouth but are not absorbed from the intestine. These antibiotics remain in the intestine, where they can reduce the number of bacteria that form toxins during digestion. With treatment, hepatic encephalopathy is frequently reversible. In fact, complete recovery is possible, especially if the encephalopathy was triggered by a reversible cause. However, people with a chronic liver disorder are susceptible to future episodes of encephalopathy. Some require continuous treatment. 