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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Could Flapping With Being Emotional While Having Cirrhosis Of Liver Mean Recurred Hepatic Encephalopathy?

My husband has been diagnosed with cirrhosis of the liver. Has had at least 1 episode of hepatic encephalopathy, has had ascites, verices, edema. Still drinking. Down to 118 lbs. One had has started flapping a lot in the last couple days and he is VERY emotional. Do you think this is another episode of HE?
Fri, 30 Oct 2015
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Hematologist,  's  Response
Hi, dear
I have gone through your question. I can understand your concern.
Your husband has cirrhosis of liver. However flapping and being emotional is not sufficient to called as encephalopathy. Disorientation for time or place, subtle personality change, inappropriate behavior, confusion, coma are seen in hepatic encephalopathy. Complete liver function test are required to diagnose hepatic encephalopathy. High ammonia level is very common in that. So he should go for liver function test and take treatment accordingly.

Hope I have answered your question. If you still have any doubts then feel free to ask me. I will be happy to answer. Thanks for using health care magic. Wish you a very good health.
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Could Flapping With Being Emotional While Having Cirrhosis Of Liver Mean Recurred Hepatic Encephalopathy?

Hi, dear I have gone through your question. I can understand your concern. Your husband has cirrhosis of liver. However flapping and being emotional is not sufficient to called as encephalopathy. Disorientation for time or place, subtle personality change, inappropriate behavior, confusion, coma are seen in hepatic encephalopathy. Complete liver function test are required to diagnose hepatic encephalopathy. High ammonia level is very common in that. So he should go for liver function test and take treatment accordingly. Hope I have answered your question. If you still have any doubts then feel free to ask me. I will be happy to answer. Thanks for using health care magic. Wish you a very good health.