Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
180 Doctors are Online

Had hepatic encephalopathy, was in coma. Now conscious but in drowsy state. Due to alcoholic liver cirrhosis. Suggest?

User rating for this question
Very Good
Answered by

General & Family Physician
Practicing since : 1978
Answered : 6714 Questions
My father has been hospitalized with hepatic encephalopathy . He was in Coma when he was admitted 1 week ago. He is now conscious but is in drowsy state. He is 58 yrs old. Doctors say that this is the result of alcoholic liver cirrhosis. Also,Doctors are infering that atleast 80% ofthe liver is damaged. Is there any way out?
Posted Sat, 21 Sep 2013 in Brain and Spine
Answered by Dr. Pavan Kumar Gupta 1 hour later
Thanks for the query.
Brief answer....the ultimate treatment is liver transplant only.
Detailed answer...
With proper treatment hepatic encephalopathy can be reversed.Although patient is still drowsy but god willing he may come out of it.However the cornerstone for any future treatment,after coming out of present ordeal,rest on total abstinence of alcohol and supportive treatment in form of calorie XXXXXXX diet with B complex vitamins and minerals,FOLIC acid,antioxidants etc.
Use of medications has been found to be controversial in its efficacy ,although drugs like acamprosate  and naltrexone have been used by some physicians.
The liver function tests are monitored on regular basis and if it is found that they are worsening in spite of alcohol abstinence,then liver transplant is the only and final option.
It is very important for you to not take even a single drop of alcohol.
I hope it helps however you may revert to me for any further query.
Best of luck
Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Medical Procedures
Medical Topics

The user accepted the expert's answer

Ask a Neurologist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor