Get E-Book on COVID-19

Q. My mom has liver disease with nausea, vomiting and oversleeping. Could it be hepatic encephalopathy?

Answered by
Dr. Ajeet Kumar Lohana
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on May 18, 2020 and last reviewed on: Jun 01, 2020

Hello doctor,

This is regarding my mother. She is 55 years old. Last year she was diagnosed with chronic liver disease. She had ascites, which was cured. She has taken proper medication since then. But recently, since the last three weeks to be precised, she was having tremors and difficulty in sleeping. We consulted gastroenterologist here who gave medicines but did not help much with these symptoms. She also has hypothyroid and type 2 diabetes. Since the last two days, she suddenly developed nausea and vomiting and we had to hospitalize her. For now, vomiting and nausea have stopped but she is oversleeping and she still has tremors.

Her sodium, potassium, and creatinine levels are normal. And looking at her liver function test the doctor said she has swelling on her liver and nothing more. But I read somewhere about the symptoms of hepatic encephalopathy like oversleeping, drowsiness, flapping tremors, etc and she has all those at present. Am I right regarding this? Please help me.

#

Hello,

Welcome to icliniq.com.

I can understand you must be very upset about your mother's health.

The answer to your query is you are 100% right. It can be hepatic encephalopathy (HE). It often presents as altered sleep patterns which means day time sleeping and nighttime awakening. Tremors are characteristically called flapping tremors and sometimes overt neuropsychiatric manifestations such as elevated mood, hallucinations, and illusions.

The treatment of HE is simple i.e. to avoid constipation, and use of lactulose a special laxative agent that help to decrease ammonia gas that causes HE. Plus she should be given tablet Rifxamin 550 mg twice daily to prevent her from recurrent episodes of HE.

The recent use of painkillers could have caused kidney damage which got recovered and may be a precipitating factor for the underlying development of hepatic encephalopathy. I hope this will help you in understanding her problem. I want that you should discuss this information with her treating physician.


Regarding follow up:

Can follow up to discuss more about the long term management of chronic liver disease.


Was this answer helpful?

 | 


Related Questions:
Liver Cirrhosis - Symptoms, Causes, Diagnosis and Treatment

.. the liver is called liver cirrhosis. Read about its causes, symptoms, diagnosis, and treatment options .. ...   Read full

Is stage 2 liver fibrosis a reversible condition?

Chronic liver disease ...   Read full

Why does my brother get jaundice every year during summer?

He possibly has a¬†chronic liver disease, which will explain all the manifestations which he has ...   Read full

Also Read Answers From:

Also Read


COVID-19 Vaccines in India
Two vaccines, Covishield and Covaxin, have been granted emergency use authorization in India. Read about these vaccines'...  Read more»
Sinusitis - Causes, Symptoms and Treatment
Sinusitis is the infection of the air cavities within the nasal passages. Normally, the healthy sinuses are filled with ...  Read more»
Asthma and Its Rising Incidence
This article explains about asthma and its causes. It also focuses on the benefits of starting early treatment to lead a...  Read more»

Ask your health query to a doctor online?

Ask a Medical Gastroenterologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.