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What are the grades of hepatic encephalopathy (HE)?

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HE is graded based on signs and symptoms:

Grade 1: Mild. You may have slurred speech, trouble sleeping, or find it hard to concentrate.

Grade 2: Moderate. You may feel like you don't have much energy. Some personality changes and confusion may become more obvious.

Grade 3: Severe. You may be extremely confused and not be able to speak coherently. You could also get extremely sleepy.

Grade 4: Coma. You may pass out and not respond to pain or someone trying to wake you.

From: Hepatic Encephalopathy WebMD Medical Reference

SOURCES:

American Liver Foundation: "Living With Hepatic Encephalopathy."

American Association for the Study of Liver Diseases: "Hepatic Encephalopathy in Chronic Liver Disease: 2014 Practice Guideline."

Canadian Liver Foundation: "Hepatic Encephalopathy."

Reviewed by Louise Chang on January 15, 2018

SOURCES:

American Liver Foundation: "Living With Hepatic Encephalopathy."

American Association for the Study of Liver Diseases: "Hepatic Encephalopathy in Chronic Liver Disease: 2014 Practice Guideline."

Canadian Liver Foundation: "Hepatic Encephalopathy."

Reviewed by Louise Chang on January 15, 2018

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