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What are the physical changes I may notice if I have hepatic encephalopathy (HE)?

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In some cases, the effects of hepatic encephalopathy start slowly and then get worse bit by bit. But sometimes they hit you hard all at once. You may notice that:

  • Your breath smells sweet or musty.
  • It's hard to move or use your hands.
  • When you hold out your arms or hands, they shake or flap.
  • Your speech sounds slurred.
  • You feel slow or sluggish when you move your body.

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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How is hepatic encephalopathy (HE) diagnosed?

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