Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
124 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

No Proper Diagnosis, Dementia, Fatty Liver, Ammonia Levels And Bilirubin High. Other Possibilities ?

MY HUSBAND HAS FATTY LIVER DISEASE AND GETS CONFUSED AFTER EATING. WE WERE TOLD THEY THINK HE HAS HEPATIC ENCEPHALOPAGTHY. HE IS A NON DRINKER. WAS ORIGINALLY DIAGNOSED WITH DEMENTIA , NOW THAT THE AMMONIA LEVELS ARE HIGH AND BILLERUBIN UP, THEY SAY ITS MOST LIKELY THE LIVER. EVEN WITH LACTOULOUSE AND RIXFAXIMIN HE IS GETTING WORSE WITH CONFUSION. WHAT OTHER POSSIBILITIES COULD BE GOING ON.
posted on Mon, 5 Nov 2012
Twitter Mon, 5 Nov 2012 Answered on
Twitter Tue, 6 Nov 2012 Last reviewed on
Report Abuse
Pathologist and Microbiologist,  's  Response
Hello and welcome to HCM

all the findings in your husbands case- increase in levels of ammonia, high bilirubin, dementia, confusion after having food point towards the diagnosis of Hepatic Encephalopathy.
This diagnosis is already made.
However, now there is no response to lactulose.
It is due to the progression of the disease process going on in the liver.
Now, the condition has progressed from simple fatty liver to more serious state.
You need to get a liver biopsy to know the exact picture.
In case of end stage liver disease or liver failure, liver transpant is the next step in management.

Thanks and take care
Dr Shailja P Wahal
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Recent questions on End stage liver disease


Loading Online Doctors....
No Proper Diagnosis, Dementia, Fatty Liver, Ammonia Levels And Bilirubin High. Other Possibilities ?

Hello and welcome to HCM all the findings in your husbands case- increase in levels of ammonia, high bilirubin, dementia, confusion after having food point towards the diagnosis of Hepatic Encephalopathy. This diagnosis is already made. However, now there is no response to lactulose. It is due to the progression of the disease process going on in the liver. Now, the condition has progressed from simple fatty liver to more serious state. You need to get a liver biopsy to know the exact picture. In case of end stage liver disease or liver failure, liver transpant is the next step in management. Thanks and take care Dr Shailja P Wahal