What are the causes of recurrent hepatic encephalopathy?

Patient's question:

Doctor, my father is over 50 years old and has been feeling unwell, so he went to the hospital for a thorough examination. The doctor said he has hepatic encephalopathy. Hello doctor, what are the causes of recurrent hepatic encephalopathy?

Doctor's answer:

Hepatic encephalopathy caused by liver disease is known as hepatic decompensation, a condition where the liver's decomposition and metabolic functions are impaired, leading to excessive absorption of ammonia in the intestines. It can be managed by promoting intestinal metabolism, such as through the use of branched-chain amino acids, which have significant nutritional benefits. Additionally, they can be used in conjunction with lactulose, a medication. It is recommended to consume more vegetables and vitamins while minimizing the intake of greasy and spicy foods, as these are common triggers for recurrence due to elevated blood ammonia levels.

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