30/12/2025
When someone with liver disease suddenly becomes forgetful, drowsy, irritable, or “not themselves,” families often think it’s weakness, old age, stress, or low sugar.
But in liver disease, these are brain symptoms — not mind symptoms.
This condition is called Hepatic Encephalopathy (HE).
It happens when the liver fails to remove toxins (especially ammonia), which then affect brain function.
Common triggers:
• Constipation
• Infections
• GI bleeding
• High protein load
• Dehydration
• Missed medicines (especially lactulose)
• Certain sedatives or painkillers
Why urgency matters:
HE can progress from mild confusion → severe disorientation → unresponsiveness → coma.
Early treatment with lactulose, rifaximin, electrolyte correction, infection control, and stabilization often reverses symptoms completely.
Key takeaway:
If a liver patient becomes confused, sleepy, disoriented, or their personality changes suddenly → it is a medical emergency, not a behavioural issue.
📍 Get immediate evaluation. Early action saves the brain — and the liver.