that mean mean liver disease

[Guest guest]

http://en.wikipedia.org/wiki/Hepatic_encephalopathy

People with hepatic encephalopathy, also known as portal systemic encephalopathy

are not mean on purpose. They cant help it. They are intoxicated by the

substances which are not being suffeciently filtered or metabolized by a sick

liver.

Type Causes

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Excessive

nitrogen load Consumption of large amounts of protein,

gastrointestinal bleeding e.g. from oesophageal varices (blood is high in

protein, which is reabsorbed from the bowel), renal failure (inability to

excrete nitrogen-containing waste products such as urea), constipation

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Electrolyte or

metabolic disturbance Hyponatraemia (low sodium level in the blood) and

hypokalaemia (low potassium levels)—these are both common in those taking

diuretics, often used for the treatment of ascites; furthermore alkalosis

(decreased acid level), hypoxia (insufficient oxygen levels), dehydration

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Drugs and

medications Sedatives such as benzodiazepines (often used

to suppress alcohol withdrawal or anxiety disorder), narcotics (used as

painkillers or drugs of abuse) and sedative antipsychotics, alcohol intoxication

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Infection Pneumonia, urinary tract infection,

spontaneous bacterial peritonitis, other infections

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Others Surgery, progression of the liver disease,

additional cause for liver damage (e.g. alcoholic hepatitis, hepatitis A)

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Unknown In 20–30% of cases, no clear cause for an

attack can be found

It is not always ammonia. I could be dehydration, or internal bleeding.

Bobby