Hepatic encephalopathy (HE) can feel scary, but you don’t have to live in constant worry. The condition happens when your liver can’t clear toxins, and they affect the brain. The good news is that most people keep HE under control with a few clear habits and the right meds. Below you’ll find straightforward advice you can start using today.
Two drugs dominate HE treatment: lactulose and rifaximin. Lactulose is a sugar solution that pulls ammonia out of the gut and sends it out in stool. Most doctors start you on a low dose and increase it until you have soft, regular bowel movements—usually two to three times a day. Rifaximin is an antibiotic that reduces the bacteria that make ammonia. It’s often added if lactulose alone isn’t enough. Take both exactly as your doctor prescribes; skipping doses can bring symptoms back quickly.
Food choices matter a lot. Aim for a balanced diet with plenty of protein, but avoid large amounts of red meat, which can raise ammonia levels. If you’re told to limit protein, replace it with plant‑based sources like beans, lentils, or tofu. Stay hydrated—water helps the kidneys flush toxins. Limit alcohol completely; even a small amount can worsen liver function and trigger HE.
Regular activity helps, too. A daily walk or gentle stretching keeps blood flowing and supports overall liver health. However, don’t overdo it—excessive exercise can cause dehydration, which may aggravate HE.
Watch for early warning signs. Confusion, forgetfulness, or a change in sleep pattern can mean HE is creeping up. If you notice these symptoms, call your healthcare provider right away. Prompt adjustments to medication or diet often stop a full flare‑up.
Keep a simple log. Write down your meds, bowel movements, and any new symptoms each day. This record makes doctor visits smoother and helps you spot patterns before they become problems.
Finally, lean on support. Talk with family or friends about your condition so they understand why you need certain routines. Online forums, including our own Assension Health community, can also offer real‑world tips from people living with HE.
Managing hepatic encephalopathy isn’t a one‑size‑fits‑all plan, but the core steps—steady medication, sensible diet, regular activity, and vigilant symptom tracking—cover most of what you need. Stick to these basics, stay in touch with your doctor, and you’ll keep HE under control while focusing on the things you love.
