Hepatic encephalopathy is a complex disease.
The first step in managing HE is to get informed.

A complication of chronic, severe liver disease, hepatic encephalopathy results from a build-up of toxins in the blood. When these toxins reach the brain, reduced cognitive function and debilitating symptoms can occur.

Up to 4 out of 5 people with cirrhosis may eventually develop some form of HE. The disease is oftentimes misdiagnosed or diagnosed too late, and can be associated with increased mortality rates. It’s important to recognize the signs and promptly talk to your doctor. With support and guidance from your care team, you can find the best way to manage your HE.

LEARN ABOUT HE
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PEOPLE LIVING IN THE U.S. HAVE SOME TYPE OF LIVER DISEASE

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PEOPLE IN THE U.S. HAVE A FORM OF CHRONIC LIVER DISEASE

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OF THOSE WITH CIRRHOSIS, A SEVERE FORM OF CHRONIC LIVER DISEASE, MAY DEVELOP SOME FORM OF HE

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PEOPLE LIVING IN THE U.S. HAVE SOME TYPE OF LIVER DISEASE

up to0.0M

PEOPLE IN THE U.S. HAVE A FORM OF CHRONIC LIVER DISEASE

up to
0 %

OF THOSE WITH CIRRHOSIS, A SEVERE FORM OF CHRONIC LIVER DISEASE, MAY DEVELOP SOME FORM OF HE

Track Your Symptoms

If you or your loved one have chronic liver disease and have been diagnosed with hepatic encephalopathy, or suspect you may have HE and are experiencing symptoms, it may be time to visit a healthcare professional. Carefully tracking symptoms can help you and your doctor recognize if they are worsening.

Take action today.

  • Complete this tracker to evaluate some of your or your loved one's HE symptoms.
  • Then click the "Get My Printout" button below.
  • Lastly, share the completed tracker with your doctor to help them better understand what has been happening at home and provide you with disease management options.

Select all the symptoms* that you (or your loved one) are experiencing and indicate the severity of each.

Physical Symptoms

Change in sleep patterns
Musty or sweet breath odor
Uncontrollable hand flapping or tremors of the hands or arms
Slurred speech
Difficulty Writing
Lack of coordination

Mental Symptoms

Anxiety
Bizarre or Inappropriate Behavior
Shortened Attention Span
General Confusion
Forgetfulness
Confusion about date and time
Difficulty Adding or subtracting numbers
Mood swings
Disorientation

*This list does not represent all possible HE symptoms. Make sure to talk to your doctor about any symptoms you may be experiencing that may or may not be associated with HE.

Caregivers and Families

Caring for someone with a chronic condition, like HE, can be difficult and feel like a full-time job. Caregivers may at times feel stressed, sad, and frustrated. For this reason, it’s important that caregivers feel supported and cared for too. Ensure you are getting the support you need.

Read More

Caregivers and Families

Caring for someone with a chronic condition, like HE, can be difficult and feel like a full-time job. Caregivers may at times feel stressed, sad, and frustrated. For this reason, it’s important that caregivers feel supported and cared for too. Ensure you are getting the support you need.

Read More
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Additional Resources

Looking for additional resources? Access helpful tools and learn more about advocacy or support groups for people affected by HE.

Learn More