What Is Hepatic Encephalopathy?

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4. What Are the 5 Stages of Hepatic Encephalopathy?

There are five stages associated with hepatic encephalopathy. Grade 0 is minimal HE. This stage is difficult to detect and only causes minor changes in memory and concentration.

Grade 1 is mild HE. This grade is marked by a short attention span, sleep problems, irritability and other mood changes.

Grade 2 is moderate HE. In this stage, you may forget things, exhibit inappropriate behavior, and have minimal energy. You may also experience slurred speech and difficulty writing.

Grade 3 is severe HE. At this level, you may be confused about what time of day it is or where you are. You may act strangely or fall asleep throughout the day.

Grade 4 is the final stage of HE. It occurs when you become unconscious and go into a coma.

Hepatic Encephalopathy

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