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317787 tn?1473358451

Help for Hepatic Encephalopathy

Hello, about 2 months ago I finished triple therapy.  I am UND and feeling pretty good.  That being said I thought that since I was UND I no longer needed the Lactulose.  Wrong!  While I am UND hoping to be heading to SVR I realize that I need to take the Lactulose for now until my liver can filter toxins a little better than it is doing right now.

My question is, are there are other things I can do in addition to the lactulose?  Would a high fiber diet help?...or is it only the lactulose that removes the ammonia?  I appreciate any advice.  I see the doctor on May 1st and will also talk to him.  I was hoping to get help for now
Thank you
Dee
Best Answer
446474 tn?1446347682
Hi Dee.

I didn't releaze you had advanced cirrhosis? Glad you are UND and looking good for SVR.

The only two drugs that treat Hepatic Encephalopathy (HE), Lactulose (or Kristalose) and Xifaxan (Rifaxamin) 550-mg  2x a day. Talk to your doctor about Xifaxan. It is very expensive. About $1,500 per month so hopefully you have good insurance.

Since you have cirrhosis it could take a long time before your still living liver cells (not the scar tissue) can regenerate again. Your doctor should have explained this to you. If you are seeing a gastroenterologist you should be seeing a hepatologist at a transplant center as they are much more knowledgeable and experienced in matters having to do with cirrhosis.

Here is the link to Xifaxan. Check out their $100 co-pay discount card too.
http://www.xifaxan550.com/

Without Xifaxan I don't know what I would do. Amazing stuff!
Good luck!
Cheers!

Hector
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317787 tn?1473358451
Thank you both so very very much.  I really appreciate both of your answers so very much
I was feeling really good and then I had 3 dental appointments in a week, two of them with lots of numbing shots, root canal, etc.  I do not think my liver is very happy with me right now as it has enough to do without that stuff.
Yes Hector I need to find a better doctor, thought I had one but now I know better so will do better.

Thank you so much for the reply
Dee
Helpful - 0
1856494 tn?1340542614
Talk about silent suffering - Dee you kept that one to yourself and that is like you.  You continue to amaze me.  Your selfless nature is one I long to emulate.   You are a rock with jelly inside.   I won't tell.  I am just really proud to know you.  
Helpful - 0
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