Conversation: The conversation between human and AI assistant.
[|Human|] My husband has been diagnosed with cirrhosis of the liver. Has had at least 1 episode of hepatic encephalopathy, has had ascites, verices, edema. Still drinking. Down to 118 lbs. One had has started flapping a lot in the last couple days and he is VERY emotional. Do you think this is another episode of HE?
[|AI|]  Hi, dairy have gone through your question. I can understand your concern. Your husband has cirrhosis of liver. However, flapping and being emotional is not sufficient to called as encephalopathy. Disorientation for time or place, subtle personality change, inappropriate behavior, confusion, coma are seen in hepatic encephalopathy. Complete liver function test are required to diagnose hepatic encephalopathy. High ammonia level is very common in that. So he should go for liver function test and take treatment accordingly. Hope I have answered your question. If you still have any doubts then feel free to ask me. I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.