Hepatic Encephalopathy Specialist
OR
Last updated on 01 Jan 2026
Overview
A Hepatic Encephalopathy (HE) Specialist is a healthcare provider, typically a hepatologist, neurologist, or intensivist, who specializes in diagnosing, managing, and treating hepatic encephalopathy—a complex neuropsychiatric syndrome that occurs as a result of liver failure or cirrhosis. This specialist focuses on understanding the pathophysiology, providing personalized treatment strategies, and improving the quality of life for patients affected by this condition.

Job Description
- Diagnose and monitor hepatic encephalopathy, evaluating patients' cognitive and neurological function through clinical examination, ammonia levels, and neuroimaging as needed.
- Develop treatment plans to manage the underlying causes of HE, including addressing liver dysfunction, infections, gastrointestinal bleeding, or electrolyte imbalances.
- Administer pharmacologic therapies, such as lactulose, rifaximin, or other agents, to reduce blood ammonia levels and improve neurological function.
- Collaborate with hepatologists, intensivists, and transplant teams to manage patients with severe or recurrent hepatic encephalopathy, especially those requiring liver transplantation.
- Implement advanced monitoring techniques, such as encephalopathy grading scales, electroencephalography (EEG), and liver function tests, to assess treatment response and adjust management.
- Educate patients and caregivers about disease management, lifestyle modifications, and the importance of managing cirrhosis and liver disease to prevent encephalopathy episodes.
- Conduct research on new therapies, diagnostic markers, and innovative approaches to understanding the pathophysiology of hepatic encephalopathy, contributing to the academic and clinical development of the field.

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