The following symptoms and complaints may indicate hepatic encephalopathy (HE):
- Persistent fatigue
- Apathy (lack of passion)
- Limited performance
- Insomnia (sleep disturbances)
- Concentration disorders
- Rapid fatigability
- Sleepiness
- Mood swings
- Tremor (trembling of the hands) – “flapping tremor”.
- Change in writing – Even in the early stages, stage 0 (see under “Classification”), the writing becomes “spidery”.
- Decreased responsiveness (slowdown).
- Blurred speech
- Confusion
The severity of symptoms and complaints depend on the stage of the disease (see “Classification”).