Hepatic Encephalopathy: Symptoms, Complaints, Signs

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”).