What Is Hepatic Encephalopathy and How Can Ayurveda Help in Managing Liver and Brain Function Naturally

Question

A family member of mine was recently diagnosed with hepatic encephalopathy, and I had never heard of this condition before. The doctor explained that it happens when the liver is unable to properly remove toxins from the blood, leading to brain dysfunction. I am still trying to understand how this occurs and whether it can be reversed naturally.

One of the most concerning symptoms is confusion and difficulty concentrating. Sometimes, my relative even has trouble remembering things, feels disoriented, and has mood changes. The doctor said that these symptoms are caused by a buildup of ammonia and other toxins in the blood that the liver is not filtering properly. What causes the liver to stop processing toxins efficiently, and is there any way to improve its function?

I want to know if Ayurveda has treatments that can help people with hepatic encephalopathy. Are there specific herbs or dietary changes that support both liver detoxification and brain function? I have heard that milk thistle, kutki, and amla are beneficial for liver health—could these help in this condition?

Another concern I have is whether hepatic encephalopathy is reversible. Can the liver heal itself with the right treatments, or does this condition always get worse over time? If anyone has successfully managed hepatic encephalopathy through Ayurvedic treatments, I would love to hear about what worked and whether it made a difference in brain function and mental clarity.

Dr Sujal Patil · Accepted Answer

Hepatic encephalopathy (HE) is a serious condition caused by the liver’s inability to remove toxins like ammonia from the blood, leading to brain dysfunction. This often occurs in people with liver disease, such as cirrhosis, hepatitis, or fatty liver disease. Symptoms range from confusion and memory loss to mood changes and, in severe cases, coma. While HE can sometimes be reversed with proper treatment, it is crucial to address the underlying liver condition to prevent progression. Standard medical treatment includes lactulose (to flush out ammonia) and antibiotics like rifaximin to reduce toxin-producing gut bacteria.

Ayurvedic remedies may offer supportive care by improving liver function and detoxification. Herbs like kutki, milk thistle, and bhumyamalaki have hepatoprotective properties, while amla and guduchi provide antioxidants that help regenerate liver cells. Dietary changes such as increasing fiber intake, reducing red meat consumption, and incorporating turmeric, beetroot, and leafy greens may support liver health. For brain function, herbs like brahmi and shankhpushpi may help with cognitive clarity. However, these should complement—not replace—medical treatment, especially in moderate to severe HE cases.

It is important for a doctor to monitor ammonia levels, liver function tests, and symptoms closely. If left untreated, HE can worsen over time, requiring hospitalization or even a liver transplant. Ayurvedic treatments should be used under medical supervision to ensure they do not interfere with prescribed medications. If your relative's condition is deteriorating, seeking immediate medical care is essential. Would you like guidance on a specific aspect of their care, such as dietary adjustments or symptom management?

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