As I have said before, my husband is very ill. He had a very bad night last night. If you or any of your loved ones has liver disease, PLEASE talk to your doctor about hepatic encephalophy. They don't seem to mention it as a possibility after the liver disease diagnosis. It is a terrible thing. The patient shows the same type of symptoms as an Alzheimer's patient. There is no specific test for HE - they just rule things out. Not one doctor he has seen since he was diagnosed over 25 years ago mentioned HE. If we had been forewarned, it could have potentially saved a lot of stress. Well, I am off to try to get him to go the the ER.