Which one of the following is not advocated in the management of hepatic encephalopathy?
Treatment of hepatic encephalopathy In the setting of acute gastrointestinal bleeding, blood in the bowel should be promptly evacuated with laxatives (and enemas if necessary) in order to reduce the nitrogen load. Hydration and correction of electrolyte imbalance Protein should be excluded from the diet and constipation should be avoided. Ammonia absorption can be decreased by the administration of lactulose, a non-absorbable disaccharide that acts as an osmotic laxative. Zinc supplementation is sometimes helpful
Oral Lactulose
I.V. Glucose drip
High protein diet more than 60 grams/day
If tests for blood in stool are positive then give colonic washout
Hepatic encephalopathy & hepatic failure