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    Patients with MHE had a significant impairment of daily functioning, such as
    social interaction, alertness, emotional behavior, sleep, work, home management
    , recreation and pastimes compared with cirrhotic patients who did not have MHE
    . Treatment with lactulose improved both cognitive functions and health-related  в—‹Another important variable is the treatment of control groups. Very few studies
    use a placebo; in most cases, the new drug was compared with « standard
    treatment » (which by itself may be highly effective) or specifically to lactulose. To
    continue reading this article, you must log in with your personal, …
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    в—‹Another important variable is the treatment of control groups. Very few studies
    use a placebo; in most cases, the new drug was compared with « standard
    treatment » (which by itself may be highly effective) or specifically to lactulose. To
    continue reading this article, you must log in with your personal, …
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    [88-90] In addition to having a laxative effect, lactulose and lactitol reduce the
    colonic pH and interfere with mucosal uptake of glutamine in the gut, thereby
    reducing the synthesis and absorption of ammonia. Lactulose is considered the
    first-line therapy for HE. This agent can be administered orally through a
    nasogastric tube 
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    American Liver Foundation explains some of the Lactulose side effects when
    treating Hepatic Encephalopathy. For more information call 1-800-GO-LIVER
    today.
    About lactulose. Lactulose is a laxative taken to treat constipation (difficulty
    pooing). It is also taken to help a severe liver disease called hepatic
    encephalopathy. Lactulose comes as a sweet syrup that you swallow. It’s
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    Vetlearn.com | 2013 | Compendium: Continuing Education for Veterinariansв„ў.
    E7. Hepatic Encephalopathy: Diagnosis and Treatment. HE.52,53 There are no
    veterinary studies on the use of neomycin in small animals with HE. One major
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    Patients with MHE had a significant impairment of daily functioning, such as
    social interaction, alertness, emotional behavior, sleep, work, home management
    , recreation and pastimes compared with cirrhotic patients who did not have MHE
    . Treatment with lactulose improved both cognitive functions and health-related 

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