There are many health diseases in the world, and one of them is metabolic encephalopathy (ME), which affects the brain.
Let’s talk about this disease in detail.
What’s Metabolic Encephalopathy?
Metabolic encephalopathy (ME) occurs when metabolic issues disrupt brain function. Causes range from low blood sugar to excess fluid in the brain, with symptoms including confusion or coma.
If someone is diagnosed with encephalopathy, they have a brain dysfunction. There are many types, which can be temporary or permanent.
ME results from problems in the body’s chemical processes that turn food into energy and filter out toxins. These issues can either deprive the brain of necessary substances or cause harmful buildups.
Treatment depends on the cause, but proper care often improves symptoms. While anyone can develop encephalopathy, it’s more common in adults over 65.
Metabolic encephalopathy Causes
Metabolic encephalopathy occurs when your body’s metabolism is disrupted. There are two main ways this can happen. First, your brain might not be getting something it needs, like nutrients or oxygen.
This doesn’t always mean you’re not eating enough nutrients. In some situations, it means your body isn’t processing these nutrients correctly, so your brain isn’t getting what it needs.
Second, there could be a buildup of harmful substances in your brain. This can happen if your organs, like your liver or kidneys, aren’t working properly to filter out toxins.
Here are some specific causes of ME:
- Low glucose (blood sugar)
- Low sodium
- Low thiamine (vitamin B1)
- Low oxygen
- Low blood flow
One thing you need to know is that too much of something harmful can cause metabolic encephalopathy. Yes!
Here are some of the causes include:
- High glucose
- High sodium
- High carbon dioxide
- Excess fluid around the brain
- Kidney or liver dysfunction
Did you know there’s a condition similar to ME, called toxic-metabolic encephalopathy (TME)? TME occurs when external toxins, such as medications, alcohol, or illicit drugs, disrupt the body’s metabolism, leading to brain dysfunction.
Metabolic Encephalopathy Symptoms
The most common sign of ME is a change in mental state. Symptoms can appear suddenly or develop slowly over time.
In some cases, symptoms might go away on their own, but this does not mean the underlying problem is resolved. Medical treatment is necessary to address the root cause.
Psychological symptoms of ME include:
- Memory loss
- Confusion
- Personality changes:
- Irritability
- Difficulty concentrating
- Fatigue
- Depression and anxiety
- Loss of consciousness
Physical symptoms might also occur, such as:
- Involuntary muscle movements
- Uncontrolled eye movements
- Difficulty swallowing
- Slurred speech
Metabolic Encephalopathy Diagnosis
Doctors can often suspect ME based on the visible symptoms, but they will perform tests to confirm the diagnosis. These tests help determine the underlying cause and how best to treat it.
Common tests include:
. Blood tests are common, including:
- Arterial blood gas test
- Comprehensive metabolic panel
More tests may include:
- Electroencephalogram (EEG)
- Magnetic resonance imaging (MRI)
- Computed tomography (CT)
- Somatosensory evoked potential (SEP)
- Lumbar puncture (spinal tap)
Metabolic Encephalopathy Treatment
The treatment for ME depends on the underlying cause. If doctors don’t know why someone has metabolic encephalopathy, they’ll first work on easing the symptoms to make the person stable. They might do things like bringing down a fever, making sure the body’s minerals are balanced, and controlling blood pressure.
When they do find out what caused it, treatment can involve:
- Changing what someone eats and giving them extra vitamins and minerals if they need them.
- Giving medicine to control other health problems like diabetes or high blood pressure that might have caused the encephalopathy.
- Using dialysis if the kidneys aren’t working right to clean toxins out of the blood.
- Doing a transplant surgery if the liver or kidneys are really damaged.
Living with Metabolic Encephalopathy (ME)
Finding out you have ME can be scary. But the truth is, it can affect everyone differently. It all depends on what caused it and how quickly you get treatment.
Often, if doctors can treat the underlying cause, you can completely recover. You can go back to feeling like yourself and thinking clearly again. There’s definitely hope for a full recovery, even though ME can be tough.
However, if ME has already damaged your brain, the effects might stick around for a while, or they could be more serious.
Doctors have a scoring system (the Glasgow Coma Scale) to check how awake and alert you are. Higher scores mean a better chance of recovery. Getting help quickly can make a big difference in how well you do.
Final Thoughts
Metabolic Encephalopathy is a brain problem caused by issues with your body’s chemistry, kind of like a glitch in your system. Many things can mess with your chemistry, like vitamin deficiencies or organ problems.
How well you get better and what happens in the long run depend on why it happened and how fast you get help from a doctor. Sometimes, you can fix the symptoms of metabolic encephalopathy, but sometimes they stay for good.