Effect of Whey Protein Versus Egg Albumen Protein Challenge on Blood Ammonia Level in Patients of Decompensated Ethanol Related Cirrhosis.

Exclusion Criteria

• •1. History of overt HE (West Haven grade II or more).
• •2. Last Intake \<1.5 months.
• •3. CKD (creatinine \>1.5 mg/dL), active infection, GI bleeding in past 2 weeks.
• •4. Severe anaemia (Hb \<7 g/dL) or hypoalbuminemia (\<2.0 g/dL).
• •5. Known egg or dairy allergy.
• •6. Those on sedatives, antidepressant or anti-psychiatric medication.
• •7. Unable to understand the language or instructions.
• •8. Hepatocellular Carcinoma.
• •9. TIPS.
• •10. Receiving rifaximin or lactulose.
• •11. Diarrhea, SIBO or malabsorptive syndrome.