hepatic encephalopathy
"Xifaxan did not work for me.  

I am diagnosed with "covert" or "mild" Hepatic Encephalpathy. It's debilitating but not obvious to anyone but me...until I make a mistake or say something *random*. Worst at sunrise & sunset. Intermittent aphasia. Horrible when dehydration snowballs into IBS.

As I understand it this is a non-persistent anti-biotic that eliminate bacteria that produce ammonia. Thing is, my ammonia levels are not high. I think this is why the Rifaximin doesn't seem to do anything for my situation. My suggestion would be to use this product when someone has the "wetbrain" sort of episodes; that is to say, when ammonia levels in the blood are very high."