first: subtle changes in personality, memory loss, irritability, lethargy, and sleep disturbances--then progresses to confusion, flapping tremors of the hands (asterixis), stupor, seizures, and coma. Varices, splenomegaly, ascities, hepatic encephalopathy stress reduction, exercise, counseling, biofeedback, imagery, and rest, diet changes (eating 6 small meals per day, increase carbs, fiber, and water, decrease caffeine, alcohol, sugar)
selective serotonin reuptake inhibitors
If the person is not treated for syphilis, the disease moves from the secondary to the latent (hidden) stage, when there are no symptoms.
The latent stage can last for years before progressing to the tertiary stage.
In the late stages, the disease may damage the brain, nerves, eyes, heart, blood vessels, liver, bones, and joints. These problems may occur many years after the original, untreated infection.