Re: Liver cirrhosis and failure
Hi amyleaw, I'm not a doctor, but the swelling and weight gain may be "ascites" and the mental confusion and sleeping could be "hepatic encephalopathy" or H.E. Both of these are complications of advanced liver disease, but they can both be treated VERY EASILY with a diuretic and salt restriction for the fluid build-up and a drug called "Lactulose" for the H.E.
Better to avoid the emergency room unless he suddenly becomes worse, but he really should see his doctor for a prescription for the diuretic and lactulose. If he suddenly does become worse (can't wake up, delirium), you will need to call 911 or get him to the ER pronto. Hepatic coma is very serious.
If he absolutely refuses to get to his doctor, a low salt diet will help with the fluid/swelling and a low protein (no red meat) diet may help reduce his H.E. It's important he drinks enough fluid to avoid constipation as this can make H.E. much worse, but without the diuretic, excess fluid can aggravate the fluid retention problems.
It's truly unfortunate he is resisting starting on these meds. A very low dose of each of these cheap generics would probably fix him right up.
See what you can do about getting him to see or at least call his doctor to ask for a prescription.
Best of Luck to you!