Encephalopathy is debilitating for anyone who suffers from it. There are some subtle changes that caregivers notice after awhile like memory loss, poor concentration, extreme tiredness, lack of interest in daily activities, and some cognitive loss. Personality changes are some of the first signs. As it worsens the person may suffer from muscle twitching in one muscle or a group of muscles called “myoclonus”, they may also suffer from very rapid eye movement (the eyes are actually twitching up and down and side to side) this is called “nystagmus”. (Nystagmus causes severe nausea and vomiting because it causes the person to feel dizzy). Sometimes the affected person gets tremors, muscle weakness, some dementia, difficulty swallowing, inability to speak, and possibly seizures. Permanent brain damage is a possibility. Coma can follow and possibly death.
I am not saying that he will develop all these things but I do think that you should be aware of what CAN happen. Is he on a low protein diet? Sometimes that helps. What about antibiotics? Some Dr’s put them on antibiotics to help with the underlying condition. I want you to know that I don’t have all the info on his case of course, nor am I a Dr so what I am telling you is general info only. Is the Dr aware of his worsening condition? If not you should probably consider telling him/her. Never ever give up hope!!!!!!!!!!!!!! Just watch for signs that things are changing in him and report them as soon as reasonably possible. The sooner they are aware of the problem if they can treat it early they will. My thoughts are with you and keep me posted.