Hi, sorry it has taken so long for me to respond to your question. I am not an expert but I can share my own experiences with my mom who had hepatitis that led to chirrosis and finally liver cancer. She too had the shakes and was unable to feed herself. My dad finally started feeding her. Her weakness increased to the point that she was falling down. She then began taking her clothes off and her confusion increased with each day. My understanding is that the toxins (not just amonia) begin to crystalize and cause pain, confusion, and weakness. She removed her clothing because the crystals actuall caused her skin to hurt with any kind of contact. That of course includes clothing. The itching is common with advance liver disease. Not every one has the itching but the majority of people do. As you know the liver is a huge filtering system for our bodies. As the waste is filtered normally we maintain normal healthy livers. When the liver is failing it ceases filtering all the waste products that are normally excreted out of the body. When this happens some of the waste stays in the body. Needless to say this is NOT good. The blood can be affected with material that is normally excreted. there are some other theories that are out there too. The itching seems to be incessant and difficult to relieve. My own conclusion is that the crystalized toxins are most probably the culprit. That is only my own theory though. I guess I would equate it with being covered in sand. Even though the sand is dried on our skin it is so aggrevating isn't it? So we attempt to brush it all off to give our poor skin some relief from the granuales that are irritating us. Just imagine if you had that feeling but could not get the sand odd of you! That must be how it feels to them. Make sure you tell his Dr. They may be able to help him. I hope this helped a little.
“Life is not the way it's supposed to be. It's the way it is. The way you cope with it is what makes the difference."
I just wanted to comment on that first part of the "anatomy" lesson, regarding regeneration. In my case, where the right lobe had been basically killed, due to the chemicals/radiation introduced to destroy the tumor. It not only killed the tumor, but the entire right lobe. Therefore, when I had surgery to remove the right lobe, I was told it would NOT regenerate. Amazingly, though, the left lobe grew, as if to take on the extra work of the missing right lobe. I did see the ultrasound they used to perform the drainage placement last week, and could see that there was no right lobe at all.
Just a bit of clarification for those who may have cancer treatment.