My brother is very young, 43. Always has been a loner despite having a big family. Recently diagnosed with Cirrhosis. Lactulose, Accucheks, Unsteady Gait, SOB upon exertion, abdomen swollen. Ammonia levels high, coughing up blood at times. Is not taking his meds going on a month. Last recorded Ammonia level was 75. He is so stubborn. He drinks off and on. I don't know how he is maintaining. Don't know if he eats once a day. Today, he is extremely quiet. Eyes are glossed, somewhat bulging. .........stuck. How do we get through? We love him and want him to be comfortable but he won't let us help him. I just want to help him.