My brother is back in the hospital for the 3rd time in a year from issues from his alcoholic cirrohosis. I stopped talking to him almost a month ago because I told him I would no longer watch him kill himself with alcohol. He dedided to stop drinking 3-4 days ago COLD TURKEY. Not smart given the amount of alcohol he drinks daily. He was having bad detox symptoms (was afraid to sleep, tremors, hallucinations etc) and asked to be taken to the hospital. He seemed ok yesterday morning before he went in but after he was admitted and I went up there to be with him, he seemed ok at first but then started hallucinating almost contstantly. Talking to people who aren't there, seeing and hearing lots of different things. Talking to me about
ME, like "you should meet my sister, you'd like her". Every time I left the room he took the IV out and tried to get out of bed. One time he told the nurse he was a surgeon and had to go to surgery that's why he was getting up. They had to strap his arms down. They moved him to the bigger hospital of their health group as I had to go get my kids from school. They put him on Adivan and gave him magnesium and potassium via IV.
I went back up last night and stayed for an hour. He couldn't even answer his admission questions, I had to. The whole time I was there all he did was try to get his hands out of the restraints and still totally confused and making no sense. They had a sitter come in and stay in his room all night. His ammonia level is 71. They started giving him lactulose last night, 4 times a day. His bilirubin was 9 yesterday (lower than his last hospital stay). They gave him haldol to try to get him to calm down more.
Today I'm at work and I've called the nurses several times and all they're telling me is that he's sleeping almost all day, he woke up for lunch but went back to sleep. I just talked to his Dr on the phone. She said he's more aware today, knows where he is etc. His amonia dropped down to 61 today. His bilirubin is 8, he's eating and drinking, they lowered the lactulose to 2 times a day. He is anemic his heoglobin was at 7.7 yesterday today it's at 9.6 but they are finding no obvious bleeding. I requested that the liver dr's come see him because she said she couldn't really tell me how much of his liver is damaged. He's sleeping a lot but she said she didn't think he'd improve this fast and that he'd still be in for a few more days.
At first the ER doctors thought the hallucinations were from detox now they're saying it's more encephalopathy. He's never had this before. I'm getting frustrated because I can't get a straight answer. I want to know HOW much of his liver is damaged, is he at risk to go into a coma are they gonna test his liver, the ER dr said they doubted they'd do a biopsy because of risk of bleeding. I honestly just don't know what to think or expect with all of this.