Conversation: The conversation between human and AI assistant.
[|Human|] My husband has cirrhosis,diabetes & hepatic encephalopathy.  He is in the hospital for high blood sugars (now under control) But he also has high ammonia levels, he was 95 at admission, then 47, 29, 60, 40 he was like his old self at 29 but the next day the levels went up & he was mean, confused & threatening. Can he be stable or will he continue to have his levels go up & down? How can I his wife & caregiver take care of him with his mental staus changing from nice to violent?  Does this mean his liver is worse & not processing the lactulose?
[|AI|]  Hi, Your problem is of real concern, as cirrhosis is a chronic disease and the condition that you are mentioning is called hepatic encephalopathy and denotes advanced liver failure. Episodes of hepatic encephalopathy are common in cirrhotic patients and can be prevented by measures like avoiding constipation, monitoring the electrolytes level and avoiding low potassium levels, daily recommended protein intake control, prompt identification and treatment of any infection and most importantly by preventing gastrointestinal bleeding by applying band ligation to the dilated veins in the esophagus (Varices)