i am sorry for the illness of your brother-in-law. i do not know his medical history and i am not a doctor but i’ll try to provide you with some information as follows: the symptoms as you describe can occur at any stage of liver disease. but a diagnosis for the condition is not usually made until acute liver failure occurs. sometimes the symptoms appear even when liver disease has not been diagnosed; the condition is called hepatic encephalopathy. because the liver is damaged and cannot adequately remove toxins from the bloodstream the toxins build-up in the body causing confusion fatigue and sometimes hallucinations. hepatic encephalopathy can lead to mental deterioration personality changes coma and even death. but hepatic encephalopathy may also be reversible through treatments directed at removing the toxins and eliminating protein from the diet; patients with hepatic encephalopathy may experience delusions hallucinations or illusions. a delusion is a wrong fixed idea such as. “i’m the king of england. ” a hallucination occurs when a person perceives something through the senses where there is no actual stimulus. an example of a hallucination might be seeing rats running down a blank wall. an illusion is a sense oriented defect in which a stimulus is present but incorrectly identified by one of the senses. an example of an illusion might be seeing a crack in a wall and believing that it actually a trail of rats. summary: many times there are no overt symptoms of liver disease during the early stages of liver disease including cirrhosis. it is suspected that your brother-in-law may be in a more advanced stage of liver disease. your brother-in-law appears to be in an acute stage of liver disease that has resulted in toxin build-up within the body causing stage 3 hepatic encephalopathy. hepatic encephalopathy patients may have a reversal of this condition with efficient and timely medical treatment. unfortunately some hepatic encephalopathy patients do not respond to treatment and death may occur. i hope that this answer has been helpful and that you and your family remain well during this period of medical uncertainty.
what stage is cirrhosis of the liver when the person becomes delusional? . we just found out my son in law has cirrhosis of the liver. he is currently in the hospital and the doctors are running test. they will do a biopsy on monday if he does not have a fever. he is currently having periods of being delusional thinking various things are happening when nothing is going on. our daughter said this morning that he told the nurses "rats where running along the floor"