Hi martica. Thse symptoms are serious. It comes with disorders you ve mentioned but alos many other can cause it. It is obvious that she has liver damage and everything else coes as a result of this. You need to find the exact cause of this damage. First thing to think is viral hepatitis
, autoimunne hepatitis, drugs and alcohol abuse
,bile duct obstruction
. Also it doesnt need to be infection, some congenital liver and spleen disoreders, blood disorders such as haemolytic anaemia and metabolic disorders can cause it,even heart failure
There are many specific tests, i doubt that cause cant be found. Infection can be ruled out by immunological tests,by hemoculture and urine analysis. Intraabdominal abscessus can be visualized by any imaging tests. MRI can give detailed picture. Autoimmune disorders
are also ofund by specific tests and treated by streong medicines. SO just encourae her to find the eact cause even if it means repataed tests for few times.
Wish you good health.