Hi, I am so sorry to hear about your Mom. Your mom is presenting with features of Liver cirrhosis and portal hypertension with hepatic encephalopathy (ire-relevant talk). Liver cirrhosis is divided into two stages clinically 1. Compensated - where the patient has cirrhosis but absolutely no symptoms and 2. De-compensated - (your Mother) where symptoms of liver disease begin to appear - like jaundice, ascites (fluid in the belly), vairceal bleed (vomitting blood) or hepatic encephalopathy (irrelevant talk, sleepiness). Most patients with early decompensated cirrhosis can be managed with medications which includes blood pressure pills to prevent bleeding, water pills to prevent fluid accumulation and lactulose to prevent encephalopathy. But as liver disease progresses, it becomes more and more difficult to manage the symptoms and at this stage the best option would be to proceed with a liver transplant. This will not only remove all problems associated with the cirrhotic liver, but also replace it with a new healthy one. Ofcourse Liver transplant is not offered to everyone and will depend on multiple factors like age of the patient, cause of liver cirrhosis, social support of the family and so on. Hope this helps and please do not hesitate to contact me for further details - rxsuresh@gmail.com