Its been near 7 months, since I lost my dad from hepatic encephalopathy stage 4. What I seen on that final day still haunts me, i cant seem to get by it at all. Decomponsated Liver cirrohsis, is a very cruel condition. Once it progessed, day by day, my dad just started to waist away, infront of my eyes. Although off drink for 7months, his hepatic encephalopathy had progressed in stages, eventually preventing a transplant. On that final day, the toxin levels in my dads system, were the highest, his consultant had ever seen in his carreer. In the end, it was like watching someone who had been poisoned passing away. The seizures were that severe, not even being put under general anesthetic would stop them. Has anybody out there had a loved one pass from the hepatic encephalopathy from decomponsated liver cirrohsis. Usually lactalose and rifixamin keeps it at bay, but for an unknown reason they didnt work for my dad.