Hi Thanks for writing to Health Care magic Alcohollic liver disease results from damage to liver. This causes difficulty in the elimination of toxic wastes like ammonia from the blood. Their levels accumilate and cause the symptoms described by u. Ammonia is toxic to brain. The treatment of alcoholic liver disease would reverse the condition usually. But in case of a severe problem we need to get dialysis done and sometimes doctors advise for organ transplantation. Elevated ammonia can also occur with renal problem. So please get his renal parameters also checked. Tremors, confusion, anxiety, restlessness, fatigue etc canalso occur with alcohol withdrawl. Diabetes and hypertension themselves are risk facotrs for kidney and liver disease. Strict abstinence from alcohol is very important. Hope this helps u Thanks and regards