Good morning Sorry to learn about the illhealth of your husband I would strongly recommend you take him to an ER immediately An ESLD patient who is confused after removing 10 litres of fluid from his abdomen needs to be attended by a hepatologist He is likely to develop brain dysfunction due to liver failure and fluid loss, low sodium levels besides infection. Also if I were your doctor I would like to keep a watch on his renal functions as well. I would also like to dig out the cause of his liver failure the common causes being hepatitis C, fatty liver, Hepatitis B etc. This is very important as the hepatitis viruses can be very much treated safely with the newer medications which could potentially retard his disease progression Hope this would answer your question Wish him a speedy recovery