HELP!!!refusal to take Lactulose and paranoia

[Guest guest]

I am at my wits end. 's condition seems to be deteriorating quickly,

especially his symptoms of cirrhosis (he also has recurrent colon cancer

that has metastasized to his liver and elsewhere.

Where he had no noticeabble ascites 3 months ago, it is becoming pronounced,

and I can now see the enlarged veins beneath the skin of his abdomen. He has

been in varying degrees of encephalopathy for a week now. He has always

refused the lactulose becasue the surgery for the cancer left him with a

shortened rectum and the radiation made the rectum that is left not very

elastic, causing many accidents.

He all of a sudden thinks I am out to get him, doesn't see that he is acting

sifferently, or at least not enough so to be alarming...I am becomeing

afraid to be around him

Any suggestions?

Please?