### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
hi docter: my father is diabitic 60 years old had diagnosed decompenesated liver disease 3 month ago with esoghagel and stomach varicus after he had coma from encephalopathy for 2 days and wake up .befor this event he was healthy never complain from any thing ,now he is on treatment he did banding and sclerothrepay for varicus he still smoking 2cigarrets/day and blood suger not control even with treatment insulin inj 2 times/day ,now all his blood work improved except blood suger but LFT,PT,PTT,S.PROTIEN,S.ALPUMIN within normal HB 13,U/S:LIVER:mildly decrease in size 23 cubic cm with slightly coarse parenchyma and faintnodular surface.GALLBLADER:multiple stone . 3 days ago we noticed that he has slurred speech and walking slowly what is that? ,is it normal just agnor it or we have take it seriously,what is the prognosis of his condition? plz and what is your advised .thankyou

### output:

Hello, omhind1981,Your father is very fortunate that he recovered from liver coma, and also survived bleeding from the enlarged veins in the esophagus and stomach. I am glad that his blood count is good. The liver ultrasound shows changes of cirrhosis and he also has gallstones. I take it that he is not having symptoms related tostones and at this time he may not need surgery. He may if he has an acute attack. He really needs to control his blood sugar. He may have to consult with a diabetes specialist for proper dosage and type of insulin. If his Bilirubin levels are not high and his platelet count is good along with normal kidney tests, his prognosis is good in teenier term. If he has any further massive bleeding, then it is serious. I wish him well.