Ammonia levels over 200

Common Questions and Answers about Ammonia levels over 200


I have Hep C and cirrhosis of the liver. I started tx 2 months ago. My ammonia levels have been around 175(high) consistently even though I take lactulose daily. Does anyone have any experience with this?
But then again some people nay have lower levels w a lot of symptoms or higher levels w fewer symptoms. Either way, it is essential to manage your ammonia levels because you may not cognitvely be aware of when your ammonia levels might cause enough HE to create dangerous situations, i.e. mixing up meds, causing an accident, leaving a burner on, forgetting where you're going, etc.
hi! my ammonia levels have been running about 200 even with lactulose and flagyl,to maybe give you some insight,sometimes i am more on the ball than other times regardless of the high numbers for me its more of an instant recall thing good luck to you and mom!
He presently takes Lactulose, but has been hospitalized in the past to help with the high ammonia levels. A low protein diet sometimes helps with ammonia levels, but not always. The only thing that has recently helped my brother with symptoms is the "Alzheimer's patch." I won't mention the name of the medication or the pharmaceutical company, and no--I'm not a rep for the company. It is being used off-label by my brother's doctor and his quality of life has improved dramatically.
Since I have to treat 48 weeks I have been counting down the days until the Incivek is over and hoping that things will get a little easier once this part is over. Thanks!
Patients with liver disease are unable to process or detoxify ammonia so that ammonia levels can reach dangerously high levels. This is coupled by increased ammonia production of colonic bacteria, especially if one is constipated or has an irregular bowel movement. High protein intake can also lead to an incresed ammonia production. I suggest you talk about these possibilities with your doctors.
First get my bowels working and my ammonia down. I'm out for a few weeks right before Xmas, that figures.
Today he fell and hit his head. He is extremely confused - ammonia levels seem to be close to 200. I have tried everything to help him. He's got Hep C from a blood transfusion in 1978. The medicine did not work for him. How much longer can he go on? .....
I have gotten off to a rough start for this new year with high ammonia levels, diarrhea, and depression to name a few things that are bugging me now. Plus I'm about to turn 61 and I never even got use to being 60!!! :-) I had been told for the past 10 years that I would be going through some bad times with the cirrhosis but I never imagined it would invade my life so totally.
they put a pump in her to drain the infection out and i took her 5 days ago to get it rechecked and they ended up admitting her again, changed the pump, ( she was mentally alert and well that day) 2 days later her ammonia levels went over 200 and her potassium level was a little elevated, she was the most disorented and confused i"d ever seen her. she cldn't even speak. I know she has encephalapathy, chirrosis, hep.
[24] Therefore, it is the recommendation of this author to reduce ribavirin stepwise by 200 mg every 2-4 weeks until adverse events either resolve or are tolerable. Peginterferon alfa-2a can be reduced from 180 to 135 µg/week and peginterferon alfa-2b from 1.5 to 1.0 µg/kg/week. Neither peginterferon alfa nor ribavirin dosing should be interrupted unless the adverse event is particularly severe and there is a concern for patient safety.
and puttin in a new pump, she was alert and ok mentally, 2 days later her ammonia level went over 200, she has this problem alot, her ammonia will go up and they give her lactulose. she was the most confused and disorented i'd ever seen her, I was scared. the drs say she is getting worse. and her potassium levels were a little high.
After being on topiramate for 3 days, I had a general feeling of confusion, disorientation, trouble with my memory, and trouble concentrating. When I went to the doctor and got a blood test it was said that my ammonia levels were abnormally high (if I remember correctly it was just over 200).
my doc told me the same thing about "range levels" they are different for everyone. alcoholics can die in the 100 range .i was over 200 and other than confusion and spaciness, functioned fine. I agree about the lactulose. i did have looser stools, not diarhea but figured out when to take it based on bathroom access at work.I took in mid eves and was fine all day. I am pretty physical at work and was going 3x a day.
Hepatic Encephalopathy was diagnosed with an ammonia level of over 200. 20 years ago my dad was an alcoholic and had surgery for cirrhosis, but hasn't had a drink since and has remained in excellent health to this point. The drs gave him lactulose to bring down the ammonia levels and he made such a great recovery that when he went for a liver transplant evaluation, drs said his liver was functioning and he didn't need a transplant.
Like your grandma I landed up in the ER and incoherent from high ammonia levels but lactulose enabled me to think clearer. The root of the problem was the cirrhosis. For me, the cure was a liver transplant. I still have hep C but fortunately my liver has remained healthy. The guide line I used for lactulose consumption was enough to have 2-3 soft bowel movements daily. Besides using lactolose, she should stop eating red meat as it can increase the ammonia. Fish, chicken and beans are fine.
Ischemic forearm test and MAX cycle exercise testing essentially normal (may have had slight elevation in lactate and depression in ammonia). CK levels 200-250 range. No evidence of rhabdomyolysis. Other potentially pertinent health conditions include multinodular goiter (diagnosed at age 35, treated with synthroid), and low HDL (20-25 mg/dl) and high triglycerides (200-500) prior to treatment with Niaspan. Recent work up revealed a low FSH (0.8 mIU/ml) and low-normal testosterone (335 ng/dl).
Now, over the last month she has been declining with impaired sleep deprivation for days, impaired thinking, slurred speach, high ammonia levels for her (183) Mar. 19 labs were normal. Today she said that her legs wouldn't work. When diagnosised she had portal hypertension, esophageal varicies and came home with chronic . She is now in a nursing home because she needs more care. Is this an indication that her liver is completely failing.
You do not have high ammonia levels unless your lab is vastly different. Elevated blood ammonia levels are common in people with hepatic encephalopathy, but the level of ammonia doesn't correlated with how server HE is. You say you suffer from "labile" depression? There are 9 types of depressions list in the DSM-IV, Diagnostic and Statistical Manual of Mental Disorders. What is "labile" depression?
These capsules are only to be used by adults who are fully grown, and not by anyone afflicted with pellagra. Patients with depleted SAMe levels should take from 2 to 4 200-mg tablets a day, spread throughout the day. Patients must adhere to physician-prescribed blood testing schedules to assess the effectiveness of this therapy. A cost-effective alternative to SAMe supplementationis TMG (trimethylglycine), also known as betaine.
Kalio 1 knows some good supplements for helping you with your nutrition if you can't keep your food down. For your brain, what is your ammonia like? If the levels are high you can take lactulose. It cleared a lot of my brain fog. I've had trouble with labcorp also (and quest). If it says that you are to get a copy on your order, call them and make a fuss. I've found the labs are better at faxing. If you don't have a fax # you can use, try www.efax.
In addition, with cirrhosis, foods that are high in sodium and ammonia need to be avoided. Table 2 identifies ammonia- and sodium-containing foods. TABLE 2.
Maybe your ammonia levels are high? That can cause sleepiness. If so, they normally prescribe Lactulose for that. It helped me. Only, I have cirrohsis.
His ammonia levels go up causing encephalopathy, needing more lactulose, causing dehydration over time. After six weeks of HE, his body just had enough. He got 104 fever and ended up in the ER. But the news is not all bad. They are upping his prograf (immunosuppressant) for the first time in over a year. Seems his prograf level is low indicating his liver is working better to remove it from his body.
Red meat can also elevate the ammonia levels (norms are 30-ish to 90-ish) which can cause encepholopathy-sp?-. Which I have. Its funny how diet can effect the body !
It can elevate ammonia levels which can be very problematic with those with cirrhosis. And do take a multivitamin without iron.
however sulfasalazine does present possible undesirable side effects including medication induced hepatitis. labs must be monitored for serum levels and perhaps with liver enzymes if this med would be considered by clinicians. i believe we all should challenge our docs to consider anti fibrotic therapies besides all the usual good living practices that we have all come to know and cherish. it is definitely another goal to be won in this disease.
In recovery I did have a strange episode where my heart suddenly went to over 200 bpm, and they knocked me out. I woke up 6 hours later feeling like new. I then had a lot of stress at home and developed a new blockage in the left circumflex, requiring 2 more stents. At the end of last year, I received a letter saying I need more intervention because the left circumflex looked like it had a low flow rate.
And AFP of under 100 is not definitive of cancer. If it were over 200 and raising over time I would be more worried. AFP is only 60% accurate for detecting HCC. It will give both false negative and false positives. He needs a CT scan with contrast or MRI with contrast to diagnose HCC plus the doctors that can tell a benign tumor from HCC. For the most accurate results these tests should be done at a transplant center were they do these on a daily basis. Has you brother had these scans?
In three years and hundreds of people on all sorts of doses of Epo I've never seen ANYBODY have one problem from it - nothing but joy when their levels got back up to over ten (yes once you get back over ten you will be shocked at how good you feel when at first it felt so bad to go DOWN to ten....completely different when you go up!) Hang in there - call that specialist now and explain, you should NOT have to wait!
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