Elevated ammonia levels treatment

Common Questions and Answers about Elevated ammonia levels treatment


Avatar f tn Anyone have elevated ammonia levels? Are you having any symptoms and at what level did your symptoms start? I just had my first ammonia screening done and the level came back 119, with less than 47 being the reference range. I'm not having any symptoms. This seems to be the story of my life. All of my labs are going whacky and I'm still feeling fine. I'm afraid one of these days it's all going to hit and I'll be a mess.
Avatar m tn If you have decompensated cirrhosis, with elevated ammonia levels and hepatic encephalopathy I have see many patients say they have been prescribed Lactulose http://www.nlm.nih.gov/medlineplus/druginfo/meds/a682338.html But you definitely need to have this conversation with your liver specialist .
1008841 tn?1293602560 that is to say, some patients who have hepatic encephalopathy (HE, or confusion due to liver dysfunction) do not have elevated ammonia levels, and sometimes ammonia levels can be elevated without apparent HE -- docs usually use the guidelines Hector provided above to diagnose HE as opposed to just declaring it based on ammonia levels. Flowerchild: you can calculate your own MELD score if you have a copy of your lab reports from bloodwork by using this site: http://www.mayoclinic.
1391441 tn?1333851561 Here is information on the current standard treatment for HE and elevated ammonia levels. Standard Treatment for Hepatic Encephalopathy The primary goal of treatment is to eliminate or neutralize toxins such as ammonia in the intestines. The first line treatment is lactulose, a nondigestible sugar. Lactulose alters the metabolism of intestinal bacteria, makes the gut environment more acidic, and acts as a laxative.
Avatar n tn I do not know any other treatment .
Avatar n tn 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?
Avatar n tn With that said, has your mom been diagnosed with viral hepatitis any other form of liver disease? Elevated ammonia and hepatic encephelopathy can be signs of late stage cirrhosis and should be taken quite seriously. Has your family doctor discussed a referral to a specialist such as a gastroenterologist or hepatologist? The Lactalose might help reduce the ammonia in her blood, but will not cure the cause of her problems. Can you tell us more about your Mom?
Avatar n tn First and foremost, to answer your first question, elevated blood ammonia levels are almost always due to liver disease. There are some unusual circumstances in which someone can have an elevated ammonia and a normal liver. If you do have a history of liver disease or reasons to believe your liver is damaged, I suspect your elevated ammonia is from liver problems. You ask some questions about how high the ammonia has to be to give a coma.
Avatar n tn Aher docs looking into the possibility that there may be liver problems as a result of either the chemo or the pancreatic issues? Elevated blood ammonia levels are typically due to liver problems or disease although there are some unusual circumstances in which someone can have an elevated ammonia and a normal liver. If there is any possibility that her liver might be damaged the elevated ammonia may be due to that. The problems you're seeing in forgetfulness etc.
3097131 tn?1357088481 //onlinelibrary.wiley.com/doi/10.1046/j.1528-1157.2002.25001.x/full Results: Venous ammonia levels were elevated in five (71%) of the seven patients. Elevated serum or cerebrospinal fluid (CSF) glutamine levels were found in four (80%) of five cases tested, including two who had normal ammonia levels. Initial behavioral signs included violent outbursts in three patients, paranoid ideation severe enough to require restraint in two cases, and milder abnormalities in two instances.
Avatar m tn Will I have had elevated ammonia levels a couple of times in the past few years, and yes I could tell with certainty when it occurred. Not sure if "smell" is the right word for me but I knew when the levels were elevated. There is a blood test to confirm this. Ask you doc. Also take lactulose or rifaximin to reduce ammonia levels. Reduce animal protein intake. There is a definite correlation between brain fog/HE and elevated ammonia levels.
Avatar m tn Such reviews, however, would go far beyond the scope of this brief overview of currently available treatment options. Therapy that reduces ammonia levels has received a great amount of attention because elevated levels are seen in more than 80% of patients with hepatic encephalopathy. Although removal of ammonia appears to be important in the treatment of hepatic encephalopathy, the relationship between ammonia levels and the pathogenesis of the disease has yet to be confirmed.
1475202 tn?1536274577 Since not all persons with cirrhosis are affected by elevated ammonia levels what’s the point in the test? Some persons are greatly affected with slightly elevated ammonia levels while others with experience no symptoms of hepatic encephalopathy with high ammonia levels or vice versa. Seeming that the test is irrelevant or at least this is the way of thinking by my hepatologist during my most recent visit to the transplant center in my area. So why do we even talk about it?
Avatar n tn I have been reading the messages and questions daily and the most recent postings talk about elevated ammonia levels. A couple of months ago I had a flare up, dark urine, fatigue, headaches, super itchy skin and a few nights I woke up tasting/smelling ammonia. I talked to the Doc about it and he said it was not Hep-c connected and basically blew me off. Has anyone else had the same experience with the ammonia? The biopsy revealed stage 1 damage and stage 3 activity level.
5611452 tn?1370974704 I read countless articles about this and being cirrhotic and having mildly elevated ammonia levels I decided to be diligent in my dosing so I could guage my labs pre and during taking these, I have to say after 3 wks. I had a 25% drop in my ammonia levels (confirmed by my doc)along with better regularity, clarity, and energy. I'm not touting a cure from my cirrhotic symptoms because I do still have "the fog" from time to time, but I'm just saying I do notice improvements.
Avatar m tn So if you have serious liver issues, the ammonia blood serum levels can become elevated. But advanced liver disease is easy to detect so this isn't likely your problem. Your sweat also contains ammonia and can get high enough in concentration to be detect via smell. I'd guess that this is your culprit. And seeing an endocrinologist or dermatologist would be a good step towards diagnosing what is out of sync.
Avatar n tn I understand you ammonia is elevated and you are having symptoms of confusion and forgetfulness. First and foremost, to answer your first question, elevated blood ammonia levels are almost always due to liver disease. There are some unusual circumstances in which someone can have an elevated ammonia and a normal liver. If you do have a history of liver disease or reasons to believe your liver is damaged, I suspect your elevated ammonia is from liver problems.
Avatar n tn I do not know if high ammonia levels are harmful to a fetus because few women who have high ammonia levels due to advanced liver disease have children. In those that do, the advanced liver disease in itself poses a risk to both mother and child. It is unlikely that gallstones would contribute to the high ammonia levels. Finally, it is possible to have cirrhosis with a normal ultrasound. The ultrasound is not a sensitive test for early to moderate cirrhosis, in particular.
Avatar n tn I have looked at many scientific articles regarding other possible origins for elevated citrulline levels but I was hoping you may be able to list a few reasons you have heard of so I can be a little more prepared for me meeting with the other specialist. Of course I would not change anything about my child's treatment but was just hoping for some names of disorders/reasons. This site is a great resource so thanks for being here!
1475202 tn?1536274577 I dont mind any of the questions at all. That is my main reason for posting these results so that others might learn and have a better understanding of their own Lab Results. It is very critical to understand them. Especially if your not going to listen to your doctors advice and warnings. Low Platelets when having cirrhosis is very common. The group of veins that feed the liver are called portal veins.
Avatar n tn I did some searching last night for info about blood sugar levels and treatment but did not turn up anything pertinent. Who knows?! I keep telling myself that somehow it is a good thing and it must mean the tx is working :) lol I guess that is one way to make it through the days!
Avatar n tn A. hasn't done an ammonia level test per se... They're just aware that her ammonia level is elevated and the cirrhosis is fairly advanced. Everyone except my wife and I gave up hope about 3 years ago and they didn't expect her to live past about 9 months so we're ahead of the game in that respect. I try to watch her diet but it's so frustrating because she sleeps all day and then gets up when I go to sleep at night and junk-foods out.
325086 tn?1217974780 1,000,000 I have had normal AST, ALT, Total Protein, Albumin ever since treatment – Almost 3 years 11/8/07 AST – 42 ALT - 38 Albumin – 4.7 Total Protein – 8.3 B-12 – 425 Ammonia levels are normal – although I do experience “Brain Fog” sometimes. Viral Load Serum >2,000,000 I’ve never had as biopsy due to being on Coumadin due to a mechanical aortic valve, however CT scans and MRI’s done 4/2005 show no ascites, no liver abnormalities/enlargement, no spleen enlargement.
Avatar f tn Blood transfusions may result in mild hemolysis, with resulting elevated blood ammonia levels. **** So the bleeding from ulcers could trigger an episode of hepatic encephalopathy (HE) in a patient with cirrhosis and HE to begin with.*** Management of Hepatic Encephalopathy Approach Considerations The approach to the patient with hepatic encephalopathy depends upon the severity of mental status changes and upon the certainty of the diagnosis.
Avatar f tn Rockerforlife, Thank you for our Sunday prayer! I've noticed when I get unfocused, I have a harder time coping. Things go well for me when I keep God close. If I wake up asking for God's strength, it's usually a good day. I'm at the end of shot #9. Hgb still holding at at 10.1, no procrit yet, maybe I won't need it. One thing that concerned me though, on my last CBC, I still have lymphocytes elevated At 65%, Also atypical lymphs @ 14, (it should be <0).
1916673 tn?1420236870 The liver produces urea, which is far less toxic, and this helps to transport ammonia safely through the blood to the kidneys and then out of the body. When BUN levels are elevated, it indicates the kidneys are unable to remove the excessive amount of urea being produced. Vets will ordinarily describe a dog being uremic or azotemic when this situation occurs.