Doctor insights on:
Ammonia Level Lactulose
Ammonia level 41 a little elevated gave me lactulose 15ml twice a day hoe long should it take to lower them since there bout that high?
If you are having normal stool once a day without taking lactulose do u still nedd to take lactulose to control ammonia level?
Ammonia Level: That depends what the cause of your elevated ammonia level is. If the cause is liver disease or failure, your ammonia levels will likely rise again when you stop the lactulose. If the reason for your high ammonia levels are not addressed, your levels will continue to rise after the lactulose is stopped. ...Read more
Is there a risk of low ammonia blood levels in a healthy person due to taking high doses of Lactulose daily for constipation?
No: No risk of low ammonia.Get a more detailed answer ›
Husband has high liver ammonia levels, they stay normal when he's on lactulose but he hasn't taken it for a while. Does he have hepatic encephalopathy?
Need more info: Hepatic encephalopathy is diagnosed by mental status. If he is confused, disoriented, or abnormally sleepy, probably he has it. High ammonia can help confirm encephalopathy, but by itself doesn't make the diagnosis. However, that plus not taking lactulose probably mean he is at high risk for it. Check with his doctor ASAP. Good luck! ...Read more
Husband has compensated liver cirrhosis but is sober now. Ammonia levels have been going up despite increased lactulose and xifaxan (rifaximin). why?
Alcohol caused husbands liver fibrosis. Ammonia levels are slightly elevated and he takes lactulose. Does fibrosis cause this when it's not cirrhosis?
Increased ammonia: By the time someone with alcoholic liver disease develops hepatic encephalopathy, cirrhosis of the liver is usually present. If the elevation is only slight and he is asymptomatic, it is possible to have fibrosis without cirrhosis, but he is certainly on his way to it. It is very important not to drink anymore alcohol at all. He also should not drive. He should follow up closely with his doctor. ...Read more
What would the consequences be if someone with alcoholic liver disease stopped taking lactulose? Can the amonia levels get so high it could be deadly
I have o positive blood but high ammonia in my blood and on lactulose would I be able to donate blood ever?
Lab says normal liver ammonia is between 27-102.husbands is 108 and doctor put him on lactulose. Has stage 3 fibrosis. Why when ammonia not that high?
Intersting question: Very interesting question. If you take 1/2 of healthy liver out surgically liver func will still be normal. Person with fibrosis and ammonia even though slightly elevated signifies significant loss of liver function. Please follow your physician's advice ...Read more
Yes in theory: But you get a different smell....around the patient. ...Read more
Ammonia level of 72 dangerously high 1st time checked it was 43 second time it was 72 2 weeks apart I have gilberts syndrome do I need to go to er?
Ammonia level: This is concerning...Gilbert's should not cause elevated ammonia levels, so a different cause needs to be investigated. Liver disease, whether acute toxicity or chronic illness, can cause elevated ammonia. Please see your physician soon, and you may need a liver specialist (hepatologist) as well. ...Read more
An ammonia test measures the amount of ammonia in the blood. Most ammonia in the body forms when protein is broken down by bacteria in the intestines. The liver normally converts ammonia into urea, which is then eliminated in urine.
Ammonia levels in the blood rise when the liver is not able to convert ammonia to urea. This may be caused by cirrhosis or severe hepatitis. ...Read more
Lab error possible:
The normal values listed here are just a guide. These ranges vary from lab to lab, and your lab may have a different range for what's normal. Your lab report should contain the range your lab uses.
15–60 micrograms per deciliter (mcg/dL)
21–50 micromoles per liter (mcmol/L)
*Blood drawn for ammonia levels should be kept on ice until processed, or false elevations may be reported. ...Read more
Clinically she would: Have altered mentation. You may also order blood work for ammonia level and get the actual number. ...Read more
Ammonia level was elevated @48 (normal range 3-37) all other labs normal. Previous ultrasounds & cts were normal. Is this something to worry about?
Ammonia level: No. Non specific and I would not worry about it. ...Read more
My ammonia level is 41 and I am sleepy all the time slurring my words feel like I'm in 2 different worlds. I was hospitalized in November for this for 5 days and now its back please help.
Go to: ER as you probably need to be hospitalized again ...Read more
I have cirrhosis of the liver and they told me my ammonia level was 135. They said that was high. What does that mean?
Cirrhosis: Ammonia is a breakdown product of proteins, and is toxic at high levels. One of your liver's jobs is getting rid of toxins in your body. If your liver is not working because of cirrhosis, ammonia can build up, among other things. High levels of ammonia can severely effect your central nervous system. ...Read more
I am worried about my liver. My ammonia level is 112 and I have many symptoms of a possibility of liver failure. Should I worry.
Yes: This could be very serious. You must see the liver doctor. ...Read more
Is an ammonia level of 41 umol dangerously high all other level test within normal range except ALT 87?
No: It's a marker for illness, not a dangerous level in itself. ...Read more
My ammonia level is 112 and my c reactive protein is high. I have been on a lot of medicine in the past 10 years for lyme. Should I be concerned?
Yes: If this is an accurate ammonia level, you might perhaps even have a mild urea cycle enzyme defect. If you feel well, i'd not be immediately concerned about your liver unless there are other lab abnormalities. ...Read more
My blood ammonia level is 97 mcg/dL (lab range 27-102 mcg/dL). My complete metabolic panels are always normal. Is this ammonia level considered high? Is it high enough to cause encephalopathy?
Ammonia level: In some people with liver disease there are tremors. These can be due to an increase serum ammonia level due to the liver disease if so a medication can be given to decrease the ammonia level. He is probably jus wanting to be sure this is not the case. ...Read more
I'm an alcoholic and recently was told I have high ammonia level and my GGT was high but everything else on my liver tests is normal? But sleepy
Serious issues: You have multiple serious health issues and should be seeing a primary care provider to coordinate your care. Your issues are not a suitable subject for this forum. ...Read more
Hi, I have high levels of ast and asl both in the mid 200's and ammonia level is also high at 53. I don't drink alcohol?
Liver disease: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, the information you provided is consistent with liver disease, There are other causes of liver disease, in addition to alcohol. The issue warrants consultation with a doctor at the earliest. ...Read more
What reason would cause the ammonia level in your body to go up to 120? Is it due to kidney failure this is a question about my 81 year old father
Ammonia level: Ammonia level is moat likely due to kidneys not working effectively, but there are other rare causes. Your dad needs to see a doctor very soon. ...Read more
My 5 week old was dx with entrovirus. He also had a positive lactoferrin stool culture. His ammonia level was 80. Could this be a metabolic disorder?
Unlikely: A severe infection such as adenovirus before the immune system has matured at about 2 mo. Puts a great strain on the body's metabolism, likely sufficient to raise the ammonia level. It most likely will disappear as he recovers. The lactoferrin just indicates that he had significant inflammation of his intestines from the adenovirus. Urine for organic acids is a good metabolic screening test. ...Read more
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