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Doctor insights on: Ammonia Level Lactulose

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Dr. Sandra Eleczko
122 Doctors shared insights

Lactulose (Definition)

Lactulose is a laxative which is a ...Read more


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If you are having normal stool once a day without taking lactulose do u still nedd to take lactulose to control ammonia level?

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 on what your ammonia levels are.
lactulose is used to help get rid of ammonia via the stool.
Talk to your treating doctor about what your levels are, but do not stop any therapy until told so by your doctor ...Read more

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What do you think, could my ammonia levels rise if I stop taking lactulose?

What do you think, could my ammonia levels rise if I stop taking lactulose?

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

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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?

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

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Alcohol caused husbands liver fibrosis. Ammonia levels are slightly elevated and he takes lactulose. Does fibrosis cause this when it's not cirrhosis?

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

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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?

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

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If your blood ammonia level is high can you smell it on your breath?

Yes in theory: But you get a different smell....around the patient. ...Read more

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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

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What does it mean for your ammonia level is high?

Evaluation warranted: Ammonia is a by product of metabolism by the liver. Elevated ammonia levels generally mean there is a problem with liver metabolism. Further evaluation is warranted. ...Read more

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What is the definition or description of: ammonia level?

What is the definition or description of: ammonia level?

See below: 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

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Blood ammonia level was 38 is this a little high?

Blood ammonia level was 38 is this a little high?

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.
Adults:
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

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What are ways for a girl to tell if her ammonia level is high?

What are ways for a girl to tell if her ammonia level is high?

Clinically she would: Have altered mentation. You may also order blood work for ammonia level and get the actual number. ...Read more

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What to do if my daughter's blood ammonia level in high stage. She can't to do anything now.?

Depends: High blood ammonia level could be from congenital metabolic conditions or acute liver failure. Inborn metabolic conditions can be cured by liver transplantation. In cases of acute liver failure, the underlying causes should be aggressively managed. ...Read more

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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

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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

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My doctor ordered bloodwork to test my ammonia level...why would he order this? I have a tremor

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

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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

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My 85 year old mother's ammonia level was found to be less than 1. What does this mean for her? Incidentally, glucose was 162 and BUN was higher 2

Diabetes?: Tha ammonia level is normal but her sugar is high and she should be evaluated for Diabetes. The BUN is low, which sometimes is a marker for low muscle mass as is common in the elderly. ...Read more

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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?

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

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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

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

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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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