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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes High Ammonia Level In Blood While Suffering From Liver Failure?

Hi my name is Kim. My brother is in stage 4 liver failure. He also has diabetes and suffers from neuoraphathy. He was taking Gabapentin but stopped and started taking oxy cotin. He ran out of medication and my sisterin law believes he may have taken over 1/2 bottle of 400 mg in a day and is now in the hospital with high ammonia in his blood and heart rate of 48. Wondering if this has caused this to happen to him.
Thu, 14 Apr 2016
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General & Family Physician,  's  Response
Hi welcome to healthcare magic....

Let me know you be has end stage liver disease and high ammonia level....
So here it is in encephalopathy stage...
Alcohol drinking leading this condition.
He should stop drinking....

Lectulose or neomycin like drug needed here for elevated ammonia...
Give him low fat diet...
Hospitalisation necessary with clinical watch up....
If ascites is there diuretic needed...
Take low salt diet....
If he can't take good by mouth ryles tube intubation done....

If bleeding in vomit occur banding done for varices.....

Ultimate treatment for such liver failure is liver transplantation...

Take care....
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What Causes High Ammonia Level In Blood While Suffering From Liver Failure?

Hi welcome to healthcare magic.... Let me know you be has end stage liver disease and high ammonia level.... So here it is in encephalopathy stage... Alcohol drinking leading this condition. He should stop drinking.... Lectulose or neomycin like drug needed here for elevated ammonia... Give him low fat diet... Hospitalisation necessary with clinical watch up.... If ascites is there diuretic needed... Take low salt diet.... If he can t take good by mouth ryles tube intubation done.... If bleeding in vomit occur banding done for varices..... Ultimate treatment for such liver failure is liver transplantation... Take care....