Sudden rise in ammonia levels

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skyharbor
New Member


Date Joined Dec 2009
Total Posts : 2
   Posted 12/22/2009 6:02 PM (GMT -7)   
My father has Hep C and cirrhosis of the liver and has been in the hospital for the past few days. When he was admitted, his ammonia levels were around 150. Even with a feeding tube forcing lactulose into his system, the ammonia levels are rising and are currently over 200. Is there any advice on how to help him? Thank you!

He was diagnosed years ago, but over the past few months even with a strict diet and lactulose intake, he began to deteriorate. His no longer qualifies for drug treatment or a liver transplant.

Any advice would be greatly appreciated, thank you..

Pink Grandma
Veteran Member


Date Joined Nov 2006
Total Posts : 2445
   Posted 12/22/2009 7:36 PM (GMT -7)   
Hello Skyharbor and welcome to HealingWell. Sorry that your father is so sick.

Do you know if he has an infection? People who go in and out of ERs are liable to contract t MSRA , if so he may need Xifaxan along with the lactulose to lower his ammonia levels. Ask the doctors or nurses if he has a staph infection.

Take care of yourself during this stressful time too........thoughts and prayers..........
Pink Grandma
Forum moderator-Hepatitis

When the going gets tough....the tough get going! Don't always know where I going but I get there anyways.

Post Edited (Pink Grandma) : 12/22/2009 10:20:32 PM (GMT-7)


skyharbor
New Member


Date Joined Dec 2009
Total Posts : 2
   Posted 12/22/2009 7:53 PM (GMT -7)   
Thank you, Pink Grandma. I appreciate it. Going to the hospital tonight- I will inquire that about a possible staph infection. Hopefully he doesn't have one but it is a good idea to test! Thanks again.

Pink Grandma
Veteran Member


Date Joined Nov 2006
Total Posts : 2445
   Posted 12/22/2009 10:19 PM (GMT -7)   
Your welcome. When my husband was in the hospital, the same thing happened to him with his ammonia levels, and it was a staph infection causing it. All he had was a little raised red spot on the topside of his hand. Once they started him on the Xifaxan..........good bye encephalopathy.......keep us updated...........thoughts and prayers......
Pink Grandma
Forum moderator-Hepatitis

When the going gets tough....the tough get going! Don't always know where I going but I get there anyways.


lavendar
Regular Member


Date Joined Nov 2007
Total Posts : 450
   Posted 12/24/2009 3:49 AM (GMT -7)   
 Hi everyone : I am just so very confused I don't know where to turn. My husband is fed up with my stories. And my elderly lady friend moved to /Colorado. She and I could talk for hours and say the same things over and over when i was in my fog.'
 
My last trip to arizona was good/and bad. Every thing looks good I'm not dying in 48hours or 2years as they had said before I think that was a peek of what hell must be like """Oh dear were running so late we will have to stoak up the fire some."""ha ha  Every day for three years they tell me I could go any time
 
At our last test the hepatologist came in to consult with me . After he looked at my records he asked "Why are you here" well i said it is mostly the pain i have everywhere and youve told me to cut back on the tylenol he asked pain where is it in your tummy ? No I reminded him I have osteoperosis ,degenerative disk disease, and osteoarthritis. He said I was doing fine My Meld is 8 which would not qualify me for a transplant, Then he decided I SHOULD look for a local RA Doctor for pain management  chances are you may die of arthritis instead of liver desiesel
 
''''''''''''''''''So now Im searching for a Artritis dr. The last RA told me I didnt have 
RA and sent me on my way    HOPE YOU ALL HAVE A GREAT THANKS GIVING=======EVEN IN THE WORST OF TIMES MY CUP RUNETH OVER FOR ALL THE GOOD I HAVE HAD     june

Pink Grandma
Veteran Member


Date Joined Nov 2006
Total Posts : 2445
   Posted 12/24/2009 8:33 AM (GMT -7)   

Good morning June.   Sorry youir friend moved away....But am glad that your liver disease is doing well.  

 Okay I'm going out on a limb here.......I didn't know that arthritis could kill anyone????  Is that true???  I don't know alot about any of the arthritis' so if it's a killer disease ....I've never heard anything like that.  Or was your hep doc just trying to be funny??? 

Hope your holidays are wonderful....thoughts and prayers......


Pink Grandma
Forum moderator-Hepatitis

When the going gets tough....the tough get going! Don't always know where I going but I get there anyways.


hep93
Elite Member


Date Joined Jul 2005
Total Posts : 12014
   Posted 12/24/2009 12:34 PM (GMT -7)   

June, so good to see you here again!  Glad to hear that your liver disease is stable!

PG, I think her doc was trying to make a funny--although some with RA have been known to take their own lives because the pain is so bad.  To differentiate:  RA is the really crippling type of arthritis; OA is the more common kind that causes joint pain.  Osteoporosis is thinning of the bone and DDD is just what the name implies.

June, a rheumatologist treats all sorts of arthritis and other bone pain, so I suggest you find another one.  I also have OA and DDD, along with cervical spondylosis.  Of course, with the hip replacements and revisions, I also have arthritic pain in my hips and a lot of stiffness, particularly in cold weather.  Although it may hurt, it's best to keep moving--gentle, stretching moves.  Cold weather really makes my joints stiff and aching.  When my neck gets really bad, I use a moist heating pad and prescription strength ibuprofen 800 mg.  At one time, I was on 3 Lortab and 3 800 mg ibuprofen a day.  I was never told to cut down because of my liver, but have done so myself.  I now only take the ibuprofen when the pain is really bad, and am down to 2 Lortab a day and sometimes 1 (just had a 3rd hip revision in Aug.)

Are you taking medication for your osteoporosis?  Or is that contraindicated due to your liver disease?

Hope you have a good Christmas!

Hugs,

Connie



hep93
Forum moderator - Hepatitis
 
"But that was yesterday, and I was a different person then."
Lewis Carroll, Alice in Wonderland


lavendar
Regular Member


Date Joined Nov 2007
Total Posts : 450
   Posted 12/28/2009 1:57 AM (GMT -7)   
Hi Pink Grandma:

Hope you had a wonderful christmas. As for me Christmas is just another day. For the rest of us it's a (religion, like on Saturday for some Sunday and for other in deep dispair it is every day and night. The other christmas is for children.
No iv'e never heard of arthrits killing you ( he was just jokingl) But the pain meds they put me on may just ignit the liver problem again. He says he could see I was in a great deal of pain and my husband explained to him what my limitations are. So Dr. suggested my quality of life would be better if I were to see a local RA and get on medication that an RA can keep track of . I tried last week. She charged me 90 dollars. Just to tell me my BP was high.....I finally left when she walked out . Guess I will just have to keep on lookingl' So the Saga goes on.


june

Pink Grandma
Veteran Member


Date Joined Nov 2006
Total Posts : 2445
   Posted 12/28/2009 10:25 AM (GMT -7)   
Hi June,  I was so over-tired and sick when I read that post I couldn't decide if he was being funny or not.  But I don't understand why he couldn't prescribe you something as he should know the liver friendliest pain meds (not the rheumy.)   Sometimes I wonder how some docs got their medical license....it's beyond me his stupidity......is there any chance of getting a different hepatologist? 
 My Christmas was fine thank you.......but next year.....GIFT CARDS for everyone......all the shopping was too much on me. 
 
Thoughts and prayers.........
 
Pink Grandma
Forum moderator-Hepatitis

When the going gets tough....the tough get going! Don't always know where I going but I get there anyways.

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