Hi all -
I just found this forum last night after getting a call from my mom that my father had been rushed to the hospital after a spike in his ammonia levels (again) caused an episode of severe disorientation and loss of bodily function control and belligerance regarding actually going to the hospital. Thank you so much for having such a great resource of information!
A little about my dad: He has alcohol-related liver failure, but has been sober for 2 years (this month!). His primary issue stemming from the liver failure is ammonia level control (last night at the ER it was 160, but usually hovers around 70-80), and despite having fatty liver combined with cirrhosis, his other levels have not been that bad. He's on high amounts of of lactulose by mouth already as well as miralax, and is on an antibiotic regimine as well (I can't remember the name of it), and is being monitored by Dr. Araya at Albert Einstein in Phila. He also has a multitude of other, unrelated health issues as well, including vascular issues (which make him an unlikely transplant candidate) and diabetes.
This latest episode we think was brought on by eating too much protein over the holidays. And, because of the diabetes, it's been very hard to find foods that are both low-carb AND low-protein. I've been unable to find very much on google about a diet plan that is both.
Any advice for us - resources, menu planning, etc? I'm hopeful that they'll be able to get him through this latest crisis and when he comes home, we can come up with a more solid dietary plan for him that doesn't pit his liver function against his diabetes.
Thanks in advance for any information. I'm trying to direct my mom here as well, because I think that it would be a great help for her as his primary caregiver. (Unfortunately, I live 4 hours away and can't be much use on a daily basis, and don't have the ability to be "boots on the ground" with her as she works through this with him....)