New bloods this week show three fold increase in ammonia.
Some on this site say it is more the actual HE status that counts than the numbers.
It was 150 this week.
They called for a complete set of bloods for next Thursday and and increase in Lactulose, though his affect isn't much different. More tired, but nothing nuts.
Mike says he has been compliant with the Lactulose, but who knows. You pour it out of a jug, it isn't a pill that would be left over in his pill case!
Anyone else have this happen, increased ammonia without changes in mental status?